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Should A Gluten Free Diet Be Followed When Suffring From Hashimoto's Disease?

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Posted on Wed, 23 Jul 2014
Question: I don't need an immediate assert my question, since, it is getting very late, where I live, and I will not even begin checking for this answer until tomorrow. My question is: I have Hashimoto's Disease, and one of my doctors recently checked my blood work for Celiac Disease. The test came back negative, I do not have Celiac Disease. Do I need to stay away from Gluten anyway? I am currently 30 pounds overweight, which I definitely feel is water weight. Should I stay away from Gluten? Please consider the fact that, I eliminated Gluten from my diet, almost completely for 3 months, but never saw a change.
doctor
Answered by Dr. Binu Parameswaran Pillai (26 minutes later)
Brief Answer:
No need

Detailed Answer:
Hello,
Good day.
Celiac disease and hashimoto's disease can co exist. Both of them are auto immune disorders.

Celiac disease can present like wheat intolerance, gas formation, indigestion, iron deficiency as well as vitamin D deficiency. I hope you have no similar symptoms.

I hope you had a celiac antibody test done ( TTG IGA). If the test has come back negative and if you haven't felt any change whilst off gluten diet, there is no point on being on a gluten free diet. You may please continue a normal diet.

Regards
Binu



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (6 hours later)
Hello Again, Dr. XXXXXXX you you are just the best. Since I was lucky enough to receive your expertise again, I have another question for you.

Can a very low TSH sometimes cause weight gain, instead of weight loss?

As I think I previously told you my doctor kept raising my Armour Thyroid over the course of a year, from 120 mg. to 240mg. She kept checking my thyroid levels every 6 weeks, and she was trying to get my t4 up, which remained at mid range levels. she raised me 30 mg. at a time. By the time I was on 240mg. my TSH lowered to .009. Over this time, my weight continued to go up, instead of down. As I think I mentioned previously, it was even worse on Synthroid, another 8 pounds in 6 weeks. Now back on Armour Thyroid, my weight has stabilized, my I have not lost, anything.

As I told you, I have an appointment this week, July 10th, to discuss my current Thyroid blood test levels, with my Cardiologist this week. I am just curious, if you have ever seen a case, where weight goes up, because of low TSH.
doctor
Answered by Dr. Binu Parameswaran Pillai (1 hour later)
Brief Answer:
Hi

Detailed Answer:
Hi,
Welcome back. In fact, the weight gain in hypothyroidism is due to accumulation fluid, some special proteins as well as due to a low basal metabolic rate. When TSH goes down, there is evidence of hyperthyroidism ( due to excess drugs) and the weight should come down. To be XXXXXXX I have not seen weight gain in hyperthyroidism.
As I mentioned earlier, if you are not losing weight despite being on a good dose of thyroid medication, then we must consider alternate causes of weight gain. Some other hormone disorders too can cause weight gain ( eg: Cushing's syndrome)

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (1 hour later)
Ok, thank you so much again, Dr. XXXXXXX I will close this discussion, after you respond to me one more time, in reference to this question. The only reason, I mentioned it, is because the Endocrinologist who recently put me on Synthroid said, she thought because of my low TSH, the thyroid hormone could not do it's job, and as a result, she felt a lower dose of thyroid hormone, would allow my TSH to go up, and she thought I would then lose weight.

As I said, I will wait until this Thursday, to see were my levels are at. I was just wondering if you agree with her opinion. I don't respect this doctor, because she forced me to take Synthroid, but I was just wondering if she might be correct in her thinking regarding my low TSH.
doctor
Answered by Dr. Binu Parameswaran Pillai (4 hours later)
Brief Answer:
Hi

Detailed Answer:
No worries. More than happy to answer your question. Sorry for the delay. ( just reached home from work. We work here on sundays and friday is a holiday for us).

I can not agree that if the TSH is low, thyroid hormones will not work. Low TSH indicates that you are over replaced and thyroid hormones are in excess. You should lose weight in that case. If you alow TSH to go up, you will gain weight. ( you should try to keep TSH in normal range). I don't know if she meant something else.

Personally speaking, i too prefer Synthroid. However, we have observed that some people do well on Armur thyroid. It may be because it cotain both T3 and T4.
Synthroid contain levothyroxine only ( T4).

Regards XXXXXXX
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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Should A Gluten Free Diet Be Followed When Suffring From Hashimoto's Disease?

Brief Answer: No need Detailed Answer: Hello, Good day. Celiac disease and hashimoto's disease can co exist. Both of them are auto immune disorders. Celiac disease can present like wheat intolerance, gas formation, indigestion, iron deficiency as well as vitamin D deficiency. I hope you have no similar symptoms. I hope you had a celiac antibody test done ( TTG IGA). If the test has come back negative and if you haven't felt any change whilst off gluten diet, there is no point on being on a gluten free diet. You may please continue a normal diet. Regards Binu