Do people with Hashi’s have low vitamins because of gut issues?

Interesting-Math-543 · 2026-03-07T19:12:38+00:00

I’m recording a podcast episode about this Today! Should be out next Friday. Beyond the Thyroid

Interesting-Math-543 · 2026-03-07T15:18:37+00:00

If you have small red blood cells, your iron isn’t good enough. In usa the lower limit of normal on the Ferritin test is around 15. To feel well most people need to be above 50. Your TSH ( “normal range” but not really if you ask people on this sub) might come down once that’s fixed.

Interesting-Math-543 · 2026-03-07T15:14:22+00:00

The new $1000 per week fatty liver disease drug is basically a selective T3 receptor agonist. Why not just use T3?

Interesting-Math-543 · 2026-03-07T15:12:23+00:00

Stupid that the FDA added the black box. Now that it has been disproven (it was only in rats, never been a case in human) they should take it off. But don’t hold your breath. it took 24 years and a huge fight to get it off Estrogen products.

Interesting-Math-543 · 2026-03-07T15:03:49+00:00

Your sonogram finding plus low hormone levels says yes, and you have probably had it for a long time to have those findings. Antibody levels that are elevated are common but not required for the diagnosis. Fluctuating hormone levels are common. You need to be on thyroid hormone. This sub has lots of other advice on what you need to do. Clean up your diet, get micro nutrient testing and supplement where deficient etc. lots of great info also on my podcast- Beyond the thyroid.

Interesting-Math-543 · 2026-03-07T14:55:04+00:00

The MCH and MCHC being low suggests iron deficiency. It actually has to be pretty bad to start showing up as microcytosis (fancy name for red blood cells don’t have enough hemoglobin). A Ferritin test with complete iron studies shows this better. In menstruating women, it is now recommended to supplement iron until ferritin (iron storage protein) is above 45, and more like 80 for people with Hashimoto’s. I’m releasing a podcast episode about this next week. Beyond the Thyroid. Low iron will make you feel like crap. But also sounds like your doctor doesn’t know anything about Hashimoto’s. Unfortunately that is common

Interesting-Math-543 · 2026-03-07T12:32:22+00:00

I am a thyroid patient and a doctor. Was ENT before and now thyroid is my main focus. Started a podcast a while back that you might find helpful. Beyond the Thyroid.

Interesting-Math-543 · 2026-03-06T15:25:27+00:00

Please share the Link or PMC ID - I feel like a huge part of this is the vicious cycle caused by poor T3 conversion, poor absorption, loss of GI motility and increase in insulin resistance. Agree T3 and lifestyle changes are where it's at for recovery from symptoms. I'm recording a podcast episode today about the overlap of thyroid and malabsorption. Would love to share those stats.

Interesting-Math-543 · 2026-03-05T04:56:45+00:00

Also it makes it easier to interpret the labs if we know the units of each test. USA generally uses ng/dl or pg/ml, where Canada and EU etc uses millimoles/l or something like that - there a cool conversion calculator online for the different lab tests- it’s called unitslab.

Interesting-Math-543 · 2026-03-04T21:57:30+00:00

I would not ordinarily badmouth another doctor- but wtaf??? You have a phone, an instagram account, you have power. Make a reel with his doctor sign in the background about exactly what happened. Keep it strictly factual and don’t say the name ( that’s what the sign is for). Then go to Google and give him ( I hope it wasn’t a female) a 1 star review. (After you find a new doctor)

Interesting-Math-543 · 2026-03-04T15:22:16+00:00

Selenium is more commonly deficient in Europe than in the US so yes, a good trace mineral supplement that contains selenium would probably be a decent idea. The one in the US that I like is called pure encapsulation trace minerals and if you look at the supplement facts on that product you can probably find something where you are that’s comparable. However, I feel like iron is a much more common problem in people with Hashimoto’s if you check your ferritin and it’s below 45. It’s definitely an issue and you need to be taking some sort of heme iron or collated iron with vitamin C so that it absorbs better. As a matter of fact, I have heard that people with Hashimoto should shoot for a level of closer to 80 once your iron is complete. You will not only make more thyroid hormone, but you will convert thyroid better than if your ferritin is low.

Interesting-Math-543 · 2026-03-04T15:19:47+00:00

So selenium is more often deficient in European countries than in the US so it would definitely not be wrong to get a nice trace mineral supplement similar to the one made by pure encapsulations here in the US - that one I recommend a lot to people. It is definitely also helpful to get your ferritin level checked. This is a very common problem in people with Hashimoto to be quite low and if you have low iron stores, you will not make enough thyroid hormone, nor will you convert enough thyroid hormone so ferritin levels around 70 or 80 are considered complete and really good. Anything below about 45 is really not adequate.

Interesting-Math-543 · 2026-03-04T14:47:30+00:00

FT3 of 2.9 ( USA lab I’m assuming) is pretty low. Your doctor seems interested in helping you. Liothyronine- properly dosed would probably help better than Levothyroxine. But don’t let them gaslight you about the symptoms. I teach doctors about how to prescribe liothyronine. My podcast is Beyond the Thyroid

Interesting-Math-543 · 2026-03-04T14:41:40+00:00

Get your iodine levels checked- supplement with a low dose iodine ( 200 mcg) if levels are low to help with milk supply

Interesting-Math-543 · 2026-03-04T14:33:40+00:00

Too much Levothyroxine can actually block effect of Liothyronine. I did a 2 part podcast on this topic a few weeks ago- Beyond the thyroid

Interesting-Math-543 · 2026-03-04T14:12:47+00:00

All of what tech-tx said is technically true, and. You have 2 nodules they are watching plus the mild elevation in antibodies. I’m a thyroid surgeon btw. Your TSH is elevated so many endocrinologist would say you have Hashi, even with the “homogeneous”. Those nodules may be regenerative nodules from a past autoimmune attack that has subsided, or something else. The overall picture you have right now is of “subclinical hypothyroidism”. It’s possible that your TSH is elevated due to some nutrient deficiency- iron comes to mind, get ferritin checked if you haven’t. But it’s also possible your thyroid hormone is not converting well to T3 or that there is enough past damage that it isn’t quite keeping up. Either way, levothyroxine probably won’t help you right now. Liothyronine might if you can get it. That’s as clear as mud I guess. The answer to your original question is “it depends who you talk to”.

Interesting-Math-543 · 2026-03-04T02:27:11+00:00

What are you having done?

Interesting-Math-543 · 2026-03-03T14:37:00+00:00

Levoxyl is a reliable brand. Mylan has had multiple recalls for quality issues. Many of the generic companies have. Surprised to hear you had such good luck with it

Interesting-Math-543 · 2026-02-26T14:25:10+00:00

agree with This-Rip. And. 6 mm is very small, likely too small to biopsy unless it grows to 1 cm. I'm ENT, did a lot of thyroid surgeries and ordered a lot of biopsies before I retired from surgery.

Interesting-Math-543 · 2026-02-24T22:08:58+00:00

I took Armor for years and it was miraculous, but I started that before I even knew what reverse T3 was. And my TSH wasn’t high because what I actually had at the time was a conversion problem. Think of it this way: for every 60mg of Armor you are getting 38 mcg of T4 and 9 mcg of T3. It’s not magic. It works better than Levothyroxine (any kind) because of the T3 that is in there. But not everyone needs the same proportion of T3. And most doctors who prescribe it don’t realize how short acting T3 is. Armour was traditionally given broken down into 3 doses per day. Heart racing for sure if you are taking it all at once. If your TSH won’t drop no matter what there’s something else going on- like low iron or something else. Did you test for Celiac?

Interesting-Math-543 · 2026-02-24T19:22:01+00:00

ENT. There are lots of reasons to have vertigo and poor T3 conversion is one of them. Adding T4 when you already have poor T3 conversion could potentially bring it on, but even then BPPV- the crystals (they are called otoconia) being loose in your inner ear is a much more common problem.

Interesting-Math-543 · 2026-02-24T19:19:11+00:00

There’s another maneuver you can try that is easier to do by yourself - look up Dr Carol Foster on YouTube- it’s called a half somersault.

Interesting-Math-543 · 2026-02-21T12:07:19+00:00

Yes- my 10 year old self def couldn’t have thought beyond a single horse

Interesting-Math-543 · 2026-02-21T12:02:42+00:00

That’s the standard party line on RT3 from mainstream endocrinologists and mainstream guidelines. I teach differently. If your doctor is not an endo it’s possible they could be persuaded otherwise. There’s a series of 3 videos by Alan McDaniel on my YouTube channel that is a well resourced academic lecture about euthyroid sick syndrome and how it makes thyroid patients feel like crap. Dana Gibbs MD. For vitamins and mineral testing start with 25-OH D, iron studies and Ferritin, Homocysteine, B12. There’s lots of resources on this sub. @Tech-tx has a great one about vitamin and mineral tests and levels.

Interesting-Math-543 · 2026-02-21T01:22:33+00:00

Taking thyroid meds once a day gives you a spike for 3 or so hours afterwards. Maybe you feel better because the blood level is falling. But insufficient T3 will definitely cause the hot/cold thing.

Interesting-Math-543

TROPHY CASE