University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository




Elyse Watkins, DHSc, PA-C, DFAAPA



Importance: Hashimoto’s thyroiditis is one of the most common thyroid diseases seen and treated. It is also one of the most common autoimmune diseases making it very prevalent in primary care settings. Currently, treatment usually consists of synthetic hormone supplementation; however, patients often still complain of lingering symptoms.

Objective: The objective of this review is to determine the relationship between dietary changes in addition to thyroid hormone supplementation for treatment of HT, and the potential improvement of symptoms and quality of life.

Evidence Review: Articles and studies published in the last five years were reviewed for relevance and objective data. Topics reviewed included Hashimoto’s thyroiditis, anti-inflammatory diet, gluten free diet, and the gut microbiome effect on symptoms and disease process.

Findings: There is possible genetic correlation between celiac disease and Hashimoto’s thyroiditis, which possibly can explain why patients feel better on a gluten free diet/ anti-inflammatory diet. Evidence shows that the inflammation process can be linked to dysbiosis of gut microbiome. Creating a healthier more diverse gut microbiome can help improve quality of life.

Conclusion: Dietary changes can benefit patients with Hashimoto’s thyroiditis and possibly improve quality of life. Although more research is needed, there is good evidence to support increasing gut microbiome, and possibly that decreasing inflammation in the gut can help regulate the symptoms and progression of HT.


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