• Thyroid Gland- Gland that sits just below your “Adams Apple”. It helps control rate of energy production and conservation.
  • Hypothyroidism- “Turning down the thermostat” for most of your biological activities.
  • Hashimoto’s Thyroiditis is an auto-immune disease where your body attacks it’s own Thyroid tissue. Imbalances are seen in the immune system’s TH1 / TH2 responses, imbalances that typically come about when chronically exposed to an antigen (virus, bacteria, foods, everyday chemicals ect.) Immune Imbalances can lead to auto-immune diseases like Hashimoto’s.
  • Suspect Hashimoto’s if you are on medications for hypothyroidism like Synthroid and they “just don’t work”.
  • Functional Medicine Practitioners may test for Thyroid Peroxidase Antibodies (TPO Antibodies) and Thyroglobulin Antibodies (TGA Antibodies), which are the white blood type cells that attack the Thyroid gland.
  • Most of people with Hashimoto’s have an inborn error in processing vitamin D, which is important in the stability of the immune system. One should conceder ordering a vitamin D test (25 Hydroxy D) to check for optimal vitamin D levels (50-70 ng/ml).
  • Situations that make Hashimoto’s worse:Gluten Intolerance
  • 95% of symptoms will go away when gluten is eliminated.
  • Iodine- This can increase oxidative stress on the Thyroid (see Jodbasedow phenomenon).
  • Sugar handling issues (hypoglycemia/insulin resistance/diabetes).
  • Intestinal infections- Theses go undetected most of the time (AKA YOU CAN NOT FEEL THEM). Stool testing is crucial.
  • Unbalanced hormones.
  • Heavy metal burdens- We all have a degree of heavy metal burden, however, higher levels of metals like mercury, arsenic, and antimony can promote major immune system dysfunction. You yourself can test for heavy metal burden with a simple hair test.
  • Goals:
  1. To stabilize antibody spikes by balancing the immune system. Understand your imbalance by ordering two blood tests:
    1. TH1/TH2 Balance Panel
    2. CD4/CD8 Ratio Panel
  2. Reduce oxidative damage done by the auto-antibodies

If this information helped you, please pass it on to others so they may be helped in the same way.

Dr. Brady Hurst

27 Responses to “Hashimoto’s Thyroiditis and the Immune System- The Functional Medicine Approach”

  1. Jenny faulk says:

    I was diagnosed 3 yrs ago with hashi’s after having an allergic reaction (???), in which I developed a severe case of urticarial vasculitis. They never found the cause of the allergic reaction. I was tested for all of the auto-immune diseases (RA, Lupus, etc). 3 years ago my thyroid antibodies were 70+ (a little high). I went on Synthroid, which was increased to 150mcg over a 3 – 6 mth period. My thyroid function was fine. I continued to feel tired, and continued to gain weight, have dry skin, brittle hair, etc. I went off the Synthroid in June of last year. I have experienced mucle & joint pain 2 – 3 days a week for the last 3 years since this episode. For the last week & 1/2, I have been in constant pain. I went to see my dr. My ultrasound showed a goiter (nothing new), but now, my antibody level is 637. I am a little concerned. What effects does this have on your other organ systems? And since I am starting on 100 mcg of Synthroid again (which I hate). I gained weight while on it & lost 37lbs when I went off of it. Will the Synthroid lower my antibody levels back down to normal limits?

    • Hi there- I hope its okay to post here- I’m not a doctor or anything but I have hashi’s too and instead of being on T4 only medication which is what synthroid is, most alternative medicine is now recognizing that taking t3 or a combo of t3/t4 brings about much better improvement in how you feel. It worked for me- I read about it at they actually push for the natural thyroid which I may try someday but for now, taking synthetic t3 has been really helpful- it gave me my life back- I hate to see anyone else suffer as I have.

  2. Hello there!

    I was doing a Google search regarding Hashimoto’s thyroiditis and the anti-fungal diet (no sugar or yeast and eliminating lots of other things) and I stumbled upon your website. I belive this is a very valuable resource! I am so glad I found you.

    Let me tell you a bit about myself. I am a 31 year old female with no known health problems other than Hashimoto’s thyroiditis. I am about 5’8″ 145. And for the last two weeks, I have been on the anti-fungal diet, which also happens to be gluten free.

    I have not had the best luck with doctors. When I was a freshman in high school, I developed a goiter in my neck area, and I told my mom to take me to the doctor. They gave me synthroid and I took it for aobut a year, and then my doctors took me off of it, and I clearly remember them telling my mother I do not have a thyroid condition anymore as the goiter went down. This was probably my sophomore year.

    By the time I was a senior, I had terrible anxiety. I couldn’t bring myself to go to achool and totally avoided social situations. I think the school principal and doctors and people just thought I didn’t want to go to school and nothing was done. I didn’t go to college thereafter, and pretty much just wanted to sleep all the time. I got happier when I was aobut 19 and found a job I really liked working at a front desk at a hotel. There, I met my husband and we have been together ever since.

    WHy am I telling you all this? Well, then when I was 24, very recently married and trying to get a mortgage and decide how to build a house, I became very anxious again and didn’t want to go to work and wanted to sleep all the time. I had a new doctor by this time, as I had moved with my husband aobut 25 miles from where I grew up. When I finally drug myself to the doctor to tell him how bad my anxiety was, he thought it was depression, but then he asked if anyone in my family had thyroid issues. I told him I did as a teenager, and that i took synthroid for about a year and was taken off of it ever since.

    Well, he said he never heard of anyone ever being taken off of synthorid and immediately tested my TSH and t4. My TSH was around 13, so he started me on 50 mcg of brand name synthroid. Then the dr. left my practice and I pretty much never saw him again. This was about 2002.

    In 2004, I became pregnant with my first child at age 26, and delivered her with NO problems. I stayed on the 50 mcg synthroid througout the pregnancy, and had my TSH and T4 tested each trimester and all was well.

    Then in 2007 I became pregnant with my second child. In Feb 08 when I was 35 weeks pregnant I lost this second baby (another girl). When I got to aobut 31-32 weeks I was having great difficulty walking and was in great pain. At 32 weeks my height of fundus measured 36, and at my 35 week checkup my height of fundus was 43. I kept calling, telling them I was in a great deal of pain. Told them I wasn’t feeling her move. My OB doctor I was seeing at the time (you saw lots of different people at this lousy practice – Women’s Health at Penn State Hershey Medical Center) just thought the baby was REALLY big, and told me to go to an ultrasound. I went to the receptionist to check out, and she said, “When do you want to go for your ultrasound?” (you had to go to radiology) I said, “ASAP.” She gave me an appointment three days later. At the ultrasound, they told me my baby died. She had Hydrops, non-immune. I am not rh negative. (mind you I am a lay person and didn’t know until later the significance of the height of fundus. Only found out later your weeks gesgation should be about the same as your height of fundus)

    So, I was in too much shock to know an autopsy was probably needed not only for a lawsuit to hold up, but to know what really was wrong with this baby. But also, the doctor on call when I lost the baby said it was only 50/50 an autopsy would tell us anything. So, i did not have one. They didn’t test the baby’s chromosomes, either. My TSH was very normal this whole time, by the way. A week before I lost that baby they did the TSH and it was about 2.0. All the pathology was normal.

    So, I went to see a maternal fetal medicine specialist to see what they thought I should do. We saw the genetic counselor, and there was nothign signficant that she found. The MFM specialist wrote my doctor a letter and told them to take some blood tests that he recommended. (for insurance purposes the doctor preferred that I go to my PCP for these tests) They tested me for aobut six things, three of which I can name to you. One was for lupus, another for bloodclotting or anti-coagulants and chroomosomal testing for me and hubby. Everythign came back normal.

    After this pregnancy, I developed some thyroiditis and had to stop my synthroid for 8 weeks. After the 8 weeks, the TSH was about 11 and they started me on 50 mcg of synthroid again. My doctor in the meantime (PCP) left the practice. So, they gave me some woman doctor with no children and a lousy memory.

    So, i waited a year and got pregnant again. Found out I was pregnant March 15, 2009. At my 9-week checkup and first ultrasound, there was no heartbeat. So, we sent this baby for chrosomal testing. THe baby had the right number of chromosomes. Now, i found a great OB in the meantime. He calls me personally to check on me. HOwever, we did nothing different other than check my TSH. No one was even ordering T4 free’s or anything. No one checked my progesterone or anything like that. Well, this new OB says he is having a hard time connecting the stillbirth to this present loss, but he agreed my idea to go to a reproductive endochronologist was on the right track.

    Well, I am a transcriptionist by trade, and work at home. Usually I do court transcripts, but over the winter I had been asked to trancribe a TV show called Know The Cause with host Doug Kaufmann. He is a HUGE advocate of the anti-fungal diet and thinks we should avoid corn, mushrooms, yeast and maybe a couple other foods our whole lives. I contacted him and he sent me a book for free about cleansing the body of candida in order to have a healthy pregnancy. this diet also involves no gluten of course. I have been on it two weeks. However, I think my thyroid is becoming HYPER at the moment, as I am taking my body basal temperature and it is high each morning! I took it over the winter and it was always 97.4 – 97.9. Now, i wake up and it is 98.0 – 98.4 and I just stopped bleeding from my D&E!. So, maybe the pregnancy has something to do with my possibly being hyper or the diet or both. i am getting a tsh test monday 5/18.

    I would like to talk to you because I think you have great insight as to the types of things I should be tested for. i am always open to suggestions. No one felt it necessary to ever test my thyroid antibodies. i initiated that test and the peroxidase was not negative, but low enough that it’s in range, and another one was not negative also but in range, and then the antithyroglobulin was the only one out of range, at 32. They did this test about 6 days after my d&E.

    What kinds of thigns should I ask them to test me for? I am seeing an acupuncturist. I think that even if teh RE finds nothing wrong with me, that I will try ONE more time to give my daughter a sibling on my own. But this time, i’ll do it gluten-free and with the acupuncturists treeatments and herbs. What do you think?? I am also going to post this as a comment to the hashimoto’s page on your blog, to be sure you see this. CALL ME ANYTIME before monday if you would see this and want to. Otherwise, I’ll call you Monday, May 18.

    Thank you sooooooooo very much.

  3. Linda Hartman says:

    Dr. Brady,

    Thank you so much for sharing this information on Hashimoto’s Thyroiditis and the Immune System with your viewers. This information was more helpful to me than all of the combined information I’ve received over the last several months. Most of the sites I’ve looked at describe disease as an auto-immune disease, but does not explain what causes it. My daughter was just diagnosed with Hashimoto’s Thyroiditis. Back in February, when she was showing increasing symptoms of depression, insomnia, fatigue, chronic illness, etc., I took her back to the pediatrician to rule out any physiological conditions. A thyroid test was taken, but came back just slightly below normal range, so they sent me back to the psychologist and psychiatrist. Her condition worsened and we eventually had to admit her to a psychiatric hospital. At admittance, they took a series of blood tests and this time her TSH came back suppressed at.025 (T3/T4 were normal). The test was repeated with the same results. Three weeks later she was retested and her levels were significantly above range this time (TSH 9.213; Thyroperox.AB >1000, T4 Free just under range at .63). End result, the doctor put her on 75MG Synthroid (to be increased soon) and informed us that this may be a life long condition. So, at age 15, she is now on Prozak, Seroquel (mood disorder) and Synthroid. She is also on Protonix which was prescribed this week after we took her to the ER because she was vomiting dried blood.

    My sister had issues with food allergies when she was in her 20s which caused numerous physical problems. She was fortunate to have found a doctor that took a similar approach as yours and managed the source of the problem rather than just the symptoms. I am so grateful she forwarded this link to me. I will look into your TeleHealth Service.

    Thank you so much for helping me to tie this all together and giving me hope!


    • What a nightmare Linda.

      Proper thyroid function is needed in order for neurons to grow and communicate with each other. Thyroid problems are only life long if the things promoting them are not addressed. Most sickcare practitioners do not appreciate the complexity of human physiology so they keep it simple (and dangerous) by suppressing symptoms or in your daughter’s case, replacing thyroid hormones which will do NOTHING for the auto-immune attack on the thyroid tissue. Yes, you’re not alone, it makes me mad too…

      I look forward to reviewing your daughter’s case.

      To Your Health,

      Dr. Brady Hurst

      PS: Visit to download our intake forms.

  4. dearthyroid says:

    WOW. Thanks so much for this. Thyroid problems get overlook and/or treated as if it’s a one-size-fits-all solution, which is so not the case. Thank you for explaining other causes and problems associated with thyroid disease. I have Hashimoto’s myself and am always looking for other resources on the internet. I know firsthand that Synthroid alone will not make me any better. I have incorporated many other things into my daily routine, in addition to my medication. I have completely changed my diet and lifestyle — that includes omitting allergens and fake foods, as well as sugars and grains. Again, thanks so much for this. Alot of people can use this sort of information!


    • Hi Liz,

      Thank you for your comment. I took a look at your website. I applaud you for setting up a place to disseminate thyroid health information. We all need to do are part to end the one-size-fits-all approach and your doing a great job.

      Our biggest purpose is to empower people to take control of their own health and use us doctors for insight and guidance, not control. Because of this, we have crated a site where those with thyroid concerns can order their own lab tests.

      I would like to encourage my website viewer to interact with your website. Perhaps we can arrange a link share which will further help disseminate useful thyroid information.

      Let’s talk more. You can email me at

      To your Health,

      Dr. Brady


    Dr. Brady,
    You are the first doctor to mention the problem in processing Vitamin D and Hashimotos. I have had very high TPO antibodies (750) for 8 years even though my T4, T3 and TSH are normal with synthroid medication. I also have borderline osteoporosis in my spine and have been trying to up my D levels. They are currently at 36, but I’d like to be at 50 so increased D3 to 3,000 IU a day and started having “hyper” symptoms–heart palpitations, throat swelling, insomnia, etc —typical Hashi flare-up.

    A few other women with Hashimotos on the osteopososis boards have experienced this also, and I have found some studies on the internet that allude to the problem between D and hashimotos. But most doctors dismiss it, and since you are so much more awake-at-the-wheel than most doctors, could you let us know if you have ever seen this with your Hashi patients and how you dealt with it. I stopped the D altogether 3 days ago and feel less hyper already but don’t want to stop D supplementation—especially with osteo.
    Any suggestions for us Hashi D-reactors? (none of us are allergic to cod liver oil or sheep’s wool that D comes from)
    Thank you for your reply,
    warmly, Catherine

    • I have not seen this but it makes sense how it could happen. You immune system is dysfunctional which means you do not have a “thyroid problem” but an “immune system problem”. You’re being treated as a thyroid patient ( I like your point on “falling asleep at the wheel”… most docs are totally unconscious at the wheel; robots if you will).

      Here’s the deal: Vitamin D2 and 3 is inactive! It must be converted by the kidneys into 1,25 vitamin D. This is what has to happen in order for vitamin D to have an effect on us. If you are over-converting vitamin D and have high TPO (BTW- 8 years….not ok Catherine) then that could ramp up your immune system and cause hyper problems. This can be tested for.

      On every cell there are gates (receptors) for vitamin D. These can be dysfunctional in those with auto-immune issues. Improving DNA expression (through nutrition of course) is the key to restoring function to those receptors. These receptors can also be tested for.

      Just Synthroid… the dysfunction lies within the way the majority of doctors look at how the body works. We are trained in systems (neurology, cardiology ect.) and we fail because we forget that each of the systems affect all the rest. I chose not to adopt this route and strive to understand how each system (and non systems- mentality etc.) affect all others, that is why we get the results we do.

      Thanks for watching and commenting Catherine.

      To Your Health,

      Dr. Brady

  6. Lynne Richards says:

    Hi Dr Brady,
    First of all….loved your very informative video. I am hypothyroid(tsh13)and I am also bipolar. Just found out that I have only half of a thyroid gland…told it was a birth defect and here I am 51 years old. Went to Vanderbilt Medical Ctr on 8/31/09 and saw a so called expert…told her the hormones prescribed on and off since the late 80’s affected how I function….in fact the last time Synthroid was prescribed I had MAJOR mood cycling, to include the lowest of lows.She told me I was IMAGINING the moodswings. She told me I had 2 options to take the hormones or not take the hormones. She prescribed 5 mcg of cytomel a day. I take half of the dose, plus have gone gluten free and cut most of the sugar out of my diet. I also have RLS, and peripheral neuropathy and I am not diabetic. I just want to thank you for keeping me sane. Are you accepting new patients and any advice? I follow you on Twitter.

    Sincerely, Lynne Richards Clarksville, TN

  7. Cynthia Blount says:

    Dr Brady, I am 37 years old and just had some blood work done last week and was told my thyroid antibodies are 252 and my vitamin D level is 12.2. My TSH is 4.0. 6 months ago I has a severe allergic reaction to bee pollen. Do you think this could have caused the attack on my thyroid, and if so will it ever get better since I have stopped taking the bee pollen and the reaction has since subsided. Also my doctor wants to put me on 50,000 units vitamin D weekly for 3 months. Is this ok to take with Hashimoto’s if that is what I have. Please help, I am so confused, and I have depression, anxiety, hair loss, fatigue. Sincerely, Cindy Tampa Florida

  8. Karen Couto says:

    Dr. Brady:
    I am 53 years old. I was told I have Hashimoto’s in 2006. I have not felt well since 2004 when I had a hysterectomy. Since then it has been all down hill. I do not sleep well, low vit d level, numbness in extremities, get tired during the day, wake with a headache. I could go on. I feel it is related to my thyroid. I am on synthryoid 88mg. I also have had my one thyroid removed due to a nodule. I put off the removal for 6months in 2006 because I felt it was not necessary. I had pain in my neck and couldn’t sleep but when I asked the surgeon he said that I would have eventually corrected itself. It was fluid filled. My neck swelled after I stopped taking all the meds I was put on. I was feeling so bad and the more meds he gave me the worse I felt. I was on hormone pills, thyroid, antidepressant, two bp medications and I just stopped them. I have blamed myself every since because my neck swelled afterward and then I ended up having one of the thyroid removed. After the surgery I ached all over. I founded out later I was low on potassium and low on vit d. I really feel I am falling apart and there is no one to help me. I have 4 specialists. One for bp, one for thryoid, one for heart and one for stomach. I have found I have a fatty liver now, a nodule on my adrenal gland, my heart skips beats. No one believes how bad I feel and I am really scared. My blood pressure is now normal but I am on micardis hct along with a water pill and potassium. I am on a lot of medications and would be on more if I took all they gave me including sleeping pills. My thyroid doc says my labs are great but I see where my antibodies are very high and he says that as far as the medical field goes they feel the antibodies dont effect anything but the thyroid but that is not what I am reading. He said even if he could treat the antibodies it would compromise my immune system. I told them I feel they are putting bandaids on the problems and not getting to the real thing. I am at my wits end. I dont want my other organs destroyed by this. Please Help. Thank You, Karen

    • Hi Karen,

      Unfortunately, I have seen many cases like this… it is very common. There is a lot going on with you thus priorities need to be set. Autoimmune is always priority #1. Simple tests can give us the information to start getting you back on track. Call my office to discuss further. If I am not avaliable, leave a message with the office manager and I will get back to you. My contact info can be found at:

      “A specialist is someone who knows a lot about a little. Unfortunately that model doesn’t fit when the goal is to restore and maintain health.”

      Dr. Brady Hurst

  9. Dr Brady, I am a 32 year old male, and the past 14 months have been the worst in my life. I will tell you my situation and try keep it short as possible.
    Just over a year ago I started getting chest pains, dizzyness, jittery hands, and palpatation like feelings. I have never had anything like these before in my life. I was told that i must have strained my chest ligaments and had a condition known as Costochondritis / inflamation of the chest bone. A month or 2 later I was still getting these chest pains and symptoms. I then started to get a pain in my right side, just below the ribcage in the liver area. ( This was also diagnosed as a strained back and muscles ) Since then I have had the same feelings almost daily to a certain degree, some days i feel fine some i feel ill and cant get out of bed.

    After repeat visits and nagging my local doctor to help, i got some blood tests done, they came back showing my liver as having elevated bilirubin levels ( or Gilberts Syndrome ) and a thyroid peroxidase antibody level of 132. ( Normal range being 0-34 units , here in UK, im not sure if the USA units are different )

    All other blood tests have came back normal, apart from these 2.

    My local doctors can’t seem to answer any of my questions nor can they give any explanation of how or why the conditions have been caused. My last visit to the doctor was 1 month ago, and after asking for ANY ADVICE OR HELP AT ALL !! ?? to explain what is wrong with me orwhat i should do, all he says is ” come back and see me in 6 months, or come back sooner if you feel any worse ”

    I cannot work properly, i feel ill almost every single day, i wake up with headaches, back pain, feeling sick, fatigure, jittery hands, can feel the pulse in my neck and hands as i sit here, constantly tired, chest pains/palpitations, irritable bowel syndrome symptoms, a huge list of other symptoms, i cant focus or concentrate on anything im doing, my mind is racing, i cant sleep properly and so wake up in the morning tired.

    I have felt fine my whole life until this past year. I use to run about 8 mile a week, cycle, swim, rock climb etc. I am 5,7 tall and weight around 60-65kg.

    I contacted a herbalist doctor and explained my situation, and he advised me to take a herbal mix which contains idoine ( kelp ) B12 vitamins, etc, I started to feel slightly better the last few weeks but they dont seem to be making much difference, i still feel like a walking zombie and i cant do my work or live my life, i avoid going out into busy places or socialising , all i want to do it lay down and sleep. I am at my wits end and worried sick, but I cant seem to get any help from any doctor or from anyone else, I do not know what to do.

    All i wish for is to just feel normal again and get on with my life.

    Can you give me any advice or help with what might be wong and how I can treat myself ? as I have given up hope on our national health service here in the UK long ago.

    If anyone else reading this has these or similar symptoms and wishes to contact me please do – baitboats (at) hotmail . co . uk

    Any advice at all, no matter how little will be greatly appreiated.

    Thank you very much


    • Hi Rob,

      I am greatly sympathetic with you situation. Unfortunately, I have seen many cases like this.

      The elevated thyroid antibodies suggest an autoimmune disease. This, over time, can negatively affect your life, as it has. Many athletes develop autoimmune issues because of trauma to there muscles along with other factors. In my opinion, steroids are not the answer. Great improvement to the immune system can be made by balancing the immune system rather than shutting it down.

      I can not give you specifics…they do not take the place of aggressive examination and decision making. Fill out our comprehensive intake forms ( and email them back. I will decide whether you need to come here or if we can make a difference from where you are.

      To Your Health,

      Dr. Brady Hurst

  10. nadia dar says:

    Dear dr brady ,thanku for taking time out and helping all of us out there,we r suffering & by answering our queries u really do give us hope 🙂
    I have been having weird and funny symptoms after my son was born in 1997 fatigue & excessive sleeping ,keeping weight down.I was told that i have cysts on ovaries which might be pcos but i have regular cycles .
    I shall fast forward my story to 2004 feeling very bloated,tired puffy face diffused hairloss.Despite eating healthy putting on weight,hot flushes ,falling on the sofa after a meal ..i thought at 33yrs i am going through menopause …well i was not,
    early 2010 my sister was diagnosed with hashimotos ,i just went last week to get my thyroid check just in case .i got the result my tsh is 4 ,my antibodies is greater than 1300 …they r suppose to be less than 60 .I am scared,dont know what to do now.

  11. Julie Isola says:

    Dr. Brady,
    My name is Julie. I was diagnosed with hypothyroidism in June of 2010. I been suffering from swelling in feet, hands, abdomen for well over a year. In june of this year I became more depressed, confused, still dealing with swelling, and loss of energy. My family practioner finally listened to me, and did blood work. Found I was high in my levels, and diagnosed me with hypo-thyroidism. I starting taking levothyroxine and in 4-6 weeks went back in to be retested, levels were still not good, so she increased my meds. I had begun loosing my hair drastically, and I had a mane of hair. I was devastated, so I got a referral to an local endocrinologist who changed my meds to Levoxyl and told me to take it without food, and without my vitamins, and biotin. I am still not feeling better, I see him again this week for follow up. I had to cut off my hair, and I feel completely wiped out and not like myself. A family friend told me that I am not fully being treated correctly. That they need to treat my T-4 levels as well, and that I should be watching what I eat. What questions should I be asking this endo doc? I am trusting in these people to help treat me and get me feeling better. I also have a nueromuscular condition called congenital myasthenic syndrome. It is NOT myasthenia gravis, we just share in like symptoms. Can you please help me???? I would be so thankful!!

    • Hi Julie,

      Over 80% of hypothyroidism cases are actually autoimmune (called Hashimoto’s disease). This is when your immune system attacks normal, healthy thyroid cells. One of the signs that this is going on is when hormone replacement doesn’t work for you. If Hashimoto’s is the case, then it’s an immune system problem, not a thyroid problem. Agressive nutrtional intervention to help balance the immune system helps tramendously.

      Hashimoto’s is mostly likey for you since myasthenic syndrome is also autoimmune.

      What I do in my clinic is test for thyroid auto-antibodies called TPO and TGB.

      If they are positive then I run a CD4/CD8 ratio test, a TH1/TH2 test, and vitamin D. These two tests give a clear picture of how your immune system is behaving. Specific and agressive nutritional protocols can help restore immune balance, thus restoring health.

      Most standard doctors will not look for or order the above tests because it will not change their treatment. However, you can order these directly yourself here: True Health Labs- Hashimoto’s

      I hope that helps Julie. Feel free to contact us if you have any more questions.

      Dr. Brady Hurst
      Clinic Director

  12. Great read! Maybe you could do a follow up to this topic!?!

  13. Joni Flaherty says:

    I was diagnosed with Hashimoto’s about 8 yrs ago and began taking Synthroid. In October 2009 I woke up with swollen eyes and was told that my thyroid gland was producing a normal amount of thyroid hormone and synthroid was no longer necessary as I was being overcompensated with this hormone. I was then diagnosed with Graves disease and thyroid eye disease. I have been off of synthroid since Jan 2010 and in May of 2011 have now been diagnosed with having antibodies for both Graves Disease as well as Hashimoto’s. My Dr. has now prescribed 50mcg of Synthroid because my TSH is now 15.6. I am very confused as to what is going on with my thyroid. Please advise me of your thoughts. I am so frustrated with not being able to get to the bottom of my problem. Much appreciated.

    • Joni,

      You are right, in order to make lasting impacts you must get to the bottom of the root issues.

      In essence, you have an immune system problem, not a thyroid problem. The thyroid is just the tissue being attacked. Understanding your specific flavor of immune dysfunction is the first step. In my practice, the 3 tests I absolutely run on every autoimmune patient are the Th1/Th2 test, CD4/CD8 ratio with natural killer cell and regulatory T cells, and a full blood panel with vitamin D.

      These tests show, in detail, how your immune system is functioning and helps lay a blueprint on what to do about it.

      Hope that helps Joni.

      I wish you the best of health,

      Dr. Brady

  14. Hi Dr Brady,

    My name is Cassie. I’m very interested in your enlightened approach to treating Hashi’s. I’ve had it for decades, been poorly treated by doctors here (in Australia), and have only recently found someone who has allowed me to take Thyroid Extract (very rare to find a doctor who will treat with this over here).

    I became aware of Thyroid Extract through reading “Stop The Thyroid Madness”. Having taken thyroxine before and getting no reversal of symptoms at all, I just felt that TE would be more effective. The first few weeks were great, but I’m only taking one grain. I don’t feel its enough though, as my symptoms are returning after 3 weeks.

    However, I was going to ask, what influence do you find Adrenal Fatigue plays on Hashi’s or thyroid problems? I was told my adrenals were barely functioning a couple of years ago by a naturopath. While I had a difficult time finding a doctor who would be prepared to prescribe Thyroid Extract, its like trying to find a needle in a haystack looking for one who will prescribe thyroid extract AND treat adrenals!

    So, is Adrenal Fatigue a huge influence on thyroid diseases like Hashi’s?


    • Yes, adrenal hormones have huge impacts on the immune system. Too little or too much adrenal hormone can keep the immune system dysfunctional and promote autoimmunity like Hashimoto’s.

      I highly recommend the book “Why Do I Still Have Thyroid Symptoms When My Blood Tests Are Normal”. If you decided to have the recommend tests run, then can be done through our site.

      I wish you be best of health,

      Dr. Brady

  15. Nana Christie says:

    Hello everyone!
    Iim so greatfull that ihave found your post, and read them thru, I have just been diagnosed with Hashimoto few days ago, and honestly didnt want to search or read anything online no more. Its wrong, you say, and i agree, but its a bit distructing, ones you know all goods and bads.its actually distructs you from treatmen, by thinking of all don’ts,and negativities of such a problem. Its seems that im blessed with a good doctor and with his explanation i clearly understood,t hat im taking forever with this, and treatment is something ill have to do all my life . Oh yeah, not to forget the fact that im also having Lupus for 10 good years for now . Lupus has completely brain washed me with its information and treatmen ,so maybe thats why i have just accepted this one, without proper research.But now, im having second thought. What really bothers me,is that my Hashimoto has came out thanks to my profession, Im an instructor and i talk a lot, basically from 8 to 5 with a lil break in between, and with a suffocation ,and shortage of breath i was dragged to the doctor to examine my strange inlargment on my throut .Then i was told by the doctor (one of them ,before i found mine,i cant clearly remeber everything iwas told,but…),that during talking and sleeping why i actually expirience shortage of breath is simply coz its inlargment somehow squeezes my wind pipe,thats why i feel dizy and weak,raise in temprature and suddenly wake up if im a sleep . So, now im on medicine, for 3rd day,and all the symptoms are still pretty much the same,but they said it cans till be same, till medicine start work,eltroxin 2 tab a day.and i still do wake up and feel the same when i talk. so, what im wondering, will it always be that way or medicine will change it. Do i do it worse by talking. Is my talking profession does any wrong to it?!Doctors did ention that biopsy will soon be done, to test it for any canserous cells,or else . The problem is,having lupus myself is one thing, but having my mom who has suffered from canser and mt grandpa and his mom from throut canser is other thing, which sracers me most. Well, i guess im just a begginer and i have lots to learn, but i just want to wish you all a great -positive mind to fight what we are going thru!
    We are strong and we can do it!

  16. Danny Sepple says:

    Hi Dr Brady

    I have celiac disease (diagnosed 6 years ago) and am on a strict GF diet. I am also currently presenting with lupus like symptoms right now which I am managing with a local GP.
    (joint issues, broken nail pits)
    I am studying natural medicine through college and through my own research am getting into functional medicine and recently taken it upon myself to get a full cytokine test done to once and for all determine whether I am TH1 or TH2 dominant.
    Once I receive the results, (let’s say I am TH1 dominant) I’m wondering if simply stimulating the TH2 cytokines is the complete solution to this or if there are other determining factors I should be aware of?
    Also, what are your thoughts on using Medicinal mushrooms in my case?

    Look forward to your reply.

    Warm regards

    • Dr. Brady Hurst says:

      Hi Daniel,

      Th1/Th2 testing tends to be more accurate during a “flare up”.

      I always run a CD4/CD8 ratio test to see what is going on with T-Helper and T-Suppressor cells. This test helps determine if the immune system is trying to get rid of something (infections, food protein etc.) or is malfunction in other ways.

      Also, both 25 OH Vitamin D and 1,25 Dihydroxy Vitamin D are very important to test for. If the body is not using vitamin D well, there is no way the immune system can work correctly.

      As far as mushrooms go, I would not experiment with any immune stimulants until you know what flavor of autoimmune your working with.

      • Danny Sepple says:

        Thanks so much Dr.

        In the past my CD4/CD8 ratio has shown that I have too many supressor cells and not enough T helper cells. What does this usually indicate from your experience?
        Also, would the vitamin D tests you speak of be standard tests that you can get done through a regular pathology? or like the cytokine test, are they rare tests?

        Warm regards


  1. Terror Plot Lurks at the Bottom of the Food Pyrimid. « Dr. Brady's Functional Medicine Videos - [...] Gluten is a major factor in Celiac Disease, Autism, autoimmune diseases like Rheumatoid Arthritis, Hashimoto’s Thyroiditis, Lupus, Sjogren’s Syndrome,…

Leave a Reply

Your email address will not be published. Required fields are marked *