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Hi! I'm Stelios Pantazis. I'm a doctor and I specialize in medical nutrition and metabolic disorders. Our subject today is the ideal diet for people diagnosed with Hashimoto's disease. Hashimoto's disease is an autoimmune disease that is really common. In fact, today, it's the most common autoimmune disease. Hashimoto's disease affects the thyroid and damages it. As a result, over the years, the thyroid becomes unable to produce enough hormones to support the body. Before coming to this, there is usually a long period of many years over which Hashimoto's disease appears in blood tests and ultrasounds, but it requires no medication. The damage caused to the thyroid by Hashimoto's disease is autoimmune. This means that due to reasons that are not fully understood yet, the body attacks and destroys the thyroid. Today, we're seeing the dietary measures that people suffering from Hashimoto's disease can take, either they take medication or not. Weight loss. The most important thing that people suffering from Hashimoto's disease should pay attention to is their weight. There are plenty scientific data showing that overweight people suffering from Hashimoto's disease have more symptoms and more intense symptoms and need medication more often. If you suffer from Hashimoto's disease and you're overweight, you should pay attention to your diet, in order to lose weight and reach a normal weight. This will reduce the chances that you'll need medication or it will significantly delay the need for medication. Quit gluten. There are many scientific data showing that people suffering from Hashimoto's disease suffer from gluten intolerance more often than the general population. This is why, after diagnosing Hashimoto's disease, your endocrinologist is very likely to have recommended a test for celiac disease, which is an extreme form of gluten intolerance. There are also some early data showing that people suffering from Hashimoto's disease are benefited from quitting gluten, even if they're not gluten intolerant. Specifically, a study that lasted six months has shown that people following a gluten-free diet stated an improvement in the disease symptoms and their tests showed a significant decrease of the antithyroid antibodies. Moreover, from my 20-year experience, I've noticed that people suffering from autoimmune diseases often experience an improvement in the symptoms and their disease, when they quit gluten, even if they don't suffer from celiac disease. Gluten is the main protein in wheat, therefore people that want to quit gluten should avoid wheat products. But this is not enough. Rye and barley don't contain gluten, but they contain proteins that have a likeness to gluten, namely proteins that are biochemically similar to gluten. Therefore, the body reacts adversely to these proteins too. For example, the protein of rye, which is called secalin, and gluten are 80% alike. Therefore, gluten-intolerant people are almost always intolerant to secalin and hordein, which is the barley protein. Ideally, these three cereals should be avoided. On the contrary, the likeness to avenin, the oatmeal protein, is just 10-20%. Therefore, many times oatmeal doesn't need to be avoided. Possibly quit lactose and dairy. Studies have shown that people suffering from Hashimoto's disease are often lactose-intolerant. Lactose is the main carbohydrate in milk, although yoghurt and cheese may also contain it in small quantities. A study has found out that almost 4 in 5 people suffering from Hashimoto's disease were also lactose-intolerant. This doesn't mean that everyone suffering from Hashimoto's disease should quit dairy, but you should bear in mind that if you quit milk, you'll probably notice a significant improvement in the antithyroid antibodies. In some cases, quitting other dairy helps too, namely yoghurt and cheese. Increase anti- inflammatory foods. Hashimoto's disease is an autoimmune disease, which means that the destruction of the thyroid is caused by inflammation. Knowing this, we realise how important anti-inflammatory foods are. Fruit and vegetables are anti-inflammatory foods. In fact, a study has shown that women suffering from Hashimoto's disease had lower oxidative stress indicators when they mentioned higher consumption of fruit and vegetables. Diet rich in non-processed foods. The best diet for weight loss and decrease of the antithyroid antibodies for people suffering from Hashimoto's disease is a diet that is rich in whole foods, mainly plant-based foods. Traditional Mediterranean diet is full of delicious foods that are not processed, such as legumes, vegetables cooked in oil, wonderful salads, fruit and dried nuts, which abundantly offer antioxidant and anti-inflammatory substances and many fibers that help in weight control as well as in the decrease of the inflammation against the thyroid. Quit processed foods. No healthy diet that aims to improve health, especially for the treatment of an autoimmune disease, includes sugar and processed foods. By processed foods, I mean both animal products, such as sausages and charcuterie, and plant-based foods, such as white flour, standardised pastry and mass-produced sweets, the main ingredient of which is white flour. Goitrogenic foods. I've extensively talked about goitrogenic foods in another video, which I recommend watching, in order to find out about them. The conclusion is that goitrogenic foods should be included in the diet of people suffering from Hashimoto's disease, but they should be cooked and consumed in small amounts. The most famous goitrogenic foods are cruciferous vegetables, which, as I've repeatedly said, are some of the healthiest foods. Soy. Soy is not included in traditional Greek dishes, but people trying to follow a healthy diet often introduce soy in it. Although there are still only early data, you should know that experts worry about the effect of soy on the thyroid's function. However, this only concerns people consuming extremely large amounts of soy daily. It doesn't concern people that consume soy a few times a month or a year This is the most important dietary advice for people suffering from Hashimoto's disease. In following videos, I'll talk about foods that help and harm in Hashimoto's disease, as well as about dietary supplements that may help. 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