HASHIMOTOS DISEASE - How to Get Your Life Back & STOP Feeling Symptoms

Summary

本视频讨论了如何通过饮食和生活方式控制桥本病，而不仅仅是依赖医生开的药物。强调了除了甲状腺激素替代治疗外，还需通过无麸质饮食、古食饮食或自身免疫疾病饮食（AIP）来改善症状。同时，指出了生活方式的重要性，包括缓解压力、充足睡眠、适当运动和心理状态的调整。视频还建议，如果饮食和生活方式调整后仍有问题，应考虑与医生合作检查潜在原因，如肠道感染或营养缺乏。

Takeaways

• 😷 视频讨论了如何通过饮食和生活方式控制桥本氏病，而不仅仅是依赖医生开的药物。
• 💊 医生通常只给予甲状腺激素替代药物，但这并不能停止自身免疫疾病的进程。
• 🔍 视频提到了桥本氏病发作时的症状，以及如何通过自我提问来找出发作的根本原因。
• 🚫 强调了饮食和生活方式干预的重要性，因为仅靠药物治疗无法控制自身免疫疾病。
• 🌾 建议尝试无麸质饮食至少三个月，以观察是否有所改善，因为麸质可能导致肠道渗漏。
• 🍽️ 如果无麸质饮食后仍有症状，建议尝试古饮食或自身免疫疾病饮食协议（AIP）。
• 💤 强调了充足睡眠的重要性，因为身体需要时间来修复和排毒。
• 🏃‍♀️ 提醒适度运动的重要性，过度或不足都可能引发自身免疫反应。
• 🧘‍♂️ 讨论了压力缓解的重要性，建议每天花时间进行冥想或深呼吸等活动。
• 🧠 提到了心理状态对身体健康的影响，建议用积极的自我对话来改善健康状况。
• 🔬 如果饮食和生活方式调整后仍有问题，建议与医生合作检查是否有其他潜在的健康问题，如肠道感染或营养缺乏。

Q & A

什么是桥本氏病（Hashimoto's）？

桥本氏病是一种自身免疫性疾病，会导致甲状腺功能减退（甲减）。在这种病状下，身体的免疫系统错误地攻击甲状腺，导致甲状腺功能受损。

为什么除了药物治疗外，还需要通过饮食和生活方式来控制桥本氏病？

药物治疗如左旋甲状腺素等只能替代甲状腺激素，并不能停止疾病的进展。如果不采取其他措施，自身免疫疾病会在背后持续发展，可能导致病情恶化和对其他自身免疫疾病的易感性增加。

为什么建议桥本氏病患者尝试无麸质饮食？

无麸质饮食有助于修复肠道渗漏，因为麸质可能导致肠道紧密连接不紧密，食物颗粒可能进入肠道，这是几乎所有自身免疫疾病中都发现的问题。

为什么说修复肠道渗漏对于改善自身免疫疾病很重要？

肠道渗漏会导致食物颗粒进入肠道，触发免疫系统的异常反应，这与自身免疫疾病的发生有关。修复肠道渗漏有助于减少这种异常反应，改善症状。

如果我已经尝试了无麸质饮食，但仍然感到症状，下一步应该尝试什么？

如果无麸质饮食后仍有症状，可以尝试古饮食（Paleo diet）或自身免疫疾病饮食（AIP diet）。古饮食进一步排除了所有谷物，而AIP饮食更为严格，有助于更深层次的肠道修复。

为什么说生活方式的改变与饮食同样重要？

生活方式的改变包括压力管理、睡眠、运动等，这些都对身体健康有重要影响。例如，缺乏睡眠会影响身体的恢复和修复，过度或过少的运动都可能触发自身免疫疾病的发作。

为什么医生通常只提供药物治疗作为桥本氏病的治疗方案？

医生通常只接受关于药物治疗的教育，他们的指导手册和治疗方法通常不包括除药物以外的治疗选项。这可能是因为他们没有时间或资源去探索更多的治疗方法。

为什么说心理状态对桥本氏病患者很重要？

心理状态可以影响人的身体健康。如果一个人总是认为自己生病、疲倦，这种消极的自我暗示可能会影响身体的反应。相反，积极的自我暗示如'每天我感觉更好'可以帮助改善心理状态，从而对身体产生积极影响。

如果通过饮食和生活方式的改变仍然无法控制桥本氏病，下一步应该怎么办？

如果饮食和生活方式的改变不能有效控制病情，应该考虑与医生合作，检查是否有其他潜在的原因，如肠道感染、营养缺乏或低胃酸等，这些可能需要专业的医疗干预。

为什么说对于桥本氏病患者来说，逐步改变而不是一次性全部改变更为重要？

因为每个人的身体状况和反应都是不同的，逐步改变可以让人更容易适应新的生活方式，减少压力和不适。突然的全部改变可能会导致身体和心理上的负担，不利于病情的控制。

Outlines

00:00

💊 如何通过饮食和生活方式控制桥本氏病

本段介绍了桥本氏病（Hashimoto's）是一种自身免疫性疾病，通常通过药物如左甲状腺素钠等来治疗。然而，药物治疗并不能阻止疾病的进展，只是替代了甲状腺激素。因此，建议患者通过饮食和生活方式的改变来控制病情。视频提到了之前的内容，包括桥本氏病的症状和可能的诱因，以及如何通过饮食和生活方式干预来控制病情。

05:01

🌾 无麸质饮食对桥本氏病患者的重要性

第二段强调了无麸质饮食对于桥本氏病患者的重要性。研究表明，麸质敏感性与桥本氏病有关联，麸质可能导致肠道渗漏，这是自身免疫疾病的常见问题。作者建议至少尝试三个月的无麸质饮食，以确定是否对症状有所改善。此外，还提到了其他饮食建议，如古食饮食（paleo diet）和自身免疫疾病饮食（AIP diet），以及它们对改善症状的潜在效果。

10:03

🏋️‍♀️ 生活方式对桥本氏病控制的影响

第三段讨论了生活方式对桥本氏病控制的影响，包括压力管理、睡眠、心理状态和运动。作者强调了充足睡眠的重要性，以及适当的运动和压力缓解对控制病情的作用。提到了运动强度不宜过高，以免引发压力反应和肠道渗漏。同时，也提到了积极心态对健康的影响，并建议患者与医生合作，检查可能的潜在原因，如肠道感染或营养缺乏。

15:05

🔍 桥本氏病的综合管理

最后一段总结了桥本氏病的综合管理方法，包括饮食、生活方式的改变，以及可能需要的医疗干预。作者提供了自己的网站资源，供患者了解更多关于桥本氏病的信息和如何开始改变生活方式。同时，鼓励患者逐步采取行动，而不是一次性做出所有改变，以避免感到压力过大。

Keywords

💡Hashimoto's

Hashimoto's（桥本病）是一种自身免疫性疾病，它影响甲状腺功能，导致甲状腺炎症和甲状腺激素水平下降。在视频中，Hashimoto's是讨论的中心主题，视频强调了除了药物治疗外，通过饮食和生活方式的改变来控制病情的重要性。

💡levothyroxine

levothyroxine（左旋甲状腺素）是一种常用的甲状腺激素替代药物，用于治疗甲状腺功能减退症。视频中提到，虽然这种药物可以替代甲状腺激素，但它并不能停止自身免疫疾病的发展，因此需要通过其他方式来控制病情。

💡gluten-free diet

gluten-free diet（无麸质饮食）是指避免含有麸质的食物，如小麦、大麦和黑麦等。视频中提到，对于Hashimoto's患者来说，尝试无麸质饮食是控制病情的第一步，因为麸质可能导致肠道通透性增加，从而引发或加剧自身免疫反应。

💡leaky gut

leaky gut（肠漏症）是指肠道屏障功能受损，导致未完全消化的食物颗粒和其他微生物进入血液，可能引发或加剧自身免疫疾病。视频中强调了修复肠漏对于改善Hashimoto's症状的重要性。

💡paleo diet

paleo diet（古饮食）是一种模仿古代人类饮食模式的饮食方式，通常包括瘦肉、鱼、新鲜水果和蔬菜，避免谷物、豆类和乳制品。视频中提到，对于症状较轻的Hashimoto's患者，可以尝试古饮食来改善症状。

💡AIP diet

AIP diet（自身免疫疾病饮食协议）是一种更为严格的饮食方式，旨在减少自身免疫性疾病的症状。它排除了所有可能引发炎症的食物，如谷物、乳制品、鸡蛋和夜shade蔬菜。视频中提到，对于症状严重的Hashimoto's患者，AIP饮食可能有助于快速缓解症状。

💡stress relief

stress relief（缓解压力）是指采取各种方法来减轻压力和紧张，如冥想、深呼吸、阅读或进行爱好等。视频中强调了压力管理对于控制Hashimoto's的重要性，因为长期的压力可能会加剧自身免疫反应。

💡mental state

mental state（心理状态）指的是一个人的心理和情绪状况。视频中提到，积极的心理状态和自我对话对于改善Hashimoto's症状有积极影响，因为大脑的强大力量可以影响身体的健康状况。

💡SIBO

SIBO（小肠细菌过度生长）是指小肠中细菌数量异常增多，可能导致消化问题和吸收不良。视频中提到，SIBO可能是导致Hashimoto's症状难以控制的潜在原因之一。

💡nutrient deficiencies

nutrient deficiencies（营养素缺乏）是指身体缺乏必需的维生素、矿物质或其他营养物质。视频中提到，营养素缺乏在Hashimoto's患者中很常见，可能需要通过饮食调整或补充剂来纠正。

Highlights

本视频将讨论如何通过饮食和生活方式控制桥本氏病。

如果你目前仅通过医生开的药物如左甲状腺素、合成甲状腺素等治疗，你的自身免疫疾病仍在持续发展。

药物只能替代甲状腺激素，并不能停止疾病进程。

甲状腺激素对每个细胞都至关重要，但桥本氏病患者的甲状腺仍在遭受攻击。

如果不采取措施停止疾病进程，病情可能会恶化，药物剂量可能会增加。

作者分享了自己被诊断为甲状腺功能减退症的经历，以及药物治疗的局限性。

大多数医生只被教授药物治疗方法，而没有其他治疗桥本氏病的方法。

饮食和生活方式的改变是控制桥本氏病的关键。

自身免疫疾病的三个常见因素包括遗传、毒素和饮食生活方式。

建议首先尝试无麸质饮食，因为它与桥本氏病和肠道渗漏有关。

无麸质饮食有助于修复肠道，减少自身免疫疾病的症状。

如果无麸质饮食后仍有症状，可以尝试古食饮食或自身免疫疾病饮食协议。

古食饮食有助于修复肠道并提供营养，而自身免疫疾病饮食协议则更为严格。

生活方式的改变同样重要，包括缓解压力、改善睡眠、适度运动和心理状态的调整。

至少需要8到9小时的睡眠来帮助身体恢复和修复。

适度的运动和避免过度压力对于控制桥本氏病至关重要。

心理状态的调整，如积极的自我对话，可以帮助改善身体状况。

如果饮食和生活方式改变后仍有问题，可能需要检查是否有其他潜在原因，如肠道感染或营养缺乏。

作者建议先从饮食和生活方式入手，如果症状没有改善，再考虑寻求医生的帮助。

作者提供了一个网站链接，供观众获取更多关于桥本氏病饮食和生活方式建议的信息。

Transcripts

- In this video we're gonna talk about

how to get your Hashimoto's under control

using diet and lifestyle if all you're doing right now

is taking medication from your doctor

like levothyroxine, Synthroid, Cytomel, Armour Thyroid,

Nature-Throid, or any of these thyroid replacement hormones.

(upbeat contemporary music)

In the last couple of videos

I've been kinda talking about Hashimoto's.

I did one here about Hashimoto's flare-up symptoms

and the things that you may experience

while going through a Hashimoto's flare, yeah fun.

And then I also did the video last week

which was questions you can ask yourself

to determine the root cause

of why you may be having a flare-up

of your Hashimoto's to begin with.

However, the one last week definitely geared more

towards people that have not done any sort of diet

or lifestyle interventions

to try to control their Hashimoto's.

It's important to know that you need to do these

because if you are not doing anything other than medication

your autoimmune disease is raging in the background.

Medication that you've been given by your doctor

only replaces the thyroid hormone,

it does not stop the disease at all.

You're basically taking a hormone that your body needs.

It's very important to stay on the medication

and to continue to take it

because thyroid hormone receptors

are in every cell in our body

and in order for our bodies to work correctly

it needs the hormone.

However, your body's still attacking your thyroid

and you're losing tissue every day

if you have your Hashimoto's

still kind of raging in the background.

So it's important to try to stop it

because otherwise things are gonna get worse,

your medication dose is just gonna get higher,

and you're at a lot higher of susceptibility

to having more autoimmune diseases

and that really is not something that we want.

I find this to be a very important subject for me

because I was originally diagnosed with hypothyroidism

back in 2006 and my doctor told me

that there was absolutely nothing I could do

other than take medication

and it was a little bit of a shock

because I thought I was perfectly healthy at the time

but I went along with what he said

and did that for eight years

and for either years every month my medication dosage

would be up and down ad up and down

and I would still have symptoms.

And my symptoms weren't just hypothyroid,

they were hyperthyroid too.

And I would tell my doctor and he's like well,

we can't adjust your medication

because if we make it too high or too low

you're gonna have all these other symptoms.

You're gonna get osteoporosis

and I mean just all these different things

so you're gonna just have to live with it.

And sometimes like he made me feel

like the symptoms are in my head and that I was going crazy

and all of these different things

but that's all he could do was just offer me medication.

In researching for a couple of videos ago

I actually found that most doctors to this day

are given pocket guides and ways of treatment

that do not mention anything other than medication

as their way of therapy for patients

with Hashimoto's hypothyroidism or hyperthyroidism.

That's just what they say.

They say something like hypothyroidism

is rooted in something like Hashimoto's autoimmune

but all that they can do is give us medication.

So that's how doctors are taught.

They're not really, it's not really in their best interest

to spend much more time trying to figure it all out

and that's just kinda where it ends.

The buck stops with medication and that's the end of it.

Doesn't matter when you come in and you are suffering

and having all kinds of issues,

they don't necessarily have the time or resources

to really figure out more than that.

You're probably wondering then well what do I do

in order to put my Hashimoto's in control

and to not suffer from all these symptoms?

Well, the best way to do it

is via diet and lifestyle changes.

And the reason for this is autoimmune disease in general

for any autoimmune disease,

there are typically three factors of why you would get it.

It would be genetic, so that you were passed down genes

from your parents that have the predisposition

to you getting an autoimmune disease.

Then there can be things like toxins and outside factors

that you can't really control or exposure to things

you can't control and then diet and lifestyle.

These three factors

all kind of work in conjunction with each other

and we can't control the genetic or the toxin thing as much.

However, we can control the diet and lifestyle

and that can help kinda switch off the genes

and also to make sure that like any activity

that is happening that is autoimmune based

can stop in your body.

Now the very first dietary thing that I suggest

to anyone if you're brand new to all of this

and have not done a single thing

to change your diet whatsoever

and only have done medication as your change

is to go gluten free.

Now, you can try it for at least a month

but I'd really highly recommend three months

just because gluten antibodies can remain in the body

for three months

and so you're really not doing yourself as much of a favor

by removing it only for one month

as you would be for three months

to really determine if it's an issue for you.

Now Hashimoto's and gluten sensitivity

have been tied together

in many different studies and gluten itself

is just one of those things that can cause a leaky gut

where the tight junctions in your gut

are not as like tight together

and so food particles can get out into your gut

and this is one of the things that has been found

in almost every case of autoimmune disease.

So healing a leaky gut is something that's very important

in order to feel better in the first place.

So removing gluten is one of the very first steps

to healing a leaky gut

because you're not going to be having that constant barrage,

they're basically like little bombs in your gut lining.

You're not gonna be having those little bombs

punching holes through your gut constantly

and so by removing the gluten

you're giving your gut a chance to heal

and to start to feel relief from your symptoms.

In fact, Izabella Wentz

who has a lot of information about Hashimoto's diet

did a study of over 2,000 people

and discovered that 88% of them felt better

from their Hashimoto's symptoms

from doing a gluten-free diet alone.

So that's how important it is to try this at least

to see if it makes you feel better and I wanna state

that this means zero gluten.

This means nada, none, not a beer on the weekend

and some pizza here and something there.

Like this is none because every little crumb of gluten

can cause issues for you for up to three months.

So you just wanna make sure you get rid of it completely

to really give yourself a fighting chance

to determine if it may be the problem for you.

Now if you've already done a gluten-free diet

and you feel better but you still are feeling symptoms

that's where I'm gonna say try doing like a paleo diet

and then perhaps an autoimmune protocol or AIP diet as well.

I say a paleo diet for most people

that are feeling symptoms

but not necessarily like they aren't too bad off.

You maybe have these symptoms

and you can still go do your life

but it's not like your quality of life is really suffering.

Paleo is still very healing.

It removes all grains which also kinda act like gluten

but not to the same extent

but also give your body a chance to rest and heal your gut

and to provide a lot of nutrients in.

And then if you really are suffering

like your quality of life is just gone,

you can't get out of bed or you can't get off the couch,

you can't chase after your kids, you're missing work,

you're missing events, all of these different things

that's when I say try AIP because AIP is very restrictive

so it's not an easy diet to do by any means.

However, it is very effective at healing the gut

and finding relief for you as quickly as possible.

If you want more information on these diets

and like how to start them, what they involve,

all that kinda stuff,

I have a lot more information on my site.

Go to thrivingonpaleo.com/start-here and go through that

and it will lead you on everything

that you possibly need to know about these diets

and where to start.

Now the other factor that is really important is lifestyle.

A lot of times this isn't mentioned with some things

because diet does seem to be like the big thing

but it's not the only thing.

Lifestyle is just as important as diet

when trying to control things like your Hashimoto's.

Now, what lifestyle really is, is things like stress relief,

sleep, your mental aspects, exercise,

all of these different other components

that don't like necessarily are things

that you put in your mouth to eat.

So sleep is very important.

You need at least eight to nine hours of sleep

and this is because your body needs

an immense amount of time to recover and repair

and detoxify and you do all of this during sleep

and if you rob your body of that sleep

you're not getting that detoxification

and the repairing and all of that in

and eventually that does take a toll on you.

You can flare alone just by missing a few nights of sleep.

So it's very important that you do your best

to try to get eight to nine hours of sleep a night

and I know some of you may be getting way more than that

and that's okay too for right now,

especially with Hashimoto's a lot of times

we do need even more and don't freak out if that's you.

In the last video I talked about how too little exercise

can cause autoimmune flares

because it reduces the immune function

and can be a trigger for flares

and then also too much exercise

and too high intensity of exercise can raise cortisol,

make your body think it's in the fight or flight

kind of stressful situation which can cause leaky gut

and can cause an autoimmune flare as well.

So you wanna kinda be in that sweet spot of exercise.

What that's gonna look for you

can be completely different from somebody else

but things that I recommend are walking, Pilates, yoga,

swimming, biking, just gentle things

that are not going to tax your body too much

and listen to your body.

Make sure that you don't overdo it.

If you're feeling really tired,

really sore or anything like that don't go push yourself.

I know that's a big thing, ya know work harder,

you're not gonna gain until you like throw up

and those kind of things.

Don't listen to those. (laughs)

Those are the worst things you can listen to

for autoimmune disease.

If you have Hashimoto's just take it gentle.

It's gentle is the main idea

that's going to keep you feeling so much better.

If you hustle and go as hard as you possibly can

you are just setting yourself up for a nasty, nasty flare.

And then stress relief.

I could do three videos on stress relief alone;

however, it is so important to make sure

that you're getting stress relief in your day.

This doesn't have to be like

you have to go off to a Buddhist monastery in India

or wherever they are for like a month.

This is like taking some time out,

maybe 10 minutes a day to do meditation.

Maybe every couple of hours

do a couple of rounds of deep breathing.

Maybe spend some time reading a book or doing a hobby

a couple of times a week or if you can swing it

every single day.

Going to get a massage.

I mean there's just so many different forms of stress relief

but they important thing is that you just do something.

Everyone is always on this constant

stress treadmill these days and it's just so bad for us

and even if you didn't have Hashimoto's

it would still be bad for you.

Chronic disease, it's like one of the main causes

of chronic disease and it is one of the main factors

that can cause Hashimoto's flares.

If you have your diet all dialed in

and say you've done autoimmune paleo

and everything is hunky dory and great

and you're getting eight and nine hours of sleep

and you're getting great exercise and all this

but you have a lot of stress, you're gonna have a flare.

So do the best you can.

Doesn't have to all be done right now

because I don't wanna overwhelm you

and stress you out more for having to do this

but do the best you can

to start trying to build stress relief into your day

and then I wanna talk about mental state.

This one's a very interesting one

because I don't feel it's talked about a lot

but I've learned so much about the brain

and how powerful it is.

I mean it rules our body right?

But I don't think anyone really quite understands

how much it can determine what happens to you

and to your body.

So let me give you an example.

So if you're constantly saying I'm sick, I'm tired,

I don't feel well, I have Hashimoto's, poor me,

I'm sick, I'm sick

what do you think your body's going to do in result?

It's probably gonna stay sick, right?

Because you're telling your brain

over and over and over again like a habit that you're sick.

So your body's going to follow suit.

Now let me offer you an alternative.

What if you were to say every day I'm feeling better,

every day I'm getting healthier.

I feel much better today than I did yesterday.

How does that make you feel?

Does that make you feel like you know I feel like

it makes you sit up a little bit taller,

gives you a little bit more hope and positivity.

You don't have to go and say like I feel great

if you are stuck on the couch,

because your brain's not gonna believe it,

you're not gonna believe it, it's not gonna do you any good.

But if you say every day I'm getting healthier,

every day I'm feeling better,

your brain can understand that.

It means there's incremental little help each day

and it's just one of those things

that really can make such a difference

and it seems so simple but your brain is so powerful

and just making this small little change

can make a huge difference.

I suggest just trying it for a couple of days,

see how you feel.

If anything I feel like just making the I'm sick

to every day I feel better just makes me feel better

and I'm not even feeling sick right now.

And then finally the last component

to getting your Hashimoto's under control

if you haven't done anything other than medication

is maybe working with your practitioner

to see if maybe you have an underlying root cause

of like a gut infection.

Common ones of these are SIBO,

small intestinal bacterial overgrowth, H. pylori,

or candida, I mean any of these kind of things.

Sometimes people have parasites

which are actually quite normal and common

so don't freak out if you have one of those

but then also nutrient deficiencies

they are very common with Hashimoto's.

Low stomach acid is a very common one.

Just any of these kind of root causes can also be a reason

why your Hashimoto's is not under control as well.

I always like to start people off with diet first

and lifestyle and then if you're still having issues

then to go see a practitioner.

Unless you're already working with a practitioner,

a lot of these tests can be pretty pricey

and finding a practitioner can be a little bit difficult

'cause not all practitioners will run these tests

and all that kinda stuff.

But if you have been trying to do like AIP

or any of these kinda things and are not feeling better

it is worth your time, money, and effort

to get tested for these because no amount of diet's

really gonna completely get you healed

if you still have these issues going on in the background.

I just wanna mention these now

just so you can keep them in mind

if you haven't done diet or anything like diet yet

but just know that they are things that may be something

that will help you down the line.

All right that's all I have

for getting your Hashimoto's under control.

Like I said, go to my site thrivingonpaleo.com/start-here.

I will put that up here in the screen so you can see it

and that will just lead you through everything.

Like it will help you understand

what your autoimmune disease is, why you have it,

all of that kinda stuff and then the diets

and lifestyle recommendation like I recommend

that you start with.

It'll just give you a great overview

and help you feel confident in what to do next

to get your Hashimoto's under control.

And remember, you don't have to do it all today.

These are certain kind of ideas

that like work for a lot of people

but it's not like you have to make the jump.

Just keep it in mind.

It took me an entire year

after I had heard about diets like this

before I made any change and I'm glad I did

but I was not ready when I first started.

So I just wanna offer it to you as an idea

and go and bookmark that page on my website if you need to

so that you can come back to it.

But just start learning about it and understanding

that the Hashimoto's your hypothyroidism, hyperthyroidism

if those are autoimmune in nature,

which they most likely are,

are not going to be taken care of

if you do nothing other than the medication.

That's the main point I just really wanna get to you

and then offer you the solutions to helping yourself

if you want to feel better and have control of your disease.

So that's all I have for this time and I'll see ya later.