Managing Hashimoto’s Thyroiditis Through Personalized Care: A Case Report

This case study outlines a treatment protocol for a 34-year-old female who was diagnosed with Hashimoto’s thyroiditis (HT), iron and vitamin D deficiency in December 2015 through Johns Hopkins Medical Center. When she sought support at the Functional Nutrition Practice in February of 2016, she reported feeling “ravenously hungry,” having low energy, low libido, bloating, heart palpitations, cold hands and feet, and mental sluggishness.

Hashimoto’s thyroiditis (HT) affects more than 14 million individuals in the United States, most of them women. Thyroid replacement therapy has long been the foundation of medical treatment for HT; however, recent research supports a role for nutritional approaches.

This case report describes the management of a 34-y-old female with HT who declined thyroid replacement therapy and was successfully managed for a period of 5 mo. The patient was advised to follow a phytonutrient rich diet (eg, berries); avoid sensitive foods (gluten and soy); and consume quality fats, fermented foods, and filtered water. Nutritional supplementation of vitamins (B complex, D3), α-lipoic acid, coenzyme Q10, magnesium, omega-3 oil (DHA/EPA), and probiotics were used in conjunction with an herbal tincture. Published in Alternative Therapies in Health Medicine, 2018.

Case study practitioners: KerenDolan,MS,CNS,LDN,DCN, is an integrative functional nutritionist and clinical herbalist at Nourish Well, LLC, in Northern Virginia. Heather Finley, MS, RD, is a registered dietitian at Dietitian Heather, LLC, in Texas. Margo Gasta, MS, RD, is an integrative functional dietitian at Nutrition by Margo, LLC, in Colorado. Sasha Houseman, MS, DNC, is a functional nutritionist at Flatirons Integrative Health & Nutrition, in Colorado.

In this Hashimoto’s Thyroiditis Case Report you will learn:

1. Patient’s Health History
2. Protocol Timeline: Acupuncture, Dietary Supplement Recommendations, Detoxification Plan
3. Nutritional and Botanical Supplement Plan
4. Biomarker Assessments
5. Nutritional Deficiencies
6. Personalized Therapeutic Recommendations
7. Follow Up and Outcomes

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