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Feeling warm after meals, Paleo for ~3 months, well-managed hypothyroid, kicked PPIs (!!!)

Answered on August 19, 2014
Created January 05, 2012 at 9:33 PM

The question:

I've started noticing a curious correlation between eating--particularly breakfast and lunch--with feeling quite warm--enough that I sometimes want to to get in front of a fan to cool off. Don't feel "bad," just warm! It lasts anywhere from 10-30 minutes. I'm curious to understand--not necessarily to make it stop (unless it's bad), but maybe to appreciative it, if it reflects positive change. Can anyone suggest possible causes?

Possibly important background:

I'll spare the laundry list of all the improvements since going paleo with two exceptions: I've dropped 23 lbs without trying, and it seems I've kicked my PPI addiction at last. Those two alone are worth the price of admission.

Food: I eat beef, lamb, goat, eggs, some fish, fat (coconut, gf butter, lard, ever-diminishing amounts of olive oil), some bone broths, limited pork and poultry, don't currently eat many starchy foods, carbs come mostly from veg and fruit. I do consume fermented grass-fed dairy (full-fat yogurt and kefir seem to VERY much agree with me), and a little hard grass-fed cheese--all apparently without negative response. Yes to coffee and green tea. I don't generally consume nuts--I just don't tend to desire them. I drink alcohol as needed , though find myself desiring it less and less, and consume "open" meals occasionally, mostly only when it eases social circumstances--and these almost never cause a response that I can detect, not even gas.

Supplements: probiotics, betaine HCL and digestive enzymes w/meals; (Hypothyroid folks commonly have reduced acid/enzymes, and these seem to have helped me kick PPIs.); sometimes fish oil, depending on diet.

About the thyroid, I had hyperthyroidism as a kid (likely Hashimotos--I have antibodies), and was treated overly aggressively with anti-thyroid drugs, resulting in apparent permanent thyroid damaged. I feel best on a high dose of Armour Thyroid to keep TSH very low, quelling autoimmune response. (Synthetic thyroid hormones were a disaster for me; Armour a blessing.)

Which would you choose:

  1. The diet has revealed auto-immune response to food toxins/bad oils; eliminating them has reduced inflammation, thus improving thyroid function; I'm now possibly over-medicated. (I realize I need a new thyroid test.)

  2. The diet has revved up my metabolism; this alien feeling is what healthy feels like; enjoy it, it's normal, it happens to everyone/most people/a lot of people; I've become a more efficient burner, so when I feed, I burn;

  3. Some other reason; I'm ignorant; (How dare you!)

  4. None of the above, turn off the computer dummy, go outside and get some sunshine, you hypochondriac. (Note: it's January in Chicago, of course I'm going to sit around obsessing! It's a winter tradition!)

Thanks for any thoughtful reflections. Hell, thanks for any heckling and lobbed, red pulpy nightshades, too. This community has been a great help to me!

886436139cec4c2fbf30d26a40a0fc06

(219)

on November 22, 2012
at 06:19 AM

And I've been told that the switch to hypo is part of the disease process.

886436139cec4c2fbf30d26a40a0fc06

(219)

on November 22, 2012
at 06:19 AM

I know this is LATE but . . . I have 'antibodies,' not sure if Graves or Hashi's, and was also temporarily hyper as a kid/teen . . now hypo. . really just getting serious about grain free. . .nice to hear your experience, hope you are well.

0bc04a2ee661857e8458df34646e70ef

(319)

on April 26, 2012
at 11:32 PM

I've been getting this same sensation after eating and I don't use any probiotics or fermented foods.

93b5fc3a75c76817eed3f43831471cec

(140)

on January 06, 2012
at 05:13 PM

Actually I did mean 'standard American diet' - sorry, should have been clearer! Seasonal affective disorder is one thing I'm thankful I haven't had to deal with. Glad you found some relief from it anyway.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 02:52 PM

Thank you--nice to hear more from another Hashi's person. Clarification: in this context, do you mean SAD as "standard American diet," or "seasonal affective disorder?" I presume the second, which I also used to experience, until I started bright light therapy about 8 years ago, which works marvelously for me. It can be very difficult to disentangle mental health issues from thyroid problems sometimes.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 02:45 PM

That's awesome--congrats! I am doubtful I can ever achieve full remission given the damage that was done with antithyroid drugs combined with 41 years of dietary abuse, but this is very encouraging. Perhaps it's not all that unlikely that I will at the very least halt further damage, and gain some meaningful improvement in function.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 02:40 PM

@PaleoMica: I had a high pulse rate experience that seemed to be caused by a magnesium deficiency at one point. Or perhaps I should say that I experimented with supplemental magnesium, and it resolved. I didn't stay on the magnesium for long, but it is another of those minerals that may be impacted by low stomach acid and PPI abuse. None of that sounds related to your symptom, per se, but it was something that just occurred to me.

Cd717290eb43a6e17061f9920deed977

(1267)

on January 06, 2012
at 12:19 PM

@PaleoMica--a sudden surge of T3 entering your system will result in a noticeable increase in heart rate. In general, if you are hypothyroid your heart rate will be fairly low (as will core body temp), and if you are hyperthyroid you heart rate will be on the high side (again, as will body temp). Of course, there are many other things that can cause your heart to pound. For example, your adrenal may be reacting to something.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:28 AM

Yes--i am very excited about that!

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:27 AM

I meant to add that I know what you mean about the rush of T3--i definitely experienced that when I first switched to Armour, about 4 years ago. That only lasted a few weeks and then I adapted to it. But the more I think about it, it does sort of resemble that feeling.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:21 AM

A high pulse rate and feeling hot can be signs of too much thyroid-I'm well acquainted with such effects on account of my former hyperthyroidism. The difference here is that my pulse does not feel particularly high, and the heat is only happening after meals, rather than all the time, like it did when hyperthyroid. I take the Armour first thing in the am--it must be taken on an empty stomach. I suppose I could just be at the beginning of hyper--time for that blood test! My excellent doctor always tests the free T's along with the other stuff. It will be interesting to compare to the last test.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:11 AM

Yes, probiotics first thing in the am, on an empty stomach, as per my doctor's instructions. As the title of my question states, I've been on the diet for approximately 3 months (it's still rather fast weight loss, I know, but it has slowed down considerably now)--but I've only been on the probiotics for just over 1 week. I honestly didn't expect them to work quite so effectively, nor so quickly--if that's really what's going on--but I am not complaining! The heat thing is new though--it does seem to correspond to the starting of the probiotics, though, so maybe that's it.

5294cf643205004fc805ccf41dd4e58a

(181)

on January 06, 2012
at 05:07 AM

Can you talk more about heart rate? Sometimes I will eat a meal and feel my heart pound (was occurring mostly after breakfast, if I ate breakfast fairly soon after waking). I have no known thyroid issues.

363d0a0277a8b61ada3a24ab3ad85d5a

(4642)

on January 06, 2012
at 02:03 AM

Congrats on getting off the PPIs! Those things suck!

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5 Answers

1
93b5fc3a75c76817eed3f43831471cec

(140)

on January 06, 2012
at 12:38 PM

There may be merit to all these suggestions - and it's possible that the particular issue you describe has nothing to do with thyroid - but I would say definitely it's worth looking at thyroid too. I have Hashimoto's too. Since going paleo/primal I've found I need WAY less thyroid replacement - less than half what I've previously taken. Still working on figuring out exactly why this is - my best guess is reduced inflammation from excluding gluten and vegetable oils somehow improving cellular uptake of thyroid hormones; however I'd have to also concede the possibility that I was previously over-medicating on thyroid because I was interpreting SAD-effects as low-thyroid symptoms. Or that feeling generally crappy made low-thyroid symptoms feel worse than they otherwise would.

Antibodies are down too, for what that's worth.

Hope this helps...

93b5fc3a75c76817eed3f43831471cec

(140)

on January 06, 2012
at 05:13 PM

Actually I did mean 'standard American diet' - sorry, should have been clearer! Seasonal affective disorder is one thing I'm thankful I haven't had to deal with. Glad you found some relief from it anyway.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 02:52 PM

Thank you--nice to hear more from another Hashi's person. Clarification: in this context, do you mean SAD as "standard American diet," or "seasonal affective disorder?" I presume the second, which I also used to experience, until I started bright light therapy about 8 years ago, which works marvelously for me. It can be very difficult to disentangle mental health issues from thyroid problems sometimes.

1
Cd717290eb43a6e17061f9920deed977

on January 06, 2012
at 12:37 AM

When do you take the Armour doses? What is your heart rate doing when you feel the heat?

Cuz my first thought with a raise in body temperature is thyroid function. If you are over-medicated you will feel it when the T3 hits your system (1/2 hour after taking the pill, maybe?).

If it is your thyroid getting back more function, then that is exciting news! I hope you get your free T4 and freeT3 done soon, and let us know what it is.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:21 AM

A high pulse rate and feeling hot can be signs of too much thyroid-I'm well acquainted with such effects on account of my former hyperthyroidism. The difference here is that my pulse does not feel particularly high, and the heat is only happening after meals, rather than all the time, like it did when hyperthyroid. I take the Armour first thing in the am--it must be taken on an empty stomach. I suppose I could just be at the beginning of hyper--time for that blood test! My excellent doctor always tests the free T's along with the other stuff. It will be interesting to compare to the last test.

Cd717290eb43a6e17061f9920deed977

(1267)

on January 06, 2012
at 12:19 PM

@PaleoMica--a sudden surge of T3 entering your system will result in a noticeable increase in heart rate. In general, if you are hypothyroid your heart rate will be fairly low (as will core body temp), and if you are hyperthyroid you heart rate will be on the high side (again, as will body temp). Of course, there are many other things that can cause your heart to pound. For example, your adrenal may be reacting to something.

5294cf643205004fc805ccf41dd4e58a

(181)

on January 06, 2012
at 05:07 AM

Can you talk more about heart rate? Sometimes I will eat a meal and feel my heart pound (was occurring mostly after breakfast, if I ate breakfast fairly soon after waking). I have no known thyroid issues.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 02:40 PM

@PaleoMica: I had a high pulse rate experience that seemed to be caused by a magnesium deficiency at one point. Or perhaps I should say that I experimented with supplemental magnesium, and it resolved. I didn't stay on the magnesium for long, but it is another of those minerals that may be impacted by low stomach acid and PPI abuse. None of that sounds related to your symptom, per se, but it was something that just occurred to me.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:27 AM

I meant to add that I know what you mean about the rush of T3--i definitely experienced that when I first switched to Armour, about 4 years ago. That only lasted a few weeks and then I adapted to it. But the more I think about it, it does sort of resemble that feeling.

0
9c4accf084c94c9a1105645e3b080fb0

on January 06, 2012
at 12:11 AM

The probiotics are doing it, silly.

I'm guessing you take them in the moring. The bacteria are eating, and heat is produced as a byproduct.

Probiotics are usually "precribed" with a high initial dosage that is meant to repopulate your gut with good flora. After 30 days or so, you gut should be back to normal if you are eating well. Then probiotics can be used only when traveling (to deal with new foods), help recover from a dietary "slip" or as a yearly maintenance regiment.

I'm assuming that since you lost 23 pounds that you've been on the diet for more than 30 days. (Or rather, I hope you haven't lost faster than that.) And that you've been taking the probiotics for more than 30 days. If that is the case, then you can probably drop the probiotics unless you are still having trouble digesting the food.

So....#3? :)

edit: formatting, clarification.

A7768b6c6be7f5d6acc76e5efa66464c

on January 06, 2012
at 06:11 AM

Yes, probiotics first thing in the am, on an empty stomach, as per my doctor's instructions. As the title of my question states, I've been on the diet for approximately 3 months (it's still rather fast weight loss, I know, but it has slowed down considerably now)--but I've only been on the probiotics for just over 1 week. I honestly didn't expect them to work quite so effectively, nor so quickly--if that's really what's going on--but I am not complaining! The heat thing is new though--it does seem to correspond to the starting of the probiotics, though, so maybe that's it.

0bc04a2ee661857e8458df34646e70ef

(319)

on April 26, 2012
at 11:32 PM

I've been getting this same sensation after eating and I don't use any probiotics or fermented foods.

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