Best version of Paleo for Hypothyroidism

Answered on August 19, 2014
Created January 15, 2013 at 3:14 PM

I had a complete thyroidectomy, so I am on thyroid replacement therapy for the rest of my life. I recently had blood work done and it turns out I am hypothyroid. I am currently on 112mc of Levoxyl and my new dosage will be 125mc. I crossfit 3-4 times a week, we do lots of strength training which I believe has prevented me from the excessive weight gain that comes with being hypo. I have gained lots of muscle in the last year, but I have not lost much fat and my overall weight has stayed the same. If you are on thyroid hormone replacement therapy and fairly active, what are your macros like? Are you LC, VLC, or do you use carbs to fuel your workouts? What have your results been?

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on January 15, 2013
at 06:45 PM

I'm hypo and, although I still have my thyroid, am on 150mcg levothyroxine (last TSH .2 - I dont feel right with a TSH above 1). I was below 50g carbs, but became extremely slugish, cold, and foggy. I found, after discovering the Perfect Health Diet blog, and some experimentation, that I need 80 to 100gms carbs from starch daily to feel good and function "properly".

I adjusted my diet and feel great since. Didn't gain any weight adding the carbs. I've also added iodine and selenium lately but don't notice any overt difference. My thyroid may be pretty much dead, dont really know how it got that way.

My typical macros are about 65g protein, 90g starch carbs, and fat to satiety, usually about 150-250g depending on the day.

Good luck.



on January 15, 2013
at 05:21 PM

I dont have a personal answer for you, but Mel at http://www.theclothesmakethegirl.com/ had a partial thyroidectomy (sp?), and has been doing some diet related changes. She did an autoimmune Whole30 in October (and decided it wasnt helping) (but, she eats mostly whole30 anyways.)

Check out her thyroid tag: http://www.theclothesmakethegirl.com/tag/thyroid/


on January 15, 2013
at 03:24 PM

Hi! I'm having surgery this month and will have a partial thyroidectomy. I think a lot of it depends on how you feel. You sound like you are able to stay nice and active and that's great!

Personally, I've had to be super restrictive Paleo because lots of things aggravate my thyroid symptoms. No nuts, no seeds, no grains at all. So yes, I do low carb, but I tend to stay between 50-100 carbs depending on my activity level. I also time them around my activity level, which for me works out to being earlier in the day primarily.

I only allow myself occasional dairy cheat every few months and it's got to be pastured, grass fed (and it's usually in the form of cheese or butter). Periodically if I feel really bad I will go hardcore and do the Autoimmune protocol for a month stretch. It usually means I haven't been getting enough healthy fats, or my intestinal bacteria is off somehow.

Paleo has been a godsend since I was diagnosed last year with my thyroid disease. Now I'm hoping surgery will determine whether or not my nodules are cancerous, because my biopsy wasn't conclusive. Either way, I will continue to follow the plan as it's helped my energy levels and stopped my weight gain in it's tracks (and I've even dropped a few pounds).

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