Table of ContentsView AllTable of ContentsProtecting Thyroid FunctionChanging Eating HabitsManaging SymptomsProper NutritionFrequently Asked Questions

Table of ContentsView All

View All

Table of Contents

Protecting Thyroid Function

Changing Eating Habits

Managing Symptoms

Proper Nutrition

Frequently Asked Questions

When you are living withhypothyroidism(an underactive thyroid), figuring out what to eat can be a confusing process. This is especially true if you are trying to lose weight or battlingsymptoms of hypothyroidism, like bloating or fatigue.

The foods you eat can play an important role in managing the disease.

This article offers tips to improve your diet and help ease hypothyroidism symptoms.

Verywell / Ellen Lindner

how to ease hypothyroidism symptoms with diet

Goitrogensare substances found in foods that may interfere with thyroid hormone production, especially for people withiodine deficiency, which is rare in the United States.

Goitrogen-containing foods, like broccoli, cauliflower, and cabbage, release a compound called goitrin when they are hydrolyzed (broken down chemically). However, when heated, this compound is typically eliminated.Talk with a healthcare provider about the specific servings of goitrogenic foods that are best for you.

1:137 Essential Facts About Goitrogens and Diet

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7 Essential Facts About Goitrogens and Diet

What About Soy?

Soy is possibly goitrogenic food in the setting of iodine deficiency.

If you have iodine deficiency and consume large quantities of soy products, your thyroid may be affected. However, studies have shown soy is not a goitrogen if you have enough iodine in your body.

Changing Your Eating Habits

There is no one-size-fits-all approach to eating, but strict calorie counting or macronutrient counting is usually not recommended. This can often lead to disordered eating and an inability to understand hunger cues. In addition, drastic weight loss can result in muscle loss and a slower metabolism.

Making small, sustainable changes can help you stick to a new way of eating for good. When you consume nutrient-dense foods, such as vegetables, whole grains, lean proteins, and healthy fats, you will feel satisfied without depriving yourself.

How to Boost Metabolism: 12 Evidence-Based Ways

Break Down Your Plate

Focus on your plate, and include fat, fiber, and protein at each meal. Fill 50% of your plate withnon-starchy vegetables,25% with lean protein, and 25% with starches fromfoods such as whole grainsor legumes, which include nuts, beans, and seeds.

Choose Fiber-Rich Foods

A meal plan rich in fiber is associated with a reduced risk of constipation (which commonly affects people with hypothyroidism), heart disease,diabetes, and certain types of cancer while improving weight loss.

Fiber is found in plants, such as fruits, vegetables, nuts, seeds, and whole grains.

Drink Plenty of Water

When you increase your fiber intake, you’ll need to increase your water intake as well. This helps to preventbloatingand gas and regulates your bowels. Fluid needs vary based on gender, age, weight, and activity level. General guidelines suggest that adults consume9–13 cups of water daily.

Focus on Healthy Fats

Eating healthy fats has many benefits, such as increasing high-density lipoprotein (HDL) cholesterol (considered the “good”cholesterol), absorbing fat-soluble vitamins, and reducinginflammation. Aim to include healthy fats in your meals and snacks to satisfy hunger, boost flavor, and improve mood.

Healthy fats include:

Consume Enough Protein

Choose protein sources low in saturated fat, including white-meat chicken, eggs, turkey, fish, beans, low-fat dairy, nuts, seeds, and whole grains. Be sure to include protein sources in meals and snacks.

Supplements

Is It Possible to Lose Weight With Hypothyroidism?

In addition to helping you lose weight or maintain a healthy weight, your diet can also help reduce various symptoms of hypothyroidism, including the following.

Bloating

Bloating is a common symptom in people with an underactive thyroid. Hypothyroidism can cause as much as a 5- to 10-pound weight gain from excess water alone.Some of that water weight gain may be in the face, causing puffiness around the eyes,fluid retention, and swelling in the hands, feet, and abdomen.

Identify triggers that can cause bloating. Foods high in sodium, such as hot dogs, pizza, certain types of bread, soups, and processed foods, can worsen fluid retention.

Increasing your fiber intake too quickly or without consuming enough water can cause bloating and gas. Research suggests that following alow-FODMAP(fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet may ease bloating.This diet is not specific to hypothyroidism but can be helpful to people who suffer fromirritable bowel syndrome(IBS) orsmall intestinal bacterial overgrowth(SIBO).

The low-FODMAP diet, which reduces certain carbohydrates, is not meant for all. Consult with your healthcare provider or a registered dietitian for more information.

Constipation

Consuming fiber, like beans, whole grains, and apples, can relieve constipation. Drinking adequate amounts of water also helps you maintain healthy bowel function.

Talk with your healthcare provider if your dietary changes do not help your constipation.

Fatigue

Some people with thyroid disease still note fatigue despite regulating their thyroid hormone levels. In this case, your healthcare provider may want to rule out other health conditions that may cause fatigue, such asanemia(lack of healthy red blood cells) ordepression.Regular exercise, a consistent bedtime routine, and reducing sugary foods from your diet can help fight fatigue.

Since nutritional deficiencies may worsen symptoms of thyroid disease, ensuring adequate vitamin and mineral levels is important.

Iodine

Vitamin D

Besides sunlight exposure, you can getvitamin Dfrom foods like oily fish, eggs, fortified milk, and cereals. Vitamin D maintains strong bones, and research suggests it plays a role in immune system health.Some studies suggest that vitamin D deficiency is linked to thyroid dysfunction.

Vitamin B12

Research suggests that up to 40% of people with the autoimmune diseaseHashimoto’s thyroiditisare deficient in vitamin B12,which is found in fish, meat, dairy products, fortified cereals, and nutritional yeast. Vitamin B12 is critical for producing red blood cells and neurological function.

Selenium

Seleniumis a mineral found in foods like Brazil nuts, tuna, lobster, halibut, and grass-fed beef. Early research suggests that selenium supplementation can improve the mood or well-being of those with Hashimoto’s thyroiditis.This effect is more pronounced in people with deficiency or low levels at the onset.

Too much selenium is associated with gastrointestinal disease, type 2 diabetes, and cancer. Therefore, have your selenium levels checked before starting supplementation.

1:267 Quick Nutrition Tips for Thyroid Wellness

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7 Quick Nutrition Tips for Thyroid Wellness

Frequently Asked QuestionsSoy has been linked to an increased risk of hypothyroidism. While some research has raised questions about whether that’s true, you may want to be cautious.Also, eat raw cruciferous vegetables in moderation because certain types interfere with how iodine is used within the body.Learn MoreConnection Between Soy and Thyroid ProblemsHypothyroidism is associated with weight gain, but it’s possible to lose weight despite having this condition. Weight gain related to hypothyroidism is often due to salt and water retention.The proper thyroid medication dosage should enable you to lose that extra water weight. Focus on eating more plants, reducing your intake of sugar and saturated fat, exercising regularly, and getting adequate sleep.Learn MoreHow to Manage Water WeightWhile food won’t reverse an autoimmune disease or a thyroid injury, increasing key nutrient contents in your diet may help regulate thyroid function and hormone levels. Selenium, specifically, is important for a healthy thyroid. Brazil nuts, seafood, and organ meats are the best sources of selenium.Learn MoreWhat You Should Know About Selenium

Soy has been linked to an increased risk of hypothyroidism. While some research has raised questions about whether that’s true, you may want to be cautious.Also, eat raw cruciferous vegetables in moderation because certain types interfere with how iodine is used within the body.Learn MoreConnection Between Soy and Thyroid Problems

Soy has been linked to an increased risk of hypothyroidism. While some research has raised questions about whether that’s true, you may want to be cautious.Also, eat raw cruciferous vegetables in moderation because certain types interfere with how iodine is used within the body.

Learn MoreConnection Between Soy and Thyroid Problems

Hypothyroidism is associated with weight gain, but it’s possible to lose weight despite having this condition. Weight gain related to hypothyroidism is often due to salt and water retention.The proper thyroid medication dosage should enable you to lose that extra water weight. Focus on eating more plants, reducing your intake of sugar and saturated fat, exercising regularly, and getting adequate sleep.Learn MoreHow to Manage Water Weight

Hypothyroidism is associated with weight gain, but it’s possible to lose weight despite having this condition. Weight gain related to hypothyroidism is often due to salt and water retention.The proper thyroid medication dosage should enable you to lose that extra water weight. Focus on eating more plants, reducing your intake of sugar and saturated fat, exercising regularly, and getting adequate sleep.

Learn MoreHow to Manage Water Weight

While food won’t reverse an autoimmune disease or a thyroid injury, increasing key nutrient contents in your diet may help regulate thyroid function and hormone levels. Selenium, specifically, is important for a healthy thyroid. Brazil nuts, seafood, and organ meats are the best sources of selenium.Learn MoreWhat You Should Know About Selenium

While food won’t reverse an autoimmune disease or a thyroid injury, increasing key nutrient contents in your diet may help regulate thyroid function and hormone levels. Selenium, specifically, is important for a healthy thyroid. Brazil nuts, seafood, and organ meats are the best sources of selenium.

Learn MoreWhat You Should Know About Selenium

Living with Hashimoto’s Disease

16 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

Khalid S, Asad-Ur-Rahman F, Abbass A, Gordon D, Abusaada K.Myxedema ascites: A rare presentation of uncontrolled hypothyroidism.Cureus. 2016;8(12):e912. doi:10.7759/cureus.912Kapil U.Health consequences of iodine deficiency.Sultan Qaboos Univ Med J. 2007;7(3):267–272.Harris, C.Thyroid disease and diet-nutrition plays a part in maintaining thyroid health.Today’s Dietitian. 2012;14(7):40.Bajaj JK, Salwan P, Salwan S.Various possible toxicants involved in thyroid dysfunction: A review.J Clin Diagn Res. 2016;10(1):FE01–FE3. doi:10.7860/JCDR/2016/15195.7092Ohio State University.Why diets don’t work.Barber TM, Kabisch S, Pfeiffer AFH, Weickert MO.The health benefits of dietary fibre.Nutrients. 2020; 12(10):3209. doi:10.3390/nu12103209Harrar, Sari.Omega-3 fatty acids and mood disorders.Today’s Dietitian.2012;14(1):22.Todd, Kaley.High-protein diets and weight loss.Today’s Dietitian.2017;19(12): 32.American Thyroid Association.Thyroid and weight.Altobelli E, Del Negro V, Angeletti PM, Latella G.Low-FODMAP Diet Improves Irritable Bowel Syndrome Symptoms: A Meta-Analysis.Nutrients. 2017;9(9):940. doi:10.3390/nu9090940Bensenor IM, Olmos RD, Lotufo PA.Hypothyroidism in the elderly: diagnosis and management.Clin Interv Aging. 2012;7:97–111. doi:10.2147/CIA.S23966American Thyroid Association.Iodine deficiency.Aranow C.Vitamin D and the immune system.J Investig Med. 2011;59(6):881–886. doi:10.2310/JIM.0b013e31821b8755Kostiukow A, Romanowski MW, et. al.Autoimmune diseases and vitamin deficiencies on autoimmune thyroiditis, with special attention to hashimoto thyroiditis.Fam Med Med Sci Res. 2018;7:3. doi:10.4172/2327-4972.1000232Fan Y, Xu S, Zhang H, et al.Selenium supplementation for autoimmune thyroiditis: a systematic review and meta-analysis.Int J Endocrinol. 2014;2014:904573. doi:10.1155/2014/904573National Institute of Health.Selenium.

Khalid S, Asad-Ur-Rahman F, Abbass A, Gordon D, Abusaada K.Myxedema ascites: A rare presentation of uncontrolled hypothyroidism.Cureus. 2016;8(12):e912. doi:10.7759/cureus.912

Kapil U.Health consequences of iodine deficiency.Sultan Qaboos Univ Med J. 2007;7(3):267–272.

Harris, C.Thyroid disease and diet-nutrition plays a part in maintaining thyroid health.Today’s Dietitian. 2012;14(7):40.

Bajaj JK, Salwan P, Salwan S.Various possible toxicants involved in thyroid dysfunction: A review.J Clin Diagn Res. 2016;10(1):FE01–FE3. doi:10.7860/JCDR/2016/15195.7092

Ohio State University.Why diets don’t work.

Barber TM, Kabisch S, Pfeiffer AFH, Weickert MO.The health benefits of dietary fibre.Nutrients. 2020; 12(10):3209. doi:10.3390/nu12103209

Harrar, Sari.Omega-3 fatty acids and mood disorders.Today’s Dietitian.2012;14(1):22.

Todd, Kaley.High-protein diets and weight loss.Today’s Dietitian.2017;19(12): 32.

American Thyroid Association.Thyroid and weight.

Altobelli E, Del Negro V, Angeletti PM, Latella G.Low-FODMAP Diet Improves Irritable Bowel Syndrome Symptoms: A Meta-Analysis.Nutrients. 2017;9(9):940. doi:10.3390/nu9090940

Bensenor IM, Olmos RD, Lotufo PA.Hypothyroidism in the elderly: diagnosis and management.Clin Interv Aging. 2012;7:97–111. doi:10.2147/CIA.S23966

American Thyroid Association.Iodine deficiency.

Aranow C.Vitamin D and the immune system.J Investig Med. 2011;59(6):881–886. doi:10.2310/JIM.0b013e31821b8755

Kostiukow A, Romanowski MW, et. al.Autoimmune diseases and vitamin deficiencies on autoimmune thyroiditis, with special attention to hashimoto thyroiditis.Fam Med Med Sci Res. 2018;7:3. doi:10.4172/2327-4972.1000232

Fan Y, Xu S, Zhang H, et al.Selenium supplementation for autoimmune thyroiditis: a systematic review and meta-analysis.Int J Endocrinol. 2014;2014:904573. doi:10.1155/2014/904573

National Institute of Health.Selenium.

Fan Y. Selenium supplementation for autoimmune thyroiditis: A systematic review and meta-analysis.Int J Endocrinol.2014;2014: 904573. DOI:10.1155/2014/904573.

Stulmig TM. The ZONE diet and metabolic control in type 2 diabetes. J Am Coll Nutr. 2015;34 Suppl 1:39-41. DOI:10.1080/07315724.2015.1080110.

U.S. Department of Agriculture and U.S. Department of Health and Human Services.Dietary Guidelines for Americans, 2020-2025. 9th Edition.

Ucan B et al. Vitamin D treatment in patients with Hashimoto’s thyroiditis may decrease the development of hypothyroidism. Int J Vitam Nutr Res. 2017 Jul 12:1-9. DOI:10.1024/0300-9831/a000269.

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