Do You Still Have Hashimoto’s After Thyroid Removal?

In the video titled “Do You Still Have Hashimoto’s After Thyroid Removal?” by Dr. Martin Rutherford, he addresses a common question regarding the presence of Hashimoto’s disease even after the removal of the thyroid. Dr. Rutherford explains that even though the thyroid has been taken out, Hashimoto’s, which is an immune attack on the thyroid, can still persist. He emphasizes the importance of understanding that the immediate problem is not the thyroid itself, but the immune attack on the thyroid. Dr. Rutherford also highlights the need to consider other factors related to autoimmunity, as Hashimoto’s is often connected to various conditions such as celiac disease, polycystic ovarian syndrome, and even chronic ear infections. So, if you have experienced weight gain after thyroid removal, it is essential to explore other potential causes such as blood sugar imbalances or gut issues.

Can You Still Have Hashimoto’s After Thyroid Removal?

Do You Still Have Hashimotos After Thyroid Removal?


If you have had your thyroid removed and were diagnosed with Hashimoto’s, you may be wondering if the condition can still persist without the presence of the thyroid gland. This article aims to answer that question and provide a comprehensive understanding of Hashimoto’s and its relationship to thyroid removal.

Explanation of Hashimoto’s

Hashimoto’s is an autoimmune condition in which the immune system mistakenly attacks the thyroid gland, leading to inflammation and damage. This can result in a variety of symptoms, including fatigue, weight gain, hair loss, and difficulty concentrating. It is the most common cause of hypothyroidism, a condition characterized by an underactive thyroid gland.

Reasons for Thyroid Removal

Thyroid removal, also known as thyroidectomy, may be performed for various reasons. The most common reason is thyroid cancer, where the removal of the entire thyroid gland is necessary to prevent the spread of cancerous cells. In some cases, abnormal cells or nodules on the thyroid may also warrant surgical intervention. Additionally, there are instances where the thyroid is removed due to complications or uncertainty about managing Hashimoto’s.

The Immune Attack on the Thyroid

In Hashimoto’s, the immune system mistakenly identifies the thyroid gland as foreign and launches an attack against it. This immune response leads to inflammation and damage to the thyroid tissue. Even after the removal of the thyroid gland, the immune system’s propensity to attack remains. This means that the autoimmune process can still persist, even in the absence of the target organ.

Do You Still Have Hashimotos After Thyroid Removal?

Presence of Tissue After Removal

Although thyroid removal aims to remove the entire gland, it can be challenging to completely eliminate all thyroid tissue, especially in cases where radiation is involved. It is possible for small amounts of thyroid tissue to remain within the neck area. These residual tissue fragments can still be targeted by the immune system, leading to ongoing inflammation and autoimmune activity.

Related Autoimmune Conditions

Hashimoto’s is often associated with other autoimmune conditions. Celiac disease, polycystic ovarian syndrome, and autoimmune gastritis are just a few examples of conditions that may coexist with Hashimoto’s. This suggests that there is a common underlying mechanism that triggers the immune system to attack various organs or systems in the body. It is important to consider the possibility of these related conditions when managing Hashimoto’s symptoms.

Do You Still Have Hashimotos After Thyroid Removal?

Weight Gain and Other Symptoms

Weight gain is a common symptom experienced by individuals with Hashimoto’s, both before and after thyroid removal. Without a functioning thyroid gland, the body’s metabolism slows down, leading to weight gain. Furthermore, Hashimoto’s can cause hormonal imbalances that affect the body’s ability to regulate weight. It is crucial to address other factors that may contribute to weight gain, such as blood sugar imbalances, gut problems, and stress responses.

Factors to Consider

When managing Hashimoto’s after thyroid removal, there are several factors to consider. Staying on top of medication and hormone replacement therapy is essential to ensure optimal thyroid function. Additionally, addressing other autoimmune conditions that may be present is important for comprehensive management. Taking a holistic approach that includes lifestyle modifications, stress reduction techniques, and dietary changes can also help manage symptoms and improve overall well-being.

Stress Responses and Antibodies

Stress responses can significantly impact autoimmune conditions such as Hashimoto’s. Elevated stress levels can exacerbate symptoms and lead to increased antibody production, further fueling the immune attack. It is crucial to prioritize stress management techniques, such as meditation, exercise, and adequate rest, to support immune health and minimize the impact of stress on the body.


In summary, individuals can still have Hashimoto’s even after thyroid removal. The immune attack on the thyroid can persist, and small amounts of thyroid tissue may remain in the body, even after surgical intervention. Considering the possibility of related autoimmune conditions, managing weight gain, and addressing stress responses are important for comprehensive management. By adopting a multifaceted approach and working closely with healthcare providers, individuals with Hashimoto’s can achieve better symptom control and quality of life.

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