Hashimoto’s Treatment After Thyroidectomy

The video titled “Hashimoto’s Treatment After Thyroidectomy” addresses the confusion surrounding the treatment options for individuals with Hashimoto’s disease after undergoing a thyroidectomy. Dr. Rutherford, the speaker in the video, aims to shed light on this topic and provide valuable insights. He discusses how the medical model often views Hashimoto’s as a thyroid problem rather than an autoimmune problem, which leads to the conventional approach of removing the thyroid and prescribing thyroid medication. However, he emphasizes the importance of addressing triggers that can cause flares, such as gluten and iodine, as well as considering factors like gut health, liver function, and estrogen levels. For cancer patients, removing the thyroid and taking medication typically resolves the issue. This informative video serves as a valuable resource for individuals seeking clarity on managing Hashimoto’s after a thyroidectomy.

Hashimoto’s Treatment After Thyroidectomy

Hashimoto’s treatment after thyroidectomy can be a complex and confusing topic. Many people have questions about what treatments can be done and how to manage their condition effectively. In this article, we will discuss the different aspects of Hashimoto’s treatment after thyroidectomy to provide clarity and guidance.

Understanding Hashimoto’s Treatment

The Medical Model and Hashimoto’s

In the medical model, Hashimoto’s is still viewed primarily as a thyroid problem rather than an autoimmune problem. This means that the focus is on controlling thyroid hormone levels through medication after the thyroid gland has been removed. However, it is important to understand that Hashimoto’s is an autoimmune condition, and addressing the immune response is crucial for proper management.

Treating Hashimoto’s After Thyroidectomy

After a thyroidectomy, whether partial or complete removal, managing Hashimoto’s becomes challenging. If any thyroid tissue remains after the surgery, the immune system can continue to attack it. This means that even with the thyroid gland removed, the autoimmune response can still persist. Therefore, it is essential to find ways to manage Hashimoto’s flares effectively to ensure optimal health.

Thyroidectomy and Hashimoto’s

Partial or Complete Thyroid Removal

During a thyroidectomy, it is common to remove either a part or the entire thyroid gland. The extent of the removal depends on the underlying condition that necessitated the surgery. For cases of Hashimoto’s, complete removal of the thyroid gland is usually recommended to manage the overactive immune response effectively.

Immune System Attack on Remaining Thyroid Tissue

Even if the entire thyroid gland is removed during thyroidectomy, there may still be residual thyroid tissue attached to certain structures. This remaining tissue can still be targeted and attacked by the immune system. It is crucial to understand that Hashimoto’s is primarily an autoimmune problem, and addressing the immune response is key to managing the condition effectively.

Hashimotos Treatment After Thyroidectomy

Managing Hashimoto’s Flares

Identifying Triggers

One of the key aspects of managing Hashimoto’s is identifying triggers that can cause flares. These triggers can vary from person to person but commonly include gluten and iodine. By identifying and removing these triggers, it is possible to minimize the frequency and intensity of flares in individuals with Hashimoto’s.

Removing Gluten as a Trigger

Gluten has been recognized as a common trigger for autoimmune conditions, including Hashimoto’s. Many people with Hashimoto’s find that eliminating gluten from their diet helps reduce symptoms and flare-ups. It is recommended to work with a healthcare professional or nutritionist to ensure a balanced and nutritious diet while avoiding gluten-containing foods.

Controlling Iodine Intake

Iodine is another trigger that can exacerbate Hashimoto’s symptoms. While a certain amount of iodine is necessary for proper thyroid function, excessive intake can lead to flare-ups in individuals with Hashimoto’s. It is important to monitor and control iodine intake through diet and, if necessary, through consultation with a healthcare professional.

Factors Affecting Thyroid Medication

Impact of Gut Health

Gut health plays a significant role in the effectiveness of thyroid medication. If there are underlying gut issues, such as small intestinal bacterial overgrowth (SIBO) or leaky gut syndrome, it can interfere with the absorption and utilization of thyroid medication. Therefore, addressing gut health through proper nutrition and potential treatment of gut issues is crucial for optimal thyroid medication management.

Influence of Liver Function

The liver is responsible for converting thyroid medication into its active form that can be utilized by the body. If there are liver dysfunction or impairment, it can affect the conversion and utilization of thyroid medication. Taking steps to support liver health, such as reducing alcohol intake and avoiding exposure to toxins, can contribute to improved thyroid medication effectiveness.

Estrogen Levels in Women

In women, estrogen levels can interfere with thyroid hormone function. High levels of estrogen can compete with thyroid hormone at receptor sites, reducing its effectiveness. This can be particularly relevant for women who are not yet menopausal or who are taking hormone replacement therapy. Balancing estrogen levels through lifestyle modifications or hormonal interventions may be necessary to optimize thyroid medication effectiveness.

Hashimotos Treatment After Thyroidectomy

Hashimoto’s Treatment for Cancer Patients

Resolving the Issue with Thyroid Removal

For cancer patients, removing the thyroid gland is often the recommended approach. This can help eliminate any cancerous tissue and reduce the risk of further complications. In many cases, the removal of the thyroid gland resolves the immediate issue and alleviates symptoms associated with the cancer.

Medication as a Solution

After thyroid removal for cancer, medication is usually prescribed to replace the thyroid hormone that the body can no longer produce. This medication, typically T4, needs to be converted into its active form for the body to utilize it properly. Issues with liver function, gut health, or hormonal imbalances can affect this conversion process and may require additional attention and management.


Managing Hashimoto’s after thyroidectomy requires a comprehensive approach that addresses the autoimmune nature of the condition. Understanding triggers, such as gluten and iodine, and removing them from the diet can help minimize flare-ups. Supporting gut health, liver function, and hormonal balance is essential for optimal thyroid medication effectiveness. Cancer patients can usually find resolution by removing the thyroid gland and taking prescribed medication. It is important to work closely with healthcare professionals to develop an individualized treatment plan that addresses the specific needs and circumstances of each individual with Hashimoto’s after thyroidectomy.

Hashimotos Treatment After Thyroidectomy

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