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Natural Solutions for Hyperthyroidism in Graves’ Disease
Immune System

Natural Solutions for Hyperthyroidism in Graves’ Disease

Jun 13, 2024

Graves’ Disease Natural Solutions — A Functional Medicine Approach

Graves’ disease, like other autoimmune conditions, presents its own set of challenges, especially when taking a functional medicine approach. The key to managing it is finding the root cause of the problem. While it may take some detective work, natural remedies can help alleviate Graves’ disease symptoms.

Before diving into solutions, let’s first understand what Graves’ disease is and how it differs from other thyroid conditions.

What Is Graves’ Disease?

Graves’ disease is an autoimmune disorder that’s a common cause of hyperthyroidism, where the thyroid produces too much thyroid hormone. In Graves’ disease, the immune system mistakenly targets the thyroid gland, treating it as foreign and attacking it. The immune system creates an antibody that mimics the actions of a pituitary hormone, causing the thyroid to overproduce thyroid hormones.

In a healthy system, the pituitary gland regulates the thyroid through a hormone called TSH. When T3 and T4 levels are low, the pituitary signals the thyroid to make more. However, in Graves’ disease, the antibody known as TRAb mimics the pituitary hormone, causing the thyroid to produce excessive amounts of thyroid hormones, leading to hyperthyroidism.

Doctors typically diagnose Graves’ disease if blood tests show high levels of T3 and T4 and low levels of TSH. When thyroid hormone levels are high, the pituitary stops producing TSH to avoid overstimulation of the thyroid.

Is it Really Graves’ Disease?

A common question when diagnosing hyperthyroidism is whether the condition is Graves’ disease or another thyroid disorder like Hashimoto’s thyroiditis. Hashimoto’s can also present hyperthyroid symptoms, though it’s usually associated with hypothyroidism. In some cases, Hashimoto’s can flare up and cause symptoms similar to Graves’.

To differentiate between Graves’ and Hashimoto’s, it’s important to test for specific antibodies. The presence of thyroid stimulating immunoglobulins (TSI) in the blood is an indication of Graves’ disease, as these antibodies cause the thyroid to overproduce hormones. If TSI levels are normal, then the hyperthyroidism may be a result of Hashimoto’s flare-ups rather than Graves’.

Graves’ Disease Symptoms

Common symptoms of Graves’ disease include:

  • Bulging, gritty, irritated eyes (Graves’ ophthalmopathy)
  • Enlarged thyroid (goiter)
  • Rapid or irregular heartbeat
  • Fatigue
  • Frequent bowel movements
  • Heat intolerance
  • Irritability
  • Nervousness
  • Shaky hands
  • Sweating
  • Trouble sleeping
  • Weak muscles
  • Weight loss, even with increased hunger

Diagnosing Graves’ Disease

It’s important to go beyond just testing for TSH levels when assessing thyroid health. A full thyroid panel that includes T3, T4, and free hormones will provide a better understanding of thyroid function. Additionally, reverse T3 can be useful in identifying issues. Elevated reverse T3 may block the conversion of T4 into T3, signaling an imbalance.

Apart from thyroid hormones, other factors like SHBG (sex hormone-binding globulin) can also affect hormone activity. Imbalances in SHBG can cause excess free hormones or improperly bound hormones, both of which can lead to thyroid dysfunction.

Graves’ Disease Treatment Options

Conventional treatment for Graves’ disease typically involves one of three approaches: medication to suppress thyroid function, surgical removal of the thyroid, or radioactive treatment to destroy thyroid tissue. However, these treatments can have significant side effects, such as joint pain, liver damage, or white blood cell reduction.

A functional medicine approach is more conservative, focusing on supporting the body’s systems and addressing underlying issues. Medication may be necessary in acute flare-ups, but the goal is to balance the immune system naturally over time. It’s important not to stop medications without medical guidance, especially in severe cases where untreated Graves’ disease can be life-threatening.

Natural Hyperthyroidism Treatments

In functional medicine, we focus on the root causes of Graves’ disease. Hormonal imbalances, adrenal or cortisol issues, blood sugar problems, and leaky gut can all contribute to an overactive immune system that affects the thyroid. Identifying and addressing these underlying issues is key to balancing the immune response.

The gut is a crucial factor in immune function, as it houses around 80% of the body’s immune system. Food sensitivities, particularly to grains, dairy, and sugar, can lead to inflammation and exacerbate thyroid issues. Managing gut health and reducing inflammation can help alleviate thyroid dysfunction.

Stress management is also critical. Chronic stress can impair immune function, so adopting self-care routines to reduce stress can support the thyroid. Prioritize good sleep, stay hydrated, and make small lifestyle adjustments to improve resilience to stress.

Graves’ Disease Supplements

Certain nutrient deficiencies can worsen Graves’ disease. Important nutrients to consider include vitamin D, magnesium, glutathione, omega-3s, and antioxidants. These nutrients help reduce oxidative stress, which increases when the thyroid is overactive.

Excessive free radicals can damage tissues, but antioxidants can neutralize them. However, caution is needed with iodine. While iodine supports thyroid function, it may not be appropriate for those with hyperthyroidism, as it could worsen the condition. I generally recommend avoiding iodine until the root cause of the imbalance is addressed.

Iodine can temporarily help someone feel better by stimulating thyroid hormone production, but over time it can further damage the thyroid. It’s essential to work with a knowledgeable practitioner when using iodine or adjusting your nutritional regimen to avoid unintended consequences.

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