Hashimoto’s Treatment

Yayın Tarihi: 25.10.2025

Son Güncellenme: 25.10.2025

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Hashimoto’s thyroiditis is one of the most common thyroid diseases. In fact, this condition occurs when the body’s own immune system attacks the thyroid gland. As a result, the thyroid becomes inflamed and gradually loses its ability to produce hormones. This leads to hypothyroidism, meaning an insufficient level of thyroid hormones.

What Is Hashimoto’s Disease?

Hashimoto’s disease is a condition known as autoimmune thyroiditis. Normally, our immune system protects us against viruses and bacteria. However, in Hashimoto’s disease, the immune system mistakenly recognizes thyroid tissue as foreign and attacks it. This attack gradually damages the thyroid gland and reduces hormone production. Thyroid hormones are vital hormones that support the body’s energy balance and regulate metabolism. Therefore, their deficiency can cause many symptoms such as fatigue, weight gain, hair loss, dry skin, sensitivity to cold, and depression.

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Symptoms of Hashimoto’s Disease

Symptoms usually develop gradually and may appear over years. The most common symptoms include:

Persistent fatigue and weakness
Unexplained weight gain
Dry skin and hair loss
Constipation
Depressed mood
Sensitivity to cold
Menstrual irregularities in women
Difficulty concentrating

If you have been experiencing several of these symptoms for a long time, it is important to consult an endocrinology specialist. Because if left untreated, hypothyroidism can negatively affect many systems, from heart health to mental health.

How Is Hashimoto’s Disease Diagnosed?

To make the diagnosis, blood tests are performed first. By measuring TSH, free T4, and anti-TPO antibodies, both thyroid function and the presence of an autoimmune process are evaluated. When necessary, a thyroid ultrasound is also performed to examine the structural condition of the gland. This provides detailed information about both hormone levels and the appearance of the thyroid.

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Treatment of Hashimoto’s Disease

There is no definitive cure for Hashimoto’s, meaning there is no method that completely eliminates the disease. However, it is possible to control symptoms and maintain hormonal balance. The main goal of treatment is to improve quality of life by restoring thyroid hormones to normal levels.

Hormone Replacement Therapy

The most commonly used approach in Hashimoto’s treatment is synthetic medication used to treat thyroid hormone deficiency. This medication replaces the missing hormone and helps restore the body’s normal functioning.

Treatment may be lifelong, but dose requirements can change with regular follow-up.
Dose adjustments are made based on blood tests. Keeping TSH within the target range indicates effective treatment.

Regular Follow-Up

After starting hormone therapy, check-ups are more frequent in the first few months, and then typically every 6–12 months. Follow-ups may be more frequent during pregnancy, with weight changes, or when additional medications are used.

Lifestyle and Nutrition

In treating Hashimoto’s disease, not only medication but also lifestyle changes are very important. Supporting the body helps keep the immune system balanced and may reduce further damage to the thyroid. Key points to consider include:

Balanced Nutrition

It can be beneficial for patients with Hashimoto’s to follow a thyroid-friendly nutrition plan.

Selenium: Brazil nuts, eggs, tuna, and sunflower seeds are rich in selenium. Selenium may help reduce inflammatory activity in the thyroid.
Zinc: Zinc sources such as red meat, pumpkin seeds, and chickpeas support the immune system.
Iodine: Iodine is necessary for thyroid hormone production, but excessive iodine intake may worsen Hashimoto’s. Therefore, iodine supplements should not be used without consulting a doctor.

Vitamin D

Vitamin D deficiency is very common in people with Hashimoto’s. This vitamin plays a critical role in regulating the immune system. Low vitamin D levels may negatively affect the course of the disease.

Vitamin D should be checked with regular blood tests, and if deficient, supplementation should be taken as recommended by a physician.
Sunlight is the most natural source of vitamin D, so spending 15–20 minutes in the sun a few days per week may be helpful.

Gluten-Free Nutrition

Some people with Hashimoto’s may also have celiac disease or gluten sensitivity. This can cause absorption problems in the intestines and make thyroid treatment more difficult.

A gluten-free diet may reduce fatigue, bloating, and digestive issues in some patients.
However, it is not necessary for everyone; a doctor or dietitian should be consulted before starting a gluten-free diet.

Stress Management

Stress is one of the most important factors that can negatively affect the immune system. Long-term stress may trigger flare-ups of autoimmune diseases.

Regular sleep is critical for maintaining hormonal balance. Aim for 7–8 hours of sleep per day.
Relaxing activities such as yoga, meditation, and breathing exercises can help calm the immune system and reduce stress.
Daily light walks can relax both mind and body and support metabolism.

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Living With Hashimoto’s

Hashimoto’s disease can be controlled with appropriate treatment. Taking your medications regularly, keeping up with follow-up visits, and paying attention to your lifestyle are the most important steps in this process. It is also important to listen to your body and consult your doctor if you notice new symptoms.

Hashimoto’s Treatment FAQ

What should Hashimoto’s patients avoid?

Gluten-containing foods (wheat, barley, rye)
Processed sugars and sugary drinks
Foods high in iodine (excess intake may negatively affect the thyroid)
Products with high soy content

When does Hashimoto’s become dangerous?

Hashimoto’s thyroiditis is generally not dangerous when it is diagnosed early and managed with regular medical follow-ups, appropriate medication, and healthy nutrition habits. However, if the disease progresses and is not adequately monitored or treated, it may lead to complications and become more serious.

Does Hashimoto’s go away completely?

No. The autoimmune process continues, but symptoms can be controlled with hormone therapy.

Will I need to take medication for life?

In most patients, yes, because thyroid damage can be permanent. However, the dosage may change over time.

Can Hashimoto’s be cured with diet?

Diet alone does not cure the disease, but it can help reduce symptoms and support overall well-being.

Are thyroid medications safe during pregnancy?

Yes. In fact, keeping thyroid hormone levels within the normal range is very important for the baby’s healthy development. The dose can be adjusted safely under a doctor’s supervision.

10 Kas 2025

Hashimoto’s Treatment

What Is Hashimoto’s Disease?

Symptoms of Hashimoto’s Disease

How Is Hashimoto’s Disease Diagnosed?

Treatment of Hashimoto’s Disease

Hormone Replacement Therapy

Regular Follow-Up

Lifestyle and Nutrition

Balanced Nutrition

Vitamin D

Gluten-Free Nutrition

Stress Management

Living With Hashimoto’s

Hashimoto’s Treatment FAQ

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