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Low carb - strong hair loss, PMS, thyroid, liver?

by (77)
Updated about 3 hours ago
Created January 25, 2013 at 11:23 AM

I have been dealing with what I thought were hormonal problems - acne, hairloss, fatigue, PMS and weird periods. When it did not stop I got my thyroid checked and I came back Hypo with an elevated TSH (other levels weren't measured yet). I had been off meds since starting Paleo with a low TSH, so I find that surprising. My liver levels were also too high. Z I tried different things, adding supplements, being much more strict (I cut out honey), but nothing helped. Upon researching I read about low carb paleo and high carb paleo when it comes to hair loss and a LOT of sites said going low carb too fast can actually cause thyroid like symptoms, including hair loss.

I was only eating 59g of carbs a day instead of my higher carb intake in summer, which was 70-110. I was not planning to get into ketosis, I am actually trying to gain weight, I just got tired of carbs like carrots and sweet potato.:(

Is it likely that this is my problem? And if so, how can I reverse the effects? I read that one needs to eat an insane amoun of carbs to get out of it? I am back on my usual 70-110 carbs and a bit more sugar from honey and fruit, I feel less fatigued but my hair is still coming out in clumps. I am so embarrassed to leave the house! I am 30 and female by the way.

3959828c57f2aeddc08e5f374e92ad36
77 · June 20, 2013 at 12:54 AM

SPAAAAAAAAAAAAM

32652cb696b75182cb121009ee4edea3
5802 · January 28, 2013 at 1:49 PM

One more thought - I have noticed a big difference in my body's rxn to grains made from scratch versus processed food. I can tolerate a homemade pancake, or even a homemade cookie, much better than a cracker or a tortilla. I am thinking it's the combination of the grains with the rancid oils and preservatives that does me in. I don't eat grains on a regular basis, but it I have to I try to go in that direction.

32652cb696b75182cb121009ee4edea3
5802 · January 27, 2013 at 2:48 AM

You may want to check out Nourishing Traditions and the Weston Price stuff. If you are going to eat grains, you can soak them in different ways. Corn requires soaking in lime; you can cook with masa flour (found in the ethnic section) which is basically alkalized cornmeal.

3959828c57f2aeddc08e5f374e92ad36
77 · January 26, 2013 at 9:42 PM

I will test out some of the grains! I read somewhere corn contains something that can make te body react as if it was gluten? Not sure what it was though.

F5a0ddffcf9ef5beca864050f090a790
15400 · January 26, 2013 at 1:21 AM

Then I would not go anywhere near potatoes. Try carrots - they are very safe.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 10:24 PM

Hello Lazza, From what I read the liver can be affected because the thyroid does not convert something right anymore.I read about this on various blogs. I have / had Hashimoto's but it had bettered. It is most likelz Hashimoto's now and I am thinking of taking natural thyroid hormone to help regulate my thyroid. I did not do well with Synthroid and Levothyroxine before. Ny Endo will test all the other levels too on the 12th! My GP wanted me to start thyroxine but I want to see what my Endo says first. She certainly did not do enough testing! Luckily I am not a newbie to thyroid ;)

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 10:20 PM

I know and I had this after birth but it stopped 12 month ago and my hair regrew. It lasted for a shorter period of time and once there was regrowth it was over. But now I have regrowth on top of regrowth and ai am Shedding short hairs too.

32652cb696b75182cb121009ee4edea3
5802 · January 25, 2013 at 9:23 PM

I would add back in GLUTEN FREE grains to get your carbs back up. Oatmeal, rice, maybe some corn, etc. Then you can start to taper back again. I like Dr Cate's idea of transforming one meal (like breakfast), waiting a week or 2, then working on another meal, etc.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 7:49 PM

I might test again to see how potatos affect me now. My first sign is always acne, then inflammation.

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744 · January 25, 2013 at 6:58 PM

"When my thyroid was fine I was actually not eating grains anymore." Maybe your previous diet was perfect already? What made you change your diet?

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744 · January 25, 2013 at 6:56 PM

If you feel fine after consuming coconut flour, I wouldn't worry.

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744 · January 25, 2013 at 6:55 PM

Ray Peat is against grains. His favorite carbs are fruits and potatoes, but if you have a fructose sensitivity, you might have to work on other things before you can eat fruits.

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744 · January 25, 2013 at 6:53 PM

Whether PUFAs should be avoided entirely is up for debate. I do avoid it entirely (except in trace amounts, almost everything has at least a bit of PUFA). Here is an argument against PUFAs you might want to read and think about (over weeks, maybe). http://raypeat.com/articles/articles/unsaturatedfats.shtml

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77 · January 25, 2013 at 6:08 PM

As far as I know Ray Peat also eats carbs that are not Paleo or primal and I have been having severe reactions to them lately. Especially grains.

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77 · January 25, 2013 at 6:06 PM

So coconut flour could give me problems? I habe been eating it for a while and never seemed to have a problem. The pancakes help me eat my fat without getting nauseated. I lose weight too easily on Paleo.

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77 · January 25, 2013 at 6:01 PM

Oh and I started supplmenting iron in pregnancy. I was shedding hair then also and it stopped it. Now I am breastfeeding and so many of my nutrients go to my son. I felt like the iron might be helping. My doctor did not want to test my iron when I asked him but he is testing my ferritin.

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77 · January 25, 2013 at 5:58 PM

When my thyroid was fine I was actually not eating grains anymore. I guess you could say I was eating a primal diet. I thyroid has been fluctuating for years, but that was the first time without meds in a while. I did not know about PUFA. So it is best avoided entirely?

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744 · January 25, 2013 at 5:46 PM

For those who crave nuts, macadamia is low in PUFA.

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744 · January 25, 2013 at 5:03 PM

You can probably have some coconut oil for energy. You might have an allergic reaction due to thyroid problems, if so, you could try REFINED coconut oil, which is unlikely to give you allergies.

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744 · January 25, 2013 at 5:01 PM

Dang, I really don't know. I can tell you my experience though. I used to have trouble eating fruits too, but then I removed ALL significant sources of PUFA from my diet, and in 3 months I was able to eat fruit and sugar without a problem.

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744 · January 25, 2013 at 4:59 PM

I think one thing you could do is go back to the diet you had when your thyroid function was good, and tweak it just a little bit, for example, by eliminating grains and vegetable oils (except coconut oil).

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744 · January 25, 2013 at 4:58 PM

Salmon is high in PUFA. Almond is high in PUFA. I wouldn't eat those while having a thyroid problem. Beef ribs and macadamia are low in PUFA. I personally found that my thyroid problem solved itself (although it took about 6 months) after I avoided all significant sources of PUFAs and started eating more fruits and dairy. I think it's good to research each vegetable to eat regarding its effects on the thyroid. Some are better for the thyroid if eaten cooked.

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744 · January 25, 2013 at 4:57 PM

Iron is generally a bad idea to supplement. We get more than enough from the diet, even when we try to have a low iron diet. I wouldn't use that unless a blood test showed low iron.

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77 · January 25, 2013 at 4:53 PM

Okay! About how many carbs a day would you think could reverse the low carb problems? And how much sweet potato is okay? I am fructose intolerant, I can now eat a moderate amount of fruits but still have to be careful. That is why I ate less sweet carbs.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 4:49 PM

I see. I noticed increased sensitivity to a bunch of foods. Occasionly I would eat cake or other things and it was not a problem until now...Now it causes me inflammatory pain, fatigue, brain fog, migraines, worsening of hair loss and acne.

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77 · January 25, 2013 at 4:45 PM

A typical day starts with a coconut flour pancake with lots Of butter and some honey. Yesteray I ate 2 ground beed burgers with cucumber and mushrooms 5 tbs of Sauerkraut 3 tbs of Spinach 2 salmon filets 1 Banana 1/2 sweet potato 1 carrot 2 more pancakes with butter 10 almonds The pancakes need 4 eggs This is me trying to raise my carbs now though. Before I mostly ate meat and butter. Supplements: PMS: vitex, DIM, burdock root, milk thistle (this helped my pms and acne a bit) Vit.d 3, iron, fenugreek (for breastmilk, multi

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77 · January 25, 2013 at 4:38 PM

I make a lot of things with coconut flour. I am nursing an 18 month old. My period came back summer last year, but I doubt my problems stem from that because it was a while ago and I was fine in summer. At first I suspected hormones though, but it was odd that my thyroid and liver were having problems. I am unsure how I can reverse the low carb state of hibernating. I read somewhere to increase carbs until symptoms stop, but eating Paleo I take in less carbs than most and don't think Inwould do well with increasing carbs drastically.

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5802 · January 25, 2013 at 3:48 PM

Most of the paleo stuff is geared to men; we girls with our crazy hormones are kind of winging it! Are you nursing? I recently weaned one of mine, and my body freaked out. Acne, bloating, etc, just from weaning. It has taken a few months to normalize. I think raw cheese is fine, esp if you aren't trying for weight loss, and you tolerate it. VB - have you tried coconut flakes? They are the only thing that helps with my nut craving!

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15400 · January 25, 2013 at 2:22 PM

I crave nuts... all the time.

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77 · January 25, 2013 at 1:45 PM

I would be interested in trying to eat oat meal. It seems it is often recommened for mothers during and after pregnancy. I am 18 mos. postpartum but my hormones had alteady regulated at 8 mos. pp and I did have a shed then too but my thyroid was fine. I just recently cut out all dairy too, but I do crabe it a lot and might give raw dairy another chance..I am eating raw butter, but not sure if it is the same as milk and cheese because it does not contain all its properties? Oh and I did know the article! I am glad I found it, it pointed me into this direction.

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744 · January 25, 2013 at 1:40 PM

The side effects you're getting are likely due to low thyroid function. Low thyroid function increases allergies.

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744 · January 25, 2013 at 1:35 PM

If you get orange calluses, that means you have too much carotene. I would try increasing carb intake from fruits and/or dairy. Rice is not nutrient dense, that's why I wouldn't eat it.

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5802 · January 25, 2013 at 1:23 PM

Just saw you posted that potatoes inflame! Ack, that stinks. I have the same thing with a lot of foods. The worst for me is tomato sauce...

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77 · January 25, 2013 at 1:16 PM

Only about 10g a day, mostly saturated (110g) and monodaturated (60g). I haven't eaten sweet potatos since September and all was well before. I also can't eat regular potatos anymore, I will get inflammatory pains and acne. I get this with all non plaro foods, my body is not used to them anymore and Inwill get sick. Is there a way to find out if my body can convert the carotene? I do have a lot of Vitamin A in my diet from various foods by the way (not intended)

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744 · January 25, 2013 at 1:09 PM

What supplements did you add?

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744 · January 25, 2013 at 1:05 PM

Could you post what you eat?

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77 · January 25, 2013 at 12:57 PM

Having avoided rice for some time though, i now experience too many side effects when eating it. I fear it might really throw my body off. Is there other carb alternatives maybe?

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744 · January 25, 2013 at 1:00 PM

Do you consume significant sources of polyunsaturated fats? If so, stopping is very likely to help with thyroid function, although it takes a few months.

Some raw vegetables, such as cabbage, slow down thyroid function.

Paul Jaminet thinks a higher carb diet helps with the thyroid.

Potatoes are better then sweet potatoes, because sweet potatoes contain beta-carotene, and people with low thyroid function have difficulty converting carotene to vitamin A. When it isn't converted, carotene has an anti-thyroid effect.

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744 · January 25, 2013 at 5:01 PM

Dang, I really don't know. I can tell you my experience though. I used to have trouble eating fruits too, but then I removed ALL significant sources of PUFA from my diet, and in 3 months I was able to eat fruit and sugar without a problem.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 4:53 PM

Okay! About how many carbs a day would you think could reverse the low carb problems? And how much sweet potato is okay? I am fructose intolerant, I can now eat a moderate amount of fruits but still have to be careful. That is why I ate less sweet carbs.

4bd4e2fe6a095663f80c69656936e487
744 · January 25, 2013 at 1:35 PM

If you get orange calluses, that means you have too much carotene. I would try increasing carb intake from fruits and/or dairy. Rice is not nutrient dense, that's why I wouldn't eat it.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 1:16 PM

Only about 10g a day, mostly saturated (110g) and monodaturated (60g). I haven't eaten sweet potatos since September and all was well before. I also can't eat regular potatos anymore, I will get inflammatory pains and acne. I get this with all non plaro foods, my body is not used to them anymore and Inwill get sick. Is there a way to find out if my body can convert the carotene? I do have a lot of Vitamin A in my diet from various foods by the way (not intended)

32652cb696b75182cb121009ee4edea3
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5802 · January 25, 2013 at 1:22 PM

Here is a great article from Dr Cate about low carb and thyroid (you may have read it already):

http://drcate.com/going-low-carb-too-fast-may-trigger-thyroid-troubles-and-hormone-imbalance/

She basically says to eat carbs again until the symptoms stop, then start again, but SLOWLY reducing the carbs. I think this is fairly common in women as we get into the 30s and beyond. I especially hear of it a lot from peri- and post-menopausal women.

I would definitely try adding back in some white potatoes. Maybe even a little white rice (per Jaminet).

A personal anecdote: the first year I was paleo I would occasionally have this crazy intense craving for oatmeal. (about once a month ... hmmm). I would make a big bowl of gluten free oatmeal (from Bob's Red Mill) with maple syrup and cream (I don't usually eat cream either!). It was heaven. Then I would be fine. About a year into it, that craving finally stopped. Looking back, I guess it was my hormones learning to re-regulate; it was the only craving I had.

My mother also has the same issues, but hers manifests as massive exhaustion. She started eating a bowl of gluten free steel cut oats every few mornings, and it went away.

Of course oatmeal is not paleo, but it's not a bad concession (personal opinion) if you are trying to ease your body and your hormones into a new pattern.

Another thought: if you are trying to gain weight, you should consider going "primal" rather than paleo, and adding a little dairy, even if it's just heavy cream. (One of my fave treats is heavy cream on frozen blueberries - it freezes and tastes like ice cream). A few teaspoons of cream a day packs on the pounds for me. :)

32652cb696b75182cb121009ee4edea3
5802 · January 28, 2013 at 1:49 PM

One more thought - I have noticed a big difference in my body's rxn to grains made from scratch versus processed food. I can tolerate a homemade pancake, or even a homemade cookie, much better than a cracker or a tortilla. I am thinking it's the combination of the grains with the rancid oils and preservatives that does me in. I don't eat grains on a regular basis, but it I have to I try to go in that direction.

32652cb696b75182cb121009ee4edea3
5802 · January 27, 2013 at 2:48 AM

You may want to check out Nourishing Traditions and the Weston Price stuff. If you are going to eat grains, you can soak them in different ways. Corn requires soaking in lime; you can cook with masa flour (found in the ethnic section) which is basically alkalized cornmeal.

3959828c57f2aeddc08e5f374e92ad36
77 · January 26, 2013 at 9:42 PM

I will test out some of the grains! I read somewhere corn contains something that can make te body react as if it was gluten? Not sure what it was though.

32652cb696b75182cb121009ee4edea3
5802 · January 25, 2013 at 9:23 PM

I would add back in GLUTEN FREE grains to get your carbs back up. Oatmeal, rice, maybe some corn, etc. Then you can start to taper back again. I like Dr Cate's idea of transforming one meal (like breakfast), waiting a week or 2, then working on another meal, etc.

4bd4e2fe6a095663f80c69656936e487
744 · January 25, 2013 at 6:56 PM

If you feel fine after consuming coconut flour, I wouldn't worry.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 6:06 PM

So coconut flour could give me problems? I habe been eating it for a while and never seemed to have a problem. The pancakes help me eat my fat without getting nauseated. I lose weight too easily on Paleo.

4bd4e2fe6a095663f80c69656936e487
744 · January 25, 2013 at 5:46 PM

For those who crave nuts, macadamia is low in PUFA.

4bd4e2fe6a095663f80c69656936e487
744 · January 25, 2013 at 5:03 PM

You can probably have some coconut oil for energy. You might have an allergic reaction due to thyroid problems, if so, you could try REFINED coconut oil, which is unlikely to give you allergies.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 4:38 PM

I make a lot of things with coconut flour. I am nursing an 18 month old. My period came back summer last year, but I doubt my problems stem from that because it was a while ago and I was fine in summer. At first I suspected hormones though, but it was odd that my thyroid and liver were having problems. I am unsure how I can reverse the low carb state of hibernating. I read somewhere to increase carbs until symptoms stop, but eating Paleo I take in less carbs than most and don't think Inwould do well with increasing carbs drastically.

32652cb696b75182cb121009ee4edea3
5802 · January 25, 2013 at 3:48 PM

Most of the paleo stuff is geared to men; we girls with our crazy hormones are kind of winging it! Are you nursing? I recently weaned one of mine, and my body freaked out. Acne, bloating, etc, just from weaning. It has taken a few months to normalize. I think raw cheese is fine, esp if you aren't trying for weight loss, and you tolerate it. VB - have you tried coconut flakes? They are the only thing that helps with my nut craving!

F5a0ddffcf9ef5beca864050f090a790
15400 · January 25, 2013 at 2:22 PM

I crave nuts... all the time.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 1:45 PM

I would be interested in trying to eat oat meal. It seems it is often recommened for mothers during and after pregnancy. I am 18 mos. postpartum but my hormones had alteady regulated at 8 mos. pp and I did have a shed then too but my thyroid was fine. I just recently cut out all dairy too, but I do crabe it a lot and might give raw dairy another chance..I am eating raw butter, but not sure if it is the same as milk and cheese because it does not contain all its properties? Oh and I did know the article! I am glad I found it, it pointed me into this direction.

32652cb696b75182cb121009ee4edea3
5802 · January 25, 2013 at 1:23 PM

Just saw you posted that potatoes inflame! Ack, that stinks. I have the same thing with a lot of foods. The worst for me is tomato sauce...

7cf9f5b08a41ecf2a2d2bc0b31ea6fa0
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4181 · January 25, 2013 at 12:54 PM

I have heard about the link between low carb and thyroid problems, maybe introduce white rice into your diet to add some variety

When I eat very low carb I get very anxious and depressed so I stick to about 120 grams of carbs a day (i think) I added in white rice as well, I think paleo is a guide not a strict rule

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 4:49 PM

I see. I noticed increased sensitivity to a bunch of foods. Occasionly I would eat cake or other things and it was not a problem until now...Now it causes me inflammatory pain, fatigue, brain fog, migraines, worsening of hair loss and acne.

4bd4e2fe6a095663f80c69656936e487
744 · January 25, 2013 at 1:40 PM

The side effects you're getting are likely due to low thyroid function. Low thyroid function increases allergies.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 12:57 PM

Having avoided rice for some time though, i now experience too many side effects when eating it. I fear it might really throw my body off. Is there other carb alternatives maybe?

F5a0ddffcf9ef5beca864050f090a790
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15400 · January 25, 2013 at 5:00 PM

Please read about Ray Peat and add some suitable carbs to your diet.

F5a0ddffcf9ef5beca864050f090a790
15400 · January 26, 2013 at 1:21 AM

Then I would not go anywhere near potatoes. Try carrots - they are very safe.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 7:49 PM

I might test again to see how potatos affect me now. My first sign is always acne, then inflammation.

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744 · January 25, 2013 at 6:55 PM

Ray Peat is against grains. His favorite carbs are fruits and potatoes, but if you have a fructose sensitivity, you might have to work on other things before you can eat fruits.

3959828c57f2aeddc08e5f374e92ad36
77 · January 25, 2013 at 6:08 PM

As far as I know Ray Peat also eats carbs that are not Paleo or primal and I have been having severe reactions to them lately. Especially grains.

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1021 · January 25, 2013 at 8:59 PM

I am no expert, but many people experience hair loss (even in clumps) from 3-6 months after giving birth. I'm sure you've already thought of this, but since you said you are breastfeeding, I thought I would mention it:

http://www.whattoexpect.com/pregnancy/symptoms-and-solutions/postpartum-hair-loss.aspx

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77 · January 25, 2013 at 10:20 PM

I know and I had this after birth but it stopped 12 month ago and my hair regrew. It lasted for a shorter period of time and once there was regrowth it was over. But now I have regrowth on top of regrowth and ai am Shedding short hairs too.

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2506 · January 25, 2013 at 8:58 PM

Mireia, what about your high liver levels? What does your doctor say about this? I know zip about liver issues but might be this cause of your symptoms? Not sure how eating low-ish carbohydrate diet can cause liver problems.

As for your thyroid, it is essential you get free T3 and free T4 levels tested. An elevated TSH level is disconcerting but it might not be problematic really. Should your free T3/T4 values be low your doctor might want to prescribe something like Synthroid. I would also ask for additional thyroid tests to see if you have Hashimoto's (a thyroid autoimmune disease). If all you have is a slightly weak thyroid you might consider iodine and selenium supplementation.

Best of luck. Like you, I struggle getting ample carbohydrates because of IBS and GERD issues ... but I am doing okay. My TSH is also elevated but I don't have any overt hypothyroid symptoms. I do take an iodine (kelp) supplement and make sure I get enough selenium in my diet.

_Lazza

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77 · January 25, 2013 at 10:24 PM

Hello Lazza, From what I read the liver can be affected because the thyroid does not convert something right anymore.I read about this on various blogs. I have / had Hashimoto's but it had bettered. It is most likelz Hashimoto's now and I am thinking of taking natural thyroid hormone to help regulate my thyroid. I did not do well with Synthroid and Levothyroxine before. Ny Endo will test all the other levels too on the 12th! My GP wanted me to start thyroxine but I want to see what my Endo says first. She certainly did not do enough testing! Luckily I am not a newbie to thyroid ;)

2254619a3974e67ab8e6872711cdc10f
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-16 · June 17, 2013 at 6:53 AM

Hair loss can affect men and women of all ages. This article studies that single men and women who had begun losing hair in their early twenties are more suffer from depression and feeling less attractive and they think older they actual are. When you want to control your hair loss, you should avoid too much stress and eat some healthy food and don???t iron your hair too much and should use some hair treatments and some [spam link removed] that actually helps to cure your hair losses.

3959828c57f2aeddc08e5f374e92ad36
77 · June 20, 2013 at 12:54 AM

SPAAAAAAAAAAAAM

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