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I have multiple autoimmune issues with my thyroid, heart, liver, and colon being affected (and I have celiac) which is why I eat paleo. Since I got diagnosed 2 years ago, I went off the pill and haven't had a period since. My husband and I want kids very badly. I started tracking my basal temperature and was surprised by how low it consistently is (usually around 96.5) and now I am concerned there is an issue going unaddressed here. Any one else have any sort of feedback, whether you have had fertility issues, or any ideas/suggestions about increasing fertility and/or body temp? Thanks so much!

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Hm, that does sound low. May I ask what your method of measuring is and the location? Some places (like under the arm) give lower than actual temperatures. – Sunny Beaches Apr 29 2012 at 14:18
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Are you getting enough calories? Excluding your autoimmune issues, that's the culprit for folks otherwise that have a low body core temp and start skipping menstruation. – Joshua Apr 29 2012 at 14:31
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Are you eating enough? Are you eating enough protein? Are you eating enough carbs? The 6 things that make someone warm are (I'm quoting Ray Peat) : salt, sugar, protein, thyroid hormone, progesterone and also aspirin. – Bruno Apr 29 2012 at 17:11
Since taking care of every one of those (especially salt, protein and sugar) my temperature is always 38 and I feel very comfortable. – Bruno Apr 29 2012 at 17:12
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Eat enough calories, allow your body fat to be in a healthy range by taking more rest days and relaxing, get your thyroid checked out. Most importantly: go to your doctor and tell them all of this. There are other larger issues that could cause low body temps and halt menstruation, you want to eliminate those first. – JeJ Apr 29 2012 at 21:11
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Hi Ali,

I had similar issues with my period once I went off the pill, after being on it for almost 5 years. I got one period approx 6 months after I came off the pill and did not have another one for another 11 months or so.

I also had low body temperature and my mom's nutritionist suggested that I take iodine supplements to raise my basal temp and bring my periods back. I got a period 3 months after beginning to take iodine and have had one every month since, like clockwork. I'm still taking the iodine - The brand that I take is called Iodoral:

http://www.google.co.uk/products/catalog?q=iodoral&hl=en&prmd=imvns&bav=on.2,or.r_gc.r_pw.r_qf.,cf.osb&biw=1280&bih=707&um=1&ie=UTF-8&tbm=shop&cid=3394334020254878337&sa=X&ei=n1WdT4D5Bcmn0QXnoOHpDg&ved=0CFIQ8wIwAQ

I only take half a tablet every 3 days and it's kept my temp up. I've been taking it now for about 8 months. Not sure if it may be worth a try - Maybe you could speak with a nutritionist or your doctor first to see if they think it may help you?

I really hope it works for you, and hope you and your husband manage to start your family very soon! :)

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Super helpful thanks so much! I will give it a try! – Ali Apr 29 2012 at 15:24
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Ali,

I think you should get thyroid hormone levels checked.

Also, if hypothyroid is caused by autoimmune response, iodine supplementation can make it worse, not better. (I think Chris Kresser wrote about this.) This was true in my case.

Joshua's comment was spot on. Too few calories, too much exercise, or both will lower basal metabolism.

I have a bias toward treating hypothyroid with hormone replacement first, then diet and/or supplements. I think it's safer and healthier to use a treatment that is known to work, then seeing if medication can be reduced or eliminated with lifestyle changes.

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Great. Thanks so much for your comments! – Ali Apr 29 2012 at 19:55
fyi, my naturopath just told me the same thing- since it is autoimmune, taking iodine is dangerous! Thanks for the wisdom! – Ali May 2 2012 at 12:07
I've read this also, but I'm curious about your personal experience. In what way did iodine make it worse? – Ambimorph May 27 at 4:51
I can't be certain it was the iodine, but I had been supplementing and was fatigued, then got a high number (18) for TSH. – Sam Knox May 27 at 5:03
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You should work with a functional/holistic practitioner who supports Paleo and can track and order the bloodwork/hormone panels. Do not try to do this yourself. You need help, but understand the science behind it.

Also read 2 books:

Why Do I Still Have Thyroid Symptoms? When My Lab Tests Are Normal: A Revolutionary Breakthrough In Understanding Hashimoto's Disease and Hypothyroidism by Dr. Datis Kharrazian, DHSc, DC, MS, MNeuroSci, FAACP, DACBN, DABCN, DIBAK, CNS - chiropractic doctor

AND

Iodine: Why you need it, Why you can't live without it by Dr. David Brownstein, MD

Chris Kresser, a licensed acupuncturist, (also Paleo) has written a lot on thyroid/iodine, among many other topics on blogposts. He works with clients in his office and through Skype/phone.

For more Paleo Diet hacks: Are people curing hypothyroid??? - PaleoHacks.com http://paleohacks.com/questions/106904/are-people-curing-hypothyroid#ixzz1tRyQXL5r

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Awesome. Great advice, thanks! – Ali Apr 29 2012 at 19:54
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Hi Ali, could you please write to me? I am the other gal with celiac, leaky gut and gastric erosion. My email is vb10vb10@yahoo.com

I would like to ask you the names of supplements for digestion and adrenal support.

As for your question, I also have a suggestion for you.

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Sure! I am on my way out the door, but tonight I will shoot you an email :) – Ali Apr 29 2012 at 19:55
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Hi there I felt the need to answer you as I come from a history of 2 miscarriages and PCOS. I do not suffer from celiac disease or food intolerances but I do have IBS and pain in my joints. I can only tell you to have a full check with a specialist and also have a look at your immune system and TNF cells. I was diagnosed after 5 years and having reached the ripe age of 39. There are some obgyns who think that a high level of TNF cells can have a factor in not getting pregnant or eventually when you get there in causing problems with the meiosis phase (when egg and sperm form the embryo) and eventually chromosome malformations and/or death of the embryo or phoetus later on. In best cases the body recognises the embryo as a foreign body and attacks it bombarding it and taking away the blood supply. In my case a check of the chromosomes of the tissue of the miscarried embryo highlighted a trisomy on couple 22 possibly caused by my high TFN cells or for sure not helped by it. My analysis on my and my hb chromosomes did not report any anomaly. To cut a long story short if you are in the USA you may approach a clinic specialised in immune issues there (Dr Beer was the pioneer in this field)... I wish you all the luck in the world in your desire of maternity and if you decide to get checked for your immune system I really do hope that your TNF levels are ok and not bad as mine.

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What are TNF cells? Have you been given any solutions to your problems? Thanks for responding!! – Ali May 2 2012 at 12:08
I was going to suggest ruling out PCOS as I have similar issues with low body temp (better with eating more cals/protein/fat as previously when trying to lose weight I was eating ~ 1100 per day), history of hypothyroid, PCOS, gluten intolerance, fibromyalgia. Many suspect PCOS is an autoimmune disease though not classified by all as such. I'd suggest seeing a reproductive endocrinologist for testing. – karmapolicia Jun 1 at 23:25
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TFN cells are anti cancer cells..http://en.wikipedia.org/wiki/Tumor_necrosis_factors you should have your citokines levels checked..mine were high... I was given humira to lower the levels for 2 cycles (it is a drug used by people with auto immune system diseases normally and has heavy side effects so they test you to see beforehand that you did not come in contact with tubercolosis or you cannot follow this route). I was looking forward an IVF cycle due to my age, the male factor involved (my partner has issues as well with his sperm) etc. My values of TNF are down now but for private reasons (my partner confessed that he does not want to have kids) did not go ahead wiht the IVF. If I would have produced eggs and then embryos for implantations they would have put me on a cocktail of drugs that keep the levels of cytokines low..this can be done via intralipid injections (relatively new therapy) or IVIG injections. This is a mix of immunoglobulines pooled from various people and very expensive... as I said this kind of therapy has been pioneered in the USA by Dr Beer and in the UK by Dr Taranissi..both highly controversial. There are doctors who do not believe that High TNF Cells (or NK Cells another name for them) can cause miscarriage or make it difficult to get pregnant. I can only say that it is up to the individual person to choose what treatment to go for...of course if you test negative then you know that this is not a problem with the immune system for you. I Can only say that Dr Beer said (he died some years ago) that it makes sense to test in case of failed IVF tentatives and my gynecologist had 26 IVFs before finding out her problem wiht the immune system. My last pregnangy all seemed ok from an hormonal point of view but I lost the baby at week 10 ... will never know for sure if the immune system had an influence in this (my gut feeling says yes) but for sure this is one of the thigns that are not working in my body..Link for Dr Beer clinic is http://www.repro-med.net/repro-med-site2/

at least you cna make an informed decision...I wish you all the best...

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Thanks so much for sharing- I will get it checked out!! – Ali May 4 2012 at 1:29
Good luck for it all. hope you get a beautiful child soon – aralerm May 4 2012 at 19:39

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