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Am Hello Hashimotos

Hello Hashimoto’s: A Functional Nutritionist’s Own Story of Life With Hashimoto’s Thyroiditis

Not too long ago, I got a good taste of why babies scream inconsolably.  (At least the babies who have ear infections.)

While on vacation with my son in Hawaii, I contracted an ear infection that made the sides of my head hot, swollen and pierced with excruciating pain; pain that reverberated from deep within my inner ear canal to my dangling lobe and kept me up through the night, wanting to wail at the top of my lungs like a crying baby.  By the time the roaming Kauai roosters crowed with the early morning sun, my jaw was clenched tight and I’d barely slept a wink.

There’s no need to feel sorry for me.  I was in Hawaii with my son Gilbert, after all.  And the good news is that through years of learning to manage my Hashimoto’s thyroiditis, I’ve also become accustomed to navigating and mitigating myriad symptoms, even when new to me.  I can now add ear infection to the list.

Hashimoto’s is not merely a thyroid disorder.  Instead it’s a summons to engage in a delicate dance, one that ultimately comes down to how we claim knowledge, awareness and care to manage our symptoms, which can be quite varied and perplexing.

Hashimoto’s is a condition I’ve personally been wrestling with for years.

In fact I was wrestling with it before I even knew I had it — held hostage in the confusion of the symptoms that seemed to plague me without rhyme or reason.  And I’m not alone.

Many people with Hashimoto’s are either diagnosed as hypothyroid or suspect they have a thyroid imbalance and yet their doctor tells them otherwise.  It’s a crime, really.  A loophole in our medical system in both the realms of diagnostics and treatment.  The statistics favoring Hashimoto’s are staggering, especially for women, and particularly after certain female milestones such as post-pregnancy onset and the hormonal shifts that happen as we age.  Approximately 95% of hypothyroid cases are in fact autoimmune thyroiditis (i.e., Hashimoto’s), and not diagnosed as such.  And what happens with an incorrect diagnosis is potentially a lot of treatment that leads to no relief.

It took me years of probing, digging through books, literature and lectures, trialing different diets, nutrient protocols and medical theories, testing one “tried-and-true” method after another, seeing a number of doctors and naturopaths, to even discover the diagnosis that would explain what was happening to and with my body.  On average, it takes about five years for a Hashimoto’s diagnosis to be determined — and this may include equally as many years of doctor’s visits, medical bills and protocols that lead to little-to-no symptom alleviation.  In other words, oodles of frustration.

In my practice, as a functional nutritionist working with many who have autoimmune conditions, I’ve often suspected Hashimoto’s as the underlying cause of symptoms absent of even the diagnostic serum antibody markers as evidence.  Time and time again, I’ve seen those antibodies show themselves on subsequent testing.  This has lead me to question even the methods of testing early on in the process of addressing thyroid signs and symptoms.  With Hashimoto’s I’ve found that often we, the women who have it, know that something is not right with our bodies before any clinical proof is available.  It could mean that oftentimes our signs and symptoms are proof enough.

For me, it was like my body was a defiant child, acting of its own accord, disregarding all my efforts and intentions.  This is what I hear from many of my clients as well.

The next step in my Hashimoto’s management was and is a continual journey to learn to regulate some level of healthy balance, one that can unfortunately become unstable with poor (for me) food choices, air travel or too much stress.  (Or apparently, crowded water teaming with teenagers after a big canoe race after the tiniest possible exposure to a food sensitivity, as I experienced in Hawaii).

Hashimoto’s is not merely a thyroid disorder.  Instead it’s a condition where the immune system is out of control, attacking itself instead of a foreigner.  Hashimoto’s is just the expression of the condition, not the root cause.  The roots of Hashimoto’s can be linked back to your digestive function, your adrenal reserves, your genetic propensity and more.

The truth is that you can learn to manage your symptoms just as I have, waltzing with the seeming lack of logic as it arises, with a greater wealth of knowledge, awareness and care held right in your back pocket.  While the answers to your woes may not come from your doctor or your thyroid hormone medication, you can still liberate yourself from the confines of standard prescription and regain influence on your Hashimoto’s health care.

Hashimoto’s is not merely a thyroid disorder.  It’s your health.  Your care.

Because Hashimoto’s affects the thyroid — the control center of heat, energy and metabolism — it’s a condition that can manifest in the usual ways that hypothyroidism does:

  • Weight gain
  • Resistant weight loss
  • Frequently cold
  • Fatigue
  • Loss of hair

Yet because the root cause of Hashimoto’s is not the thyroid itself, there can be many other accompanying symptoms.  These can include digestive disturbances such as constipation, and chronic immune challenges such as mononucleosis and acute health challenges such as ear infections — recurrent or not.  Hashimoto’s appears differently for each and every one of us.  If you’ve been treated classically for hypothyroidism but still have lingering signs or symptoms, or you suspect thyroid issues yet your lab tests are pathologically “normal”, dig deeper into your health care.  You will likely need to become your body’s #1 advocate.

Though the ear infection made me cry like a baby, it did not consume my travels or my memories.  I returned from that trip savoring the enchantment of our mother-son bond and the allure of the tropical islands.  I actually have my Hashimoto’s to thank for that insight and flexibility.  As moms, our children’s challenges often become our greatest opportunity for growth and learning.  We wouldn’t skip a beat to make sure that they get the best care and campaign for what we deem to be the fulfillment of their critical needs.  My Hashimoto’s taught me to realize that my own body deserves this same due diligence.

Hello Hashimoto’s!


About the Author
Andrea Nakayama is a Functional Medicine Nutritionist and educator leading clients, students, and practitioners around the world in a revolution to reclaim ownership over our own health. She is the CEO of both Functional Nutrition Lab, her school for practitioners, and the Functional Nutrition Alliance, which serves patients from across the globe. Through Functional Nutrition Lab, Andrea trains over a thousand practitioners every year in the science and art of the Functional Nutrition practice. Her unique methodologies give coaches and clinicians the tools needed to guide a client into mastery of their own health. Andrea is also the host of the award-winning 15-Minute Matrix podcast. 

In her virtual clinic at the Functional Nutrition Alliance, Andrea and her team of staff nutritionists work with the toughest chronic cases, people who’ve been everywhere and done everything, and who still haven’t gotten better. Andrea is also regularly consulted as the nutrition expert on the medical teams for the toughest clinical cases in the practices of world-renowned doctors. Andrea is celebrated as a leader in the field of Functional Nutrition because of her unique ability to teach and inspire practitioners and patients alike. Andrea synthesizes art and science, empathy and physiology, intuition and problem solving, into a system that truly helps people get to the root causes of their illness, create a path towards wellness, and find their way back to life.

This blog post was originally published by, written by Andrea Nakayama, and first published on Jan 12, 2014.

This post contains the opinions of the author. Autoimmune Association is not a medical practice and does not provide medical advice, diagnosis, or treatment. It is your responsibility to seek diagnosis, treatment, and advice from qualified providers based on your condition and particular circumstances. Autoimmune Association does not endorse nor recommend any products, practices, treatment methods, tests, physicians, service providers, procedures, clinical trials, opinions or information available on this website. Your use of the website is subject to our Privacy Policy.

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