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Seeking Treatment for Hashimoto’s Thyroiditis and High TSH Levels
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Endocrinological Disorders
Question #49231
20 days ago
264

Seeking Treatment for Hashimoto’s Thyroiditis and High TSH Levels - #49231

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Patient Details: Name: Nirmal Solanki Age/Sex: 25 Years / Male Current Medication: Thyronorm/Eltroxin (Levothyroxine) 125 mcg daily. Chief Complaint: I am writing to seek advice for Hashimoto’s Thyroiditis with persistent high TSH, despite being on a high replacement dose (125 mcg). I suspect malabsorption or gut dysbiosis is preventing the medication from working effectively. Latest Lab Results (Dated: 01 Feb 2026): Anti-TPO Antibody: 370.8 IU/mL (Ref: <9) — Confirms active Autoimmune attack. TSH: 6.628 µIU/mL (Ref: 0.35 - 4.94) — Still High despite 125mcg dose. Total T3: 82 ng/dL (Normal) Total T4: 6.79 µg/dL (Normal) Medical History & Potential Triggers: Surgical History: I underwent an Appendectomy 4 years ago. Post-Surgery: I received a course of strong antibiotics. My thyroid symptoms and health decline began noticeably after this event. Please tell me can be treated. I want to treat it and live a nice life.

How long have you been experiencing symptoms related to Hashimoto's Thyroiditis?:

- 2-5 years

Have you noticed any specific triggers that worsen your symptoms?:

- Stress

How would you describe your digestive health since your surgery?:

- Frequent issues
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Doctors' responses

Take Thyrocare 1tab bd AF Hamsapadikashayam 20ml bd AF Kanchanara Guggulu 1tab bd AF Vriddhi vatika vati 1tab bd AF Avoid oily spicy food meat alcohol smoking u ll get results

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Hello Thanks for sharing your concern. I know dealing with Hashimoto’s, high TSH, feeling tired, foggy brained, and having tummy troubles at 25 is scary. But, don’t worry! You CAN get Hashimoto’s under control and fix the root cause. You can totally live a long, healthy life! YOUR CONCERN So, you’re a 25-year-old guy with Hashimoto’s Thyroiditis and: – You’re taking 125 mcg of Eltroxin / Thyronorm every day. – Your TSH is still high (6.62). – Your Anti-TPO is super high (370+) – meaning your immune system is attacking your thyroid. – Your T3 & T4 are only staying steady because of the meds. – You’ve had stomach issues since your appendectomy and antibiotics. – Stress makes everything worse. Basically, your thyroid isn’t the main issue – it’s your immune system and gut. THE AYURVEDIC WAY OF LOOKING AT IT Hashimoto’s isn’t just a thyroid thing. It’s more like Amapachita Ojas-kshaya with Agni dushti. In simple terms: – Antibiotics messed up your gut bacteria. – Your digestion got weak. – Toxins built up. – Your immune system got confused. – And now it’s attacking your thyroid. This leads to: – High Anti-TPO – Your body not absorbing thyroxine well – Hormone resistance – Feeling tired, anxious, bloated, and down. So, just upping your thyroxine dose won’t fix things until you heal your gut and immune system. WHAT WE’RE TRYING TO DO We WON’T just stop the Thyronorm suddenly. We need to heal your body so it can work properly again, and then the dose can go down over time. Our Aims: – Lower Anti-TPO – Fix your gut lining – Get rid of what’s triggering your immune system – Get your digestion back on track – Get your TSH to normal – Make your thyroid respond again THE AYURVEDIC PLAN Fix Your Gut & Immune System (Super Important) 1 Kutki + Guduchi + Neem powder ½ tsp twice a day with warm water before eating → Clears out immune system toxins → Lowers Anti-TPO → Helps your immune system chill out 2 Triphala Guggulu2 tabs at night → Heals your gut and clears out the damage from antibiotics Get Your Thyroid Working Right 3.Kanchanar Guggulu 2 tablets twice a day after food → Gets your thyroid tissue responding again 4.Ashwagandha capsule 1 capsule at night → Fixes the communication between your thyroid and brain Calm Your Immune System 5.Guduchi Satva 500 mg twice a day → Calms down the immune attack Chill Out Your Nerves Stress makes Hashimoto’s worse. 6.Brahmi capsule 1 at night WHAT TO EAT – This is what will heal youSTRICTLY AVOID: –Gluten (wheat, bread, etc.) –Dairy – Sugar – Processed food – Cold food – Staying up late ✅EAT: –Rice –Moong dal –Vegetables –Coconut –Ghee –Pomegranate –Only warm food Just doing this can drop your Anti-TPO by half in 3 months! WHAT TO EXPECT – In 4–6 weeks → Your digestion will get better – In 8–10 weeks → You’ll feel less tired and anxious – In 3 months → Your Anti-TPO will start to go down – In 4–6 months → Your TSH will even out – Lots of people can lower their thyroxine dose You’re young – your body can bounce back! YES – YOU CAN LIVE A NORMAL LIFE Hashimoto’s isn’t a life sentence. You can reverse it if you fix the root cause. You didn’t do anything wrong. Your gut just got messed up – now we’re gonna fix it! Warm Regards Dr Snehal Vidhate

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Yes Nirmal this condition can be treated and you can absolutely live a stable healthy and fulfilling life I want to reassure you first because Hashimotos is not a life ending diagnosis it is a manageable autoimmune condition Your reports clearly show active autoimmune activity with high anti TPO and TSH remaining high despite adequate thyroxine dose This strongly supports your understanding that absorption and gut imbalance are playing a major role The history of appendectomy followed by strong antibiotics is very important Many patients develop gut dysbiosis after such events When digestion and gut lining are disturbed thyroid medicine does not absorb properly even if the dose is high In Ayurveda Hashimotos is seen as a combination of agni disturbance ama accumulation and immune imbalance Stress further aggravates this and keeps the autoimmune fire active The good part is that this can be corrected step by step First by improving digestion and gut health Second by reducing autoimmune inflammation Third by supporting thyroid tissue and immunity together Once the gut starts healing the same dose of medicine starts working better In many patients TSH gradually comes down and dependency reduces under medical supervision This is not a quick fix but it is a very realistic and achievable process With proper diet gut healing herbs immune modulation stress management and patience improvement is seen You are young and that works in your favor Your T3 and T4 are still in range which means the gland is functional We are not too late Do not lose hope This condition responds well when treated at the root If you follow the treatment sincerely you can live a normal energetic life

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✅ Hashimoto’s is confirmed Anti-TPO 370 → strong autoimmune activity This explains why your thyroid is struggling. -Do NOT stop your Thyronorm/Eltroxin unless your endocrinologist tells you to. -Diagnosis (Ayurveda): Aamajanya Rasavaha–Medovaha Srotodushti Agni Mandya Autoimmune (Agnimandya + Ama + Ojas Kshaya) Correlates with Hashimoto’s Thyroiditis 🧾 RX 1️⃣ Kanchanar Guggulu Dose: 2 tablets Frequency: Twice daily Anupana: Warm water Timing: After meals ✔️ Reduces thyroid gland inflammation ✔️ Supports lymphatic & autoimmune balance 2️⃣ Punarnavadi Mandura Dose: 1 tablet Frequency: Twice daily Anupana: Warm water Timing: After meals ✔️ Improves metabolism ✔️ Helps sluggish thyroid & fatigue ✔️ Supports digestion & anemia tendency 3️⃣ Arogyavardhini Vati Dose: 1 tablet Frequency: Twice daily Anupana: Warm water Timing: After meals ✔️ Improves liver–gut–thyroid axis ✔️ Helps Ama clearance 4️⃣ Ashwagandha Churna Dose: 3–5 grams Frequency: Once daily Anupana: Warm milk or warm water Timing: Night ✔️ Helps stress-induced thyroid imbalance ✔️ Supports adrenal & immune modulation 5️⃣ Triphala Churna Dose: 3 grams Frequency: Once daily Anupana: Warm water Timing: At bedtime ✔️ Gut healing ✔️ Improves absorption ✔️ Very important in post-antibiotic dysbiosis - Optional (if digestion is poor / bloating present) Hingvastak Churna Dose: ½ teaspoon Frequency: Twice daily Anupana: With first bite of food ✔️ Improves Agni ✔️ Reduces gas, bloating, malabsorption - PATHYA–APATHYA (VERY IMPORTANT) ✅ Pathya (Encouraged) Warm, freshly cooked food Rice, moong dal, ghee Steamed vegetables Buttermilk (spiced, daytime only) ❌ Apathya (Avoid) Cold foods & drinks Excess gluten (wheat) Packaged foods Curd at night Soy (especially in hypothyroid) - Lifestyle Advice Sleep before 11 PM Gentle yoga: Surya Namaskar, Bhujangasana Pranayama: Anulom Vilom, Bhramari Avoid fasting & over-exercising - note- Continue Levothyroxine as prescribed Recheck TSH after 8–10 weeks Ayurveda works best alongside modern medicine, not against it

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DEAR NIRMAL THANK YOU FOR REACHING OUT AND SHARING YOUR DETAILS LIVING WITH HASHIMOTOS THYROIDITIS CAN BE FRUSTRATING ESPECIALLY WHEN TSH REMAINS HIGH DESPITE ADEQUATE LEVOTHYROXINE REPLACEMENT YOUR LAB REPORTS CONFIRM AN ACTIVE AUTOIMMUNE RESPONSE AND SUGGEST THAT THE BODY IS STRUGGLING TO MAINTAIN THYROID HORMONE BALANCE POSSIBLY DUE TO DIGESTIVE ISSUES OR MALABSORPTION WHICH YOU NOTED AFTER SURGERY AND ANTIBIOTIC COURSE FROM AN AYURVEDIC PERSPECTIVE THIS CONDITION REFLECTS A VATA PITTA DISTURBANCE ALONG WITH DHATU KSHAYA AND SAMA AMA ACCUMULATION AFFECTING AGNI AND MEDA DHATU FUNCTION WHEN DIGESTION AND ABSORPTION ARE IMPAIRED MEDICATION MAY NOT WORK EFFECTIVELY AND AUTOIMMUNE PROCESSES CAN BECOME STRONGER THE FOCUS SHOULD BE ON RESTORING DIGESTIVE FIRE BALANCING DOSHAS AND SUPPORTING IMMUNE MODULATION WITHOUT SUPPRESSING THE BODY DIETARY MANAGEMENT SHOULD INCLUDE WARM EASY TO DIGEST FOODS LIGHTLY COOKED VEGETABLES WHOLE GRAINS GHEE AND SOFT PROTEINS AVOID COLD RAW FOODS EXCESS SUGAR AND PROCESSED ITEMS PROBIOTIC RICH FOODS CAN HELP REBUILD GUT FLORA AND SUPPORT NUTRIENT ABSORPTION HERBAL SUPPORT SUCH AS ASHWAGANDHA GUGGULU SHUNTHI AND TRIPHALA UNDER GUIDANCE CAN HELP BALANCE THYROID FUNCTION REDUCE AUTOIMMUNE ATTACK AND IMPROVE ENERGY LEVELS STRESS MANAGEMENT THROUGH YOGA PRANAYAMA MEDITATION AND ADEQUATE SLEEP IS CRUCIAL AS STRESS IS A KNOWN TRIGGER AYURVEDA DOES NOT REPLACE THYROID MEDICATION IMMEDIATELY BUT WORKS ALONGSIDE IT TO OPTIMIZE HORMONE UTILIZATION AND REDUCE INFLAMMATION REGULAR MONITORING OF TSH T4 T3 AND ANTIBODIES IS IMPORTANT AND ANY CHANGES TO MEDICATION SHOULD BE DONE UNDER THE SUPERVISION OF YOUR ENDOCRINOLOGIST COMBINING DIGESTIVE REJUVENATION HERBAL SUPPORT DIETARY ADJUSTMENTS AND LIFESTYLE PRACTICES OFTEN LEADS TO BETTER STABILITY LOWER ANTIBODY TITERS AND IMPROVED ENERGY OVER TIME

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HELLO, You have Hashimoto’s thyroiditis, which means -Your immune system is mistakenly attacking your own thyroid gland -This attack is confirmed b very high Anti-TPO antibodies -Because of this damage, your thyroid does not respond properly even when you take Thyronorm -So TSH remains high despite a good dose IMPORTANT POINT TO UNDERSTAND -Thyronorm only supplies hormone but it does not stop immune attack, heal the gut, or repair absorption WHY DID THIS START AFTER SURGERY AND ANTIBIOTICS? From both modern medicine and Ayurveda, antibiotics can -damage gut bacteria -reduce absorption of mediicines -increase intestinal permeability (leaky gut) -confuse immune system-> autoimmunity In Ayurveda this is called -Agni dushti (digestive fire damage) -Ama formation (toxic waste) -Ojas depletion (immune tolerance loss) This explains -poor response to medicine -digestive problems -autoimmune thyroid disease TREATMENT GOALS -improve digestion and absorption -reduce autoimmune attack (Anti-TPO) -Support thyroid tissue function -calm stress immune conenction -prevent progression and complications -eventually allow safe dose reduction INTERNAL MEDICATIONS A) TO IMPROVE DIGESTION AND ABSORPTION 1) TRIKATU CHURNA= 1/4 tsp before meals with warm water for 6 weeks =rekindles digestive fire, improves gut absorption, enhances thyronorm effectiveness 2) HINGWASTAKA CHURNA= 1/2 tsp after lunch and dinner with honey for 3 months = reduces gas, bloaitng, corrects post antibiotic gut damage 3) JEERAKARISHTA= 15ml after meals with warm water =strengthen intestines, improves assimilation of nutrients B) TO REDUCE AUTOIMMUNE ATTACK (core of Hashimoto’s) 4) GUDUCHI SATVA= 500mg twice daily after meals with warm water for 3 months = immunomodulator balances immunity, reduces Anti-TPO antibodies, anti inflammatory 5) AMALAKI RASAYANA= 1 tsp daily in morning =repairs tissues, improves immunity tolerance, supports thyroid health C) THYROID TISSUE SUPPORT 6) KANCHANAR GUGGULU = 2 tabs twice daily after meals for 3 months =acts on thyroid and lymphatic tissue, Reduces Kapha accumulation , supports glandular response 7) VARUNADI KASHAYA= 15ml twice daily with warm water before meals =reduces gland stagnation, improves metabolism D) STRESS AND NERVOUS SYSTEM 8) BRAHMI VATI= 1 tab twice daily after meals =calms mind , reduces stress induced immune flares EXTERNAL THERAPIES OILMASSAGE=WARM SESAME OIL 3 times/week =calms vata, improves circulation, reduces fatigue NASYA= instill 2 drops of Brahmi oil in each nostril daily morning =supports endocrine regulation YOGA ASANAS -sarvangasana -matsyasana -bhujangasana -setu bandhasana PRANAYAM -Anulom vilom= 10 min daily -Bhramari= 7 rounds -Ujjayi= gentle DIET -warm, fresh meals -moong dal -cooked vegetables -ghe 1-2 tsp/day -ginger, cumin, turmeric AVOID -gluten wheat, bread, bakery -soy -cold food and drinks -curd at night -processed food SIMPLE REMEDIES -warm water every morning -ginger cumin -triphala at night if constipation= 1 tsp with warm water at bedtime -earl dinner before 8 pm IMPORTANT -Do NOT stop Thyronorm suddenly -Ayurveda works with modern medicine initially -Dose reduction only after improvement and doctor advice Nirmal, your condition -is chronic -Is manageable -is not a life sentence With proper digestion, immune balance , stress control and patience -symptoms reduce -life quality improves -disease progression slows Your age is big advantage DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

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Start with Divya Thyrogrit 2-0-2 after food with water Tablet Liv-52 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Do Simhasan pranayam for 5-10mins twice daily. Include iodised salt in your cooking.

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