Hashimoto’s Disease Diet: A Comprehensive Guide for Managing Symptoms with Food

Hashimoto’s disease is a condition that affects the thyroid gland and can cause a range of symptoms, including fatigue, weight gain, and depression. While medication is often necessary to manage the condition, a healthy diet can also play an important role in reducing symptoms and improving overall health. In this article, we will discuss the best foods to eat and avoid for Hashimoto’s disease, along with helpful tips for managing your diet and lifestyle.

What is Hashimoto’s Disease?

Hashimoto’s disease, also known as chronic lymphocytic thyroiditis, is an autoimmune disorder that causes inflammation of the thyroid gland. This can lead to an underactive thyroid, or hypothyroidism, which can cause a range of symptoms, including:

  • Fatigue
  • Weight gain
  • Depression
  • Constipation
  • Dry skin
  • Hair loss
  • Cold intolerance
  • Joint pain

Hashimoto’s disease is more common in women than men and typically develops in middle age. It can be diagnosed through a blood test that measures thyroid hormone levels and antibodies.

How Does Diet Affect Hashimoto’s Disease?

While diet alone cannot cure Hashimoto’s disease, certain foods can exacerbate or alleviate symptoms. A healthy diet that includes nutrient-rich foods can help support the immune system and reduce inflammation. On the other hand, certain foods can trigger autoimmune responses and worsen symptoms.

Best Foods for Hashimoto’s Disease

Here are some of the best foods to include in a Hashimoto’s disease diet:

1. Foods High in Selenium

Selenium is a mineral that plays a crucial role in thyroid hormone production and helps protect the thyroid gland from damage. Foods that are high in selenium include:

  • Brazil nuts
  • Tuna
  • Shrimp
  • Halibut
  • Eggs
  • Shiitake mushrooms

It is important not to consume too much selenium, as this can be harmful. The recommended daily intake is around 55 micrograms per day.

2. Foods High in Iodine

Iodine is another mineral that is essential for thyroid function. However, too much iodine can also be harmful, especially for people with Hashimoto’s disease. Foods that are high in iodine include:

  • Seaweed (such as nori, kelp, and dulse)
  • Saltwater fish (such as cod and tuna)
  • Dairy products (such as milk and cheese)

It is recommended to consume no more than 1,100 micrograms of iodine per day.

3. Anti-inflammatory Foods

Inflammation is a common symptom of Hashimoto’s disease, and a diet high in anti-inflammatory foods can help reduce symptoms. Some of the best anti-inflammatory foods include:

  • Fruits (especially berries and cherries)
  • Vegetables (especially leafy greens and cruciferous vegetables)
  • Fatty fish (such as salmon and mackerel)
  • Nuts and seeds (such as almonds and flaxseeds)
  • Turmeric

4. Gluten-free Grains

Many people with Hashimoto’s disease also have a sensitivity to gluten, a protein found in wheat, barley, and rye. Eating a gluten-free diet can help reduce inflammation and improve overall health. Some gluten-free grains to consider include:

  • Quinoa
  • Brown rice
  • Millet
  • Buckwheat
  • Amaranth

Foods to Avoid for Hashimoto’s Disease

Just as there are foods that can help alleviate symptoms of Hashimoto’s disease, there are also foods that can worsen symptoms. Here are some foods to avoid:

1. Soy

Soy can interfere with thyroid hormone absorption and may also trigger autoimmune responses. Avoid consuming soy products like soy milk, tofu, edamame, and soy protein.

2. Gluten

As mentioned earlier, many people with Hashimoto’s disease have a gluten sensitivity or intolerance. Gluten can trigger inflammation and damage the gut lining. Avoid consuming wheat, barley, and rye, along with processed foods that contain gluten.

3. Processed Foods

Processed foods are often high in refined sugars, unhealthy fats, and artificial ingredients. These can contribute to inflammation and worsen Hashimoto’s disease symptoms. Avoid consuming processed foods like chips, cookies, cakes, and candy.

4. Alcohol

Alcohol can interfere with thyroid function and disrupt hormone production. It can also exacerbate inflammation and worsen symptoms. If you choose to drink alcohol, consume it in moderation.

Tips for Managing a Hashimoto’s Disease Diet

Here are some tips for managing your Hashimoto’s disease diet:

1. Work with a Registered Dietitian

A registered dietitian can help you create a personalized nutrition plan that meets your specific needs and goals. They can also provide guidance on managing symptoms and avoiding nutrient deficiencies.

2. Monitor Your Thyroid Hormone Levels

Regular blood tests can help you monitor your thyroid hormone levels and ensure that your medication and diet are working effectively. Work with your doctor to determine how often you should get your levels checked.

3. Cook at Home

Cooking at home allows you to control the ingredients and avoid processed foods. It can also be a fun and creative way to explore new foods and flavors.

4. Practice Mindful Eating

Mindful eating involves paying attention to your body’s hunger and fullness signals and eating slowly and intentionally. This can help you avoid overeating and improve digestion.

5. Practice Stress Management

Stress can worsen Hashimoto’s disease symptoms, so it’s important to practice stress management techniques like yoga, meditation, or deep breathing.


While there is no one-size-fits-all diet for Hashimoto’s disease, following a healthy, balanced diet that includes nutrient-rich foods can help reduce symptoms and improve overall health. Work with a registered dietitian and your healthcare team to develop a personalized nutrition plan that meets your needs and goals.


  1. Can a diet alone cure Hashimoto’s disease?
    • No, a healthy diet can help manage symptoms and improve overall health, but medication is often necessary to manage the condition.
  2. How often should I get my thyroid hormone levels checked?
    • Work with your doctor to determine how often you should get your levels checked based on your specific needs and goals.
  3. Can stress worsen Hashimoto’s disease symptoms?
    • Yes, stress can exacerbate inflammation and worsen symptoms. Practice stress management techniques to help reduce stress.
  4. Are there any supplements that can help with Hashimoto’s disease?
    • Some supplements, like selenium and vitamin D, may help support thyroid function and reduce inflammation. However, always talk to your doctor before taking any supplements.
  5. Can I still eat meat on a Hashimoto’s disease diet?
    • Yes, lean meats like chicken, turkey, and fish can be a part of a healthy Hashimoto’s disease diet. Just make sure to choose lean cuts and avoid processed meats.
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