lemonade. Chronic autoimmune thyroiditis (Hashimotos thyroiditis), an autoimmune disease in which your immune system mistakenly attacks your thyroid gland, is the most common cause of hypothyroidism in iodine-sufficient areas of the world like the US (4). Starting off, it can help to know the following information: The body needs iodine to produce thyroid hormones. Lactose intolerance and risk of lung, breast and ovarian cancers: etiological clues from a population-based study in Sweden, Bovine milk in human nutrition a review. Your calorie needs depend on a number of factors including your age, activity level, gender, height, and whether youre trying to lose or gain weight. Along with gluten, dairy is one food that I believe that everyone should avoid. Salmon is extremely high in selenium. Skimmed or organic milk is a much better option for those with hyperthyroidism because it contains lower levels of cholesterol and saturated fat. Cow's milk: high in calcium, protein and fat. It accompanies a weak or enlarged thyroid such as what occurs with goiter. Obesity linked to 21 genes related to Alzheimers disease, study finds, The best diets for Hashimoto's thyroiditis. Every person with Hypothyroidism is different and does not respond the same way to goitrogens. It rarely . But gluten has no effect on hypothyroidism if that's what it really is. Eating oats may offer some benefits to people who have thyroid problems. It is often caused by Grave's disease, which is an autoimmune disease that attacks and overstimulates the thyroid. As a dairy product, it also contains significant amounts of iodine, which could harm a person with hyperthyroidism. In one case study, a 72-year-old female developed severe hypothyroidism after regularly consuming a soy-heavy health drink for 6 months. Frozen Banana Bites Photo credit: https://www.nobiggie.net/frozen-banana-bites/ Ingredients: 3-4 bananas beer and wine. However, adequate dietary iodine is essential for normal thyroid function. For example, one cup of almonds provides about 20 grams of protein. "It's like Goldilocks: If you have too much, it's no good. 15.3 grams carbohydrates. Find out which foods can help your hypothyroidism and what to avoid. Hypothyroidism is when the thyroid gland is not making enough hormones for good health. The optimal foods for thyroid health depend on whether you have a condition that impairs your thyroid function. It is simple to incorporate cereals like quinoa, finger millet, red rice, and brown rice into your diet. ORLANDO April 01, 2017. Oat milk is also low in carbohydrates and calories, which can be helpful for those who need to watch their weight. The creamy texture of almond milk is similar to dairy milk and it has a delicious nutty flavor. Iodine is an essential mineral that is needed to make thyroid hormones and a deficiency in this nutrient can lead to hypothyroidism. The outer husk of the oat must be removed, as it is not digestible by humans. This hampers the absorption of thyroid hormones, leading to hypothyroidism. Some foods and supplements can interfere with how well the body absorbs thyroid replacement medicine, so limiting these can also help. That being said, this general meal plan can help you get an idea of what healthy eating may look like when youre living with hypothyroidism. Because of their fiber, "eating oats can help lower cholesterol, manage blood sugar levels, control appetite for managing weight, reduce constipation and help you meet your fiber needs for the day," Sandon says. (When it comes to oats, be aware that growing and processing sometimes cross-contaminates them with grains that contain gluten. Youll want to make sure youre taking your thyroid medication on an empty stomach to promote optimal absorption. Chronic inflammation may reduce total thyroid receptor count and can disrupt thyroid hormone function. Keep in mind that getting too much fiber can reduce absorption of certain thyroid hormone replacement meds, according to the Mayo Clinic. Fortified milk not only has added vitamin D, but . Below, find a sample 1-week meal plan for an omnivorous person with hypothyroidism: People with hypothyroidism may gain weight more easily than people without the condition. - Thyroid Gland of a Rat of same age as Fig. Choose the most nutritious cereals, such as whole grain cereals, over refined cereals. 2005-2023 Healthline Media a Red Ventures Company. While some options are incredibly nutritious and healthy for your body, others have some drawbacks. Selenium protects the thyroid from oxidative stress, and only two to three nuts per day add up to your recommended daily allowance. Food sensitivity, systemic inflammation, leaky gut syndrome, and other health issues are all possible consequences of gluten consumption. More Calories. Coconut milk is my top choice, though it doesn't contain protein. This sample week-long meal plan is suitable for people with hypothyroidism. 28. Following a nutritious diet is important for everyone, but studies show that certain dietary interventions can have specific benefits for people with hypothyroidism. The healthy fats in avocado protect your skin against free radicals and also protect from inflammation. Additionally, if you have lactose intolerance, you may suffer from malabsorption of essential nutrients and oral medications - including your thyroid hormone replacement medication. This is an easy way to set up an AIP account. Oatmeal with fuel your body, give you fiber, help lower your cholesterol, enhance your immune system and help stabilize your blood sugar. Besides your blood sugar levels, almond milk may also benefit your heart. It has also been shown to have higher levels of inorganic arsenic. People should not take this medication within 4 hours of eating foods that contain iron or calcium. I've heard the same thing about soy, but what's wrong with dairy and gluten? Almond milk is perhaps the most popular plant milk out there. Your healthcare provider will choose an appropriate treatment plan based on your thyroid function, symptoms, and other health concerns. It is one of the leading contributors to poor gut health, systemic inflammation, nagging pain, and chronic disease.1 Find out whats at the root cause of your health issues with this quiz. However, I dont recommend them because there are other reasons to avoid dairy. Regardless of the one you choose, lets raise a glass and toast the healthy, gut-supporting alternatives to dairy. Even though iodine deficiency is common in many areas of the world, its less common in developed countries like the United States. Maintaining a diet high in zinc is essential for proper thyroid function. Unlike most of the rest of the world, Oatly had a good 2020. Although its rich in protein, I recommend you pass on this one. Coconut milk, coconut yogurt, almond milk, cashew milk, full-fat unsweetened yogurt, goat cheese, etc. Experts say the Mediterranean, DASH, and flexitarian diets have the best foundations and are among the easiest to follow. Certain nutrients can interfere with thyroid health. "Oat milk may be fortified with calcium and Vitamin D, as well as Vitamin B12, which are normally present in dairy milk varieties, and are important for bone health and nerve and cell health,. However, there's no evidence that people who have hypothyroidism should avoid soy completely. Oat beta-glucan: This soluble fiber has been linked to improving heart health and lowering cholesterol. Iodine is an essential mineral that is needed to make thyroid hormones and a deficiency in this nutrient can lead to hypothyroidism. You don't need milk at all. This may lead to leaky gut syndrome, which is the root cause of autoimmune diseases and other health problems. If you dont want to drink dairy products, you can substitute coconut milk. Eating large amounts of soy foods may not be good for some women's thyroid functioning, according to new research from Loma Linda University in California. In general, the best diet for a person with hypothyroidism contains plenty of fruits, vegetables, filling proteins, healthy fats, and moderate amounts of healthy carbohydrates. Tea is also something to avoid, especially (yes I know) green tea. Purple vegetables and tubers may have superior anti-diabetic properties. Cashew milk is rich in polyunsaturated and monounsaturated fats, iron, magnesium, and potassium. When used alone or when combined with other nutrients like selenium and vitamin A, zinc supplements may help improve thyroid function in those with hypothyroidism (20, 21). The Differentiating Factor Of Spectracide Weed Stop Granules. Some foods may negatively affect thyroid function and worsen symptoms of hypothyroidism. Autoimmune thyroid disease also often goes hand-in-hand with celiac disease, according to the Gluten Intolerance Group. I have been diagnosed with hypothyroidism and I'm currently trying to lose weight and keep fit for my health. Find out why ditching gluten and diary may protect your thyroid and increase your overall wellness. It contains a high level of iodine and vitamin D as well as some other beneficial compounds. The diet can have a significant impact on the symptoms of hypothyroidism. Overall, it is important to aim for a healthy diet that supports the absorption of thyroid medication and helps with maintaining a healthy weight. The first symptoms of hypothyroidism often include. Otun, J., et al. Hemp milk is a highly nutritious plant milk with an earthy and nutty flavor. Although claims about hypothyroidism diets abound, there's no evidence that eating or avoiding certain foods will improve thyroid function in people with hypothyroidism. That has now adjusted down. We also suggest specific foods to eat and avoid and provide a 1-week meal plan. Taking more than the recommended dose of vitamins can be harmful and . That's because the calcium in dairy (as well as in calcium supplements and some fortified foods), can interfere with . In addition, she is a wife, mother, and the successful founder and CEO ofAmy Myers MD . So what can you drink instead of dairy milk? Too much iodine can damage your thyroid and make you feel sluggish, a symptom of hypothyroidism. Maybe I am reading too much into things, and I am going a little crazy haha. Include oats, brown rice, sprouts, sprouted grain bread, and quinoa in your diet to boost your metabolism and keep your thyroid functioning properly. Iodine deficiency is relatively uncommon in the United States, due to the wide use of iodized table salt, but it is prevalent in other areas. This disease causes chronic inflammation and damage to the small intestine due to the ingestion of gluten, a protein in wheat and other grains, including barley, oats, and rye. Generally speaking, soy is a healthy source of protein. Great reads for us as diving boards to our continued quest for good health. Depending on the brand, one cup may have nearly five grams of protein, making it an excellent choice if you are looking for a little protein boost. Cashews, almonds, and pumpkin seeds are excellent sources of iron. Soy milk comes in a close second with about 7 grams per cup. For example, people with Hashimotos disease often experience symptoms like fatigue, cold intolerance, anxiety, and hair loss even after thyroid hormone medication has normalized their thyroid function. Whether it is in the harvesting process, or packing in a facility, the risk is far too great for people who are gluten intolerant. Since people with hypothyroidism typically have issues with a leaky gut, excluding dairy in this group of people also helps alleviate symptoms of hypothyroidism. Plus, cooking the vegetables mostly deactivates the goitrogenic compounds. Still, it is important for each person to experiment and develop a diet that helps them feel their best. However, not all plant milks are created equal. It's full of nutrients and good stuff. These foods are also rich in fiber, which may help people feel fuller for longer. National Library of Medicines list Additionally, people with hypothyroidism should limit certain foods in order to promote overall health. If you have hypothyroidism, try incorporating the following nutritious foods into your diet: Keep in mind that some people with hypothyroidism may benefit from avoiding gluten and other ingredients like dairy, but others may not have to cut these foods from their diet and may be able to consume gluten and dairy without issue. People with hypothyroidism dont have to avoid many foods. All rights reserved. Almond milk is rich in vitamin E, magnesium, riboflavin, and thiamin. And if youre still experiencing uncomfortable gas, bloating, or other symptoms even after ditching the dairy, check out this handy quiz to uncover the root cause. The recommended FDA daily dose is like 250 mcg but apparently we need more like 50mg plus. You'll find iodine in iodized salt, supplements and those same large predator fish. Mackerel, sardines, and cod are also good options. Medication is the first line of treatment for hypothyroidism, but following a healthy diet and lifestyle can help improve thyroid function and symptoms, too. It helps regulate your metabolism and impacts energy levels, body temperature, and even your mood. Some herbal teas to consider drinking include peppermint, lemon balm (especially for hyperthyroidism), rooibos, and chamomile. Hypothyroidism is a serious and sometimes debilitating condition. You probably have fond memories of dipping cookies into a glass of milk, sipping a cup of creamy hot chocolate after sledding, or ending your day with a glass of warm milk before bed. Hypothyroidism is a condition in which the thyroid gland doesnt make enough thyroid hormone. Zinc is commonly found in legumes (beans), beef, chicken, and shellfish and is thought to be another helpful mineral for thyroid health. Dairy milk. Almonds are a rich source of protein, Vitamin E, magnesium, potassium, selenium, manganese, and iron. Depression, difficulty losing weight, loss of hair, cold hands/feet, and fatigue are common hypothyroid symptoms. While goitrogens can impact thyroid function, most people, including people with hypothyroidism, can enjoy moderate amounts of goitrogen containing foods like cabbage, broccoli, and kale without negatively impacting their thyroid health. Oat milk inflammation is a new conversation popping up more often. #10 Drinking Oat Milk is Good for your Thyroid. In fact, insufficient iodine intake is the most common cause. Some nutrients and foods can help or hinder the thyroids function. Please see a physician before making any medical or lifestyle changes. "And these are all conditions that often go along with hypothyroid disease.". But gluten has no effect on hypothyroidism if that's what it really is. If you love a bowl of oatmeal or oat milk and you have thyroid problems, you may wonder if oats are in any way a thyroid-healing food. Also Read: 11 Home Remedies for Thyroid. Other times, the thyroid gland doesnt receive enough TSH. Your information is secure and is handled accordance with our privacy policy. People with thyroid problems who consume goitrogenic foods (such as soy, cabbage, kale, flax, broccoli, and almonds) are likely to benefit from them, but those who are otherwise healthy are not. This article outlines the best diet for hypothyroidism, including which foods to eat and which to avoid all based on research. If you are experiencing serious medical symptoms, please see the Ive got good news! However, its recommended to talk to your healthcare provider before starting any new supplement. It's a great option for people who want a creamy, non-dairy option or have food allergies and intolerances to dairy products and nuts. Oat milk contains iron in the primary sense of difference. Dairy and non-dairy substitutes (fortified with calcium and/or vitamin D). Additionally, some studies suggest that elimination diets, like a modified paleo diet that cuts out foods like grains and dairy, could help reduce symptoms like fatigue and improve quality of life in those with Hashimotos disease (5). Yeah I think I should just go back to the doc All the women in my family have been diagnosed with hypothyroidism and it does take the pills a while to kick in so you do have to give that time. The Institute of Medicine has identified 400 mcg of selenium as the daily upper limit for adults. What you can't do is drink it at the exact same time as your thyroid meds. Healthline Media does not provide medical advice, diagnosis, or treatment. Unsweetened almond milk doesnt raise your blood sugar since it only has 0.6 percent of carbs compared to five percent in cows milk. People with hypothyroidism should avoid consuming large amounts of goitrogenic foods and limit ultra-processed foods in order to promote overall health. This is a targeted blend designed to support optimal thyroid function, healthy hormone balance, and a healthy immune system. Recent studies discovered that components in oat proteins cause inflammation and damage in patients who experience gluten sensitivity. Its rich in healthy saturated fats, potassium, magnesium, calcium, and iron. The patient advocacy organization Beyond Celiac warns that while oats are gluten-free, they are sometimes processed in mills that also handle gluten grains, so to be safe, it's best to opt for oat products labeled as being gluten-free. Helpful - 0. I don't claim to be a doctor but we've been researching all of this a lot too. It also contains chemical compounds called isoflavones that mimic estrogen. For example, people with Hashimotos disease have been shown to have increased markers of inflammation and oxidative stress. There are a number of nutrients that are essential to the health of the thyroid. Unfortunately, many peoples symptoms persist even when theyre being treated with thyroid hormone replacement. Almond milk contains levels of goitrogenic toxins produced from almonds, and should be avoided by those at risk of low thyroid function. Selenium is another mineral thats necessary for thyroid health. It may be a perfect part of a low FODMAP diet, and you may enjoy it after the reintroduction phase of an autoimmune diet.Hemp milk is a good source of protein, healthy fats, calcium, and iron. Symptoms can progress slowly and be vague and hard to identify. Get Your Nutrients on the Go with Travel-Friendly Single-Serves. Myers specializes in empowering those with autoimmune, thyroid, and digestive issues to reverse their conditions and take back their health. Complex carbs, as a result of their high fiber content, provide essential nutrients to the thyroid hormone. Results will be presented Sunday at ENDO 2017, the Endocrine Society's 99th annual meeting in Orlando, Fla. Research has found that consuming almonds can result in changes that are associated with a reduced risk of heart disease, such as reducing bad cholesterol and lowering triglycerides, while increasing good HDL cholesterol and making beneficial changes to your blood lipid profile. Creamy, cool cow's milk, with about 8 grams of protein per serving, is often considered the "gold standard" of milks in terms of taste and . Poached or boiled eggs with avocados and berries, Coconut yogurt with berries and almond butter. Last medically reviewed on November 7, 2021. Gluten. Like selenium, zinc is needed for thyroid hormone production and thyroid function (19). For example, both can cause changes in mood. Fried foods. Rice milk is an option, but it often contains large amounts of sugar and no fat, and some people may be sensitive to grains. Plus, cooking goitrogen containing foods reduces goitrogenic activity, making them safer for people with hypothyroidism (43). These milks are all relatively low in calories and fat, and they are also a good source of vitamins and minerals. So that would be the only reason you might want to not have gluten - in case it isn't actually your thyroid (which if the pills don't work then maybe that's not what's wrong). But my sister never felt better on the pills and read that hypothyroidism and gluten intolerance (not celiac - just discomfort resulting from gluten) have very similar symptoms so she is trying to go entirely gluten free to see if it works. Fermented dairy products such as milk and cheese can also aid in the growth of good intestinal microflora. People with hypothyroidism typically have a gluten intolerance. Answer From Ann Kearns, M.D., Ph.D. Generally, there's no hypothyroidism diet. Keep in mind that this includes avoiding beverages, foods, and supplements that could interfere with medication absorption. People with Hashimotos disease a cause of hypothyroidism are more likely to have celiac disease than the general population. I have been diagnosed with hypothyroidism for about 8 years now and have never been told to avoid anything. Since most triggers of Hashimoto's disease are dietary, most people if not all who have Hashimoto's have increased intestinal permeability or leaky gut syndrome and impaired blood sugar metabolism. There is no definitive answer to this question as everyones individual dietary needs vary. Zinc is another nutrient that may specifically benefit people with low levels of thyroid hormones. Everyday is horrible, I'm always so tired. People suffering from hypothyroidism should look into fortified milk because it contains not only vitamin D, but also significant amounts of calcium, protein, and iodine. In addition, regular moderate- to high-intensity aerobic exercise and strength training can help boost metabolism and promote weight loss. The most delicious drink, smoothie & breakfast recipes to help support a healthy thyroid & Hashimoto's diet. Thyroid patients tend to do better with plant-based protein which is easily absorbed and utilized by the body! If you have a thyroid problem, do not consume almond milk. In general, people with hypothyroidism should avoid eating large amounts of any goitrogenic foods (44). Peas are legumes that may not be digested well. There are many fast food options available that are low in carbs. For non-dairy, almond milk is my favorite by a lot. In his book, Dr. Barnes estimated that 40% of adults would be diagnosed with hypothyroidism when symptoms and basal body temperature are considered. They can determine whether or not a zinc supplement may be appropriate. However, another thyroid expert not involved in the study says the caution about not overdoing soy protein probably applies only to a minority of women and it should not cause concern for most. While changing the diet cannot cure this, it can help manage the condition. In fact, insufficient iodine intake is the most common cause of hypothyroidism worldwide (1). Some foods may improve certain symptoms, while others may make them worse or interfere with treatment. 4 Decreased Thyroid Hormone Production Last medically reviewed on September 18, 2022. As a result, milk is a valuable source of nutrition for people with Hashimotos disease, but oat milk should be avoided if you have this condition. The persons condition improved after they stopped drinking the beverage and started taking thyroid hormone replacement medication. Reply Joanne says March 19, 2021 at 8:53 am I have an underactive thyroid. Nuts and seeds can also be a good source of certain minerals. I formulated these to support optimal digestion and nutrient absorption, and assist the bodys intestinal repair and inflammation responses. Some brands may even include refined oil, such as canola oil that may lead to inflammation in your body.There is also a high risk of pesticide residue and gluten cross-contamination, meaning the oats that the milk comes from may not be gluten-free. (2019). Thyroid tissue naturally contains it. Let me help you cut through the hype. Antioxidants like riboflavin and niacin give your skin a healthy glow, plus shiny hair and strong nails, which are often brittle and dull for those with hypothyroidism and Hashimoto's conditions. 4. A recent article advises against taking levothyroxine with milk at the same time. Everyone has different diet needs, but most everyone with hypothyroidism can benefit from a diet rich in whole, nutrient-dense foods like vegetables, fruits, nuts, and fish. Partially digested foods in the digestive system can provide food for the bad bacteria in your gut and disrupt your gut balance. The non-dairy brand Silk makes an affordable and delicious oat milk option that proves cost-effective thanks to its larger-than-average, 64-ounce size. Not getting enough zinc can negatively impact your thyroid function and many other aspects of health, so its essential to get enough of this nutrient in your diet. uncomplicated. Hashimotos disease is the most common cause of hypothyroidism in the US. Chronically high intake of selenium can cause symptoms like hair and nail loss, diarrhea, nausea and skin rashes (18). By some estimates, hypothyroidism is at epidemic proportions in Western society. Hypothyroidism is usually treated with thyroid hormone replacement medication, such as levothyroxine (Synthroid) or natural thyroid hormone medications like Armour Thyroid (1). According to Dr Dixa, Coconut oil is liquid gold when it comes to helping your body to heal. Untreated, it can reduce metabolism and cause fatigue, among other symptoms. "It's packed with Omega-3s and is good for joint health and rich in fiber, which is beneficial for digestive and heart health," Dr. Patel says, adding that it's another low-risk choice for those searching for a milk that won't alter their body's hormone balance. Oat, hemp seed, almond, flaxseed, and cashew milks are not AIP-compliant, as they are made from nuts and seeds. #4. Ginger tea can help to reduce inflammation, and if someone has blood sugar imbalances then they might want to consider drinking cinnamon tea. Here is everything you need to know about these. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. The research bears me out and I saw it for myself with the patients in my clinic. Studies suggests that people with Hashimotos disease may benefit from following a gluten-free diet, though researchers still arent sure whether a gluten-free diet is necessary for everyone with Hashimotos (10, 11, 32). The Ayurvedic diet is based on the principles of Ayurvedic medicine and focuses on balancing different types of energy within your body. Whether youve already given up dairy or need a little push to eliminate this inflammatory food from your diet, check out my cookbook for simple and delicious recipes that prove youll never feel deprived. Just like the immune system can attack gluten, casein, one of the proteins found in milk, can also trigger an autoimmune response. Learn how thyroid hormones and cholesterol are linked, as well as what treatments are, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Some studies show that zinc supplements could be helpful for those with hypothyroidism. These sensitivities may lead to bloating, gas, fatigue, headaches, and other nagging chronic symptoms.The casein protein in dairy is also structurally similar to gluten, which may lead to the same type of problems as gluten does, including inflammation, molecular mimicry, leaky gut syndrome, and autoimmunity. "Overall, sugar and . But because the body cannot make iodine, people need to get it from their diets. fruit and fruit . Cow's milk is naturally rich in protein, calcium, potassium and B vitamins, and is often fortified with vitamin A (which is naturally present in whole milk) and vitamin D. While many. Not Only Is It Healthy, but Oatmeal Can Even Help an Upset Stomach, National Institute of Diabetes and Digestive and Kidney Diseases, Why Oatmeal Isn't Always Gluten-Free, and 5 Trusted Brands to Buy, Lona Sandon, PhD, RDN, LD, registered dietitian nutritionist; associate professor, Department of Clinical Nutrition; director, Master of Clinical Nutrition Coordinated Program, University of Texas Southwestern Medical Center, Dallas, U.S. National Library of Medicine: Hypothyroidism, Journal of Food Science Technology: Nutritional Advantages of Oats and Opportunities for Its Processing as Value Added Foods a Review, Mayo Clinic: Hypothyroidism Diet: Can Certain Foods Increase Thyroid Function?, British Thyroid Foundation: Thyroid and Diet Factsheet, Office of Dietary Supplements: Selenium: Fact Sheet for Health Professionals, American Thyroid Association: Thyroid Function Tests, American Thyroid Association: Hypothyroidism (Underactive), American Thyroid Association: Hyperthyroidism (Overactive), American Thyroid Association: Hashimotos Thyroiditis (Lymphocytic Thyroiditis), Gluten Intolerance Group: Celiac Disease & Thyroid Conditions, Celiac Disease Foundation: What Is Celiac Disease?, University of Chicago Medicine: Celiac Disease Center: Celiac Answer Bank: Frequently Asked Questions, Beyond Celiac: Are Oats Gluten-Free?, American Thyroid Association: Low Iodine Diet, National Institute of Diabetes and Digestive and Kidney Diseases: Hashimoto's Disease. I don't claim to be a doctor but we've been researching all of this a lot too (2021). No. Plant-based dieters are more susceptible to vitamin B12 deficiencies, and oat . Hypothyroidism is a health condition in which the body doesnt make enough thyroid hormones. This includes Brazil nuts, tuna, sardines, eggs, and legumes. If you can, work with a registered dietitian who can help identify which foods may need to be eliminated and help develop a balanced eating plan that does not unnecessarily cut out nutrient-rich ingredients. Low levels of thyroid hormones can cause a wide. Fig. Oysters And some nuts, such as almonds, are good sources of calcium. We already know that iodine is required for the production of thyroid hormones. Here is a list of a few food items that you may want to avoid if you have hypothyroidism: 1.
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