We have received many emails from people asking what they can do hashimotos hypothyroidism dietimmediately to manage their autoimmune condition. The science can be confusing and complex, especially to the person with Hashimoto’s hypothyroidism who also suffers from brain fog, fatigue, and some loss of cognitive function.

What people frequently fail to realize is that underlying all of the more complicated scientific approaches in the book is the most important foundation of all—your diet.

Autoimmune disease and leaky gut create a vicious cycle

A person suffering from autoimmune disease invariably has gut issues. The more severe the autoimmune disease the more severe the gut issues, and vice versa. In a self-perpetuating vicious cycle leaky gut flares up autoimmune conditions, which in turn further damages the gut lining.

Stricter diet often necessary

Isn’t the elimination/provocation diet in the book severe enough? Now an even stricter diet? It became clear, based on the research and the experience of many people, that a more stringent approach is often necessary. The diet must be very basic and simple so as not to trigger inflammation in the intestines and further worsen leaky gut and autoimmune flare-ups.

hashimotos hypothyroidism dietThis diet can be followed from 10 to 60 days or longer. Some like to follow it for a short time after accidentally eating gluten, or splurging on too many sweets at a wedding or holiday party. Some follow it longer for extensive repair. Others are happy to make it a way of life because it allows them to feel and function their best.

The literature identifies nutritional and herbal compounds that can facilitate your gut-repair progress, which I will introduce in the second edition of the thyroid book, or which your practitioner can help you with. However this diet is powerful therapy on its own.

The autoimmune gut repair diet

The goal of this program is remove immune triggers from your diet that promote inflammation and yeast overgrowth in the gut, and intestinal permeability. By calming inflammation in the gut, you will be able to better calm inflammation throughout the body and brain, including autoimmune flare-ups.

Focus on ample vegetables, essential fatty acids (such as from olives, olive oil, and fish), and fermented foods to support healthy gut flora.

Eat frequently enough to avoid the energy crashes of low blood sugar—do not let yourself get hungry, and stay hydrated with plenty of fresh, filtered water.

It’s vital to strictly avoid the foods on the “Foods to avoid” list. Even just a small snack or a bite of these foods can trigger an immune reaction, inflammation, and an autoimmune flare-up. The cravings will pass quickly, especially as you start to feel and function better.

This diet is powerful on its own, however to boost the repair and recovery effects, please work with a qualified practitioner who understands the connections between gut health and the brain, immune system, and endocrine system. He or she can provide you with proven nutritional compounds that have been shown to significantly aid the process of repair and recovery and unwind self-perpetuating inflammatory cycles in the gut.

Foods to eat

When confronted with this diet the fist thing people ask is what can they eat. hashimotos hypothyroidism dietIn fact you’ll be eating the way people ate for most of human history—there’s plenty of food that doesn’t come from a factory or an industrialized farm. Of course, if you have an intolerance to any of these foods, don’t eat it just because it’s on this list.

  • Most Organic Vegetables: including anise, artichoke, asparagus, beets, bok choy, broccoli, cabbage, carrots, cauliflower, celery, chives, cucumbers, garlic, kale, kohlrabi, leeks, lettuce, mustard greens, onions, parsley, radishes, rhubarb, shallots, spinach, squash, sweet potatoes, water chestnuts, watercress, yams, zucchini.
  • Fermented foods: sauerkraut, kimchi, pickled ginger, fermented cucumbers, coconut yogurt, kombucha, water kefir, etc. You will probably need to make your own or buy one of the few brands that are genuinely fermented and free of sugars or additives. Also, search for information about anaerobic fermented foods in air-tight containers. These ferments do not produce histamines that some people react to (including rashes, digestive upset, inflammation) in aerobic, or open, ferments typically using mason jars.
  • Meats: including beef, chicken, fish, lamb, turkey. Fish should be ocean caught with a low mercury content. Swordfish, most tuna, and king mackerel are very high in mercury. Select hormone-free and antibiotic-free chicken, turkey, and lamb. Select beef that is grass fed, hormone free, and antibiotic free. Best choice are grass-fed and pastured meats from a local farm. Second best is organic. Avoid factory-farmed meats that contain antibiotics and hormones. For a source of good meat near you, contact your local Weston A. Price chapter leader, or order using the link on the Resources page.
  • Low Glycemic Organic Fruits: including apples, apricots, avocados, berries, cherries, grapefruit, lemons, oranges, peaches, pears, plums.
  • Coconut: including coconut butter, coconut cream, coconut milk, coconut oil, unsweetened coconut flakes, unsweetened coconut yogurt.
  • Noodles: shirataki yam noodles (sold in Asian grocery stores). Avoid the noodles that also contain tofu.
  • Herbs and Spices: including basil, black pepper, cilantro, coriander, cumin, garlic, ginger, lemongrass, mint, oregano, parsley, rosemary, sage, sea salt, thyme.
  • Other: apple cider vinegar, herbal teas, olive oil, olives.

Foods to avoid

  • Sugars: including agave, candy, chocolate, corn syrup, fructose, high fructose corn syrup, honey, maple syrup, molasses, sucrose, coconut sugar, etc.
  • High Glycemic Fruits: including bananas, canned fruits, dried fruits, mango, pineapple, raisins, watermelon.
  • Grains: including amaranth, barley, buckwheat, bulgur, corn, couscous, kamut, millet, oats, quinoa, rice, rye, spelt, wheat, wheat germ.
  • Nuts and Seeds: including almonds, peanuts, sunflower seeds, sesame seeds.
  • Gluten-Containing Compounds: including barbecue sauce, binders, bouillon, brewer’s yeast, cold cuts, condiments, emulsifiers, fillers, chewing gum, hot dogs, hydrolyzed plant and vegetable protein, ketchup, soy sauce, lunch meats, malt and malt flavoring, malt vinegar, matzo, modified food starch, monosodium glutamate, nondairy creamer, processed salad dressings, seitan, some spice mixtures, stabilizers, teriyaki sauce, textured vegetable protein.
  • Dairy Products and Eggs: including butter, cheeses, cow milk, creams, frozen desserts, goat milk, margarine, mayonnaise, sheep milk, whey, yogurt (except coconut).
  • Soy: including edamame, miso, soy milk, soy protein, soy sauce, tempeh, tofu.
  • Fungi: edible fungi and mushrooms.
  • Alcohol: all alcohol.
  • Beans and Legumes: including black beans, lentils, peanuts, peas, pinto beans, soybeans.
  • Nightshade Foods: including eggplant, paprika, peppers, potatoes, Tabasco® sauce, tomatillos, tomatoes.
  • Other: canned foods, coffee, processed foods.

Autoimmune hypothyroidism diet recipes

This diet can seem daunting at first, and planning is essential to success. You must have the right foods on hand at all times. It is difficult to find recipes that accommodate all the restrictions, however I have found an online menu planning service that provides five weeks of menus and shopping lists. They are created by Sarah Schatz of Allergy-Free Menu Planners.

Also, there is a new cookbook on the market geared toward this diet called the Autoimmune Paleo Cookbook by Mickey Trescott, developed to meet all the criteria of this diet by someone who follows it herself.

Many embarking on this diet are entering new territories of food. You may need to shop at different stores or order things online. I have supplied a list of popular sources on the resource page.

Why no grains or legumes?

Some people with Hashimoto’s give up gluten and feel only marginally better. Many practitioners have found in these cases a diet free of grains, starchy vegetables, legumes, and most sweeteners may be necessary. This type of diet, called a monosaccharide (single sugar) diet, is more commonly known today as the Gut and Psychology Syndrome (GAPS) diet, or the Specific Carbohydrate Diet (SCD). It is based on consuming a diet free of foods that contain disaccharides or polysaccharides, more complex sugars and carbohydrates, such as those in all grains, most beans, and most sweeteners. These complex sugars feed harmful bacteria in the small intestine that prevent its repair or proper function.

Some foods can cross-react with gluten

Grains and legumes present problems for other reasons. Research has shown that many gluten-intolerant people cross-react with other foods. In other words, their body erroneously recognizes other foods as gluten and reacts accordingly. Not surprisingly, most grains fall into the category of top 24 foods most often to cause cross-reactivity, including less common ones as amaranth and quinoa.

Other common cross-reactive foods include dairy, chocolate, sesame, and instant coffee. Fortunately it is now possible to test which foods might be provoking a cross-reaction to gluten, which you can read about here.


I tell all my gluten-free patients to avoid corn, even though this contradicts the advice on many gluten-free websites. The gluten protein in corn is similar enough to that in wheat and wheat-like grains that it can provoke an immune response. Also, corn has been bred over the years to resist pests. Unfortunately this bred into corn a compound called fucosamine, which is carcinogenic.

Lectins in grains and legumes

Grains and legumes are also high in lectins. Lectins have been shown to degrade the intestinal barrier. Once in the bloodstream they may bind to insulin receptors and leptin receptors (leptin acts in concert with insulin to control appetite). Some believe lectins may also have the ability to desensitize these receptors, thus contributing to insulin resistance and leptin resistance.

Get support

Fortunately ample support exists on the internet today for a diet such as this. There are online “tribes” for many variations of this diet. They include paleo, primal, GAPS, SCD, and probably some other variations I haven’t heard of yet. Many people have adapted some version of this diet and are happy to help and support others. The reader-run Facebook group Hashimoto’s 411 also has people who follow this diet. They have also started a group dedicated to this diet called Elimination/Provocation Diet: Hashimoto’s 411.

Addressing subconscious beliefs about food

For those battling a history of weight issues or an eating disorder, this diet can be filled with emotional triggers. In these cases I highly recommend  support for underlying subconscious beliefs about food, eating, and your body. Ideas include hypnotherapy, emotional freedom technique (EFT) workshops or instruction, guided meditations and visualizations. You will find plenty of instruction online.

Subconscious beliefs aside, many are pleasantly surprised to find cravings and obsessions with food diminish or disappear once they remove immune reactive foods, stabilize blood sugar, and eat a nutrient-dense diet. Make sure you don’t allow yourself to get too hungry or hypoglycemic by including sufficient fat and protein in your diet. Also, cravings are often a disguise for thirst, so stay hydrated and add electrolytes to your water if need be.

For this diet to be successful it’s extremely important to pay attention to blood sugar symptoms, keep blood sugar stable, and be aware of which foods trigger your symptoms. These are always good basic guidelines with which to start whether you are waiting to work with a practitioner or are going it alone.

I am working on a book dedicated to leaky gut, gluten, and autoimmunity that I hope to have done by the end of 2013. I also highly suggest my newest book  Why Isn’t My Brain Working? to learn about ways your brain plays a role in your gut and immune health.



  • Belinda Velez August 23, 2011 at 9:20 am


    I was looking at your list of fruits and I have a few questions. On many other hypothyroid websites they forbid the consumption of peaches and strawberries yet you have them as foods that you should eat. I don’t understand. Also, other websites always mention mushrooms as good foods to eat and here it’s on the list of foods not to eat. Is there a specific reason why Dr. Kharrazian has these opinions while other doctors think differently? Should I test these foods out first, avoid them for a month and see what happens?

  • Elaine August 23, 2011 at 10:29 am

    He typically doesn’t have people avoid foods like that, including brassicas, as they have healthy properties too. Just avoid eating them to excess. I believe mushrooms are high in lectins although I’m not sure, but for whatever reason they are not suited to an anti-inflammatory diet. I know people with mold issues may also have a hard time with mushrooms.

    • robin February 15, 2015 at 9:59 am

      Elaine, thanks for your informed comments. I’m Hashi with Metabolic Syndrome…I just found out I tested positive for mold(it’s in my house)…Is there a cleanse,vits or herbs that can cleanse this out of my system and then rebuild.. I am planning on moving….Robin T.

  • renee felix August 23, 2011 at 12:14 pm

    looking for a physician in the area of 44281 or any distance that is familiar with your practices..i have found a physician but he insists that i take an iodine supplement..needless to say yes i feel worse so i have stopped taking it and am in the process of trying to find the right physician..thank you in advance renee felix

  • Elaine August 23, 2011 at 1:12 pm

    You need to go to the practitioner locator page at thyroidbook.com

  • Ginger J August 23, 2011 at 1:49 pm

    Is the sweetener stevia ok to use? It’s just a plant leaf – not made by humans.

    • cynthia May 16, 2012 at 8:57 am

      you can use liquid stevia, not crystal variety.

      • susan October 5, 2014 at 5:19 pm

        why not use Stevia in crystals?

        • Diane December 26, 2014 at 11:01 am

          Maybe because it’s added to dextrose (from corn) and/or other fillers to make it crystalline? It’s probably the fillers that are the problem, not the stevia

  • Robin August 24, 2011 at 8:21 am

    I see fish is on the list of things you can eat on this diet…
    I wanted to warn everyone about fish and seafood. Unless you get it from a trusted source that can assure you that it isn’t, it will be sprayed with sodium tripolyphosphate. Fish, shrimp, scallops etc, all of it you find in the store is sprayed with this horrible stuff to keep it looking pretty and fresh long past it’s time. It gives me the worst migraines and breaks my husband’s skin out in a rash that lasts for a couple weeks. It’s bad stuff. There are a couple places online that sell seafood that they certify is clean, just do a search, and then you will have to email them and ask.

    • Chara October 28, 2014 at 8:45 am

      I live on the coast where we eat a lot of seafood. I find the best way to cleanse all seafood from chemicals is to give them a milk bath for 30 minutes to an hour because cold water rinsing to fry, boil, bake or broil.

  • Elaine August 24, 2011 at 10:39 am

    Thank you Robin. There is an online source for clean fish called Vital Choice I think? Vital something.

    Ginger some say stevia elicits an insulin response in some just because it tastes like sugar, enough of a trigger, or that it can trigger cravings. You have to be your own judge on that one.

    • Debra Melamed May 4, 2012 at 6:31 pm

      It is Vital Choice. I have ordered from this site. The quality is second to none but it is expensive. The black cod is amazing and very high in omega 3’S :).

  • Maria September 8, 2011 at 7:02 pm

    To renee felix, I use Dr. King and I live in 44333. He is out of Tustin, CA. We talk weekly on the phone.

  • Linda September 11, 2011 at 6:11 am

    you should not eat mushrooms if you have a candida overgrowth. Also, if you are Th1 dom. you should not eat mushrooms bc. they are a th 1 stimulant.

  • Dr. Robert McCarthy September 14, 2011 at 9:52 am

    To Maria, et al.
    Dr. King is the best. I’ve known him for years and you are lucky to be working with him.
    Dr. McCarthy

  • Dani September 21, 2011 at 8:17 am

    What stimulants can I have with this diet? I was drinking Green Tea in the morning and afternoon when I need a pick me up, and have had the High Country Kombucha with Goji Berry?

  • Dani September 21, 2011 at 8:19 am

    Sorry… Is the Goji Berry Kombucha ok with this diet?

  • Irma Reyes September 23, 2011 at 6:14 pm

    Particularly (even cooked) SOY is one of the WORST insults, not only to your THYROID, but to other body organs, including your liver, brain, reproductive system, etc.; Some dietary supplements that may contribute to inhibit the production of thyroid hormones include: soy protein, phosphatidylserine, lecithin, phosphatidylcholine (all derived from soy, in that soy is a known thyroid inhibitor).

    Irma Reyes

    • Debra Melamed May 4, 2012 at 6:34 pm

      I was given phosphatidylserine by a Dr K Dr. It makes me very sleepy for bed. Is is it bad for Hashi’s?

  • Ruth Deutsch September 29, 2011 at 10:35 am

    Since Dr. K. is giving a thumbs up to ghee, how about eating plain sheep yogurt or goat cheese? And why no eggs? I haven’t seen any other practitioner say NO to eggs.

  • Elaine September 29, 2011 at 10:40 am

    Dr. K didn’t make this diet up. It’s a well-established diet that removes common immune stimulators. Eggs sadly are a common allergen and many people have egg intolerances, myself included.

    Ghee is butter oil that has had the milk protein, casein, removed. Yogurt and cheese still have casein. Many people are casein intolerant.

    Some people still can’t tolerate ghee either. Some are ok with goat but not cow. Some can do 24-hour yogurt recommended in the GAPS diet. Some can’t do any dairy at all. It’s different from person to person.

  • Beth October 8, 2011 at 1:25 pm

    My Hahsimoto’s symptoms have not subsided after 3 months of being gluten free and taking Glutathione Recycler, Proglyco-SP and X-Viromin.

    After reading Dr’s K’s Book and the website information, it would seem I may benefit from an autoimmune gut repair diet. I am willing to do ANYTHING. However, I’m confused about protocol. The above advise recommends GAPS and SC diet which both have food do/don’ts that conflict with the list above. SCD, for example allows honey, peppers, legumes & nuts. Can anyone direct me to a comprehensive list of foods allowed/disallowed. My TPO level was over 3k. I can and will eat or not eat anything I need to in order to re-gain a healthy body.

  • Rose October 13, 2011 at 6:50 pm

    Is there any doctor in the Birmingham AL area that has been trained by Dr.K? I do not see any such doctors in the southeast on your “Locator” page.

  • Robyn October 15, 2011 at 1:15 pm

    Hi all —

    Can anyone recommmend a Dr. K protocol/trained person in Boise, ID? There are 3 listed on his locator page but would like to know if anyone has experience with anyone here? Also there is a DR. BOYD on line out of California whose website I love and his approach is great. Anyone have experience with him?
    QUESTION FOR MARIA ABOVE: I think it’s just as effective to use a practitioner not in your area if they have good established phone interaction. Are YOU happy dealing with Dr. King via phone, etc., and with his adherence to Dr. K’s protocol?

  • Candace October 17, 2011 at 3:28 pm

    Hi Beth, I understand your confusion. My understanding is Dr. K’s diet is specific for people with Hashimoto’s and the GAPS is for anyone else. I know with Hashi he recommends we don’t eat dairy or anything sweet; those not dealing with Hashi aren’t going to have this restriction. Same with other foods that might be higher in carbohydrates (high glycemic fruits for example) that would create an insulin response since blood sugar issues are a common symptom. That’s my guess…you probably want to follow Dr. K’s diet and after the 10-60 days do the Hashi diet (no sugar, dairy, grain, iodine).

  • JP October 28, 2011 at 6:03 am

    What about sweet potatoes or chestnuts?

  • erica stern October 31, 2011 at 11:38 pm

    If one is supposed to get protein every 2-3 hours, by the food list above, am I to understand that I should be eating animal products 4-5 times per day? With no nuts and no beans or legumes, i’m at a loss for how I am supposed to manage this (especially as a lifelong vegetarian trying extremely hard to get the fish/foul/meat down). Thanks in advance for clarifying.

  • Donna November 2, 2011 at 6:08 pm

    Hi Erica,
    I know what you mean about being vegetarian, I too have been mostly vegetarian for 3 or so years, and really have not been feeling good w/it at all. And now being diagnosed w/Hashimoto’s a few years ago I was told I could do nothing to help me.

    And now I stumble across this information a month ago and I have no idea what to eat!! I am trying to eat more meat…but no eggs…I am really at a loss as to what to eat. I am having a hard time eating meat, and unfortunately I am not able to buy grass fed or any organic…just too expensive.

    I am really at a loss…please someone tell me what to eat for Hashimoto’s.

  • Elaine November 2, 2011 at 6:17 pm

    Erica it doesn’t mean eat a full meal every two to three hours, sometimes just a few bites can suffice. And when blood sugar is stable it’s not probably necessary anymore to eat so frequently. I have heard him say that he doesn’t know how to work with vegans on this diet. He’s not against vegans, it’s just hard to get non-inflammatory proteins on the diet. A nutritionist in Sacramento named Linda Clark does work with vegans/vegetarians. I personally like the book Primal Mind Primal Body for explaining what works best and why too much meat is unhealthy. Donna, that book will give you a good idea of what to eat. Or look up the GAPS or SCD diets.

  • Jo Kropf November 5, 2011 at 9:53 pm

    Hi is there a doctor/practitioner in Sydney Australia? Have been struggling with thyroid issues for a couple of years….. Would love to be tested correctly!!

    thanks Jo.

    PS The site is great!!!!

    • Donna August 3, 2014 at 4:40 pm

      Hi Jo

      Did you find a doctor in Sydney – I am recently diagnosed and am struggling big time with weight loss.



    • Lauren October 26, 2014 at 8:32 pm

      Hi Donna & Jo,

      Just saw your post. I have just been diagnosed with Hashimoto. I have had various problems for years but only got tested because of my incredible Naturopath. She is in Cremorne and her name is Victoria O’Sullivan. Ph 9904 4488
      She is awesome and I just saw a specialist Prof Delbridge & he is happy for me to work with my Naturopath the natural way & hope to avoid medication.

      PS I though I was going mad with all the symptoms but am starting to feel better after only a few days on my altered diet & supplements. The first time in months I have been able to get out of bed without feeling like I was forcing myself.

  • Alyssa November 7, 2011 at 8:10 pm

    I was reading this diet because I have problems too but when i eat any fruits of veggies my tongue and throat feel itchy and thick. fresh, cooked it doesnt matter. I cant eat a full apple with out it bothering me. So What should I try and take if all it seems I can have to that isnt eliminated is meat,tea and oil?

  • Roberta November 8, 2011 at 7:23 am

    This diet doesn’t seem to have a lot of protein other than meat. I’m hypoglycemic and need to eat protein every time I eat (every 2-3 hours). I don’t eat beef, lamb or organ meats either. I also need a lot of portable foods to take with me to work and in the car.

  • maryjane November 14, 2011 at 6:22 pm

    I have had Hashimoto’s and taken Synthroid for 30 years and a year ago developed alopecea areata. After standard treatment the alopecia returned a year later. I reduced Synthroid to .88mcgs a day at doctor’s recommendation,I also stopped taking HRT. Three months later I lost 90% of my hair during a period of 3 weeks. I started taking a multi vitamin, extra D, zinc and biotin, and recently discovered on the web the iodine/selenium connection and have added extra selenium. Iodine seems to hidden in many products including nut drinks and cosmetic and hair products. I think my alopecia was triggered by excess iodine with insufficient selenium and the rapid overall hair loss was from stopping HRT abruptly. I am happy to say that I have signs of overall regrowth but not yet in the alopecea areata patches. I am interested in the gluten connection and have avoided it for the last three months but will now eliminate it completely. My T4 is 4.9 and T3 is 220 and FTI is 2.0 and thyroid antibodies shot up to 25.7 LH is 33.2 and FSH is 111.4 with a midrange TSH. My blood lipids also shot up. Two doctors recommend leaving Sythroid at present dosage. I also have started to see signs on my nails of possible psoriasis indications and a small patch of rash that will not go away. Will now eliminate dairy. Very concerned. Would I be better off taking Armour to include T3 since I now longer seem to produce enough from current RX?
    Thyroid ultra sound, taken a year ago, showed usual evidence of Hashimoto’s with unchanged node. Apart from
    obvious anxiety about hair loss, I feel quite good and exercise, but not enough cardio, and am very slim. Any
    ideas? It is a baffling situation.

  • Julieanne Chabot December 5, 2011 at 5:26 pm

    Wow I am so impressed with all the information here, especially patients stories. I have a few thyroid nodules and cysts and elevated TSH, but the doctor feels it is not alarming, however I have most hypothyroid symptoms. Since I am in a small town, looking for another physician is difficult. I would love to self treat as much as I can and not wait months and years more to get back the quality of life I once had.

  • Shelley Ross December 6, 2011 at 6:45 am

    Hi Jo Kropf,
    I have been searching high and low for information on Hashi’s and have found a great naturapathic doctor in Sydney…. Sensible Alternative Ph: 8011 1994 in Crows Nest. Look at website of same name, some great info there also

  • Barbara March 14, 2012 at 7:32 am

    I am confused about the diet for Hashis. It says it is ok to eat curciferous (cabbage, broc, brussel sprouts) but I have read many times over that one should avoid curciferous veggies if you are hypothriod. Can you explain please? thank you.

    • Melisa May 25, 2012 at 4:51 pm

      If you are hypo you should not be eating raw brassicas but my understanding is that they’re fine if cooked because this deactivates the goitrogens. Unfortunately, fermenting doesn’t affect goitrogens–you really need to cook these veggies.

  • Elaine April 23, 2012 at 9:20 pm

    Dr. Kharrazian does not say to avoid them, just avoid them in excess. However I have heard of thyroid patients who say they feel better avoiding them completely.

  • mimi April 24, 2012 at 9:50 am

    Why it is allowed to eat goitrogenic foods as broccoli in this diet?
    I´m looking for a physician in Spain or south France that is familiar with your practices..

  • Lisa May 8, 2012 at 5:36 pm

    I am so curious about soy lecithin. Is it considered a soy product and should it be avoided? It is in EVERYTHING! I’ve started to see lecithin from other sources and should those be avoided as well?

  • Amanda May 15, 2012 at 12:05 pm

    This is great! It reminds me of The Paleo Lifestyle!!!

  • Clau May 16, 2012 at 9:24 pm

    Hi, and what if we are Th1 or Th2 dominance?

  • Anna May 17, 2012 at 6:53 pm

    Would the Hashimoto’s diet be the same as the diet needed for someone with Graves?

  • Julie May 20, 2012 at 6:17 pm

    How long does it usually take on the diet to find out if it’s working? Also, can anyone recommend a practitioner in the Boston area?

  • Kim May 30, 2012 at 4:10 am

    Does hemp contain gluten?

  • Jay May 31, 2012 at 10:01 pm

    How do I know if I have Hashi I do have hypo thyroid it started as graves Had parshial removal ,now meds forever!

    • DrKunal Solanki November 9, 2014 at 1:29 am

      Hey Jay R u from India? You have to test for TPO and TG ab antibodies tested to knwo if u have hasimoto.Even if they came negetive, go for Ultrasound scan of thyroid..Even if that is negetive the last thing to be done is FNAC and to see for HURTHLE Cells I suppose…

  • Lan May 31, 2012 at 11:01 pm

    I dislike sites like this, which are just about everywhere. There should be a moderator with exact knowledge for comments or comments should be turned off. Dr K is a nobody who is a somebody but never ever available and only for thousands of dollars, but this stuff trickles out to the masses who are desperate for help because CW docs suck — all they know is the ONE thing; the one thing they learned in med school and they have since closed all books and their mind(s).

    I suffer rather than see a CW doc. And it’s too overwhelming to sift through the health recommendations for the one thing or the many things that are thought to help. Always mixed messages; eat this, don’t eat that blah blah. CW docs don’t get diet and they love their pills.

    So, it’s all too horrible to navigate

    • Teri June 10, 2013 at 5:42 pm

      This comment is for Lan dated May 2012. I agree with everything you said. Everything is all over the place. I wish Dr. K or a represenative from his practice could give their input. The book is great, but somewhat hard to understand. If this is Dr. K’s blog where does his comments come in?

  • Lois Hassell June 6, 2012 at 6:30 am

    Perhaps you answer this elsewhere, but does gluten tie into non-hashi thyroid problems? I am on Armour for hypothyroidism, but tested negative for thyroid antibodies and gluten sensitivity. Although at the time of the test I had been gluten free for about a month. Would that have skewed the antibody test? Would this protocol still help me? I would really like to get off these meds and have my body function well again.

  • Elaine June 7, 2012 at 2:40 pm

    Gluten has been linked with 55 diseases so far. Also, if you had a standard blood test, those have a high rate of false negatives. You can also test negative for the TPO antibodies if your immune system is fatigued and underfunctioning. Also, you need to test TGB antibodies too. Sometimes people start boosting their health and the suddenly TPO ab come back positive bc their immune system is robust enough to register a positive. Same with gluten antibodies.

  • Mr C June 7, 2012 at 11:22 pm


    Thank you Dr. K fro all your work and information.

    Amazing site and book! Extremely informative and makes me feel like there is hope. Unfortunately my GP is close-minded and only wants me to be on the meds.

    I have had thyroid issues for a couple of years and I would love to be tested and diagnosed correctly!! Is there a doctor/practitioner in Melbourne Australia?

    I am looking for a qualified Dr to help me in Melbourne Australia that has a similar sentiment, outlook and understanding.

    Mr C

  • Honora June 8, 2012 at 1:18 am

    Hmm…is this spam?

  • Jeannine June 15, 2012 at 1:58 pm

    This article makes me very sad. I am vegan. And I love dark chocolate and raw cocoa nibs/powder, and black beans… and corn. I just can’t get myself to eat meat again. My naturopathic doctor just recently convinced me to finally get a food sensitivity test and we’re going to work together to eliminate the culprit foods and heal my gut, then reintroduce those foods.

  • Joy June 17, 2012 at 8:20 pm

    Anyone know of a good Thyroid Dr in Perth, Western Australia, have been struggling with this by myself for too long now. Need help.

    • Marina November 6, 2014 at 6:37 am

      Hi Joy, Have you had any success finding a good thyroid Dr in Perth, WA yet? I too need help and would love to see someone knowledgeable in thyroid issues here in Perth.

  • Herbivore July 3, 2012 at 8:49 am

    Is this diet doable without the consumption of meat and fish? I wonder if Sarah Schulz can help with something that extreme..

  • techkim July 5, 2012 at 7:28 am

    So as a vegetarian I can eat only veggies with this diet? Where in the world would I get my protein? Now I get it from nuts, legumes and daily. Ugh I hate having thyroid issuse, sigh.

  • Sarah McIntyre July 6, 2012 at 9:22 am

    I have been reading the above and what to avoid…do you only have to avoid the food listed after the : or do you have to avoid all Legumes for example…chickpeas are not listed but do I have to avoid them as well…any help would be appreciated…

  • Mickey July 11, 2012 at 1:47 pm

    This is really good info. After being diagnosed with hashimotos, I bought the book and read it thoroughly, except for the part about gut health… Oops. A year later after much progress with supplements and lifestyle changes, I finally figured out the final piece – gut health! I quit my decade of strict veganism and have been following a gaps/fodmaps version of the autoimmune paleo diet that has been the only thing that could keep me from being stuck at home sick, unable to work. I take no meds – I still have a ways to go with my health, but diet has been the most successful piece of my healing journey. What works for one person may not work for another – my advice would be to gather information about these healing diets, find what works for you and stick with it.

    Also, I could not heal being a vegan. It was so painful for me to find that out (and it wasn’t for lack of trying), but $10,000 in medical bills later it wasn’t worth it to me anymore. Others may have a different experience, and if you can make it happen I am envious, but that was not my path.


    • Kerry Anne September 23, 2012 at 7:30 am

      I was vegan for a long time as well. I feel for you, as it was very difficult for me too. But in the end I agree, feeling better is so worth it! And the most difficult part is that other vegetarians/vegans don’t understand how I could ever eat the way I do because they haven’t gone through what we have gone through. But I do take great pride in only eating organic meat :) I liked your post, Mickey!

    • soma July 10, 2013 at 10:17 am

      Hi Mickey,

      Please share with me how did you heal your gut?

      Thanks in advance.

    • Pat July 14, 2013 at 8:18 am

      Are there any scientific studies related to the diet you are talking about?

  • Susan July 25, 2012 at 11:10 am

    What about brown and/or wild rices?
    What about gluten free, 99% lactose free organic kefir? The probiotics are so good in the gut and the protein helps, too.
    What about gluten free whey protein powder?
    What about eggs? Another good protein source, with Vitamin A, etc.
    I eat some wild salmon, but I don’t want to eat other dead animals.
    This diet is so radical — no beans, no dairy, no nuts — I depend on them for protein.

    • Roshann September 29, 2012 at 12:57 pm

      Wild rices are still a grain, and right now cutting out grains will allow the gut to heal as it will not be dealing with the “sugar” that is created once the rice/grain is broken down.

      Egg yolks are fine and encouraged, also fermented cod liver oil so that you get plenty of A, D, K etc.

      Kefir is fine or take a good probiotic daily which has more than 25billion per unit.

      Eating wild salmon is good, but you need more variety. Make bone broth and chicken broth soups to get more healing and nourishment. Remember this is mostly about healing the gut.

      Whey Protein is not recommended. You will need to get your protein from organic cage free chicken/grass fed beef, wild fish.

      This is a huge mental change for many of us who were/are vegans, raw or vegetarian’s, but obviously that lifestyle did not serve our highest health.

      This diet may seem radical at first, since we are bombarded to believe that eating the alternate way (high grains) is the “healthy” way.

      But to me, what is radical is my thyroid turning into a golf ball size in my throat, being sick and tired all the time because my thyroid is sluggish, having brain fog, weight gain, depression, etc.
      This diet is not radical with all things considered, this diet is a life changer.

      Everyone here should go to the Gaps diet website for further information.

  • Louise August 6, 2012 at 11:56 am

    At his last seminar he said he is no longer working with vegans because it is just too impossible to get them well again. The diet is the way it is for a reason. He is usually hands off with dietary stuff, so I was surprised to hear him say that.

    • Carryn September 2, 2012 at 2:43 pm

      Hi Louise,

      I am a vegan & this is not by choice! Everytime that I eat meat it makes me very ill & reading Dr K’s info about the diet he has said “Of course, if you have an intolerance to any of these foods, don’t eat it just because it’s on this list”. Would this relate to not eating meat too?

      • Elaine September 2, 2012 at 3:07 pm

        Sometimes not being able to eat meat is due to a deficiency of hydrochloric acid and enzymes. Of course people’s immune systems can become so reactive they react to everything, including meats. I would think something to this degree would need the help of a good practitioner.

      • alysia September 16, 2012 at 11:39 pm

        I had the same thing. But I found that I only had a problem with meats when I ate certain other things too. I cant eat meat with grains or eggs. so you could be having cross reactions trying cutting out grains and then trying meat out again. I might turn out ok.

      • Susan December 29, 2012 at 9:06 pm

        We too had a reaction to every meat we ate. The first time we ate it it was ok, but the second time we reacted. We went on a GAPS four day rotation diet and can now eat any meat we want.

  • Brianna August 10, 2012 at 10:35 pm

    When I started to untangle my dietary Hashimoto’s woes last year, I decided after many vegan restaurant menu appraisals that the vegan diet may be the worst diet on the planet. Around that time, I met a raw foodist (a few steps better as far as diets go, but still has some unhealthy quirks like dogmatism) that had a colorful saying she liked to yell at the top of her lungs, “@#&% the Vegans!!” I have sort of adopted that saying since then… :)

    I am still trying to figure out why my anti-TPO antibody count is still so high despite cutting out gluten this past year, My ongoing symptoms (though considerably milder than last year) led me to Dr. K’s followers and discussions on lectins this evening. A lot of this info fits, and though I am not looking forward to re-restricting my diet, I think it might be the right thing to do…

    • Tanja October 10, 2012 at 6:51 am

      Antibodies are high because of chronic inflammation to the thyroid.In the past year, I have went from nearly 600 TPO to 46 TPO and still falling (these antibodies were elevated for nearly 17 years and untreated due to dr. incompetence after my first hyper- flare occurred). In the past six weeks, I have went from 107 to 46 TPO alone (at this moment, I am probably in the high normal range). What was my biggest change: I started 400mcg selenium, sublingual gluathione/NAC, and topical glutathione religiously. In the past year, I’ve started healing very weak adrenals with daily meditation, light walking, high density nutrients, and gut repair. I take enzymes & betaine HCL with all meals. I take two different types of Vitamin C with bio-flav/pantethine, milk thistle, and a glycemic shake in the am. I am now only on a split dose of 3/4 of 1 grain of NatureThroid (the others contain corn!). Healing from Hashimoto’s is about healing the whole self – it is the body’s reaction to an overload of chronic physical and emotional stress. I am strictly caffeine-, gluten-, corn-, dairy-, soy-, and high glycemic/processed food- free for nearly a year. I also ground my body a few times a week with an Earthing mat if it’s cold or barefeet outside when it’s nice. My autoimmune disease began after major, major childhood trauma followed by a severe car accident, where my small intestine ruptured among other things. Not a single doctor addressed my gut issues or holistic well-being until 17 years later when I FORCED them too. Be your own advocate and listen to your body. There isn’t a single protocol or cure for everyone. It’s about reversing the damage in a loving and calm way. I believe that most autoimmune sufferers are Type A and adrenaline junkies. Both traits shred the gut and whack out immunity. Gluten-free/corn-free/dairy-free is 100% necessary for life – no one should eat those foods anyway. We live in a sick society that parades around as healthy. Be kind to your body. We were amazingly designed to self-heal when given the perfect environment. Best to you.

      • Patty October 16, 2012 at 6:04 am

        Thank you so mush Tanja, just found out I haave hashimoto and I’m totally confused about what to eat and what not to eat. So happy your eating plan was so successful for you, would love to find out more!!! Thanks again

      • Sue November 4, 2012 at 5:21 pm

        Tanja – A well-written and inspirational post. Thanks!

      • dianne betkowski November 6, 2012 at 6:28 am

        Tanya, my 12 year old daughter was daignosed with hashimoto’s a year and a half ago after having awful symptoms for years and years (since she was 3). She was on T4 for a year without much improvement, especially emotional difficulties, being easily frustrated, angry, sad, just sometimes like she can barely stand to be in her own skin. We added T3 and she is much better but not nearly the whole way. After being gluten free her antibodies went from 866 up to mid 900s, then we went Paleo in May till October, with merely gluten-free on week-ends and vacations, and then in October I let her eat anything, but grains as infrequently as possible. I did this because she complained so much about paleo, and she didn’t seem to feel better. we decided to go back to Paleo but this time keep track of her antibodies, the idea being that perhaps she wouldn’t feel better till her antibodies were all the way down and her thyroid could begin to heal. we checked them again a few weeks ago and they are down to 654…possibly from our half-hearted paleo try? We don’t know if there has been too much damage for her to heal her thyroid, but hoping that there is some chance for her we are back on it and will check her antibodies regularly now. it is hard because her doctor doesn’t want to check them, says there is no purpose and no way to interpret the results, but i will insist on it ad get it done to see. thanks for your post, it has given me a bit more hope.

      • Berea November 13, 2012 at 9:23 pm


        I am interested in what you’re saying. My mom has hypothyroidism and has been on synthroid for 15 years. Were you ever on any drugs for yours? I am going to encourage her to read this book and read your testimonial. I feel like there is so much more life for her to live if she were to be able to feel better. Do you personally think that taking something like Naturetoid would be okay to take with her synthroid? If you have time and you don’t mind, would you be interested in messaging me the supplements that you take so that I can get an idea…My email is bereafair@Gmail.com

        Thanks! :)

      • Beth December 13, 2012 at 10:33 pm


        Thank you for such valuable information. Do you have an opinion about goat’s milk and yogurt? I find these comforting to my gut, but certainly don’t want to aggravate an already sensitive situation. Any thoughts?

      • amelia rodriguez January 12, 2013 at 1:55 pm

        Hi Tanja
        you started 400mcg selenium, sublingual gluathione/NAC, and topical glutathion. Selenium. I’ve heard conflicting messages on the type of Selenium. Can you tell me what kind or brand you used? Also what is topical glutathion. And one more thing and what is the diet you were on can you recommend your favorite site that supports the type of diet you were on this last year?

        Finally, I’ve just read somewhere to NOT take iodine. This is alarming as i’ve been reading about theimportance of iodine. Have you learned anything about that?

        • Tanja March 3, 2013 at 6:44 am

          Hi! I have NO outside iodine in my diet. Douglas Labs & Thorne make great multis for this. I do still eat eggs but will be removing those this spring as I dedicate myself to healing leaky gut. I take the methionine form of selenium in am with mixed tocerphol vitamin E. I use a topical glutathione from Dr. Haskell (can get online) and take 600mg NAC from Douglas labs. Sleep and keeping inflammation down are key! If I can’t sleep I take Chinese skullcap as needed. Also, I take a high cfu probiotic at night and in am a mixed EFA oil & also coD liver oil. If I don’t take those, my sleep is impacted. As well, I take 3 kinds of vitamin C staggered throughout the day to support adrenals & boost immunity. When I have any type of virus, my Hashi’s flares :( but I know that will happen & I treat myself with extra love & compassion. Love and acceptance & forgiveness of your body is SO important!

      • Mary January 13, 2013 at 5:45 pm

        Tanja, Thanks so much for the encouragement. I’ve been battling the western medicine treatment of my gradual health decline for over 5 years. Was diagnosed with Hashimoto’s a year ago, and am so encouraged by your tracking of TPO to demonstrate whether an intervention is helping. I’ve just added a functional medicine doctor and he seems willing to do this. My other doctors/insurance were only willing to provide levothyroxine titrated to the TSH. Have been working on this strict diet for 8 months- such a challenge to make these big changes when people around you think you look perfectly fine and don’t need to do anything. I’m hoping to try the Cyrex lab tests for some hard data to support my efforts. I hope 2013 is my year to get the TPO near normal.

        • Tanja March 3, 2013 at 6:37 am

          With my diet, I find that (for now) the removal of iodine is key. NO processed foods or even gluten-free mixes, hummus, bacon, etc unless it uses sea salt. My antibodies will rage a bit also if I’m under stress, have less sleep than 7.5 hours, or am fighting a virus. In the next 3 months, I’ll be going entirely grain-free/nut-free/egg-free per the autoimmune Paleo protocol. I also plan to switch to a non-porcine t3/ t4 combo so that the TPO isn’t entering my gut as the pig thyroid meds are being digested. It’s a journey! That’s for sure…

  • J August 20, 2012 at 9:22 am

    Are green beans ok? I know technically they’re a legume, but they’re completely different consistency than all other beans, have way fewer calories and not much starch or lectins. I don’t feel yucky after I eat them like I do with all the other beans either.

  • Dede Stoykova August 22, 2012 at 6:13 pm

    Does this blog have a moderator?
    I came here after reading Rd. K’s book, with mixed feelings–I was reacently diagnozed with Hashimoto’s, without previous thyroid condition (as far as I know according to the last 8 years of blood work), so it is quite shoking to find this out; on another hand I am glad to finaly be diagnozed with something, since variety of symptoms have taxed me for the past almost 2 years. Reading the book left me astonished of the wells of information, research, the deep and vast knowledge of the author; also it confirmed many of my suspicions about the autoimune deseases, the connection with the gut, the unsuccesful atempts to treat it with the conventional pills and methods; I was prescribes L-Thyroxine, and luckily on a hunch I didn’t start taking it yet; well, it has been only more then a month since I was diagnosed; but apparently it has been going on for years, since I also have the pernicious anemia. So, about the book and the information in this blog and web-site- I am happy to have found it, though overwhelemd with the scope of information that I have to take in; but also finding myself a bit confused as to where to begin, which diet is the right one for me, who to ask, who’s going to order all the required tests, what and how many of the countless supliments I would need and where to order them. It is great to put this information out for us to have and read and aquire the knowledge; but I believe there should be a moderator, who can answer at least some of the most pressing questions- hands on questions like where to begine our way to wellness, and some of the controversial issues that I found in the posts here. Just a little more personable aproach would realy help here,otherwise it is just a call in the open.

    • Mickey October 1, 2012 at 7:30 pm

      Hi Dede,
      I was incredibly frustrated like you. I have gone on this diet but have not had anyone to help me along the way. I started writing about it on my blog, which I hope to expand to offer insight into options for those with other autoimmune diseases as well. I am not a practitioner but am studying to be a nutritional therapist. There is also a facebook group called Hashimotos 411 that you may be interested in joining. :)


    • Tanja October 10, 2012 at 6:54 am

      Begin by lowering the antibodies and addressing any adrenal issues. I was put on levo and within a year was in full adrenal fatigue — you can begin with out a prescription. See my earlier post. Also, read Hope for Hashimoto’s.

      • Patty October 16, 2012 at 8:15 am

        Hey Tanja, just a few questions…what brand of sublingual gluathione do you take also is your topical gluathione a spray? What type of enzymes? Sorry to bother you, just so much to learn and your post seems so hopeful! Thanks one again.

  • Carryn September 4, 2012 at 7:17 pm

    Hey, I was just wondering is the diet restricted to only the vegetables listed or am I allowed more veggies?

  • Jane September 8, 2012 at 12:30 pm

    A pretty simple place to start would be with the diet above. It’s laid out very well. Even if you choose only 3 things to remove from your diet and commit to keeping them out for 30 days–it’s a start. Then pick 2 or 3 more to take out and monitor how you are feeling along with your symptoms.

    Pretty straightforward what to eat: meat, fish, fowl and their fats, vegetables, some fruit, little starch and no sugar.

    • Jane September 8, 2012 at 12:30 pm

      I would personally choose to initially remove glute, grains and legumes.

  • Chris Bowen September 10, 2012 at 7:56 pm

    Great information. I love the way you write! “Autoimmune disease and leaky gut create a vicious cycle” paints a very real picture. Thanks for listing the foods to eat. Very informative.

  • Heidi September 26, 2012 at 7:01 am

    The diet specifically says Nuts & Seeds to avoid include almonds, peanuts, etc. Does this include ALL nuts & seeds or only those listed? (specifically wondering about pumpkin seeds). Similarly, are string beans also disallowed as a legume? Green Tea is not mentioned, is this permissable?

  • Jane October 20, 2012 at 9:47 pm

    But what about goitrogens? Broccoli, cauliflower, spinach, kale, strawberries… all of these are said to contribute to goitered. I have 1 semi larger and several small nodules on my thyroid and was advised to avoid them. I would like your opinion on that, please, because I LOVE broccoli and strawberries :)

  • Ellen October 29, 2012 at 12:58 pm

    Can you have green tea on this diet? decaf or caffeinated green tea?

  • James November 4, 2012 at 10:10 pm

    Heidi, good question? I know that Brazil nuts are high in Selenium which hashimotos needs. I would also wonder if sprouted almonds are OK?
    Jane, The way I understand it is if these vegetables are cooked they are OK, I have also heard they are also OK in small amounts.
    Ellen, I am under the impression that drinking anything with caffeine stresses out your adrenal glands and will prevent us getting better.
    Everyone, I think one of the main things to avoid is soy oil, it is in everything and often foods are fried in it. Nothing zaps my energy more than soy oil.

  • franko November 4, 2012 at 10:20 pm

    to all the vegans reading this I believe us vegans became hashimoto from our vegan diet. I was vegan for 20 years and I have four friends that are hashimotos and were long term vegan. luckily we can now buy ethically treated organic meats.

    • Kim December 18, 2012 at 11:46 am


      You may be right. I have been vegan for 7 years and have either hashimotos or graves (definitly graves, but 10 years ago I was hypo–so could be swining back and forth). However, in my case this did start before I was vegan and did not reappear until now. However, as a vegan (and not just one following a plant-based diet) going back to meat isn’t an option. I have cut out soy and gluten for now–but I do find it interesting how many people on here have also been vegan.

      • Elaine December 18, 2012 at 12:24 pm

        Why is meat not an option? If it’s a digestive issue taking hydrochloric acid can help with that.

    • Tanya February 8, 2013 at 5:55 pm

      Hi Franko, it is sad that you blame your vegan diet for getting Hashimoto’s. Just one thing I am 45 and Vegan with Hashimotos. Every female member in my family on both sides has Hashimotos they all eat meat, they are all overweight, they all have high cholesterol and are all taking statins. I am the only female member of my family that is Vegan, I am not overweight, I have low cholesterol. I was vegetarian most of my life and have had Hashimotos for 3 years with no improvement to the pain in my body, the weight gain, the tiredness. I became Vegan in October, lost the weight, lost the high cholesterol, lost the pain in my body. I now do calisthenics something I would not have believed possible, 60 press ups a day. And I feel great.

  • carly November 5, 2012 at 6:08 am

    I am confused by the nuts and seeds too – is it all nuts and seeds? I can manage everything else but struggle massively if no nuts at all? Thanks

    • Elaine December 7, 2012 at 1:28 pm

      It’s just temporary to see whether you react to them when you reintroduce them to your diet.

  • help November 7, 2012 at 10:53 am

    i have been looking for help please tell me if i am on the right path i have tried everything already! :( i really have been feeling good 2 months on now but maybe its wishful thinking? its called myaloeworx.com please let me know what you all think good or bad?

  • Maria November 10, 2012 at 2:51 pm

    I have severe irritable bowel. I am purchasing beach body’s shakeology. I’ve taken it before.

    The thing is I want to heal my gut. I plan on 4 cups bone broth daily. 1tsp sea salt daily.3-4tablespoon organic coconut daily.
    1 meal with salmon or other fish daily. 1-2tsp cod oil daily.

    Veggies would be avocado,broccoli,pumpkin,kale,Swiss chard,green beans,spaghetti squash(maybe other kinds) I cook veggies extremely well then blend. I don’t cook avacadi an don’t eat a lot

    If I avoid most of the foods on this list but do have some of the avoid fruit-pineapple banana and I think mango in the shakeology. Can I heal? also whey isolate and sprouted brown rice protein in shake. That’s all my no nos beside certain grain.

    Some grains which are white sushi rice,black quinoa/quinoa.

    Also will workout at least a half hour daily. Will I heal? If doing this everyday will I heal soon?


    • Elaine December 7, 2012 at 1:27 pm

      Shakeology is delish but does have foods not allowed on the autoimmune diet. Whether you heal depends on whether you have an immune reaction to those foods, which you might not be able to figure out without going off them for a few weeks first.

    • Marquette May 5, 2013 at 10:27 pm

      I tried Shakeology on three different occasions. It gave me a horrible stomach ache for three days each time. It is not gluten, dairy, wheat free.

  • Jo December 3, 2012 at 2:41 pm

    Why no eggs? Organic eggs are a very important part of the GAPS diet which is healing many people…

  • Elaine December 3, 2012 at 2:47 pm

    Unfortunately eggs are very immune reactive for many people. It’s important to make sure they are not triggering inflammation.

  • joshua December 13, 2012 at 2:59 pm

    hi all—i have a 4/yo son who last year was diagnosed with autism–he still doest speak a word yet!—for the past 18months or so ive been on many diets for him because he reacts sooo badly to soooo many foods!!!–ive mainly been on paleo–gaps–scd–raw food–and vegan—-i stayed on the gaps the longest cause ive read soooo many great things for kids with autism but he was on the intro diet for more than 4 months because he reacts so much everytime we try to move to the next stages or add anything at all!!—so for 4 months hes only eaten well boiled carrots and ginger with slow cooked chicken thighs blended up–4 times a day for 4 months!!!–evertime we add anything he goes crazy and just looses it alltogether—extreme stimming—handflapping–up all nite–humming and rocking bac and forth alllll day and nite!!!–the only thing that keeps him stable is the carrots and chicken but hes now starting to react to that!! he goes into extreme stimming episodes for hours at a time anytime we try to give him any type of probiotic supplements or fermented vegetable juices and egg yolks or even adding more animal fats just throw him into a stimming craze!!!!–so for the past week or so ive decided to just try cutting out all animal products for awhile til i can figure things out so for the past week ive been giving him well boiled carrots and ginger with a lil steamed kale or spinach or collard greens with raw yellow squash and blueberries all blended up with organic hemp protein powder and hemp oil—i have no clue how it came to this or where i came up with such an odd combination but im just soooo outta ideas that i have no clue what to give this kid anymore!!!–can someone PLEASE HELP US?????????????

    • Susan December 29, 2012 at 9:48 pm

      Did you join the Yahoo GAPSdiet forum? They have been extremely helpful and supportive with us. We ended up doing a four day/GAPS Stage one and two/anti-Candida diet. Every four days we notice that our symptoms have decreased to the foods on that day so we are losing sensitivities fairly quickly..it’s been four months for us.

    • Lori February 13, 2013 at 7:16 am

      I have an 11 year old son with Autism. He was non-verbal until the age of 5. I tried many diets when he was 3 to “cure” him. After putting him on a gluten free/casein free diet for 9 months and watching absolutely no change. I took him off all diets. I found it made no difference. I feed him now a clean diet of organic foods that he enjoys. He won’t eat meat, so I do give him organic yogurt and milk. He eats spinach pizza and apples and popcorn. You sound frustrated because he seems to be stimming even with his limited diet. But kids will stim because of other reasons. Sensory overload is one of those reasons, having nothing to do with food. Hand flapping could also be a sign of happiness, excitement too. One day I was acting out the alphabet with my son, D – dog…we got to J acting out the word Joy. My son hand flapped the word. I said Dylan, show me dog again “he barked” I said show me joy again “he hand flapped”. I now use judgement when I make him use his “quiet hands”. :)I don’t want to take away his joy.

    • MH April 21, 2013 at 11:58 am

      I know very little about autism but some people — myself included — have extremely negative reactions to genetically modified organisms or anything that was fed GMOs. Since virtually all corn and soy produced in the U.S. are genetically modified and these are major feedstocks for livestock, I’ve found that I can only eat organic or pastured meats, in addition to avoiding GMOs in general. There are an alarming number GMOs throughout the food supply and especially in packaged foods. A little-known fact is that GMOs are also included in many vaccines.

      You might want to try going non-GMO in addition to the rest of your dietary protocol. If you want to find out more, two websites that address the issue are those run by Dr. Mercola, and by the Institute for Responsible Technology. Best of luck to you and your child.

  • Jen December 14, 2012 at 11:07 am

    I stumbled across this. I don’t know if it will help, but it’s worth looking into.


  • Roberta December 26, 2012 at 10:03 am

    My doctor suggested I try this diet along with Clearvite. Unfortunately I’m allergic to an ingredient in Clearvite, but I’ll try another rice powder. My problem is that I work full time and have very little money. I can’t afford organic meats and I also need food that’s portable and doesn’t require refrigeration. Any suggestions? I’m not a huge meat eater either, but I need a lot of protein since I’m hypoglcymic.

  • Kathi December 26, 2012 at 5:08 pm

    If following the diet for a short time. ( 10 to 60 days) What foods can be added back in?

  • Jessica January 10, 2013 at 4:15 pm

    Hello, I am a little confused on this because everything I’ve read about Hypothyroidism says to stay away from broccoli, cabbage spinach, leafy greens, peaches, strawberries, and Brussels sprouts because they contain goitrogens. Though there seems to be debate on if they are OK if they are cooked. Can anyone shed light on this?

    • Elaine January 16, 2013 at 11:35 am

      Dr. K does not say to avoid these vegetables bc they are high in many beneficial compounds. He says not to overdo them (ie cabbage juice). However everyone is unique and you should find what works best for you.

  • Wrong January 13, 2013 at 11:20 am

    this list is very bad

    brocolli etc… can be eaten after cooked (its ok Jessica, at least for now) as for eggs for example, cooked are also boosting metabolism at morning, as for nuts for example brasilian nuts are very healthy for ppl with thyroid deases it got alot of selenium which is primary suplement of thyroid t4->t3 at cell lvl… i would just recommend all ppl who read this list. to check all info on the internet, this list is about 60% wrong and shouldn`t be considered as any guide for diet… last example, apple, are u out of your mind ? this the worst fruit for any thyroid/sugar related problems, it got alot of h-carbons via high lvl of fructose in it, all of vitamins and any other vital stuff from it is in the or just below skin, so if u want to eat then u should eat thin skin and throw away rest of it…

    sorry for my english :) hadn`t use it since 5 years…

  • Valerie January 16, 2013 at 2:16 am

    Ugh…ok, i’m sorry, I am new to all this because I was just diagnosed with Hashimoto’s at 20 years old…Honestly, what CAN we eat? I read about goitrogens and how that eliminates almost every vegetable, starch is out of the question, and now no legumes or tomatoes!? WHAT is left besides fruit and meat, which cant possibly be good for you just eating that alone?? Im going to go insane starving myself. I just want to be healthy…

    • Elaine January 16, 2013 at 11:38 am

      Dr. K does not say to avoid most vegetables, instead it’s a diet that is ample in vegetables. My understanding is cooking and fermentation (sauerkraut) neutralizes goitrogens. These vegetables have many beneficial compounds. If you google Paleo diets you will find a whole world of people who eat primarily meats, veggies and fruit and experience better health. The autoimmune diet is very strict, which may be necessary for longer periods for some people, but it is considered a starting point to discover which foods are immune reactive.

  • Klavdija February 14, 2013 at 1:31 pm

    I have been diagnosed with Hashimoto’s and recently with Hypothyroidism.
    I have been eating gluten-free, legumes-free and dairy-free for a few months now without much difficulty.
    But now I’ve been reading up on the Paleo diet for autoimmunity and the restrictions listed here and it’s all really daunting. There are certain foods I really don’t know how to go without (omega3 eggs, wild rice, bio chocolate, mango, almonds, pineapples, watermelon for example).
    I’m willing to try these restrictions for a while, but definitely not for the long-haul. So do you have any tips on the best (and maybe quickest) way to figure out which of these foods are actually hurting me and which are fine? Maybe a blood test or something similar?
    Just please don’t say “See how you feel afterwards” because with my extreme fatigue that’s not really a valid indicator for me.

    I would really appreciate any info!

  • Roberta February 24, 2013 at 3:53 am

    I’m really struggling with this diet. I don’t eat any beef, lamb or pork. I can’t afford fish except the really cheap kind like tilapia or cod and that’s only when it’s on sale. I eat chicken and turkey, but I get bored eating that every day. I’m not getting enough fiber since I had to cut out beans, lentils and quinoa. So I’m constipated and tired from not getting enough protein.

    I’d really appreciate some ideas since I really don’t want to give this up, but it’s getting really hard and stressful trying to find things to eat. Especially snacks since I need things that are portable and can be thrown into a purse. I used to eat nuts and dried fruit and a go to snack, but that’s out now too.

    • scott March 8, 2013 at 5:34 pm

      Only medicinal mushrooms such as shitaki or reshi should be used, as far as the constipation goes start fermenting your own vegetable (pickles and sauerkraut) without vinager this will help get your intestinal flora back on track, you can also try a tbsp of apple cider vinegar in water after every meal, homemade bone broth from chickens and if all else fails fresh ground flax magnessium (not citrate)

  • Roberta March 3, 2013 at 10:37 am

    Why are mushrooms not allowed? I thought they were an anti-inflammatory food.

  • Kessia March 9, 2013 at 5:44 pm

    He is an alternative dr in Cornelius, NC who specializes in autism. He cured his son. Some people say he is a quack and say hateful things but whatever I have gone to a health seminar that featured him and in my humble opinion he is brilliant and produces results. Youtube Dr. rashid Buttar. Also look up medicalrewind.com

  • Angie March 20, 2013 at 11:10 am

    I have just been diagnosed as Hashimoto’s. My doc prescribed a less intense diet than that mentioned above. Any suggestions on what I should do?

  • Rachel April 3, 2013 at 12:07 pm

    I was diagnosed with Hashi’s through ultrasound. I’ve heard that you can still have Hashi’s and have low/no antibodies (which is my case on both a TPO test and a thyroglobulin test).

    So, how does this relate to diet causing my autoimmunity? I have been avoiding gluten, but I can’t really tell if it helps my thyroid or not because antibody numbers don’t change for me. Could there be a different issue?

  • Missy April 14, 2013 at 10:08 pm

    Why are cruciferous veggies allowed?? I thought they were bad for Hashimoto’s??

  • MeMeMe April 17, 2013 at 2:35 pm

    Hi, I know this post is rather old, but I came across it while searching for information about nightshades.

    What caught my eye is that you say fucosamine is carcinogenic – would you mind sharing your references on this? I haven’t been able to find a shred of research or documentation that supports this.


    • Elaine April 22, 2013 at 12:54 pm

      I do recall seeing the abstract for that. It may be referenced in the thyroid book.

  • JJ April 17, 2013 at 4:48 pm

    Johns Hopkins did research a couple of years ago into which foods aggravate autoimmune (with lupus being the primary concern). I would strongly suggest removing GARLIC from your list. I have found that avoiding GARLIC and ONION has significantly helped my digestive symptoms.

    The source article is here >> http://www.hopkinslupus.org/lupus-info/lifestyle-additional-information/avoid/

    Autoimmune things to AVOID (esp. for lupus)
    (1) Sunlight
    (2) Bactrim and Septra (sulfamethoxazole and trimethoprim)
    (3) Garlic
    (4) Alfalfa Sprouts
    (5) Melatonin and Rozerem (ramelteon)
    (6) Echinacea

    There is some research that indicates that foods rich in selenium *may* help those with Hashimoto’s (example foods: nuts, certain fish, etc.)

  • Carryn April 22, 2013 at 6:19 pm

    Hi, would you be able to tell me if I can eat pumpkin on this elimination diet.


    • Jenny May 8, 2013 at 4:58 pm

      Pumpkin is fine on Dr. K’s diet…it’s a squash.

  • Cheryl April 26, 2013 at 4:46 am

    I am a 30 yr old female, and was diagnosed with Hashimoto’s (and Myxedema) in 2005. I suffered with EXTREME chronic hives and swelling of the face, eyes, lips, feet and hands for nine months before being diagnosed. After starting 100mg of Levothyroxine the hives disappeared and I began to feel better and continued on for the next five or so years feeling ‘OK’. The last six months I have been gluten free and more or less vegan, I feel far better, and have the energy to walk five-eight miles most days of the week.

    But now having read this, I am questioning my diet all over again. I rely on fruits (bananas and watermelon particularly) and brown rice/potatoes, some legumes etc as my staples so the thought of giving these foods up is beyond daunting. I haven’t eaten meat in 20+ years and simply cannot become a meat eater again. I simply could not afford the organic, free range meat that I would consider eating if need be.

    Should I just continue on as I am?? Or am I damaging myself further eating starches, rice and hi GI fruits?

    It’s so frustrating that there is so much conflicting info out there on what to do and not to do *sigh*

  • Madzia May 3, 2013 at 4:44 am

    Hi, I’d like to start with Autoimmune diet. I’ve got hashimoto disease and maybe still helicobacter pyroli (I hope that I killed it, but I’m waiting now for my Esophagogastroduodenoscopy). I’d like to ask you, can I use supplements as spirulina, wheat grass and maca root with this autoimmune diet?
    Thank you :-)

  • Jenny May 8, 2013 at 11:04 am

    I’ve read Dr. Kharazian’s book and did some independent research on autoimmune diets. After realizing that it was too difficult to follow his model on my own, I forked out a lot of money to a chiropracter that he recommends on his website in Colorado. I followed the protocol exactly, completed the repairvite/clearvite process, reintroduced foods and took the nutritional compounds as instructed. It didn’t work for me. I’ve been suffering from hashimoto’s symptoms, which include fatigue, joint pain, foggy thinking, poor memory, blurry vision, you name it, I have it as a constant or intermittent symptom. I’ve looked on the web for success stories to validate that Dr. K’s protocol works, and it may for some, just not me, or many that want to share their story Moving forward, I will follow the auto-immune diet on Dr. Weil’s website. When following this diet, my symptoms do decrease to a level that are manageable. Also, Dr. K utilizes the compounds that he helped develop with Apex Energetics. They are expensive, but I’ve learned of which natural substances decrease overall inflammation in the body. I will continue to consume tumeric, ginger, red wine, garlic, and asian mushrooms. Thanks :)

    • Kathy May 13, 2013 at 11:54 am

      I too spent a lot of money over a years time to be treated by one of Dr. K’s associates in Woodland Hills, California. I followed the protocol to the letter, took the recommended supplements and it didn’t work for me either. Being disillusioned with spending anymore money for treatments with Dr. Mark (who said the reason I wasn’t loosing weight and feeling better after following the protocol diet, was that tests showed I had an infection somewhere in my body, but he couldn’t tell me where it was or how to treat it, just to continue with the protocol), I decided to research and try to figure things out for myself.

      After seeing the documentary, “Fat, Sick and Nearly Dead,” I decided try a 5 day juice fast (which totally goes against the protocol diet of eating protein every three-four hours as Dr. Mark had instructed me). I’m on my fifth day and I feel amazing! I’m doing this to heal my gut and wasn’t expecting to lose any weight because I was told I wouldn’t be able to until the infection was healed, but I’ve lost several pounds (which I haven’t been able to do in years, even working out regularly)! I’ve avoided goitrogenic foods since you shouldn’t consume them raw, but have been freely eating just about everything else. My mind is clear and focused, and I have more energy than I’ve had in years!

      I agree that you have to research, listen to your body and find out what works best for you.

      • Elaine May 13, 2013 at 12:00 pm

        I love that movie and I’m glad you found something that is making you feel better. In the book he says if you have insulin resistance you may do very well with fasts. People with low blood sugar have a hard time keeping their blood sugar stable while fasting and can feel terrible.

      • Jenny May 23, 2013 at 5:48 pm

        When you say you’ve been eating just about anything, does that include gluten and diary products? I’ll take a look at the documentary you mentioned since I was planning on trying the Raw Food diet for 2 weeks to see if my symptoms decrease. I’m so glad you are feeling so much better. I had a a brief period (3 weeks) were all of my symptoms disappeared, including my brain fog. It was awesome and I’m anxious to get back to living life to the fullest!

  • Tessa May 14, 2013 at 7:59 pm

    Thank you for all the useful, if not confusing, information.
    oes anyone know if I can still take psyllium husk as a source of fiber? It’s not technically a seed as it is the husk of the seed.

  • Cameron May 21, 2013 at 11:25 am

    Diets free of animal products are often very deficient in zinc, but high in copper. “When zinc is low and copper is high, the body will dump copper with consumption of meat, a high-zinc food. For some vegetarians, the copper dump can be so strong, they literally throw up any meat they try to eat. People in this situation will first need to lower their copper levels before they can eat meat. Then they will need to begin with very small amounts of white chicken meat and only very gradually introduce red meat.” http://www.westonaprice.org/mentalemotional-health/metals-and-the-mind

  • Stan June 4, 2013 at 10:37 am

    Please be careful when seeking treatment with a chiropractor. I had a similar experience with a chiro recommeded by Kharrazian. They are not experts in management of autoimmune conditions, and they will cost you alot of money. I suggest reviewing reputable websites for information, such as thyroid.about.com and experimenting with your diet on your own. You’ll save thousands of dollars and may discover a diet that reduces your symptoms. The Chiro recommended to follow the Paleo diet and take nutritional supplements. You can follow the Paleo diet on your own, and here are the supplements he recommended for any autoimmune disease: Vitamin D 5000 iu (get your vitamin D levels checked by your primary doctor), fish oil 5000 iu (safe for everyone, even those pregnant); glutathione and SOD (apex energetics brand called oxicell), tumeric, and resveratol (both apex energetics brand- comes in liquid form). Save yourself the cash and experiement on your own.

    By the way, it’s my opinion that these chiropractors are taking advantage of those with autoimmune disease. Granted, the medical community offers little guidance to manage and curb autoimmune issues, but it seems that most chiro’s are putting out thyroid programs. It’s turning into a cash cow for them!

    • Gloria December 19, 2014 at 8:07 pm

      I agree, save the money and follow the auto immune diet. I do like the tests that the Chiropractors do. I found I had some problems not found by allopathic doctors..ie:parasites etc.

  • ava June 5, 2013 at 6:05 am

    Hi there,
    There is a doctor in West LA that talks about following your work and actually has a picture of your book in his hand on his website. I was just wanting to verify if you have trained him as I do not want to be taken for another ride. I struggle with Hashimoto’s and have spent too much money already so I really want to be in good hands. His name is Dr. Ian Beckingham. thanks

  • Stan June 7, 2013 at 10:47 am

    Here is a great diet to follow for anyone with auto-immune disease:


    I have been following this diet for a month with great results. Brain fog is slowly disappearing, joint pain is gone!

    Please keep in mind that this diet does differ from Dr. Kharrahizian’s protocol. He has you eating animal protein every 3-4 hours. I don’t recommend animal protein for people suffering from auto-immune disease since many of it has steriods, toxins, hormones added and not everyone can afford to eat grass-feed beef or organic chicken.

    Try the diet outlined in http://www.eatyourveggies.com and see how you feel. I would recommend 1 month to start, and see how you feel after that month.

  • Elaine June 10, 2013 at 11:47 am

    Unfortunately it is true that some practitioners have turned this into a cash cow for their practice. However, there are those who understand the mechanisms really well and offer genuine help; do not lump all of them together based on one negative experience. You are right though that a lot of this can be done on your own. The lab testing can be useful for many people, which requires a practitioner. And many people feel overwhelmed by the advice and need help getting walked through it.

  • Teri June 10, 2013 at 5:22 pm

    I agree with the fact that some of these practioners have taken advantage of those of us with autoimmune disease. I have spent a small fortune trying to get well with the ones who state they study under Dr. K. I now listen to my husband who says, things work differently for everybody. I educate myself the best I can, and follow how my body feels and have stopped wasting so much money.

  • Theresa June 15, 2013 at 1:10 pm

    I don’t know if this has been answered, but is flax oil or flax seeds a no-no on the autoimmune diet?

    Thank you,

  • Susan June 17, 2013 at 8:28 am

    The research out there is relatively new and some of it is conflicting. It takes hours of review, costly seminars etc. Working with any functional practitioner will have a cost associated with it but health care choices are yours and is patient driven. Your choices are drugs vs. diet. The diet changes can be overwhelming for some and they may need more help to get their health on track (also dependent on where their health is). Other people will embrace the changes and have less trouble navigating the changes- they will need less support and occasional follow-ups and blood testing. As in all things it is what you put into it. I was diagnosed with Hashimoto’s last September with my TPO level over 1000- (our lab does not count over 1000). Following Dr. K’s protocol with my Naturopath while I went through denial, anger, and finally acceptance. The supplements are expensive but less than losing my thyroid or taking life-long medication. With compliance my TPO level dropped to 300 in six months and my thyroid levels are in the functional range (without meds). I can manage my own diet now (yes occasionally I get glutenized which makes me crazy- hidden gluten is the worst). I plan on blood tests every six months to keep on track. Please note that I only got tested because of another family member who tested positive. I did not have overt symptoms- in fact everything I attributed to menopause, some constipation, some brain fog…. there is no bread on the planet worth that awful feeling. You will feel better.

    • JC July 3, 2013 at 11:27 am

      Hi Susan! I also have antibodies greater than 1000 and have been following the autoimmune protocol since April of this year. What was your initial TSH and did you take any medicine? Hope to hear back from you and thank you in advance!

  • Valerie June 30, 2013 at 6:24 pm

    I have Hashimoto’s — had it from childhood, as I know now, but did not get a diagnosis until I was 47! Since then scans have revealed that my thyroid gland is totally kaput — small as a pea, hard as a pebble, no function whatsoever. Therefore I am on thyroid medication, otherwise I would be dead. I would really like to know if there is a need for me to be gluten-free now. Would it still help in any way?
    I have a relative whose thyroid gland is not functioning, and he was told by his doctor not to bother being gluten-free. But I know there are other auto-immune conditions besides Hashimoto’s, so could a gluten-free diet help with them too?

  • Rebecca July 10, 2013 at 10:08 am

    Good grief…this is all so confusing.

    Eating a diet of certain kinds of meat, and restricted fruits and vegetables is really not possible for long-term physical and mental health.

    No dairy, no grains, no eggs, no nuts, no honey, no etc. :(
    How can this extreme low-carb diet be healthy?

    I would need to eat a bucket of “yam noodles” a day to not go crazy.

    Touting this as “the answer” without really laying out how it is doable (like a menu plan) to a group of sick fatigued brain fogged desperate people is…cruel and unusual.


    • Sali July 11, 2013 at 7:51 pm

      I agree…this is really difficult to get used to after cooking/eating one way for over 50 years I’m having trouble with figuring out variety and recipes for anything besides plain meat and veggies….I can only eat a chicken breast so many times a week without new recipes. Anyone recommend a cookbook? My husband is gonna be really sick of this very soon without some more options. Help!

      • Christine July 22, 2013 at 7:15 pm

        I have been cooking from a book called The Autoimmune Paleo cookbook by Mickey Trescott. I downloaded it into my Kindle. I have cooked at least 1/4th of the recipes and think its a great resource. I am on the elimination diet for 90 days and maybe longer so I needed something to get me through! Many items, which I never would have cooked before are now my favorite meals.

    • Elaine July 14, 2013 at 4:28 pm

      It is possible and healthy. Read Primal Body Primal Mind. By certain kinds of meat, what is intended is organic and grassfed meats. Many people have adopted this diet as a way of life and are quite comfortable with it, although it takes adjusting. On the Resources page there are suggestions for books. There is also a lot of support on Hashimoto’s 411 on facebook. They even have a separate group just for this diet.

    • Jenna December 1, 2013 at 8:03 am

      Hello Rebecca,
      I’m with you on this one. So much information I have obtained by my hours of reading about Hashimoto’s is contradictory. I don’t know where to begin. I started by ordering Dr. Kharrazian’s book about Hashimoti’s and a Paleo Diet Cookbook for beginners. I’m confused and frustrated.


  • Angelica July 11, 2013 at 8:33 pm

    I can only imagine what it’s like figuring out what works & what doesn’t; what’s allowed & what isn’t. I’m a 34yr old mother of 2, college student, HS teacher, wife, & all the other roles that require energy; there are days when thinking about what to eat is more than I can bear. I have found http://www.vega-licious.com/ to be helpful with their green smoothies, but as one having grown-up Puerto Rican, giving up rice has been challenging, especially with 2 little ones. But I have been feeling better when I ride my stationary bike for 1/2 hour every day (keeping active is key); going to church & praying for me is key also. I do want to heal my leaky gut, & will definitely try this diet for a while; seeing info through Facebook page Hashimoto 411 helps as well; reminds us that we’re not going through this alone; no matter how old you are. Have another appt. w/ the endo tomorrow; but taking one day at a time… yeah… it’s also key. The best to you! :) Kindly, Angelica

  • Rosie July 16, 2013 at 7:02 am

    Hi, I have been on this diet for two weeks now and really feeling the benefits but there’s one weird thing, husband and kids say I smell disgusting! My husband says I smell like stale sweat even though I am shower fresh. Has anyone else experienced this or have any explanation? I plan to stay on this diet and then switch to the slightly more forgiving Paleo diet. Another thing I have noticed is that since being on this diet my hyperhidrosis has improved. Could this be due to being gluten and/or dairy free? Am delighted either way!

    • Christine July 22, 2013 at 6:43 pm

      I have read that “smells” can be a sign of detox.

      • Aminda August 11, 2013 at 1:45 pm

        that is absolutely detoxing as fat cells are getting reached due to ketosis.

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  • Riyan L July 18, 2013 at 1:48 am

    I know how much it hurt to live with such a heavy weight. I tried detox diet program at Diet plan Using this system, I managed to reduce weight and even tracked a loss in my visceral fats (internal fats around the organs). Do check it out!

  • Jan Stevenson July 19, 2013 at 11:32 am

    I have Hashimotos and have read and very much appreciated both the Thyroid and Brain books. The concepts in these books have helped me make significant (life changing) improvements in my condition.

    My question concerns the recommendation above for sauerkraut. I have just bought a Harsch Crock and plan to make my own sauerkraut. I understand the benefits of fermented foods but isn’t cabbage a goitrogenic food and contraindicated for thyroid conditions? Do you recommend because Hashimotos is not really a thyroid condition, but an immune condition?

    Thank you for all of the grounbreaking work that you do. I have not seen changes in my local medical community yet but am hopeful for the future!

  • Ellen July 22, 2013 at 11:04 am

    Thank you for your years of devotion to helping folks heal!

    I understand the allowed carbohydrates are monosaccharides and have a single molecule structure that allow them to be easily absorbed by the intestine wall.
    If the autoimmune diet on your website follows the SCD or GAPS – I am wondering why there are discrepancies on the lists for ‘Okay foods’ and those to avoid. For instance:
    APS & SCD list butter, honey, watermelon, papaya, fresh pineapple, raw almonds (milk & butter), peanuts in shell(after 6 mos of diet), peanut butter(no additives), cheese (unprocessed & aged 30 or more days), dry wine and others on the ‘Recommended Foods List’ – While yams/ sweet potatoes are on the ‘Foods to Avoid’ List. I read the opposite on yours. Does this have to do with brain & gut health rather than just gut- or something else?
    So grateful for your input!

  • Ellen July 22, 2013 at 11:08 am

    Thank you for your years of devotion to helping folks heal!

    I understand the allowed carbohydrates are monosaccharides and have a single molecule structure that allow them to be easily absorbed by the intestine wall.
    If the autoimmune diet on your website follows the SCD or GAPS – I am wondering why there are discrepancies on the lists for ‘Okay foods’ and those to avoid. For instance:
    APS & SCD list butter, honey, watermelon, papaya, fresh pineapple, raw almonds (milk & butter), peanuts in shell(after 6 mos of diet), peanut butter(no additives), cheese (unprocessed & aged 30 or more days), dry wine and others on the ‘Recommended Foods List’ – While yams/ sweet potatoes are on the ‘Foods to Avoid’ List. I read the opposite on yours. Does this have to do with brain & gut health rather than just gut- or something else?

    Also- do you recommend a particular plan to get started with this diet?
    So grateful for your input!

  • Christine July 22, 2013 at 6:42 pm

    I am on this diet protocol for 90 days and am currently half way through. I read Dr. K’s thyroid book and was convinced that he wrote specifically about me. I found a health professional in my area who regularly takes courses with Dr. K. One of my most frustrating symptoms was excessive weight gain over the course of a year, 30 lbs. I had been on Atkins induction for 4 months with no weight loss. I was a size 6, but now a 14-16. I had always weighed my food on a digital scale, my Dr.s could not identify why I was gaining when I should have been losing 2 lbs a week (if you are a calorie counter). After a 60 days I have not lost any weight on this elimination diet, and in the past month have been breaking out in boils, with new eruptions every week. Is this a good thing? Also I had hoped I would lose weight. I am 5’2″ 53yr female and eat about 1200 calories which I track on fatsecret. Would love some feed back.

    • Krista Z September 2, 2013 at 8:53 am

      Have you tried armour?

  • Roberta July 24, 2013 at 2:11 pm

    Does anyone have any ideas for portable protein filled snacks that don’t require heating up and that I can keep in my desk at work or throw in my purse?

    • Nancy August 21, 2013 at 5:34 pm

      Epic bars are great for a protein snack on the go. http://epicbar.com/

    • Kat September 8, 2013 at 3:39 pm

      The sugar-free grass fed beef jerky at U.S. Wellness Meats on line is great. They have plain and spicy. They also carry turkey and chicken jerky. They do have to be refrigerated, though. You can make your own jerky from quality meats that doesn’t have to be refrigerated.

  • TK July 24, 2013 at 6:12 pm

    I have Hashimoto’s and other immune illneses so I thought Id try this. BUT its been two weeks and Im having a really HARD time!

    I cannot have nuts because of high lysine anyhow and I dont want to eat meat 2-3 times a day but balancing out the rest is so difficult. Ive already lost 10 pounds and Im not happy about that!

    any recommendations for snacks or recipes? How do you replace bread or crackers and snacks – Im not gonna make it! haha

  • JLS July 27, 2013 at 3:55 pm

    Trader Joe’s Beef Jerky will work in your purse or desk drawer. If you can carry a very small cooler bag (with re-usable fake ice) or have access to a refrigerator at work you can try 1.) half dozen frozen jumbo shrimp (from SAMs) 2,) Cooked Cod (make several at a time quickly and easily by baking on a foil lined cookie sheet for easy clean up) 3.) A few slices of quality turkey (Applegate)

    • Larry October 31, 2013 at 7:35 pm

      Also Stevia..all natural from stevia plant..

  • Jeff July 27, 2013 at 11:35 pm

    It is fantastic to see an article highlighting the fact that corn may be gluten free, but it is a food to avoid whether you suffer from Celiac disease or not.
    Also a tip for those who can’t kick the sugar cravings, try to replace it with a natural sweetener called Xylitol, it tastes great, its 1:1 for baking, it has oral benefits and most importantly it does not cause a glycemic response.

    • Kat September 8, 2013 at 3:43 pm

      If you’re one of those who experience digestive difficulties from Xylitol, a safer bet is stevia – either the green powder, or the liquid stevia on the body ecology website. Last I read, these forms of stevia are the only sweeteners that have been proven safe for human consumption.

  • Detox August 16, 2013 at 8:43 am

    Very nice article. Full of information on dieting. I found it very interesting.

  • N August 18, 2013 at 4:28 pm

    For foods to avoid it states peppers… does this include all peppers including bell peppers, jalapeno peppers, chilli thai peppers, habenero peppers? I really enjoy spicy food so was just wondering if i can still cook with the spicy peppers!

    • Apelila August 20, 2013 at 3:45 pm

      All peppers are night shades and should be avoided on an autoimmune diet. Tomatoes too.

  • Sun De August 21, 2013 at 2:28 pm

    Hello. I have three questions regarding the foods allowed.

    Is coconut flour allowed?

    How come all those cruciferous vegetables are allowed without even a brief mention that they contain goitrogens and that they should invariably be consumed only well cooked and even then in moderation?

    How come carrot is allowed, since it is a starchy vegetable?

    I really hope I get a reply. I’m hypothyroid and it’s a very useful article. I’m starting this dief as of now.
    Cheers! :)

    • Elaine August 21, 2013 at 3:43 pm

      Coconut flour is fine for most people. Of course you can develop a sensitivity to anything, but usually coconut is fine.

      He does not recommend against cruciferous vegetables because many people can eat them in appropriate amounts. They have many wonderful nutrients. However he cautions against overdoing them, like cabbage juice. But again, this is an individual thing. Some people feel worse eating cruciferous veggies, some are ok, so you have to be the judge.

      The glycemic load considers the amounts of carbs per serving. When you use that instead of the glycemic index carrots rank pretty low. Potatoes are still quite a bit higher. Again, monitor your response, everyone’s blood sugar handling ability is different as well.

      • Sun De August 21, 2013 at 5:29 pm

        Thank you for your quick reply! :)
        I do have one more question – how come eggs are forbidden, since their GI is 0?

  • Elaine August 21, 2013 at 5:34 pm

    Unfortunately for all their great nutrition eggs are an inflammatory trigger for many people. Of all the foods eggs trigger me the worst.

  • Nancy August 21, 2013 at 5:37 pm

    Only exception is black peppercorns

  • Sun De August 22, 2013 at 8:28 am

    I’m having a hard time already.
    It is impossible to get the right amount of proteins (cca 80g for me) without eating over a pound of meat or fish. :( I don’t feel comfortable eating that much meat.

  • Elaine August 22, 2013 at 1:57 pm

    In Primal Body Primal Mind she says on a healthy ketogenic diet you dont’ need that much protein, just plenty of good fats. You may also feel more comfortable with eating more meat in time when you include plenty of veggies and fiber. 80g is like four 3-oz servings right? Also, the egg thing may not affect you, that is the best outcome.

  • Charles Weber August 23, 2013 at 12:37 am

    Fluoride damages the thyroid. It also causes dementia similar to Alzheimer’s disease and probably Alzheimer’s disease itself.
    Irrigating with municipal water poisons the soil with fluoride. I hope to persuade you to use your influence and contacts to get this evil custom ended.
    Fluoride in water is recommended for tooth protection. Fluoride in water no longer provides this protection, probably because of increasing fluoride in food from fluoride insecticides and tooth paste. However, even if it did, it would not be worth it, because it is more poisonous than lead and only marginally less so than arsenic. Once in the environment, it has an infinite life. If you know how long it takes to reach the groundwater, please let me know.
    It inhibits thyroid ( http://www.fluoridealert.org/health/thyroid/steyn-1955.html ), synergistically with aluminum causes a disease similar to Alzheimer’s disease http://jech.bmj.com/cgi/content/abstract/50/4/401 (Masters) , causes bone degeneration [Reddy] [Susheela and Mohan] for fluoride interferes with the hydroxylation of proline to hydroxyproline. And fluoride exposure disrupts the synthesis of collagen and leads to the breakdown of collagen in bone, tendon, muscle, skin, cartilage, lungs, kidney, trachea and arteries [Susheela and Sharma] [Sharma] [Susheela and Mukerjee] [Marian Drozdz et al]. It decreases intelligence in children (Lu). (See http://charles_w.tripod.com/fluoride.html ) These side effects are far more serious than tooth caries especially since caries can be prevented with a diet adequate in calcium, magnesium, copper, vitamin D, and phosphate. Also they can be cured with anacardic acids in cashew plants and nuts (see http://charles_w.tripod.com/tooth.html ).
    In addition to the above circumstances mildly adversely affecting health (“mildly”, that is, if applied properly in minute amounts), fluoride enters the bodies of people in wildly varying amounts. Fluoride is applied largely for the purpose of protecting children. But to expect small children to apply tooth paste poison correctly without medical instruction, or for that matter even with instruction, is inane. There is also the danger that some parts of the adult population will have more than small intakes. Many municipal water supplies have fluoride added, so that people who must drink large amounts of water, such as people with damaged kidneys, or who do drink large amounts of water because of recommendations of health purists, will receive large amounts. Richmond says that fluorinating water has no perceptible affect on kidneys in children, but that fluoride in water for dialysis should be controlled [Richmond]. Another group at risk are people who eat large amounts of dried food that must be reconstituted with water such as babies and maybe soldiers. All this happens with no or little reduction of tooth caries from water fluoridation [Seppa]. The ADA has warned mothers not to make up formula with fluoridated water.
    This increased fluoride intake is also true for people who drink much tea [Gulati], since tea leaves pick up large amounts from some soils , and probably other plants do also [Xie]. Coffee has high amounts of fluoride from insecticides. Fluoride compounds are applied to plants as insecticides, especially grapes. Most of these fluorides end up in the soil, and therefore probably in many plants.
    I would like to gain your support in getting poisonous fluoride and fluoride insecticides removed from United States food . It has bad side effects on the thyroid and the brain. It is especially damaging to people who drink a lot of fluoridated water such as babies drinking made up milk formula, old people with kidney problems, and perspiring people who use reconstituted fruit juice, If it can not be removed, at least a tax should be put on it sufficient to pay for the diseases it causes. That would be only fair.
    If you can not get fluoride removed, perhaps you can at least acquaint people about an iodide cure or antidote. You may see these concepts discussed in http://charles_w.tripod.com/fluoride.html . That antidote may wok for the thyroid, but I doubt if it will strengthen fluoride damaged bone

    Sincerely, Charles Weber, MS
    PS Dr. Rastmanesh, a nutritionist from Iran, would like to secure a position in an American university because of political problems. He has an impressive CV. If you know of an opening I will send you his CV.

    Arnesen AKM 1998 Effect of Fluoride Pollution on pH AND Solubility of Al, Fe, Ca, Mg, K and Organic Matter in Soil from Årdal (Western Norway). Water Air and Soil Pollution 103 (1-4); 375-378.

    Bibby BG Zander HA McKelleget M Labunsky B 1946 Preliminary reports on the effect on dental caries of the use of sodium fluoride in a prophylactic cleaning mixture and in a mouthwash.J Dent Res 25(4): 207-211, 1946.

    Bryson C 2004 The Seven Stories Press.

    Dhruva N. Rao1 and Dhirendra Pal 1978 Effect of fluoride pollution on the organic matter content of soil. Plant and Soil 49; 653-656.

    Eichbaum FW 1946 Biological properties of anacardic acid (O- pentadeca dienylsalicylic acid) and related compounds. General discussion-bactericidal action. Memorias do Instituto Butanen 19 71-86.

    Emsley J, et al 1981 An unexpectedly strong bond: Ab initio calculations and spectroscopic studies of amide fluoride systems. Journal of the American Chemical Society 103; 24-28.

    Gulati P et al 1993 Studies on the leaching of fluoride in tea infusions. The Science of the Total Environment 138 (1-3); 213-221.

    Holick MF 2004 Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. American Journal of Clinical Nutrition, 80; No. 6, 1678S-1688S.

    Lu Y, Sun ZR, Wu LN, Wang X, Lu W, Liub SS 2000 Effect of high fluoride water on intelligence in children. Fluoride 33; 74-78.

    Marian Drozdz et al., 1984 “Studies on the Influence of Fluoride Compounds upon Connective Tissue Metabolism in Growing Rats” and “Effect of Sodium Fluoride with and without Simultaneous Exposure to Hydrogen Fluoride on Collagen Metabolism,” Journal of Toxicological Medicine, Vol. 4, pp. 151-157.

    Masters RD and Coplan M 1998 Water Treatment with Silicofluorides and enhanced lead uptake, Fluoride, Vol. 31, No 3, Aug,

    Orcel P, et al 1990 Stress fractures of the lower limbs in osteoporotic patients treated with fluoride. Journal of Bone and Mineral Research 5 Suppl 1:S191-4.

    Pendrys DG Katz RV 1989 Risk of enamel fluorosis associated with fluoride supplementation, infant formula and fluoride dentifrice use. American Journal of Epidemiology 130; 1199-1208.

    Reddy GB, Arjun L. Khandare, P. Yadagiri Reddy, G. Shankar Rao, N. Balakrishna and I. Srivalli 2003 Antioxidant Defense System and Lipid Peroxidation in Patients with Skeletal Fluorosis and in Fluoride-Intoxicated Rabbits Toxicological Sciences 72, 363-368.

    Richmond VL 1985 Thirty years of fluoridation: a review. American Journal of Clinical Nutrition 41; 129-138.

    Seppa L Karkkainen S Hausen H 2000 Caries trends 1992-1998 in two low-fluoride Finnish towns formerly with and without fluoridation. Carries Research 34(6):462-8.

    Sharma YD, 1982 Effect of Sodium Fluoride on Collagen Cross-Link Precursors, Toxicological Letters, Vol. 10, pp. 97-100

    Susheela SK and Mohan Jha, 1981 Effects of Fluoride on Cortical and Cancellous Bone Composition,” IRCS Medical Sciences: Library Compendium, Vol. 9, No.11, pp. 1021-1022

    Susheela AK and Mukerjee D, 1981 Fluoride poisoning and the Effect of Collagen Biosynthesis of Osseous and Nonosseous Tissue,” Toxicological European Research, Vol. 3, No.2, pp. 99-104

    Susheela and Sharma 1981 Fluoride poisoning and the Effects of Collagen Biosynthesis of Osseous and Non-osseous Tissue”, Toxicological European Research, Vol 3, No.2, pp99-104.

    Varner, J.A., et al., 1984 Chronic administration of aluminum-fluoride or sodium fluoride to rats in drinking water: Alterations in neuronal and cerebrovascular integrity. Brain Medicine, Vol. 4, pp. 151-157.

    Weber CE 2006 Eliminate infection (abscess) in teeth with cashew nuts. Medical Hypotheses 65; 1200.

    Weisman G et al 1972 Leukocyte proteases and the immunologic release of lysosomal enzymes. American Journal of Pathology 68; 539-569.

    Xie ZM Ye ZH Wong MH 2001 Distribution characteristics of fluoride and aluminum in soil profiles of an abandoned tea plantation and their uptake by six woody species. Environmental International 26; (5-6) 341-346

  • kathy August 25, 2013 at 4:46 am

    It is fantastic to see an article highlighting the fact that corn may be gluten free, but it is a food to avoid whether you suffer from Celiac disease or not.
    Also a tip for those who can’t kick the sugar cravings, try to replace it with a natural sweetener called Xylitol, it tastes great, its 1:1 for baking, it has oral benefits and most importantly it does not cause a glycemic response.

  • Nela August 28, 2013 at 8:43 am

    I really like the Dr. K’s book but I’m highly sceptical of this diet. I admit I’m not a huge fan of this Paleo fad, tbh. I guess Paleo is a lot better than a Standard American Diet full of sugar, refined flours, artifical sweeteners, added chemicals, and so on. I also agree that people with (undetected) lactose intolerance, gluten sensitivity or celiac disease can have a hard time with “healthy” eating based on gluten grains and milk products. Also overweight people and people with insulin resistance can easily shed some weight with a ketogenic diet without exercise. So these are the pros – on the other hand people who don’t have these medical conditions won’t necessarily feel better with a ketongenic diet. I got tested for lactose and fructose intolerance as well as celiac disease – negative. I also cut out gluten for a time to see if I’m gluten sensitive, no difference. I’m definitely not insulin resistant and I have ideal weight (BMI 19), so I don’t need to lose some pounds. And I think the “pro” of losing weight on a ketogenic diet without much exercise is debatable as exercise is great for your body anyway if you’re not extremely obese.

    So regarding this new healthy “Paleo” diet (which isn’t that paleolithic anyway as people also ate wild grains back then and had a totally different lifestyle) I’m more concerned about the chemical load we eat with farm factory meat (and I’m not talking about the cruel way we treat the animals). Of course there is organic grass-fed meat, but that’s quite expensive and not everybody can afford to eat such meat 3 times a day! Hence people buy the shitty meat at their supermarkets and ingest all those hormones & antibiotics from GMO-soy fed animals, which is bad for their bodies, bad for the poor animals and bad for the environment.

    • Nela August 28, 2013 at 8:54 am

      Oh, and as far as I know lectins are also in all those revered nuts in “Paleo” eating along with anti-nutrients like phytic acid. I fact almonds or hazelnuts contain a lot more of this stuff than some traditional sourdough bread. And I don’t have numbers, but I guess sprouted and cooked legumes aren’t very high in lecitns anymore whereas all those raw nuts are. Even coconut milk, coconut flour and a lot of vegetables from the brassica family (which are goitrogenic as well) contain lectins!

      I’m quite confused that a medical professional like Dr. K doesn’t take that into account and just repeats the stuff from the “Paleo” movement.

  • Elaine August 28, 2013 at 7:37 pm

    In his new brain book he says he does not believe the ketogenic diet is for everyone. The strict autoimmune diet is to allow the leaky gut to repair. Many people can add foods, including grains, back in. Some people with more severe cases may need to stay on some version of that diet long term. Also, there are no nuts on the autoimmune diet. I agree that many people overeat nuts. As for celiac testing, in the brain book he explains why current testing for celiac aor gluten sensitivity is severely limited, however he never says all people are gluten intolerant or that all people should eat a keto diet. In fact he says one study shows one third of the population is gluten intolerant. That means most people didn’t test positive, even with the more sensitive and thorough test. He is always pretty clear to say we’re all unique and must find what’s right for us.

  • Vivie August 31, 2013 at 4:29 am

    My biggest question is, after reading this …
    What can I eat when I eat no meat and no fish? I can not eat because I will already sick at the sight or smell since my childhood both.
    Is sourdough bread to consider?
    I have removed wheat from my diet for a long time, and it was right-but not until then that I realized, when I ate it but once.

  • Anne September 1, 2013 at 8:11 pm

    As much as I wish I could follow this diet, I simply can’t. I think that the stress of worrying about what the hell to eat all the time has just as bad of an affect on my body as eating simple sugars. And isn’t stress a huge contributor to these problems as well? I agree that we need to eliminate the junk and try to eat the foods that best support our immune system, but that can’t possibly mean cutting out nearly every single healthy food out there too. As an aside, one thing that I discovered being on these strict diets is that my gastrointestinal problems got so bad that twice I had to go to the ER for extreme abdominal pains. How is it that if I was eating so well that my body behaved negatively from it? If it was supposed to be so healthy, why did it cause me so much pain? We aren’t made to eat this exclusively. Just be careful and do what is best for you.

  • Elaine September 1, 2013 at 8:21 pm

    Anne, it depends on the level of your suffering. For some people this is how they are able to get their autoimmune disease under control. The diet does not see, as severe or punitive when they get their life back. Everyone modifies it according to their health needs. I believe there is an article coming addressing why people get temporarily worse when beginning the leaky gut. I know the immune system recovers on this diet but becuase it’s already so hyperactive, perhaps it goes into overdrive with its newfound strength in the beginning before settling down. This diet is also very detoxifying and kills off a lot of gut bacteria and yeast, which can cause symptoms. Those are my guesses, will wait to see what Dr. K writes.

  • Heather September 11, 2013 at 6:18 pm


    Question, is the diet explained more fully in his book? Also, how long do you stay on it until you start re-introducing some foods?


  • Heather September 11, 2013 at 6:39 pm

    I don’t see Tumeric or Cinnamon on the spice list? Why would these be avoided?

  • Heather September 11, 2013 at 6:54 pm

    Last question, sorry so many- what about flax seed, chia seed, maca powder?


    • Bonnie McLean December 6, 2013 at 10:04 pm

      Hi Heather, I asked a similar question to paleomom.com who has very extensive info. re: autoimmune paleo protocol (AIP). I inquired about hemp, flax, and chia seeds when I saw ‘no nuts and seeds’. She said no to all three. I can’t remember what maca comes from but mequite is a legume so off limits.

  • Elaine September 12, 2013 at 11:54 am

    The diet is explained a little more in his book. How long you stay on it depends on degree of symptoms, but at least a month for starters. Turmeric is ok and i think cinnamon is ok. The issue is whether they are nightshades, so no spicy pepper (but black pepper is ok).

    Seeds you skip in the beginning. People with small intestinal bacterial overgrowth may not do well with mucilaginous seeds like flax and chia. I think maca is ok though.

    Here is a good resource. She has a thorough list of foods to avoid on her site: http://www.autoimmune-paleo.com/cookbook/

  • R.O.B September 21, 2013 at 2:48 pm

    How is it that some of the foods that we were told that is good for us is not really good for us example, oat, almond, sunflower seeds?

  • Chris September 21, 2013 at 5:50 pm

    I see some things on the food list that other Hashimoto’s books say to stay away from – like anything in the cabbage and broccoli family. Also, I don’t have a problem with digestion – just slow process. My main reaction is to foods with preservatives and additives – I get extremely sore, stiff, tired and sluggish…. any suggestions? And what the heck can you eat for breakfast? Very limited food list

  • Natalia September 23, 2013 at 12:03 am

    Just wandering what type of probiotic protein powder to use on anti-inflammotary diet… in health shop they have pea, whey and soy protein powders and I have no idea which one of them is right for us… Also in his book the two-week anti-inflammotary diet contains gluten free grains as rice, backweet, and other grains, but on this page the diet eliminates ALL grains because they are cross-react with gluten…?? I am really confused.
    Thank you

  • S Shepherd October 14, 2013 at 7:30 am

    What are your thoughts on diet for people not with Hashimoto’s thyroiditis, but with Graves’ disease? Thanks!

  • Elaine October 14, 2013 at 1:55 pm

    It is an autoimmune diet so the tissue being attacked is not really the issue but rather the balancing of the immune system and dampening of inflammation.

  • Louise November 3, 2013 at 3:21 pm

    If I don’t have any gluten sensitivity, but I have Hashimoto’s, do I still have to avoid gluten?

    Basically apart from hair loss and itchy scalp, I have no side effects

    All the side effects started when I replaced the medicine a new medication it’s been almost 2 Years and my tsh is balanced but I still suffering from hair loss )-:.

  • Elaine November 3, 2013 at 8:03 pm

    It’s best to avoid gluten if you have Hashimto’s based on the science. You can have to symptoms and still have a sensitivity that exacerbates your autoimmune condition. You can always test through the Cyrex labs gluten screen.

  • Louise November 4, 2013 at 2:12 pm

    I did a blood test and saliva test they found that I had no gluten sensitivity.
    Do I still have to avoid eating gluten, are refraining from eating gluten can cause me to fully recover Hashimoto’s disease?

    The only side effect I suffer from is hair loss and itchy scalp.

    TNX for your answer

  • Diane November 8, 2013 at 3:17 pm

    Avoiding grains, legumes and nuts……how does a vegetarian get protein with this diet? I was very sick decades ago when I ate meat and I am NOT going to return to that — my gums hemorraged and I had dark baggy rings under my eyes back then which made everyone (including a doctor) ask me if I was on drugs.

  • Beth November 20, 2013 at 6:35 pm

    Hi All – I want to put one suggest out there. If you are struggling with any autoimmune disease, I suggest you look into heavy metal toxicity. Dr. Andy Cutler’s protocol for removing mercury (acquired from metal fillings, vaccines, and food). Read his book ‘Amalgram Illness’ and see the page on symptoms of heavy metal toxicity. It may be the answer you are all looking for.

  • Olga December 9, 2013 at 4:40 am

    It is great that there are people like you out there who give so much advise and I would be glad to follow the autoimmune diet if I could. BUT I have hereditary fructose intolerance and there\’s also the possibility of a histamine intolerance (will be tested shortly), besides some allergies. So please tell me how I could nurture my body sufficiently? All I could eat from the above would be a bit of asparagus, brokkoli, cauliflower and cucumber (they all contain too much fructose/saccharose to eat them often/a lot of it) and lettuce. Maybe meat, though I detest it and some of it contains histamine. A little fish. Did I mention that I react to rice? If any of you have an idea for a working diet in my case that is not sticking my head in the sand I\’m grateful.Oh, forgot: I\’m here because of hashimoto….

  • Pam December 9, 2013 at 7:59 am

    I did not see parsnips on the list of good foods???

  • Michele December 11, 2013 at 12:20 am

    I am so confused. I just purchased Trescott\’s cookbook (which you recommend), and it has many recipes that contain ingredients (bananas, walnuts, etc., )on your \”Avoid\” list above. I have Hashimoto\’s and Irritable Bowel Syndrome and I am truly miserable and desperate. Please advise. Also, I have read that cruciferous vegetables are a No-No for Hashi\’s. What is your opinion? Thanks very much.

  • Elaine December 16, 2013 at 5:17 pm

    After people have been on the diet a while they can add in some things, but I wasn’t aware the book contained those ingredients. Will the recipes still work if they’re eliminated? Dr. K says normal consumption of cruciferous vegetables are fine for most people, and even desirable, bc of all the nutrients they contain. As for IBS you may want to check out SIBOsymposium.com and learn more about that. SIBO treatment has been very successful for many IBS sufferers and the diet is largely the same.

  • Soni December 22, 2013 at 9:34 pm

    If I follow this diet, will I be cured? Will it help me to be rid of the diseases I have?

    • Dr. Kharrazian, DHSc, DC, MS, MNeuroSci December 28, 2013 at 4:26 pm

      If you read the book you will see that autoimmunity cannot be cured but can be managed.

  • Etienne Caron December 29, 2013 at 11:57 pm

    Hi Dr. Kharrazian. Mushrooms are not allowed in your list but i’ve read on another site (autoimmune-paleo.com) that it was… I’ve also read that Shiitake got a lot of immune-supportive components.What do you think ? Best.

  • Heather January 4, 2014 at 2:18 pm

    Can you recommend what to do for chronic hives, I was on paleo 4 months, now I am on AIP for 6 months. Did repairVite 2x/day for 4 months. Now l-glutamine remainder of 2 months. I can only eat winter squash, celery, lettuce, swiss chard, avocado, pear, kiwi and land animals. Every time I eat anything else hives and itchiness occur. I had h. pylori, parasites and ameba, but they have been gone for over 7 months. Thanks!

  • Annie January 7, 2014 at 4:32 pm

    What is wrong with eggs? I eat organic eggs daily and consider them excellent sources of nutrition — vitamins A, D, K etc? My antibodies do not rise from eggs and I eat 3-4 a day. Eggs also help keep iron from being too high. Post-menopausal women (no monthly bleeding) can acquire too much iron from eating only meat. Dairy also helps prevent too much iron accumulation but dairy is also prohibitted on the autoimmune protocol. Nuts provide some calcium and a lot of magnesium but I see these too are now prohibitted.

  • Well, I was searching this kind of blog to get rid of from thyroid problems. The community you have shared for thyroid problems is commendable. Keep it up!!!

  • T'ai January 10, 2014 at 1:28 pm

    I’m wondering if Pumpkin seeds are part of the foods to avoid. Also I take an Ashwagandha extract supplement everyday and technically it’s a nightshade. I really hope I don’t have to stop taking it! does anyone know?

    • Robert Stephens February 18, 2014 at 10:59 am

      Most people who are sensitive to nightshades can tolerate Ashwaghanda.

  • Kimberly January 20, 2014 at 1:19 am

    Alot of the vegetables you have listed are goitrogens; isn’t that dangerous for someone with thyroid issues?

    Thank you

    • Mare March 23, 2014 at 6:00 am

      Kimberly, as I understand it, eating goitrogen-containing foodstuffs such as cruciferous vegetables in their RAW state is indeed harmful to those with Hashimoto’s & ordinary hypothyroidism as well. However, cooking/steaming renders these foods fairly safe. As with anything in life though, ‘moderation’ is the key. While it’s not advised to consume a goitrogenic food every single day with every meal, please do not completely deny yourself the cancer-fighting benefits that cruciferous veggies provide! This view is also supported by Isabella Wentz aka ‘Your Thyroid Pharmacist’ @ …
      Hope this is helpful to you, take care now & best wishes for better health!

  • Unal January 20, 2014 at 10:40 am

    As far as I read, the most vital thing people should be aware in case of the presence of Hashimoto’s is to get daily calcium intake. If we just carry on following the diet which is allowed, it is completely impossible to complete sufficient amount of calcium intake. Moreover, supplements like calcium tablets are not a truly healthy way to survive.
    + There are numerous food containing goitrogenic substances within the free for the taking part.

  • Ashley January 27, 2014 at 6:57 pm

    I believe if the giotrogens vegetables are cooked they are ok….

  • andria January 28, 2014 at 8:28 am

    you should not being giving information to this person who asked questions about the diet. your information is incorrect regarding what is discussed in this post. Dr. K clearly lists eggs and all dairy(incl kefir) under the foods to avoid list.This diet is difficult enough and does not need you providing conflicting information.

    • andria January 28, 2014 at 8:30 am

      the above reply was supposed to follow Roshann”s comment above

  • KC Bird February 4, 2014 at 3:50 pm

    I have had Hashimoto for over 20 years and just recently I discovered salads were causing the blooding. I have been doing mini test and the fiber is killing me. I have not found a good diet, but be careful with eating to much fiber. Life with Hashi is a bear and a constant battle.

  • Mark February 10, 2014 at 11:09 am

    Nuts and seeds: are walnuts or pistachios ok?

  • Jody February 10, 2014 at 4:47 pm

    I am confused….I have Hashimoto’s. Is the Autoimmune diet listed here is a short term diet? One that if gluten or sugars etc are eaten that you then follow to repair? What are the foods to avoid on a long-term basis? The Paleo diet and recipes that Dr. K refers us to allows eggs. Are eggs ok on a long-term basis when not the on the Autoimmune diet? Thanks.

  • Zarkers February 20, 2014 at 12:05 am

    Hi there,

    Yes!! You have such a similar set of diet recommendations as that which I follow. Mine is called the “No Starch Diet” (NSD) which at first I thought lunacy.. The very idea that diet could impact inflammation seemed like madness to me, but later after some curious events I realised it really did have a solid basis. I learnt the diet from the NSD sub forum over at kicks.org (lots of helpful people there).

    I have put a bit of my story together in case you are interested :)

  • Donna February 23, 2014 at 7:51 am

    I found this page googling if juice fasts and have a bad impact on hashis. Long post follows and I so appreciate anyone who can get through the whole thing and give me some feedback. Thank you! Last year I did an elimation detox that ended up really helping a laundry list of chronic issues (constant cough, dry nose and eyes, joint pain, back pain, lethargy, moodiness etc). Only months later did I find out I have hashimotos. Dr said everything looked fine except for the presence of antibodies. I would like to believe that had I been treated prior to detox, is have evidence that my change in diet significantly improved my condition. I also showed a rheumatoid factor and was advised to follow up on that to see if I have RA (which I haven\\\’t done yet). After my detox I realized that gluten and dairy were major issues for me and chose to be about 99% free of these. I also no longer eat processed foods, soy, or refined sugars and limit coffee.Again about 99% free. I\\\’m trying to get to 100% but it\\\’s hard not to have the very occasional treat. Everything I eat is now organic. My improved health cannot be stressed enough. I was also struggling with weight gain that packed on exponentially during pregnancy and 4 years later still wasn\\\’t coming off. On detox, I finally lost 15lbs! Though I\\\’ve been stuck there even though I have about 20 more to go. So a few weeks ago I did a 3 day vegan fast (to be more exact it was fruit and vegetable smoothies and salads and steamed vegetables. Also a little olive oil and coconut oil. & small amounts of almond milk ). I am meat eater FYI. I thought it would be easy. It wasn\\\’t. I thought it would give me a next step reset to my system for improved weight loss. It didn\\\’t. I end up feeling worse and in the 3 weeks since I have seen a return of horrible back pain, joint pain, dry nose and eyes, constantly clearing my throat, feeling on and off lethargic and blue. The ONLY change has been the fasting so I know for sure it triggered all of this. What I am unsure of is why? Is this a healing crisis that I didn\\\’t get through bc 3 days isn\\\’t long enough? Or did going without animal protein and fats cause a stress response that triggered these symptoms? Bc I have increased my intake of legumes, nuts , and gf grains like quinoa, is that the culprit and again abstaining for 3 days was the beginning of removing toxicity from anti nutrients? (I\\\’ve recently begun reading the paleo philosophy on those items and I see that echoed here.) I just don\\\’t know. But I am desperate for answers and dumbfounded that I was feeling so good for so long, tired to do something to improve myself further and seemed to have causes a regression back in an awful way. I would appreciate any and input.

    • Lyn March 11, 2014 at 8:32 pm

      Hi Donna;
      I have learned that as we detox we also need to support our detoxifying(?) organs, ie: liver, kidneys, etc. I have done a few detoxes. I learned that there is a need to support the detoxifying organs, i.e.: liver, kidneys, etc.
      I use milk thistle, alpha lipoic acid and NAC. You can get these from your local health/whole foods store. Also be sure to include enough fiber to evacuate your bowels daily. I have included 2 times a day psyllium husk. Also a few days before you start any detox, it sure makes it easier to begin to cut down on sugar, coffee, dairy, starches, etc. so by the time you start the detox it won’t “slam you against the floor” with horrible headaches and flu like symptoms. Be kind to your body during this time and your 3 day detox isn’t long enough for your body to do a through “house cleaning”; takes that long for some people to begin to come out of the “yuckies” while some others take longer to get through that; and if one is so blessed, they may not feel much at all. After you get thru the yuckies you can begin to start feeling better. I wish you all the best and please research, research, research and above all be kind to your body.

  • April February 27, 2014 at 4:45 pm

    About Hashimoto 411 “support group”

    I am on 4 different support groups for Hashimoto.
    and I would not recommend this one to anyone.
    There are some really nasty and angry people there?
    I have shared my experience,like everyone does there,
    mostly to help people who are knew at this and lost
    in many questions,so I was happy to share everything I have learned.
    I have answered some questions people asked me,
    mentioned Gerson’s clinic,and my holistic doctor who
    treat any disease without meat consumption,and I was
    blocked from the group after 48 hours?
    I have said the same things many times on other 4 support groups,some people agree,some people don’t,but I never had any nasty comments like on this one.

    • Alice February 28, 2014 at 6:11 pm

      April, As the owner of the Hashimoto’s 411 group I have to respond by defending our stance of removing individuals who take part in negative posts with abrasive, abusive or aggresive responses towards our other group members or moderators. As I recall you were in fact involved in such a scenario. With over 15,000 members these instances are thankfully not the norm as evidenced by our large membership.

      We are long time supporters of Dr. Kharazian and his first book is what inspired me to start Hashimoto’s 411 in order to share information and resources like his with others. We are proud and honored to see that Dr. Kharazian also recognizes our efforts by referencing us here in his website. We are strong supporters of alternative therapies such as Gerson and alternative therapies and addressing the underlying issues of autoimmunity are our core beliefs so I have to say there’s a misunderstanding on your part as to why you were removed from the group. I wish you well in participating in your other groups…..they aren’t nearly as closely moderated as ours. We pride ourselves on our team of dedicated moderators and our members appreciate it.

    • Emily March 9, 2014 at 10:33 pm

      I am interested in learning about your experience with healing autoimmunity without meat consumption.

  • Elaine February 28, 2014 at 1:42 pm

    April, I’m sorry to hear about your experience. Dr. K is putting up a forum for readers, although it’s hard to know whether it will take off.

  • Marlene March 4, 2014 at 4:20 pm

    I am not an expert and am on my own healing journey like most of you are. But, I do have some food for thought for you.I wanted to comment on your fruit/veggie vegan fast and the increase in your symptoms. I have studied health and nutrition for years and recently became a student of an interesting individual named Donna Pessin. She wrote a book called Unique Healing, and while her writing style and personality are a little grating, I find her theory\\’s VERY fascinating and they make a lot of sense. In a nutshell, she believes that fruits, grains, and other carbs are cleansing foods. When you eat these foods your body dumps acids and toxins from your organs and tissues into the blood which gets dumped into your bowel for removal. Most people do not have enough healthy gut flora to bind the acids and toxins to the stool so the body reabsorbs these acids and must store them in the organs and tissues. While these acids and toxins are circulating in the bloodstream they cause damage and negative symptoms. Most people think that cleansing diets (think juice fasting) cleanse the body, but she contends that unless you have a very healthy bowel it can actually do more damage than good because your body can\\’t actually remove the acids from the body efficiently. The acids and toxins get dumped into the blood but are not removed.Donna contends that eating a high protein diet shoves the acids and toxins into the organs causing less symptoms in the short term, but poor health in the long term. People generally lose weight, have better blood tests, and feel better on a high protein/grain free diet but studies suggest that long term health is not as good when eating high protein. There are really well documented studies that show that higher protein diets lead to earlier death.Donna\\’s program focuses on healing the bowel (large doses of probiotics or prebiotics) and also uses large doses of bentonite clay to bind with the acids in the bowel and help your body remove them until your bowel is strong enough to do this on its\\’ own. This gives the gut the help it needs to detox the body and allows the gut to heal. So, why are grains hurting us if they have a cleansing effect on the system. This is due to poor gut flora and damage to our digestive system. Over the last several generations we are losing the ability to digest our food properly for a variety of reasons, but bottom line we don\\’t have the correct flora and enzymes we need to break down glutens, lectins, phytic acids etc. THEORY: If our gut was really strong and healthy we would feel good and be healthy on a cleansing diet high in carbs and grains. Antibiotics, medications like NSAIDS, Birth control and stress all contribute to an unhealthy gut which is then passed down from mother to baby each generation getting sicker. But also our Society does not process and cook our grains in the correct way to make them easier for our bodies to digest and over time they have damaged us. example: Fast rising bread made with processed yeast vs. traditional sourdough that breaks down the phytic acid and the gluten to make wheat more digestible, but that is a whole different topic.Because most of us have a compromised digestive system since birth we can no longer digest grains and lectins properly and they cause damage when we eat them. Also, we can\\’t eliminate the acids and toxins that are dumped into the blood from a high carb diet so we actually feel better with a less cleansing diet (in the short term). However, eventually these acids and toxins damage our organs until diseases like cancer, heart disease, and others are the result. This is the reason you felt worse the more cleansing your diet was.I highly recommend reading Donna Pessin\\’s book and watching her YouTube video\\’s. Be warned that sometimes she is irritating, but look past that and hear what she is trying to teach. I think she may be right and if she is then no diet in the world will heal us without healing our bowel first. Good Luck on your journey and feel free to contact me if you would like to discuss this further. meyer6@acsalaska.net

  • LINDA March 6, 2014 at 7:09 pm


  • Tahi March 8, 2014 at 3:58 pm

    Good info here and plenty of leads to research. Very helpful thanks.

  • Donna March 11, 2014 at 2:53 pm

    Marlene, thank you so much for reading my long post and replying in such detail. Your suggestions are very interesting and I will absolutely begin reading up on this. I do not hold to any dogma, I read a lot of varying theories and just try to follow what seems logical. I will start researching this right away. Thank you so much for bringing this perspective to my attention. :)

  • Natalia March 24, 2014 at 12:07 pm

    Does anyone know why Dr.K recommends avoiding edible fungi and mushrooms?I don\’t seem to find any information on thisThank you.

    • Elaine April 9, 2014 at 1:30 pm

      I believe bc they may provoke yeast or mold infections. I know with mold toxicity, which is not uncommon, you should avoid mushrooms.

  • Julie March 31, 2014 at 6:45 pm

    Thanks for this post. I’m new to this and trying to make positive changes but its a bit frustrating. I look at the GAPS and SCD diets and almonds are ok, but Yams are not. On the diet you listed, Yams are ok but almonds are not. I’m planning on following the diet you listed. But I’m a bit confused by the discrepency as it looks like you are both going for the same effect: digetive health.

    I’m a bit at a loss here. I was diagnosed with Hashimoto’s but am nearly asymptomatic but for thin hair and DOR (diminished ovarian reserve) which I’ve been told may be related to an underactive thyroid. I’m trying to improve my chances at conception by changing my diet, but its a struggle since I feel good no matter what I eat so I dont know what is and isnt working. Any suggestions?

    • Elaine April 9, 2014 at 1:27 pm

      Yes nuts are avoided bc they may cause an immune reaction. Yams are avoided on GAPS bc it breaks down to a disaccharide that may be hard to digest if you have SIBO. It is complicated! If you do not notice much symptom wise you may want to do a Cyrex Array 4 food sensitivity panel.

  • Indra April 6, 2014 at 1:35 am

    Thank you, for your book: Schilddrüsenunterfunktion und Hashimoto anders behandeln: Wenn Sie sich trotz normaler Blutwerte schlecht fühlen. Die 22 Muster der Schilddrüsenunterfunktion.

  • Neda April 7, 2014 at 7:51 pm

    Hi – I\’ve been diagnosed with leaky gut and have had a low thyroid, I tried GAPS and could no longer function at work. It was tough for my brain to think properly and I had no energy after a couple months of GAPS. The first month was GREAT but ever since then , I have been so disgusted at the thought of meat. Is there any thing I can possibly to do solve my food sensitivity and inflammation problems as a vegan? I am already allergic to eggs and dairy and now meat is gross to me but I don\’t know what foods I can have to get the nutrients I need. Any help would be much-appreciated. thank you so much.

    • Elaine April 9, 2014 at 1:25 pm

      It sounds like your blood sugar was getting too low and that’s why you were losing energy. On this diet people have to eat more frequently and often forget as the diet seems to kill appetite. In time your blood sugar adjusts. Perhaps eat more coconut oil and other fats. You do not have to eat a lot of meat, 3 oz 3xday may be plenty. But I am not aware of a vegan source of protein that works on this diet. Perhaps digestive enzymes or hydrochloric acid supplements would help you tolerate meat better.

  • Belinda April 11, 2014 at 5:15 am

    Diabetes has been common with individuals who have dietary deficiency, individuals
    who are obese, individuals with less physical activity and will generally be genetically acquired or
    inherited. Under certain health conditions the pancreas stop secreting
    insulin in the body and the blood glucose level keeps on mounting and results in diabetes.
    Originally grown in Southeast Asia, China, and Africa.

  • ADL April 27, 2014 at 3:33 am

    Very comprehensive article on autoimmune disease strategies – thanks

  • NICOLE April 28, 2014 at 11:10 am


    • Elaine May 4, 2014 at 1:46 pm

      It is recommended to avoid nuts and seeds for about a month as part of the autoimmune diet. Then see how you do when you reintroduce each one at a time every 72 hours. You may be able to find coconut cream or milk without xantham gum in the frozen section of an asian grocery store. Some people make their own, it’s a pain they add that.

  • Kerri Kepler April 29, 2014 at 7:07 am

    Hi, I have read your post which is very informative about the diet, and I have decided that we should eat the natural food and calculate the calories of the day which we take and optimize that these are good for our self or not.

  • Anna April 30, 2014 at 9:09 am

    The foods to avid listed above specified grains which are listed as foods to eat on the page 112 of the book in two week plan of the anti-inflammatory diet. Could you please clarify?

    • Elaine May 4, 2014 at 1:48 pm

      He has modified his dietary recommendations since publishing the thyroid book and will be publishing a revised edition some time this year.

      • Anna May 6, 2014 at 2:56 am

        Thank you Elaine. I understand that print is taking much longer. Were is it online that I can find the new recommendations?

  • frank kern guru May 1, 2014 at 10:16 am

    Some of the largest oilfields in the country are located right here in
    Kern County, including Bakersfield itself. All in all
    I still liked the material that Jason himself provided better than the
    bonuses, but the bonuses and celebrity interviews were great.
    Traders all know price action and volume creates support and resistance.

  • Anna May 6, 2014 at 3:56 am

    Could you please explain why to avoid rice and millet, they do not contain gluten. Why it is ok for zucchini but not eggplant and peppers? What is wrong with almond and sunflower seed? Could you please clarify which substances in these 6 particular foods are triggers for autoimmune system? It is quite important for people to understand why you recommend to avoid these foods but there is no explanation. Particularly in regards to certain vegetables. Also in other publications cabbage and cabbage like vegetables (kale, cauliflower) are to be avoided as goitrogenic. Yet they are recommended here.
    This is so confusing for a reader. Could you please expand this article to clarify why these foods are recommended or not? As I have pointed out already there are recommendations in the book and here which oppose each other and some kind of corrigendum from the author why he changed the recommendations would be in place.

  • Luis May 7, 2014 at 1:49 pm

    I have Hashimotos and my doctor put me on the Clearvite diet 3 weeks ago. She put me on Bio-D-Mulsion Forte and on BioDoph-7 Plus. Well, the Vit D has sesame oil, and the probiotics have “an ultra-trace amount (0.3 ppm) of milk constituents which are used in the fermentation of probiotic ingredients” and I am intolerant of sesame and milk protein. I won’t have a chance to talk to her for another week so I wonder what usually is recommended to Hashimotos patients that are going through this diet. I stopped taking the vit D a week ago and I have two more days of probiotics but I still get brain fog so I need a new probiotic quick.

    • Dr. Kharrazian, DHSc, DC, MS, MNeuroSci May 8, 2014 at 10:34 am

      You can find vitamin D and probiotics that do not contain those ingredients. Dr. Kharrazian formulates products for Apex Energetics.

  • Laura May 8, 2014 at 3:16 pm

    Hi everyone
    I have been doing some research on leaky gut because of my Hashimoto’s and have actually purchased Mickey Trescott’s cookbook as well as Sarah’s “Paleo approach” book, however I’ve read some of Mickey’s recipes and some include ingredients of the “foods to avoid” list for the gut repair diet. As I understand, these foods should be avoided so I will not consider those recipes suitable for me at this point. This causes a bit of confusion because this is a recommended book by Dr. K but I think I will stick to the stricter diet for now as I guess the recommendation is made for a broader spectrum of AI diseases and not only Hashi’s. Does anyone know where I can find a complete list of foods to avoid and foods to eat, based on Dr. K’s protocol? I would really appreciate that info!
    Thank you in advance!

    • Elaine May 8, 2014 at 3:36 pm

      Yes it is very confusing and I think there are different reasons for different things. For instance some say mushrooms are ok, but I believe they are not allowed on Dr. K’s protocol bc they may exacerbate candida or mold infections. He does not go into too much detail on diet as he feels other practitioners are well versed enough to handle that. You can always refer to the list in his brain book, although it is not super comprehensive (spices, etc.)

  • josé carrión May 22, 2014 at 1:27 pm

    about MACA ANDINA botanical extract. I wonder whether it can stimulate TH-1 and TH-2 systems, just like ECHINACEA and ASTRAGALUS.
    is there anybody with information about this? I have not found it in the book by dr. K.
    Thanks a lot

    • Elaine June 6, 2014 at 4:25 pm

      I’m not aware of maca affecting the TH 1 or TH 2 systems.

  • Shirley July 23, 2014 at 9:52 pm

    Although I have Hashis and do not eat gluten in any form except traditional sourdough bread, I have never read on any website discussions that anyone else has also eaten sourdough bread successfully. I asked my naturopath why I was able to tolerant it and he said the lactobacillus bacteria in the sour dough culture breaks down the gluten so a gluten intolerance person could still eat the bread. If I were to try to regrow my thyroid, and I am seriously thinking I will be working on this, I imagine then that I will have to eliminate sourdough but I wonder if Dr. K has made any assessment of sourdough bread in his protocol.

    Another wonderful thing that has helped me is using low dose Naltrexone. My antibodies went from 586 to 221 in a short time. Here is a website that explains more:


    • Elaine July 31, 2014 at 3:19 pm

      It’s not true that any gluten intolerant person can eat sourdough, that totally depends on the person as people react to different components of the gluten protein (see his blog article on this). Yes LDN is helping a lot of people but others don’t do well on it, i imagine it depends on how well one can produce endorphins in response to the receptor site blocking.

  • Coby August 1, 2014 at 11:39 am

    I definitly feel better on this diet. but i find it difficult to prepare the meals.
    so far i am eating carrots, cucumber, apples, blueberrys, steak,sweet potatoes,
    steak or pork chops, chicken.
    what is every one eating for breakfast lunch dinner ?
    can anyone recommend a some basic recipes?

  • Ray August 24, 2014 at 10:54 pm

    I would be careful with Dr. K’s diet and advice. When assessing a doctor and a diet we should always look towards the advocate of that diet.

    I have attending at least 4 of Dr. K’s seminars as a physician myself. One glaring thing that I have noticed is that Dr. K is consistently the largest man in every seminar he teaches. He, undoubtedly, has his own health issues that have driven him to perform his research. But his weight and thyroid look like they are not performing anywhere near an optimum of health.

    Many of the studies Dr. K cites are quite faulty, and the premise of many of the dietary principles he recommends are vulnerable to deeper analysis. I would not take everything Dr. K says as gospel. He is a very smart man, and has made many valuable contributions but he has very strong biases. His comments about vegetarians and vegans are extremely flawed. Many of the best healers in the world, including Dr. Rau of the Paracelsus clinic, still recommend a mostly vegetarian diet.

  • Jeannie August 28, 2014 at 5:32 pm

    I was wondering if you could suggest a doctor (natural) in 85712?
    If I am pretty much symptom free and managing with a level dose (small) of natural thyroid for years, do I need to really avoid beluga lentils, quinoa or buckwheat? I love them and they sit well with me…Thank-you

  • Shazzy September 5, 2014 at 8:56 pm

    Does anyone have suggestions for protein intake if I’m a vegetarian? I eat fish but definitely don’t want to every day. I’m seeing mixed comments about eggs. I’d like the info to be based on scientific research, not just passed on from one blog to another.

  • Shazzy September 5, 2014 at 11:20 pm

    INVARIABLY?? No. I have Hashimoto’s, severe: Schmidt’s Syndrome (primary ovarian failure). Diagnosed almost 30 years ago in my 20’s. No gut problems, ever. Was a vegetarian for most of those 30, and only recently stopped when the research on my go-to protein, soy, was implicated as goitrogenic. Also stopped cruciferous vegs.

  • Claire October 7, 2014 at 10:51 pm

    I have tried this diet for many months, I found it very unsuitable for a long period of time. It leaves us very little food we can eat.

  • Claire October 7, 2014 at 10:54 pm

    I have tried this diet for many months, I found it unsuitable for a long period of time. It leaves us very little food we can eat.

  • Nicole Carroll October 30, 2014 at 1:05 pm

    HELP! There are so many different opinions out there for what is allowed for autoimmune diseases or to reduce inflammation. I have a few foods in particular that I am wondering if they are okay. Flax meal or any flax? chia seeds? arrowroot flour? ghee? So many websites are showing these ingredients and others that don’t seem to make sense that they would be okay?

  • Zia November 17, 2014 at 11:47 am

    I feel like I’ve been given the Golden Ticket finding Dr K’s work and this diet, in particular. I saw his video as part of a gluten telesummit. Life changing! I cried, literally. I’ve not been diagnosed with Hashi’s but every single thing he described in the paleo hacks video fit me. The insulin resistance spiral, combining with unknown food intolerances, the “out of nowhere” attacks of brain fog and fatigue and weight gain even doing Paleo, but especially when not. I finally “got” it!

    Background – I have PCOS for sure. Thyroid always suspect but never tested badly. Insulin suspect but never tested badly. So frustrating for doctors to keep telling you there’s nothing wrong with you. I started gaining weight with first baby. Never could lose it. 18 months strict calorie counting. 18 months Atkins. 8 months “grey sheet” diet (nothing white – no dairy, starches, wheat, rice, sugars). Nada.

    Finally in 2011 I started a plan called Matol. It worked! I lost 111lbs in 10 months. Miracle. I needed to lose more but it stopped. I was happy just to maintain at that point, really Felt great. Then my Dad was killed and everything changed. My diet was roughly paleo 95% of the time at that point, but I could eat whatever once in a while an not gain. Now, especially with the on-the-road eating I had for about 3 weeks in the aftermath, I gained. And I kept gaining, even when I went back on plan. Matol doesn’t exist anymore, but I tried the next best thing. Nada. I could NOT figure out what the hell was going on, and why I kept gaining and gaining. All 100lbs actually. Heartbreaking. Shameful. Trying so hard, no results.

    Seeing that vid explained SO much. Even the fact that the emotional stuff of my Dad’s murder actually DID mess with my metabolism. AND even why Matol worked — essentially it WAS the autoimmune diet, presented in a different way. The weight stopped when I started introducing “extras” — dressings that had no sugar, but I now suspect had gluten. Drinking instant coffee – gluten. Bringing dairy back in a little at a time. But other things that I wasn’t eating that are ‘good’ for you – tomatoes, eggplant, seeds, eggs. But I wasn’t having those on Matol. Oh, even what he said about TUNA being a reactor was true of me. Eat tuna=knocked OUT! Oh, and exercise — that too much causes a flare. YEP! 4 minutes tabata it is, and it feels HARD at my current weight, but I can do it. Feel stronger every day.

    So… saw the vid. Got the Thyroid book. Found this blog, immediately went on full strict diet. It’s been 3 weeks and I’ve lost 17.5 inches off my body… about 10lbs, and feel SO MUCH BETTER. I’m supplementing up the wazoo (32k of Vit D – actually told by Doc for FDA we need around 40k if deficient – chromium, tumeric, omega, resveratrol, something called Rythmatics, cal, mag, zinc and aloe.) I had already quit coffee and cheese a few weeks before. NOW I know why such a huge detox to those. Massive triggers.

    And here I am. I eat way less, as he also recommends for those with the insulin issues. And I am not hungry. About 1 cup of food a meal. If hungry, I eat more. Just 2-3 oz of protein and veg. Olive oil. Olives and sauerkraut. Simple, but it’s working. I had no idea there were hidden gluten in certain things. I suspected nuts and seeds but it didn’t make ‘sense’. Eating so strictly sucks, of course, but damn, if it works, it works. I know the inflammation is going down. I know I am getting into balance again. I feel empowered! I did get the cookbook on this page but I note some things contradict, like mango. I will have to see how I go with coconut milk/flakes as I always had weird reactions to coconut. I guess the 20+ years monitoring and researching (and documenting) things on my own pays off as I have a real jumpstart on what I can/can’t eat.

    I felt so hopeless not being able to lose weight again, however strict and healthy. Plus slowly losing health and mobility, no no no. I’m overjoyed to have an answer and something to follow. I always said, “for me it’s not the gluten, it’s the carbs”. WRONG. Both, lol. Anyways, that’s me. Working hard at making the changes, but ELATED to figure it out at last, and hear someone explain why my body was acting as it was. It’s not my enemy–I’ve been inadvertently poisoning it for years. Not any more.

    Good luck to you all. You can do it! You deserve it!

  • Luci December 10, 2014 at 8:56 pm

    Would you please create a downloadable pdf of the Foods list? That would be so helpful!
    Also what about the sweetner Xylosweet, which is xylitol based? I’ve used it some and like the taste far over stevia. It is also a one to one, tho’ I find I can use a bit less around 2/3 of the amount for a sugar substitute.

  • John December 10, 2014 at 9:57 pm

    If Your blood test shows tsh,t3 and t4 in the middle of ranges but there is also existence of thyroid antibidies but one feels normal what does it mean for the future and what is the best action one should take if any?

  • Ave December 13, 2014 at 1:32 am

    What protein powders do you recommend for someone who is vegan and trying to adhere to the diet? I would like to continue my protein shakes after working out. Is hemp okay? What about Sacha Inchi?

  • Kimm December 29, 2014 at 12:07 pm

    I’ve been following Dr. K’s work and dealing with leaky gut, brain-gut axis, candida, IBS etc… diet has made a huge difference, but I’m still having problems, particularly with constipation. I’d love to see someone Dr. K has trained, but the closest I can find is in New York. Does anyone know of someone in the Boston/New England area who deals well with all of this? Thanks

  • marie December 31, 2014 at 2:45 am

    Can anyone speak to trying to follow this diet with Gastroparesis (nondiabetic, probably caused by pernicious anemia resulting from atrophic gastritis; negative for H. pylori)? I look at the allowed/disallowed foods list and think “you have GOT to be kidding me”… The foods I tolerate best are pretty much ALL on the disallowed list: grass-fed organic dairy products (raw milk, yogurt, butter, cheeses), pastured eggs, sprouted grains, potatoes and similar low-fiber veg (fiber is one of the main “enemies” with gastroparesis because it slows digestion even further, so fruits and vegetables are very limited), nut butters, bananas, sprouted brown rice protein powder. I’m also allergic to coconut! So basically his recommendations eliminate about 75% of my diet and leave me very little I _can_ eat. It took over 1 1/2 years to be able to eat solid food at all and I’m one of the lucky ones.

    Also, my bank account laughs hysterically at the notion of eating over half a pound of pastured meat or wild fish/seafood a day – I do eat only pastured meat because CAFO meats, even organic, make me feel much worse, but finances limit consumption of this extremely costly product to 2-3 times a WEEK! Grass-fed dairy and pastured eggs are also more expensive than their conventional counterparts, but I can get 6-9 meals out of a $4 dozen eggs, 4 meals out of a $5 quart of yogurt (homemade would be cheaper since I pay $6 for half a gallon of local raw milk, but every time I’ve made it it’s tasted hideous! I puked the 24-hour yogurt almost as soon as I swallowed it, it was so awful) so it’s much more cost-effective than meat/fish. Of course I’d love to be able to afford to eat more meat/fish but I already get virtually no luxuries like going out, vacations, books/music, new clothes, etc. because all my money goes to groceries! I also cannot afford to consult any “alternative” practitioners, I can barely afford the 20% co-pays for the people ON my insurance, so I’m stuck doing all this completely on my own.

    • Elaine December 31, 2014 at 12:27 pm

      The diet is a guideline that works for most people but admittedly not all. It is meant to be a starting point and then you customize it in a way that works for you. In seminars he says autoimmune gut issues like yours are largely a matter of trial and error in terms of what will work. Hopefully the dairy and egg are not triggering your autoimmunity. He is pretty clear when he teaches that in autoimmune gut issues there are no pat solutions or easy answers. The food panel is around $225 i think, it could give you insight without having to eliminate anything. Many people cannot afford top quality, you do what you can.

      • marie December 31, 2014 at 3:22 pm

        I don’t have $225 laying around, I wish I did. I would have been able to have Christmas. As I said, CAFO meats make me sicker (even when controlling for everything else) so it’s not that I just don’t feel like buying the lower quality stuff, I CAN’T use it – I wouldn’t say anything if I could just switch back to $1.29 chicken and $0.89 hamburger instead of $9.99 chicken and $7.99 hamburger. I can’t even figure out where to start here. Sure, cutting out the sprouted grains (khorasan, spelt, oats, rice – no modern wheat) is what I would probably do first, but what I would substitute (potato, quinoa, nuts) is also specifically prohibited. I get a LOT of meal mileage out of a 5-lb bag of sprouted flour ($15-20), you know? I don’t know how I would cut out dairy when I’m allergic to the only allowed dairy substitute AND it’s the primary protein source for at least half my meals because it works in my budget and my tricky stomach accommodates it well meaning it almost never comes back up and passes through in a reasonable-for-me amount of time. I do at least emphasize A2 casein over A1, the farm I get my milk and yogurt and some of my cheese from has a Jersey/Guernsey herd (I hate the taste of goat’s milk and goat yogurt, but I use some goat and sheep cheeses).

  • Lesley January 5, 2015 at 12:46 am

    This article is amazing. Thank you for posting the diet as it’s so helpful. There are really so many Gluten-Containing Compounds i am eating and did not realize as i try to stay wheat free. This is different to any diet I have tried before to help my hashimoto’s. Will be giving it a go. Thanks.

  • bart January 9, 2015 at 12:15 pm

    I went on this diet starting with:
    TPA 96 IU/mL Above High Normal <9 IU/mL

    after the diet for 2 months TPA went up:

    TPA 471 IU/mL Above High Normal <9 IU/mL

    This is very confusing. I though the diet was supposed to help.
    I see completely opposite result.

    • S April 4, 2015 at 2:02 am

      Yes, i see i am not alone, would be nice to hear from the researchers.

  • Carrie January 10, 2015 at 8:14 am

    wpuld someone recommend a good dr in nj/ny please.

    My incredible Dr who studied with Dr K developed an inoperable brain tumor. I am devastated and need a replacement.

  • Kamilla January 13, 2015 at 7:10 am

    Hi! I read somewhere, that autoimmun paleo diet is not for eternity, it’s just something, you follow until you slowly can digest other foods again. Is it true? I mean, I’m on “normal’ paleo diet, but I think AIP would help more. Is it possible, that after a while I can go back to normal paleo again? Thank you for your answer! Kamilla

  • bart January 14, 2015 at 3:41 pm

    Is Plantain, yuca, taro, Rutabaga allowed on autoimmune diet if one has thyroid antibodies? Eating sweet potatoes is just too sweet. I lost so much weight already. 6.1 and 158 when 6 months ago i was 178. Seems like veggies and meat cannot give me as much calories as pasta, bread and potatoes and you basically cannot get fat with this diet. I feel good, have lots of energy, but i cannot gain weight.

  • bart January 30, 2015 at 11:04 am

    Is there a case of a person who would have thyroid antibodies, went through diet, do to remission and some time later reintroduced wheat, nuts and diary with no side effects and no signs of antibodies?
    It is hard to believe that human body could be that stupid and never heal. The immune system must be smart enough to know the difference between self and not self.

    • Elaine January 31, 2015 at 1:42 pm

      Anything is possible but I’m not sure it’s the body that’s stupid. Perhaps more stupid is the hubris to think that saturating our environment and food supply with toxic compounds that bind to DNA, genetic modifications, and the industrialization of the food supply would have no health consequences. The body is beautifully designed for the environment in which it has evolved, but has not had the opportunity to yet, if ever, adapt to unprecedented levels of toxic compounds.

      • bart January 31, 2015 at 4:10 pm

        Beautifully said.

  • Michael February 25, 2015 at 11:33 pm

    On your blog you mention mushroom must be avoided on your hypothyroid diet ? you mean all kind of mushroom ? and why ? i thought mushroom is healthy

  • suzanne March 5, 2015 at 1:20 pm

    Someone was asking about Goji berries. It is part of the nightshade family so it should not be eaten. Below is from Wikpedia:

    Goji, goji berry or wolfberry is the fruit of Lycium barbarum and Lycium chinense, two closely related species of boxthorn in the family Solanaceae. The family also includes the potato, tomato, eggplant, deadly nightshade, chili pepper, and tobacco

  • stemcelltheapy March 11, 2015 at 12:03 am

    great post.

  • suryabhan singh April 1, 2015 at 6:14 am

    My son age 5 years old .weight 18 kilograms.
    Last august 2014 just we do routine check for tsh .
    and that time TSH was 5.70 (range 0.3 ….5) free throxine 14 (range 11.58…….18)
    Than we recheck again in september tsh 2.97 free thyroxine 18.10 we check ANTITPO it was 258 (range less than 100)
    After this test i find articles in internet that NAET treatment helps,luckily i found one in my area, we went NAET treatment
    things i started
    to give regular fruits,dont be fasting more than 5 hours small meal,I make regular excersie for my son 4 days a weak (30 minutes cycling)
    I staretd in food
    having a regular fish (sardine,2 times a day small amount around 24 grams a day.
    allternate days chicken liver)
    started selenium in source of brazilian nuts around 1 mg.
    AFTER this i do blood test in december 2014
    tsh 4……free thyrosine 18 Antitpo 66
    i m very happy with this.

    Than i doo alll same thing,but given little sugar homemade sweets around 16 times, (in three months) we give him dairy around 6 times all curd,
    And reading now
    Tsh 5.49
    throxine 14
    Antitpo 101
    THESE TIME I DO SOME MODIFICATION IN DIET I didnot give fish and liver becuase my son uric acid increase
    PLEASE HELP ME im now thinking what i made wrong from jan 2015 to march 2015.
    I done many other blood test also.

  • This very effective if you might be going for subdued or pastel colors.
    Joe had a rare habit of breaking or biting his guitar picks by 50 percent to
    a more compact size that he felt was more comfortable.
    Make sure you also check the base of screen or storm doors,
    and ensure they close tight.

  • S April 4, 2015 at 1:54 am

    Thank you for the research information. However, i have another experience. I have Hashi’s and hypo. Once i went for a grain free diet, with salads and healthy meat/fish, i hoped it would help me to lose weight. On the contrary, on the third day i was very sick, annoyed, stressed, and all i wanted was some cereal, or even better some freshly baked bread. I couldn’t stand anymore, came to my fridge at 10 pm and made myself a big sandwich. After that i could sleep calmly.
    I agree that cakes and pastries don’t do any good, but they are ‘processed foods’ that should be avoided. Does it have to do with the grains?
    I start my morning with banana and cereal and feel energy. Am i only one like this?

  • John April 17, 2015 at 3:05 pm

    I always wonder what Dr.K eats? what is his diet? Does he eat gluten? Does he have any health issues?

  • Marilou May 14, 2015 at 1:18 am

    Have you tried Acai Berry ? A good foood supplement for ones who want to lose weight

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