What to eat with hypothyroidism (and Hashimoto's)

By Dr. Andrea Pérez Jaramillo · Physician & nutritionist · Medically informed
Quick answer: Food doesn't cure hypothyroidism but supports energy and weight: prioritize selenium, zinc, iron and vitamin D, take levothyroxine on an empty stomach, and moderate, don't ban, cruciferous veg and soy.

If you have hypothyroidism or Hashimoto's thyroiditis, food doesn't "cure" the thyroid, but it can help your energy, weight and digestion, and support your treatment. Here's how, without the myths.

Nutrition supports, it doesn't replace treatment

The foundation of hypothyroidism is the treatment your doctor prescribes (usually levothyroxine). Nutrition doesn't replace it, but it does help with common symptoms like fatigue, difficulty losing weight, and digestive issues.

Key nutrients for the thyroid

What to watch

Hashimoto's: the autoimmune component

Hashimoto's thyroiditis has an autoimmune component. Some people feel better reducing ultra-processed foods and taking care of gut health and vitamin D. The gluten question is individual: not everyone needs to remove it. That's why it's best to assess your case rather than follow generic internet rules.

Every thyroid is different. Let's build a plan around your labs and symptoms.

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Frequently asked questions

Does food cure hypothyroidism?

No. Nutrition supports your medical treatment and helps with energy, weight and digestion, but it doesn't replace the medication your doctor prescribes.

Do I have to give up gluten with Hashimoto's?

Not necessarily. It's individual: some people improve and others don't. It's best to evaluate it with support rather than removing it by default.

Can I eat broccoli and cauliflower?

Yes, in moderation and preferably cooked. In normal amounts they aren't a problem for most people.

This article is informational and does not replace a medical consultation. For a plan based on your labs, book a clinical nutrition consultation.

Dr. Andrea Pérez Jaramillo
Dr. Andrea Pérez Jaramillo Physician with a master's in Nutrition and Food (University of Barcelona). In-person care in Medellín and online, in English and Spanish. Learn more →