Making Progress: Hashimoto’s Update

This is the second post in a series about my journey with the autoimmune condition Hashimoto’s thyroiditis. Here’s part 1, in case you missed it. My intention with this series is to share my personal experience so that anyone who recognizes themselves in the symptoms can move forward with healing and know that lifestyle changes can make a HUGE positive impact. 

Contrary to my wildest hopes, my Hashimoto’s and adrenal issues did not spontaneously go into remission as soon as I started targeting them. Unconsciously acting in alignment with the negativity bias, I tend to see how far I still have to go and what’s still wrong more than I focus on how far I’ve come. Can you relate?

However, though I can’t say I feel 100% everyday, when I look back at how I felt 3 years ago, or even just a full year ago, without a doubt, I feel much better.

In this post, I’ll briefly discuss what symptoms have improved for me, what I’m still struggling with, and a brief overview of the protocol.

What has improved for me?

My energy levels throughout the day are much more consistent. I don’t struggle with afternoon fatigue much. I can go running and go to the gym again without feeling completely drained or experiencing the deep muscle fatigue that I couldn’t shake previously.

My hormones are becoming more balanced. I know this because, among other indicators, my monthly cycle is regular again. Also, my sleep cycle has regulated. I feel tired in the evenings and fall asleep easily, I sleep through the night, and I usually wake without an alarm, with plenty of energy to start the day. This also indicates to me that my cortisol level and rhythm is balanced. See this article if you’re curious to learn more about adrenal health, especially as it pertains to endurance athletes.

I no longer struggle with feeling cold as much as I used to, especially in my hands. I used to have constantly cold hands and feet. This was particularly a struggle in shoulder seasons and on winter adventures when my hands would get so cold (even with multiple gloves on) that I would need my adventure buddy to help me with zippers, clasps, and opening food wrappers. This was so frustrating and often unsettling on solo adventures.

My immune system feels strong. Despite several sick coworkers, being out in public places often, and having a very full schedule, I haven’t gotten sick this winter. I never used to get sick much either, but this is also confirmation that my immune system is healthy.

Finally, (and this is huge), I feel like my digestive system is working so much better again. As I mentioned in the previous post, leaky gut is one of the factors which contribute to the expression of autoimmune disorders, so getting my gut health in order is top priority for me. Pardon the graphic nature of this next paragraph, but this is a health website after all, so properly documenting my full experience is important and hopefully helpful to anyone else who is struggling.

How did my gut health change? I started digesting and assimilating my food much better. I know this because my BMs went from not-so-regular and loose to regular and well-formed. This is so important because it was very noticeable evidence that I was healing my leaky gut. Hooray! That translates to less immune system activation (a good thing in this case) because large proteins are no longer permeating the gut lining. Digesting my food properly has also given me more energy.

I didn’t realize my digestion was so out of whack until it got better. I spent several years as a baker and pastry chef. I don’t have much of a sweet tooth, and when I would eat bread, it was organic and naturally-leavened (think sourdough), so it’s not like I was going crazy with pastries and bread on the daily. In retrospect though, I now realize that even that small amount of gluten was likely significantly contributing to my poor gut health, and the expression of autoimmune symptoms.

What still needs improvement?

It’s satisfying to reflect on the positive changes that have taken place, because healing any health condition with diet and lifestyle changes takes true dedication and commitment, and it can be challenging.

That being said, many autoimmune conditions can be put into remission, but you can’t expect them to disappear overnight. While I feel significant improvement in many of my thyroid symptoms, there are a couple things I still struggle with.

One is not feeling as resilient as I used to be. For example, if I don’t get the sleep that I need, I really struggle with energy levels the next day. My hope is that as I continue to repair my hormone profile, I’ll be able to bounce back quicker from a night of poor sleep.

Another issue is occasional brain fog. While I feel much more clear and focused and have better memory recall than I did a couple years ago, I still find that some days, I just don’t feel as on point as I know I’m capable of being. This is greatly impacted by diet and sleep.

Finally, and this is a difficult one for anyone athletic, or anyone at all really, is that my body is still holding on to some extra weight despite a clean diet and regular movement practice. This makes sense since the thyroid governs metabolism, but it’s frustrating none-the-less.

What’s the protocol I’ve followed?

I’ll briefly outline the protocol I’ve followed and then will dive in more deeply in a future post.

It was important to me to try as many lifestyle changes as possible to heal my thyroid gland before going on medication, so the protocol I used is based entirely around diet, sleep, stress management, and supplements.

It’s organized in 3 stages, including a liver cleanse, an adrenal reset, and a gut healing phase. Each stage progressively eliminated more trigger foods and focused on key supplements to start taking. Lifestyle practices, such as getting optimal sleep and reducing stress as much as possible, were also emphasized.

I definitely didn’t complete the program perfectly, but the changes I made were enough to elicit big shifts in my health. I understand there’s still a journey ahead, but the progress so far is promising.

Post questions/comments below or reach out to me via my contact form, and keep an eye out for the next installment.

 

What’s Wrong With Me? (aka My Journey with Hashimoto’s)

summit wellness

It’s been years since I felt as strong as I used to.

Ever since finishing my thru hike of the Pacific Crest Trail, I’d had bouts of extreme fatigue, deep muscle soreness, cold intolerance, mood swings, and hair loss. An assortment of seemingly random symptoms that would come and go, leaving me feeling confused and frustrated.

Many of these symptoms have been present in my life for a long time, but after finishing the PCT, they became much more pronounced. I expected to finish feeling stronger than I’d ever been before. I’d jump right back into trail running and be at a new level of strength and endurance. Instead, I couldn’t run more than a few miles without feeling extreme exhaustion. I was depressed. I wasn’t having my cycle and I often felt sore for no reason.

I’ve always been athletic and health conscious. I was doing everything I knew to do to be healthy. And I still felt horrible. After a few months of rest and experiencing only minimal improvement, I went to see a doctor. I had some blood work done, everything came back “normal”, and I was told that perhaps I needed to improve my diet, exercise more, and that essentially, it was just in my head. This was frustrating, as I was a health conscious vegetarian who exercised daily, and I knew my body well enough to know something was not right.

At this point, it became clear I’d have to find my own answers. Due to a background in biochemistry and decades of reading health publications, I had a good foundation to start from. I read and listened to anything I could find having to do with adrenal and mitochondrial health. I sought out mentors, I interned under wellness practitioners, and I completed a Botanical Medicine Certification to understand what would truly support my body rather than cover up symptoms. I studied functional nutrition and began a certification to become a Holistic Nutritionist.

I experimented with different diets, training protocols, and supplements. Symptoms would come and go. I was continuing to train for ultra marathons and my performance would come in waves. Sometimes I’d feel great and run for hours with no problem.  Other times, I was weak, tired, and lacked the stamina needed for long runs. Despite the times when I didn’t feel well, I continued to push myself to run daily.

I’d built an identity around being athletic, outdoorsy, and tough, and pushing through is what you did whether you felt like it or not. While this mentality has served me well in several endeavors, including long distance hiking, I was causing my body to be further depleted without even realizing it.

Eventually, I found my way to a functional medicine practitioner who did an extensive intake, including a full thyroid panel. It was then that I discovered I had Hashimoto’s thyroiditis.

Hashimoto’s is an autoimmune disease in which the body attacks it’s own thyroid gland.  The thyroid gland produces thyroid hormones, which have wide-ranging functions in the body, including regulation of metabolism, growth and development, and temperature control.

When I finally received the diagnosis, it was somewhat of a relief. I’d been struggling with an array of unexplained symptoms for quite some time. Despite all the research and self-experimentation I’d done, I still had no real answers up until this point.

My reaction came in waves. At first, I was glad to have something to target. I knew my direction. I could make a plan. Next came the frustration of knowing that autoimmune conditions are hard to treat and something you manage for the rest of your life. My identity as a long distance hiker and ultra runner was in peril. What if I never fully recovered? What if I had to give up long treks in the wilderness–the activity that filled my soul the most?

And during all this time, I was in denial of the heaviness, the seriousness of what this meant for me. I thought I would remove trigger foods from my diet, take a break from training, and be back to 100% in no time, right? Not quite.

I realized this is a pattern for me. I tend not to acknowledge the heaviness of an event or situation. I put blinders on and convince myself that everything will turn out fine. This lens of optimism and guaranteed triumph over hardship has served me well in life. I often push forward instead of letting fear get in my way. But it finally came crashing down on me that this tendency has also kept me from fully experiencing life and fully feeling my own struggle and that of my loved ones. Not fully feeling kept me from being as empathetic and present as is necessary to process and move through hardship.

There are many factors that go into developing an autoimmune condition, including a genetic predisposition, a trigger (or several), and gut impermeability. It’s hard to know the trigger for sure, but for me, I believe it was a rattlesnake bite and brown recluse bite in the year before I hiked the PCT, coupled with the stress of the trail and a significant break-up that caused Hashimoto’s to surface for me.

Autoimmune conditions are not an easy fix. You don’t take a pill and get cured. In the conventional medical model, those with Hashimoto’s take thyroid medications for the rest of their lives. These provide synthetic thyroid hormones to manage symptoms, but taking the medications don’t actually get to the root cause to stop the body’s immune attack on it’s own thyroid gland.

I’ve always avoided pharmaceuticals when possible, opting to focus on the root cause of the problem and restoring the body to balance, rather than suppressing symptoms. My approach to Hashimoto’s is no different. I found experts who had put the condition into remission through changes in diet and lifestyle. The science and evidence was there to support this approach so I would try that before considering medications.

It’s been about 6 months since learning about the condition and I’ve been on a protocol that supports my liver, adrenals, and gut health. While my symptoms have improved dramatically, I still struggle occasionally.

However, I’ve learned an incredible amount about autoimmunity and health through my journey. I’m far enough on the path to have learned how to deal with the condition, what exacerbates symptoms, and what relieves them.

pct hiking sierras

I have high hopes for big adventures in 2018. I’ve felt so deeply the struggle of not being outside doing what I love because of how terrible I’ve felt. It motivates me to get well, learn as much as I can, and to guide others who get sustenance from being in the outdoors, but who struggle with their health.

I’ll post more on the protocol I’ve followed and on my journey with Hashimoto’s in a future article, but if you have questions, please don’t hesitate to post a comment below or use the contact form to reach out. I read every response.