Rachael Attard

My Hypothyroidism Story – Diagnosis & Treatment

Hypothyroidism
Hypothyroidism

Author: Rachael Attard

Table of Contents

Some of you may know that, in the past, I have struggled with hypothyroidism, plus a few other health issues (mostly adrenal fatigue, hormone imbalances, and nutrient deficiencies).

I’ve also had really bad gut health issues in the past, which I’ve now solved – yay! You can read about my gut health issues and how I fixed them here.

I find that with hypothyroidism and adrenal fatigue, the symptoms develop slowly and get worse and worse. It isn’t until you’re really unwell that you think there might be a problem. This is exactly what happened to me.

I probably had these issues for years, but it got to a stage where I was so sick and unhealthy, and that’s when I finally started looking into the cause of it.

Since posting about my hypothyroidism and adrenal fatigue on my social media and blog, I’ve had comments from SO many women who have the same issues.

 
 
 
 
 
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And a lot of you have been asking me about my diagnosis and treatment so I wanted to share my information with you all. If you are experiencing the same issues, you will be able to seek the right help and get fixed ASAP rather than waiting a few years like me!

Here are my other blog posts if you want to have a read –

    Also, I haven’t done a full blog post on adrenal fatigue yet, because there’s just sooo much to write!

    Your adrenals and thyroid are linked (both being parts of the endocrine system), so if you have a problem with one, you most likely have a problem with the other. I will write a whole different series of blog posts on adrenal fatigue.

    MY HYPOTHYROID SYMPTOMS

    hypothyroidism

    I had been experiencing some symptoms associated with hypothyroidism, such as weight gain/difficulty losing weight, puffy face, tiredness all the time/no energy, dry skin, depression, etc.

    But I just thought that the physical changes were from getting older and the other symptoms were caused by travelling and also the past issues I’d had with gut health.

     
     
     
     
     
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    These symptoms had been developing over several years. And it wasn’t until they got really bad that I decided to do some research online.

    I came to the conclusion that I had a hormone imbalance due to long term use of the contraceptive pill, so I went to see a naturopath in Canada (where I was at the time).

    Tests showed I had a hormone imbalance and suspected hypothyroidism. I needed more testing for the hypothyroidism, but we were leaving for Europe and then did some pretty heavy travel so I never got to get the testing done.

    I went off the contraceptive pill and didn’t get my period for 6 months. Once it came, it was a bit all over the place (usually around 40-day cycles) for about another year. 18 months after coming off the contraceptive pill, my periods are now normal.

    OK, back to where I was! I did more digging and after lots of research, and decided I had hypothyroidism (I’m a classic self diagnoser).

    My face had become so puffy, especially around my eyes and cheeks. But also my nose had become bigger, as well as my jawline.

    My whole face shape changed. I had also gained about 5kgs 2 years ago and had never been able to lose it, no matter what I did. The weight was mostly around my mid section, thighs, back of arms and face (OK, everywhere really).

    TESTING FOR HYPOTHYROIDISM

    By this stage, we were back in Australia so I immediately booked in to see my naturopath. She referred me to a holistic doctor who specialised in hypothyroidism. We did all the testing and my results came back fine.

    I was told my TSH, Free T3 and Free T4 for levels were OK, I was just extremely deficient in iodine and had a few other deficiencies, such as zinc and vitamin D (all of which are really important for your thyroid). Your thyroid can’t actually function properly without iodine (and zinc) so my doctor suggested that I take iodine and zinc supplements, which I did.

    I started taking 288 mg of liquid iodine (Bioceuticals brand) daily. After a month, I hadn’t noticed much difference. I did some research online (I’m a sucker for it!) and found a lot of stories about people with hypothyroidism and how some people were taking 12.5mg of iodine daily.

    I was taking 0.288mg. Not even 1mg! I upped my dose to 1.2mg daily (not even close to 12.5mg) and after about 6 weeks, I started noticing improvements. The weight started dropping off, and I hadn’t changed my diet or exercise. I was actually doing a lot less exercise. I was happy about this, but I wanted some better advice.

    I booked in to see another naturopath who specialised in hypothyroidism, and I finally got the results I was after! It turns out my Free T4 and Free T3 levels weren’t OK – they were both low. But what my other doctor didn’t test for was reverse T3.

    I don’t want to get too technical, but basically, Free T4 needs to convert to Free T3 because Free T3 is the active form of the thyroid hormone. My reverse T3 was very, very high and I was told that my Free T4 was converting to Reverse T3 instead of the usable Free T3.

    I finally had some answers!

    I was also tested for every possible deficiency that you can imagine, and I was still low in iodine (although it had increased a fair bit since taking the supplements). I was also still very low in zinc, and a whole range of other things, such as magnesium and iron.

    TREATMENT FOR HYPOTHYROIDISM 2017 – FROM NATUROPATH

    The second naturopath (who did the better testing) gave me the following supplements.

    ENERGY FORMULA ONE

    This is basically like a multivitamin, just with more absorbable forms of each vitamin/mineral. I have been taking this long term and it seems to help. It has lots of B vitamins, zinc and selenium, which are all important.

    It also has a high dosage of iodine in it. I found that liquid iodine (Bioceuticals) worked better than capsules for me. 

    ZINC CITRATE

    My naturopath told me that this type of zinc is more bioavailable than over-the-counter zinc supplements, and is a stronger dose. I’m currently taking 2 of these per day (60mg in total). Correction – zinc picolinate is the best form, according to my doctor.

    IODINE

    I tried this capsule form of iodine as well, but didn’t see much difference.

    OCTOBER 2018: UPDATE

    After taking this medication above, I was still struggling with hypothyroidism symptoms such as extreme fatigue, weight gain / inability to lose weight, puffiness, etc.

    I came back to Australia and decided to see an Integrative Doctor rather than a naturopath. In hindsight, I should have done this much sooner.

    We did more tests, and turns out I had the following:

        • Hypothyroidism caused by poor T4 to T3 conversion, and high Reverse T3

        • Iodine deficiency

        • Other deficiencies including silica, chromium and magnesium.

        • High leptin (my leptin levels are that of an extremely obese person)

      TREATMENT FOR HYPOTHYROIDISM – INTEGRATIVE DOCTOR

      TO TREAT HYPOTHYRIOIDISM – SLOW RELEASE T3

      To fix the T4 to T3 conversion and high Reverse T3, I need to take a T3 only supplement. I had mine made at a compounding pharmacy. I am taking it for 50 days. After this, I will be tested again and then my dosage will either by changed, or I will be able to stop taking them.

      I noticed a HUGE difference in fatigue within the first 2 weeks! It is honestly the best I’ve felt in a long time.

      You can only get this medication from a doctor, not a naturopath, and you cannot order it online. Most regular doctors or endocrinologists will not issue this medication, so it is best to see an Integrative Doctor.

      TO TREAT IODINE DEFICIENCY

      I have been taking low dosage iodine for 1.5 years and am still deficient. So this time, I am again taking the high dosage iodine supplement from Lucy Rose Clinic (capsule form).

      iodine hypothyroidism

      Last time though, I didn’t think it did much for me. So I am also taking Bioceuticals liquid iodine as well. I will have my levels tested again soon to make sure they are back up where they should be.

      TO TREAT NUTRIENT DEFICIENCIES

      My nutrients deficiencies are magnesium, chromium and silica. I am taking supplements for all of these (still waiting for my silica supplements though).

      hypothyroidism supplements

      Fibroplex Plus powder is great for magnesium. It also has a low dose of chromium in it, but I am taking another chromium supplement as well. It also has glutamine, which is great for your gut health.

      hypothyroidism supplements

      TO TREAT LEPTIN RESISTANCE

      This one is a little more difficult to treat, and I am mostly self-treating this one.

      Treating zinc deficiency, adrenal fatigue and hypothyroidism will help this reduce on its own. As well as getting good quality sleep!

      I read these articles here and here from an Integrative Doctor and it provide some great information.

      hypothyroidism

      I am taking this supplement (Inositol), which lowers both insulin and leptin. And am also taking Alpha Lipoic Acid.

      hypothyroidism supplement

      And I am also making the following dietary changes, which are recommended for leptin resistance:

          • No grains or processed sugar

          • Higher fat and lower protein and carbs

          • 3 meals and no snacks

        If you want to try out this type of diet, I have a 7-day meal plan that is dairy, gluten and processed sugar-free. But you need to be consistent and patient in order to see long-lasting results.

        Light pink headline 7 days Meal Plan.png






        OTHER SUPPLEMENTS

        I am also taking the following:

            • Adrenotone – to help with adrenals

            • Vitamin C (natural, not ascorbic acid) – vital for adrenals as well

            • B complex vitamin

            • Iron (only during my period)

            • Vitamin D (only when I don’t get much sun)

            • NAC or “n-acetyl-cysteine,” helps to reduce mucin, which is the fluid build up experienced with hypothyroidism. This is generally around the jawline, backs of arms and mid region.

            • Chlorella, spirulina and camu camu (put in my smoothies)

            • Brazil nuts (for selenium)

          ADVICE ON SUPPLEMENTS

          If you buy supplements online, the best brands are:

              • Thorne Research

              • Jarrow Formula

              • NOW Foods

            2024 UPDATE – 

            Well I have come a LONG way in the past 6 years with my thyroid issues. I have learned so much that I don’t even know where to start haha. I have researched thyroid and hormone issues so much that I could have a degree in this!

            The first important thing I need to mention is that hypothyroidism is a SYMPTOM, not a diagnosis. It is caused by something, and it is treatable. If you are having thyroid issues, then it means that there is an issue somewhere else. And the majority of the time, this issue is with your adrenal glands (and gut health). 

            All of my thyroid issues were caused by adrenal fatigue (caused by severe lack of sleep, as well as major gut issues, contraceptive pill use, nutrient deficiencies, never taking any time to rest, travel and overtraining), and poor gut health (mostly leaky gut and dysbiosis).

            Once I started working on my adrenal health and gut health, then my thyroid issues started to get better. 

            Nutrient deficiences are also key missing piece – if you are deficient in something, your body is not able to function it’s best and this will affect your adrenal glands, your thyroid and all of your hormones. 

            And if you are deficient in something, then there is also a reason for that. I have been chronically low in iron. I even had an iron infusion and afterwards blood tests showed that I was still deficient in iron. The reason I was still low was because my body couldn’t uptake the iron. And this was because I was low in copper, and other nutrients such as Vitamins A and C which your body needs to use iron. I resolved these deficiencies by taking desiccated beef liver supplements, which are naturally very high in copper and Vitamin A. 

            I have also been chronically low in zinc and have been taking zinc supplements daily since 2017. Recent tests showed that I was STILL low in zinc even after all of these years of supplementation. Again my zinc levels are low because my body can’t uptake the zinc. And it can’t do this because I was low in copper. 

            Finally, I have also been chronically low in magnesium. High levels of magnesium is used by your body during times of stress. With my adrenal fatigue, my magnesium would have been extremely low. Now, even with supplementation, I am still low in magnesium. Again, part of the reason is because I was low in copper, and also I still have a lot of stress which causes me to burn through a lot of magnesium.

            It’s important for a naturopath or functional medicine doctor to understand the relationship between vitamins and minerals. Sometimes being low in iron isn’t actually an iron intake issue, it’s an iron uptake issue, so supplementing with iron is useless. All vitamins and minerals need to be balanced to operate properly. 

            Currently, my health still isn’t perfect. I am still stressed and have some sleep deprivation issues which further stress my adrenals (thanks to mum life!) and adrenal issues are the root cause of everything else. So it still causes issues for me. My nutrient levels have improved A LOT and as a result, so have symptoms such as weight issues, puffy face, thinning hair, mood, etc. But I still have a long way to go to reach optimal health levels. 

            The key is to address adrenal issues and what is causing the stress to your body, gut health and nutrient deficiencies. 

            SUMMARY OF WHAT HAS HELPED ME THE MOST

            Over the years I have seen countless doctors and naturopaths and unfortunately none of them were able to see the bigger picture and look at other factors that were causing my thyroid issues, or to know how other health issues were impacting me. 

            Finding the right naturopath took me many years, but I finally found one who is extremely knowledgeable on everything, not just thyroid, and this has made the world of difference for me. She does the correct testing, looks at the root cause, addresses nutrient deficiencies properly, and re-tests. 

            Sleep and reducing exercise are 2 critical things – your body can’t heal without these. These are both highly stressful on your body and reducing stress is absolutely critical. 

            And finally, T3 medication has helped me an extreme amount! When I first started taking iodine, I noticed a huge difference too.

            Just keep in mind that treating hypothyroidism and feeling better won’t happen overnight. Likely, it will be years. So don’t get disheartened if you don’t feel great right away. Keep going!

            TESTING THAT I WOULD RECOMMEND DOING

            If you do suspect that you have hypothyroidism, please see a specialist and make sure you get tested for ALL of the following (make sure they don’t miss anything out!):

                • TSH

                • Free T3

                • Free T4

                • Reverse T3

                • Thyroid antibiodies

                • Iodine

                • All nutrients (but especially zinc, magnesium, iron and selenium)

                • It could also be worthwhile to get your salivary cortisol tests done to see if you have issues with your adrenals (saliva test taken at 3-4 intervals throughout the day).

              LIFESTYLE CHANGES

              Reducing the amount of stress in your life and increasing your sleep are both critical.

              I reduced the amount of travel I was doing, as this severely affected my sleep and put a lot of stress on my body.

              And I have been sleeping as MUCH as I can—roughly 10 hours per night. I do absolutely everything I can to make sure I can get a good night’s sleep.

              Sleep is the most important thing for helping with adrenal fatigue, so it is extremely important. Don’t skip your sleep!

              I also cut back on exercise. It was really hard to do at first, especially when I was gaining weight. I just wanted to exercise more and more.

              But what your body needs to recover is rest, sleep, the right supplements, and just for you to slow down. All I have been doing is walking and a few circuits (all light circuits – no HIIT or weights). And a little bit of yoga. It has helped a lot!

              If you want to change your lifestyle in order to help your body recover faster, I have designed a complete workout plan that combines cardio and lighter resistance training, and each workout is only 15 minutes long.

              BEFORE & AFTER:

              BUSY GIRL PROGRAM

              bgp b&a inline smaller

              And I’ve designed an 8-week meal plan that will help you eat healthy and cut down on processed sugar. You can find my nutrition plan here.

              Changing your lifestyle will probably help a lot but I would also advise you to find a good integrative doctor :)

              Good luck! I wish you all the best xx

              How We Make Sure Information on Our Blog is Correct and Up-To-Date

              All of our blog content is written by a certified group/personal trainer and nutritionist, Rachael Attard who has almost 10 years of experience in the fitness industry.

              Rachael Attard has a bachelor degree in Science and Certificate III and IV in fitness from Australian Institute for Fitness. She also has a Sports Nutrition certificate from the International Society of Sports Nutrition.

              As her sources, Rachael primarily uses peer-review studies, academic research institutions and medical groups and associations.

              Rachael also, regularly updates our most popular content. You can see the last date of update for each of our blog posts.

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              36 Responses

              1. I love your content and thank you for sharing your journey! Did your doctor indicate that your hyperthyroidism was due to the long term birth control use or other factors as well?

                1. Hi lovely,

                  The main factor for my hypothyroidism was actually adrenal fatigue and really high and then really low cortisol levels. The thyroid hormone T4 needs to convert to T3 (T3 is the active form). My messed up cortisol levels were causing T4 to convert to Reverse T3, and so my T3 was very low. The issues with cortisol were actually brought on my stress, travel and not sleeping. Long term birth control use can also contribute though. Your thyroid needs iodine, iron, selenium and zinc to function properly. Birth control depletes these nutrients and makes you deficient, so your thyroid doesn’t work as well. I had to take all of these as supplements. Also, I had hypothyroidism (underactive thyroid), not hyperthyroidism (overactive). I hope that helps!

                  Love,
                  Rachael

              2. Hello- so helpful to see someone with a similar journey. Thank you so much for sharing. I have a few questions that I hope you could answer:

                – how is your hypothyroidism doing now?
                – did you get any side-effects from the iodine supplement?
                – how long did it take for you to feel better (ie more energized, mental clarity, lose the excess weight etc.)?
                – where can we access your meal and workout plans for people dealing with this?

                Thanks so much!!!

                1. Hi lovely,
                  Rachael has been taking iodine, T3 (thyroid hormone) plus a few other things. It took her about 4 months to lose weight and feel back to normal. Unfortunately her iodine deficiency is still bad so she’s still taking these supplements. I think the weight loss and other side effects are more from T3 but iodine does help a lot too!

                  We don’t have a special program for women who are having these issues, but we highly recommend giving our Lean Legs Program a try because it’s suitable for you as well! :)
                  The Lean Legs Program has been designed to include the perfect type of resistance training and cardio to give you a lean and toned look, without making you bulky.
                  It’s an 8 week workout and nutrition plan that will help you slim down your legs, but will also help you slim and tone your upper body and core too (the workouts are full body).
                  It also includes a full meal plan, a separate recipe ebook and demonstration videos.

                  You can find out more about it here:

                  Lean Legs Program

                  Love,
                  Diana
                  xx

              3. Hi, reading your post was like reading my own story. Thanks so much for sharing. Are you able to share the name of the integrative doctor or clinic? I also saw a naturopath and had limited success with the energy formula one so would love to know who can actually prescribe T3 meds in Australia. Thank you again!

                1. Hi lovely,
                  Any integrative doctor should be able to prescribe T3 medication. :) Rachael went to Dr Ruth Quinney at the Cassia Wellness Clinic at the Gold Coast (she specializes in thyroid and she is amazing)! xx

                  Love,
                  Diana

              4. Hi Rachael,
                I have the same issues as you, I struggle. Could you tell me who was your naturopath? I live in Australia NSW, I thought maybe I could go and see the naturopath who helped you out.
                I’m struggling with Lyme disease since 6 years and lingering adrenal fatigue and I think I have some kind of thyroid disregulation but I do need someone to listen and help me.
                If you have any advice to share please do :)
                Thanks for sharing your story, gives me hope and strength!

                1. Hi lovely,

                  Rachael went to the Lucy Rose Clinic in Brisbane and she would recommend it to you. They also have clinics in NSW. I hope you get the help you need there :) wishing you best of luck! xx

                  Lean Legs Club support

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