Clinical Immunology focuses on the immune system’s health. Learn about the diagnosis and treatment of allergies, autoimmune diseases, and immunodeficiencies.
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Since Hashimoto thyroiditis typically leads to an underactive thyroid, the primary medical treatment is hormone replacement therapy. This is not a cure for the autoimmune attack, but a daily management strategy to restore normal metabolism.
Hashimoto’s itself is treated with medication, but complications like nodules may require intervention.
Surgery is rarely the first line of defense for Hashimoto Thyroiditis. However, a Thyroidectomy (removal of the thyroid gland) becomes necessary in specific medical scenarios.
Indications for Surgery:
Recovery in Hashimoto’s means reaching a stable euthyroid state where hormone levels are balanced.
Recovery from hypothyroidism is not instantaneous. Patients should manage their expectations regarding the timeline of healing.
The Six-Week Rule It takes approximately 6 to 8 weeks for synthetic thyroid hormone to build up in the blood and reach a steady state. You may not feel different immediately after taking your first pill. Most patients report a lifting of the fog around week 3 or 4.
Symptom Resolution
Hashimoto’s is a dynamic condition. Your medication needs can change over time due to age, weight changes, or pregnancy.
Managing Hashimoto’s requires more than just a prescription. At our Hospital, our Endocrinology and Metabolism Clinic takes a holistic approach. We don’t just treat the numbers; we treat the patient.
Our multidisciplinary team includes expert endocrinologists, dietitians, and endocrine surgeons who collaborate to manage complex cases, such as those with large goiters or co-existing autoimmune conditions like diabetes. We utilize advanced high-resolution ultrasound for precise nodule monitoring and offer patient-centered education to help you master your lifelong wellness journey.
Send us all your questions or requests, and our expert team will assist you.
The primary treatment is Thyroid Hormone Replacement using Levothyroxine (T4) to restore normal metabolic function. In some cases, Liothyronine (T3) is added. Lifestyle changes, such as an anti-inflammatory diet, are also prescribed to lower antibody levels and manage symptoms.
While medication works immediately, feeling normal takes time. It typically takes 6 to 8 weeks to stabilize blood hormone levels. Full symptom relief, including weight stabilization and hair regrowth, can take 3 to 6 months of consistent treatment.
Most patients do not need surgery. Thyroidectomy is reserved for specific complications, such as a goiter that restricts breathing, large suspicious nodules, or confirmed thyroid cancer. The vast majority of cases are managed with daily oral medication.
The standard medication is Levothyroxine Sodium, a synthetic form of the T4 hormone. Some patients may also take Liothyronine, a synthetic TOccasionally, Low Dose Naltrexone (LDN) is used off-label to help modulate the immune system’s attack on the gland.
Expect a gradual return of energy and mental clarity. You will likely lose water weight first as puffiness subsides. It is normal to need dose adjustments in the first year. Regular blood tests are essential to fine-tune your medication until you feel your best.
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