Foods For Managing Hypothyroidism (incl. Hashimoto’s)

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Foods for Managing Hypothyroidism

For any unfamiliar, hypothyroidism is the condition of having an underactive thyroid gland. The thyroid gland lives at the base of the front of your neck, and, as the name suggests, it makes and stores thyroid hormones. Those are important for many systems in the body, and a shortage typically causes fatigue, weight gain, and other symptoms.

What causes it?

This makes a difference in some cases to how it can be treated/managed. Causes include:

  • Hashimoto’s thyroiditis, an autoimmune condition
  • Severe inflammation (end result is similar to the above, but more treatable)
  • Dietary deficiencies, especially iodine deficiency
  • Secondary endocrine issues, e.g. pituitary gland didn’t make enough TSH for the thyroid gland to do its thing
  • Some medications (ask your pharmacist)

We can’t do a lot about those last two by leveraging diet alone, but we can make a big difference to the others.

What to eat (and what to avoid)

There is nuance here, which we’ll go into a bit, but let’s start by giving the one-line two-line summary that tends to be the dietary advice for most things:

  • Eat a nutrient-dense whole-foods diet (shocking, we know)
  • Avoid sugar, alcohol, flour, processed foods (ditto)

What’s the deal with meat and dairy?

  • Meat: avoid red and processed meats; poultry and fish are fine or even good (unless fried; don’t do that)
  • Dairy: limit/avoid milk; but unsweetened yogurt and cheese are fine or even good

What’s the deal with plants?

First, get plenty of fiber, because that’s important to ease almost any inflammation-related condition, and for general good health for most people (an exception is if you have Crohn’s Disease, for example).

If you have Hashimoto’s, then gluten (as found in wheat, barley, and rye) may be an issue, but the jury is still out, science-wise. Here’s an example study for “avoid gluten” and “don’t worry about gluten”, respectively:

So, you might want to skip it, to be on the safe side, but that’s up to you (and the advice of your nutritionist/doctor, as applicable).

A word on goitrogens…

Goitrogens are found in cruciferous vegetables and soy, both of which are very healthy foods for most people, but need some extra awareness in the case of hypothyroidism. This means there’s no need to abstain completely, but:

  • Keep serving sizes small, for example a 100g serving only
  • Cook goitrogenic foods before eating them, to greatly reduce goitrogenic activity

For more details, reading even just the abstract (intro summary) of this paper will help you get healthy cruciferous veg content without having a goitrogenic effect.

(as for soy, consider just skipping that if you suffer from hypothyroidism)

What nutrients to focus on getting?

  • Top tier nutrients: iodine, selenium, zinc
  • Also important: vitamin B12, vitamin D, magnesium, iron

Enjoy!

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  • Workout Advice For Busy People

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    Hampton at Hybrid Calisthenics always has very sound advice in his uplifting videos, and this one’s no exception:

    Key tips for optimizing workouts without burning out

    “We all have the same 24 hours” is a folly when in fact, some of us have more responsibilities and/or other impediments to getting things done (e.g. disabilities).

    A quick word on disabilities first: sometimes people are quick to point out Paralympian athletes, and “if they can do it, so can you!” and forget that these people are in the top percentile of the top percentile of the top percentile of human performance. If you wouldn’t disparagingly say “if Simone Biles/Hussein Bolt/Michael Phelps can do it, so can you”, then don’t for Paralympians either 😉

    Now, as for Hampton’s advice, he recommends:

    Enjoy short, intense workouts:

    • You can get effective results in under 30 minutes (or even just a few minutes per day) with compound exercises (e.g., squats, pull-ups).
    • Focus on full-body movements also saves time!
    • Push closer to failure when possible to maximize efficiency. It’s the last rep where most of the strength gains are made! Same deal with cardiovascular fitness, too. Nevertheless, do take safety into account in both cases, of course.

    Time your rest periods:

    • Resting for 2–3 minutes between sets ensures optimal recovery.
    • Avoid getting distracted during rest by setting a timer to stay focused.
    • 10almonds tip: use this time to practice a mindfulness meditation. That will greatly reduce the chance of you becoming distracted.

    Remember holistic fitness:

    • Fitness isn’t just about exercise; diet, sleep, and stress management are equally important for your fitness as much as for the rest of your health.
    • Better sleep and reduced stress will help you exercise more consistently and avoid junk food.

    Address burnout:

    • If feeling too exhausted to apply these tips, focus on getting better rest and reducing stress first.
    • Taking a short break to reset can help in the long run.

    For more on all of this, enjoy:

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    Take care!

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  • How To Reduce Cortisol Levels Naturally

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Cortisol is a hormone that is important for us (we’d struggle to get up in the morning without it, for a start), but in this modern world we often have too much of it, too much of the time. How can we rebalance it? Dr. Mindy Pelz explains:

    Lifestyle adjustments

    A note in advance: the video makes frequent reference to things that “spike cortisol levels”, but this is probably intended as a stand-in for “raise cortisol levels”. Because, unlike for some things, in the case of cortisol, spikes aren’t usually a problem (indeed, they can be beneficial, and this is a large part of why cold showers and ice baths can be healthy; it’s an artificially induced cortisol spike, and this hormesis has an assortment of healthy benefits, each related to improving our body’s ability to switch quickly between states as appropriate); rather, it’s chronically high cortisol levels that are the problem. However, the video discusses things that can increase resting cortisol levels, so where she says “spike”, we suggest to read “raise”.

    Dr. Pelz, an advocate of intermittent fasting, mentions that done incorrectly and/or for the same way for too long, fasting can raise cortisol levels and thus sabotage our efforts—so varying our fasting style can help avoid that. For example, 16:8, 5:2, longer fasts less frequently, etc.

    On the topic of food, she also warns us of the dangers of ultra-processed food, harmful oils, and foods with added sugar, as these can all raise cortisol levels.

    When it comes to exercise, she notes that intense exercise without adequate recovery can raise cortisol levels, so again it’s good to mix up one’s methods, vary one’s exercise routine, and allow each well-worked muscle-group adequate rest afterwards.

    Dr. Pelz also talks mindset, and has her own interesting way of framing the well-established science that chronic stress means chronically high stress hormone (cortisol) levels; Dr. Pelz prefers to see it as negative vs positive thoughts, environments, etc.

    Any discussion of cortisol management would be incomplete without discussing the importance of good quality sleep. Dr. Pelz doesn’t mention this at all in her video, but it’s important to bear in mind too!

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  • Dyslexia Test

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    (and it’s mostly not about reading/writing!)

    More than just shuffled letters

    This video provides a self-test based on the Bangor Dyslexia Test (BDT). The BDT is 94% accurate in identifying dyslexia, and it includes 9 parts, with a mix of questions and tasks. Answering “yes” or struggling with tasks indicates possible dyslexia. Collecting 4+ indicators suggests dyslexia, but of course is not a replacement for official diagnosis.

    It’s best to watch the video if you can, but here’s what to expect:

    1. Left-Right confusion: point your left hand to your right/left shoulder.
    2. Family history: any family members with dyslexia or struggles with reading/writing?
    3. Repeating numbers (order): repeat a given sequence of numbers in order.
    4. Letter confusion (e.g. b/d): do you confuse letters like “b” and “d” beyond age 8?
    5. Times tables: recite the 6, 7, and 8 times tables.
    6. Word manipulation: replace the letters in a word to create a new word, e.g. change “slide” (s ⇾ g) to “glide.”
    7. Repeating numbers (reversed): repeat a given sequence of numbers in reverse order.
    8. Months in reverse: recite the months of the year in reverse order.
    9. Subtraction: do you struggle with subtraction, e.g. 44-9 or 55-12?

    Writer’s anecdote: I am not dyslexic, and/but I have an impressive level of dyscalculia (the purely numerical equivalent), to the point I’ll sometimes use a calculator to do single-digit calculations, and I am so bad at calculating ages or other differences between dates (I will have to count on my fingers or else run the severe risk of out-by-one errors). I have also been known to make mistakes counting down from 10, which really ruins dramatic tension.

    In contrast, the left-right thing is interesting, because when I was first learning Arabic, I had no trouble reading/writing right-to-left, but I initially struggled so much to remember which way the “backspace” key would take me (in Arabic the backspace key backspaces to the right, despite still pointing to the left).

    Anyway, for the test itself, enjoy:

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  • Better Than BMI

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    BMI is a very flawed system, and there are several more useful ways of measuring our bodies. Let’s take a look at them!

    What’s wrong with BMI?

    Oof, what isn’t wrong with BMI?

    In short, it was developed as a demographic-based tool to specifically chart the weight-related health of working-age European white men a little under 200 years ago.

    This means that if you are, perchance, not a working-age European white man in 1830 or so, then it’s not so useful. It’d be like first establishing height norms based on NBA basketball players, and then applying it to the general population, and thus coming to the conclusion that someone who is 6’2″ is very short.

    In long, we did a deep-dive into it here, and in particular what things go dangerously wrong when it’s applied to women, non-white people, athletic people, pregnant people, people under 16 or over 65 and more:

    When BMI Doesn’t Quite Measure Up

    What we usually recommend instead

    For heart disease risk and diabetes risk both, waist circumference is a much more universally reliable indicator. And since those two things tend to affect a lot of other health risks, it becomes an excellent starting point for being aware of many aspects of health.

    Pregnancy will still throw off waist circumference a little (measure below the bump, not around it!), but it will nevertheless be more helpful than BMI even then, as it becomes necessary to just increase the numbers a little, according to gestational month and any confounding factors e.g. twins, triplets, etc. Ask your obstetrician about this, as it’s beyond the scope of our article today!

    As to what’s considered a risk:
    • Waist circumference of more than 35 inches for women
    • Waist circumference of more than 40 inches for men

    These numbers are considered applicable across demographics of age, ethnicity, and lifestyle.

    Source: Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity

    Bonus extra measurement based on the above

    Important also is waist to hip ratio.

    How to calculate it:

    1. measure your waist circumference
    2. measure your hip circumference
    3. divide the first measurement by the second one

    Because it’s a ratio, it doesn’t matter what units you use (e.g. inches, cm, etc) so long as you use the same units for both measurements.

    The World Health Organization offers the following chart:

    Health riskWomenMen
    Low0.80 or lower0.95 or lower
    Moderate0.81–0.850.96–1.0
    High0.86 or higher1.1 or higher

    Source: Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation

    This is especially relevant for cardiovascular disease risk:

    Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies

    …and also holds true for all-cause mortality:

    Waist-Hip-Ratio as a Predictor of All-Cause Mortality in High-Functioning Older Adults

    An ancient contender that’s still more useful than BMI

    Remember Archimedes? The (perhaps apocryphal) story of his “Eureka” moment in the bathtub when he realized that water displacement could be used to measure the volume of an irregular shape?

    Just like Archimedes (who, the story goes, had been hired to determine the composition of a crown that might or might not have been pure gold), we can use this method to determine body composition, because we have references for how much a given volume of a given substance will weigh, so combing what we know about a body’s weight and volume will tell us about its composition in ways that neither metric could give us alone.

    Indeed, it’s one of the commonly-mentioned flaws of BMI that muscle weighs more than fat, and Archimedes’ method not only avoids that problem, but also, actually turns that knowledge (muscle weighs more than fat) to our advantage.

    It’s called “hydrostatic weighing” now:

    Hydrostatic Weighing: Evaluation of body composition parameters using various diagnostic methods: A meta analysis study

    You may be wondering: what about bones? Or internal organs?

    The fact is that those are slightly confounding factors that do get in the way of a truly accurate analysis, but the variation in how much one person’s skeleton weighs vs another’s, or one person’s set of organs weigh than another’s, is too small to make an important difference to the health implications.

    Lastly…

    Hydrostatic weighing isn’t the only way to work out how much of our body is made of fat; if you have for example a smart scale at home (like this one) that tells you your body fat percentage, that is an estimate based on bioelectrical impedance analysis.

    It’s less accurate than the hydrostatic method, but easier to do at home!

    As to what percentages are “best”, healthy body fat percentages are (assuming normal hormones) generally considered to be in the range of 20–25% for women and 15–20% for men.

    You can read more about this here:

    Is A Visible Six-Pack Obtainable Regardless Of Genetic Predisposition?

    Take care!

    Don’t Forget…

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    Learn to Age Gracefully

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  • Ageless Aging – by Maddy Dychtwald

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    Maddy Dychtwald, herself 73, has spent her career working in the field of aging. She’s not a gerontologist or even a doctor, but she’s nevertheless been up-to-the-ears in the industry for decades, mostly as an organizer, strategist, facilitator, and so forth. As such, she’s had her finger on the pulse of the healthy longevity movement for a long time.

    This book was written to address a problem, and the problem is: lifespan is increasing (especially for women), but healthspan has not been keeping up the pace.

    In other words: people (especially women) are living longer, but often with more health problems along the way than before.

    And mostly, it’s for lack of information (or sometimes: too much competing incorrect information).

    Fortunately, information is something that a woman in Dychtwald’s position has an abundance of, because she has researchers and academics in many fields on speed-dial and happy to answer her questions (we get a lot of input from such experts throughout the book—which is why this book is so science-based, despite the author not being a scientist).

    The book answers a lot of important questions beyond the obvious “what diet/exercise/sleep/supplements/etc are best for healthy aging” (spoiler: it’s quite consistent with the things we recommend here, because guess what, science is science), questions like how best to prepare for this that or the other, how to get a head start on preventative healthcare for some things, how to avoid being a burden to our families (one can argue that families are supposed to look after each other, but still, it’s a legitimate worry for many, and understandably so), and even how to balance the sometimes conflicting worlds of health and finances.

    Unlike many authors, she also talks about the different kinds of aging, and tackles each of them separately and together. We love to see it!

    Bottom line: this book is a very good one-stop-shop for all things healthy aging. It’s aimed squarely at women, but most advice goes for men the same too, aside from the section on hormones and such.

    Click here to check out Ageless Aging, and plan your future!

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  • Bitter Melon vs Winter Melon – Which is Healthier?

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    Our Verdict

    When comparing bitter melon to winter melon, we picked the bitter.

    Why?

    Did you remember the “bitter is better” dictum that goes for most plant-based foods? It certainly stands in this case!

    A note on nomenclature before we begin: these two fruits are also known as the bitter gourd and the wax gourd, respectively (amongst many other names for each), but we went with what seems to be their most common names.

    In terms of macros, the bitter melon has more than 13x the protein (and actually adding up to a meaningful amount, at 5.3g/100g), as well as more fiber for the same carbs, making it the better choice all around.

    When it comes to vitamins, the bitter melon has a lot more of vitamins A, B1, B2, B3, B6, B7, B9, and C, while the winter melon boasts only more vitamin B5. As in, the vitamin that’s in all foods (even its scientific name means “from everywhere”) and in which it’s pretty much impossible to be deficient unless literally starving. All in all, an easy and clear win for bitter melon.

    In the category of minerals, we see a similar story: the bitter melon has very much more calcium, copper, iron, magnesium, manganese, phosphorus, potassium, and selenium, while the winter melon has a modest double-dose of zinc—hardly comparable to, say, bitter melon having over 100x the potassium content, and indeed, in all minerals except zinc, bitter melon had 4x–100x more. Another clear and overwhelming win for the bitter melon.

    Looking up polyphenols, we see that the bitter melon also wins in that regard, shocking nobody, with an impressive polyphenolic profile, especially rich in luteolins and catechins of various kinds.

    In short, enjoy either or both, but there’s a clear winner here, and it’s the bitter melon.

    Want to learn more?

    You might like to read:

    Enjoy Bitter Foods For Your Heart & Brain

    Enjoy!

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