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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    Eat real food, mostly plants, and not too much. In Defense of Food offers a simple, attainable approach to healthy eating.

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  • Shredded Wheat vs Organic Crunch – Which is Healthier?

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    Our Verdict

    When comparing Shredded Wheat to Organic Crunch, we picked the Shredded Wheat.

    Why?

    In this battle of the cereals, it comes down to the ingredients:

    • The Shredded Wheat cereal has two ingredients: wheat (shredded), and BHT. The latter is a phenolic compound and antioxidant.
    • The Organic Crunch cereal has lots of ingredients, of which the first two are wheat flour, and sugar.

    This means that, per serving…

    • The Shredded Wheat cereal has 7g fiber and 0g sugar
    • The Organic Crunch cereal has 3g fiber and 12g sugar

    Quite a difference! Sometimes, the “Organic Crunch” of a product comes from crunchy sugar.

    You can check them out side-by-side here:

    Shredded Wheat | Organic Crunch

    Want to know more?

    There’s a popular view that the only way to get fiber is to eat things that look (and potentially taste) like cardboard. Not so! There are delicious options:

    Level-Up Your Fiber Intake! (Without Difficulty Or Discomfort)

    Enjoy!

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  • When Age Is A Flexible Number

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    Aging, Counterclockwise!

    In the late 1970s, Dr. Ellen Langer hypothesized that physical markers of aging could be affected by psychosomatic means.

    Note: psychosomatic does not mean “it’s all in your head”.

    Psychosomatic means “your body does what your brain tells it to do, for better or for worse”

    She set about testing that, in what has been referred to since as…

    The Counterclockwise Study

    A small (n=16) sample of men in their late 70s and early 80s were recruited in what they were told was a study about reminiscing.

    Back in the 1970s, it was still standard practice in the field of psychology to outright lie to participants (who in those days were called “subjects”), so this slight obfuscation was a much smaller ethical aberration than in some famous studies of the same era and earlier (cough cough Zimbardo cough Milgram cough).

    Anyway, the participants were treated to a week in a 1950s-themed retreat, specifically 1959, a date twenty years prior to the experiment’s date in 1979. The environment was decorated and furnished authentically to the date, down to the food and the available magazines and TV/radio shows; period-typical clothing was also provided, and so forth.

    • The control group were told to spend the time reminiscing about 1959
    • The experimental group were told to pretend (and maintain the pretense, for the duration) that it really was 1959

    The results? On many measures of aging, the experimental group participants became quantifiably younger:

    ❝The experimental group showed greater improvement in joint flexibility, finger length (their arthritis diminished and they were able to straighten their fingers more), and manual dexterity.

    On intelligence tests, 63 percent of the experimental group improved their scores, compared with only 44 percent of the control group. There were also improvements in height, weight, gait, and posture.

    Finally, we asked people unaware of the study’s purpose to compare photos taken of the participants at the end of the week with those submitted at the beginning of the study. These objective observers judged that all of the experimental participants looked noticeably younger at the end of the study.❞

    ~ Dr. Ellen Langer

    Remember, this was after one week.

    Her famous study was completed in 1979, and/but not published until eleven years later in 1990, with the innocuous title:

    Higher stages of human development: Perspectives on adult growth

    You can read about it much more accessibly, and in much more detail, in her book:

    Counterclockwise: A Proven Way to Think Yourself Younger and Healthier – by Dr. Ellen Langer

    We haven’t reviewed that particular book yet, so here’s Linda Graham’s review, that noted:

    ❝Langer cites other research that has made similar findings.

    In one study, for instance, 650 people were surveyed about their attitudes on aging. Twenty years later, those with a positive attitude with regard to aging had lived seven years longer on average than those with a negative attitude to aging.

    (By comparison, researchers estimate that we extend our lives by four years if we lower our blood pressure and reduce our cholesterol.)

    In another study, participants read a list of negative words about aging; within 15 minutes, they were walking more slowly than they had before.❞

    ~ Linda Graham

    Read the review in full:

    Aging in Reverse: A Review of Counterclockwise

    The Counterclockwise study has been repeated since, and/but we are still waiting for the latest (exciting, much larger sample, 90 participants this time) study to be published. The research proposal describes the method in great detail, and you can read that with one click over on PubMed:

    PubMed | Ageing as a mindset: a study protocol to rejuvenate older adults with a counterclockwise psychological intervention

    It was approved, and has now been completed (as of 2020), but the results have not been published yet; you can see the timeline of how that’s progressing over on ClinicalTrials.gov:

    Clinical Trials | Ageing as a Mindset: A Counterclockwise Experiment to Rejuvenate Older Adults

    Hopefully it’ll take less time than the eleven years it took for the original study, but in the meantime, there seems to be nothing to lose in doing a little “Citizen Science” for ourselves.

    Maybe a week in a 20 years-ago themed resort (writer’s note: wow, that would only be 2004; that doesn’t feel right; it should surely be at least the 90s!) isn’t a viable option for you, but we’re willing to bet it’s possible to “microdose” on this method. Given that the original study lasted only a week, even just a themed date-night on a regular recurring basis seems like a great option to explore (if you’re not partnered then well, indulge yourself how best you see fit, in accord with the same premise; a date-night can be with yourself too!).

    Just remember the most important take-away though:

    Don’t accidentally put yourself in your own control group!

    In other words, it’s critically important that for the duration of the exercise, you act and even think as though it is the appropriate date.

    If you instead spend your time thinking “wow, I miss the [decade that does it for you]”, you will dodge the benefits, and potentially even make yourself feel (and thus, potentially, if the inverse hypothesis holds true, become) older.

    This latter is not just our hypothesis by the way, there is an established potential for nocebo effect.

    For example, the following study looked at how instructions given in clinical tests can be worded in a way that make people feel differently about their age, and impact the results of the mental and/or physical tests then administered:

    ❝Our results seem to suggest how manipulations by instructions appeared to be more largely used and capable of producing more clear performance variations on cognitive, memory, and physical tasks.

    Age-related stereotypes showed potentially stronger effects when they are negative, implicit, and temporally closer to the test of performance. ❞

    ~ Dr. Francesco Pagnini

    Read more: Age-based stereotype threat: a scoping review of stereotype priming techniques and their effects on the aging process

    (and yes, that’s the same Dr. Francesco Pagnini whose name you saw atop the other study we cited above, with the 90 participants recreating the Counterclockwise study)

    Want to know more about [the hard science of] psychosomatic health?

    Check out Dr. Langer’s other book, which we reviewed recently:

    The Mindful Body: Thinking Our Way to Chronic Health – by Dr. Ellen Langer

    Enjoy!

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  • 10 Ways To Self-Soothe That Don’t Involve Food Or Drink

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    If one is accustomed to comfort-eating or drowning one’s sorrows, what are the alternatives that can actually work? Holistic nutritionist Selin Bilgin has a list:

    Self-Care That’s Not Self-Sabotage

    You might want to make a note of these 10 things, so they can be a sort of “menu” for you when you need them:

    • Give your introversion or extroversion what it needs (e.g. alone time to decompress, or social activities)
    • Treat your senses: often we don’t actually need food/drink so much as culinary entertainment. So, we can sate this sensory mood in other ways, for example pleasant candles, flowers, and so forth.
    • Bathe/shower nicely: it’s cliché but some personal pampering can go a long way
    • Beautify yourself: it’s also cliché, but a makeover evening has its place
    • Move! Go for a walk, do some yoga, whatever suits you, but move your body.
    • Make movie nights luxurious: instead of making it about food/drink, focus on creating an enjoyable atmosphere
    • Physically release tension: at 10almonds we recommend progressive relaxation for this!
    • Create something: whether it’s art, craft, baking, or something else, creativity feels good
    • Tackle things you’ve been procrastinating: this one doesn’t seem like self-soothing from the front end, but from the back end (i.e., having done it), it makes a big difference!
    • Journal: expressing your thoughts and feelings can help a lot—really.

    For more on each of these, enjoy:

    Click Here If The Embedded Video Doesn’t Load Automatically!

    Want to learn more?

    You might also like to read:

    Take care!

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    Stay Safe From Heat Exhaustion & Heatstroke!

    For most of us, summer is upon us now. Which can be lovely… and also bring new, different health risks. Today we’re going to talk about heat exhaustion and heatstroke.

    What’s the difference?

    Heat exhaustion is a milder form of heatstroke, but the former can turn into the latter very quickly if left untreated.

    Symptoms of heat exhaustion include:

    • Headache
    • Nausea
    • Cold sweats
    • Light-headedness

    Symptoms of heatstroke include the above and also:

    • Red/flushed-looking skin
    • High body temperature (104ºF / 40ºC)
    • Disorientation/confusion
    • Accelerated heart rate

    Click here for a handy downloadable infographic you can keep on your phone

    What should we do about it?

    In the case of heatstroke, call 911 or the equivalent emergency number for the country where you are.

    Hopefully we can avoid it getting that far, though:

    Prevention first

    Here are some top tips to avoid heat exhaustion and thus also avoid heatstroke. Many are common sense, but it’s easy to forget things—especially in the moment, on a hot sunny day!

    • Hydrate, hydrate, hydrate
      • (Non-sugary) iced teas, fruit infusions, that sort of thing are more hydrating than water alone
      • Avoid alcohol
        • If you really want to imbibe, rehydrate between each alcoholic drink
    • Time your exercise with the heat in mind
      • In other words, make any exercise session early or late in the day, not during the hottest period
    • Use sunscreen
      • This isn’t just for skin health (though it is important for that); it will also help keep you cooler, as it blocks the UV rays that literally cook your cells
    • Keep your environment cool
      • Shade is good, air conditioning / cooling fans can help.
      • A wide-brimmed hat is portable shade just for you
    • Wear loose, breathable clothing
      • We write about health, not fashion, but: light breathable clothes that cover more of your body are generally better healthwise in this context, than minimal clothes that don’t, if you’re in the sun.
    • Be aware of any medications you’re taking that will increase your sensitivity to heat.
      • This includes medications that are dehydrating, and includes most anti-depressants, many anti-nausea medications, some anti-allergy medications, and more.
      • Check your labels/leaflets, look up your meds online, or ask your pharmacist.

    Treatment

    If prevention fails, treatment is next. Again, in the case of heatstroke, it’s time for an ambulance.

    If symptoms are “only” of heat exhaustion and are more mild, then:

    • Move to a cooler location
    • Rehydrate again
    • Remove clothing that’s confining or too thick
      • What does confining mean? Clothing that’s tight and may interfere with the body’s ability to lose heat.
        • For example, you might want to lose your sports bra, but there is no need to lose a bikini, for instance.
    • Use ice packs or towels soaked in cold water, applied to your body, especially wear circulation is easiest to affect, e.g. forehead, wrists, back of neck, under the arms, or groin.
    • A cool bath or shower, or a dip in the pool may help cool you down, but only do this if there’s someone else around and you’re not too dizzy.
      • This isn’t a good moment to go in the sea, no matter how refreshing it would be. You do not want to avoid heatstroke by drowning instead.

    If full recovery doesn’t occur within a couple of hours, seek medical help.

    Stay safe and have fun!

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  • Younger Next Year – by Chris Crowley & Dr. Henry Lodge

    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.

    Is it diet and exercise? Well, of course that’s a component. Specific kinds of exercise, too. But, as usual when we feature a book, there’s more:

    In this case, strong throughout is the notion of life being a marathon not a sprint—and training for it accordingly.

    Doing the things now that you’ll really wish you’d started doing sooner, and finding ways to build them into daily life.

    Not just that, though! The authors take a holistic approach to life and health, and thus also cover work life, social life, and so forth. Now, you may be thinking “I’m already in the 80 and beyond category; I don’t work” and well, the authors advise that you do indeed work. You don’t have to revamp your career, but science strongly suggests that people who work longer, live longer.

    Of course that doesn’t have to mean going full-throttle like a 20-year-old determined to make their mark on the world (you can if you want, though). It could be volunteering for a charity, or otherwise just finding a socially-engaging “work-like” activity that gives you purpose.

    About the blend of motivational pep talk and science—this book is heavily weighted towards the former. It has, however, enough science to keep it on the right track throughout. Hence the two authors! Crowley for motivational pep, and Dr. Lodge for the science (with extra input from brain surgeon Dr. Hamilton, too).

    Bottom line: if you want to feel the most prepared possible for the coming years and decades, this is a great book that covers a lot of bases.

    Click here to check out “Younger Next Year” and get de-aging!

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  • Butter vs Margarine

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    Butter vs Margarine

    Yesterday, we asked you for your (health-related) opinion on butter vs margarine, and got the above-depicted, below-described, set of responses:

    • A little over 60% said butter is a health food and margarine is basically plastic with trans fats
    • A little over 20% said that both are woeful and it’s better to avoid both
    • A little over 10% said that margarine is a lighter option, and butter is a fast track to cardiovascular disease.

    Comments included (we will summarize/paraphrase, for space):

    • “…in moderation, though”
    • “I’m vegan so I use vegan butter but I know it’s not great, so I use it sparingly”
    • “butter is healthy if and only if it’s grass-fed”
    • “margarine has unpronounceable ingredients”

    To address those quickly:

    • “…in moderation” is a stipulation with which one can rarely go too far wrong
    • Same! Speaking for myself (your writer here, hi) and not for the company
    • Grass-fed is indeed better; alas that so little of it is grass-fed, in the US!
    • Butter contains eicosatrienoic acid, linolelaidic acid, and more*. Sometimes big words don’t mean that something is worse for the health, though!

    *Source: Quality characteristics, chemical composition, and sensory properties of butter from cows on pasture versus indoor feeding systems

    So, what does the science say?

    Butter is a health food: True or False?

    True or False, depending on amount! Moderation is definitely key, but we’ll return to that (and why not to have more than a small amount of butter) later. But it is a rich source of many nutrients, iff it’s grass-fed, anyway.

    The nutritional profile of something isn’t a thing that’s too contentious, so rather than take too much time on it, in this case we’ll point you back up to the scientific paper we linked above, or if you prefer a pop-science rendering, here’s a nice quick rundown:

    7 Reasons to Switch to Grass-Fed Butter

    Margarine is basically plastic with trans fats: True or False?

    False and usually False now, respectively, contingently.

    On the first part: chemically, it’s simply not “basically plastic” and everything in it is digestible

    On the second part: it depends on the margarine, and here’s where it pays to read labels. Historically, margarines all used to be high in trans fats (which are indeed woeful for the health). Nowadays, since trans fats have such a (well-earned) bad press, there are increasingly many margarines with low (or no) trans fats, and depending on your country, it may be that all margarines no longer have such:

    ❝It’s a public health success story. Consumers no longer have to worry about reading product nutritional labels to see if they contain hydrogenated oils and trans fats. They can just know that they no longer do❞

    Source: Margarines now nutritionally better than butter after hydrogenated oil ban

    So this is one where the science is clear (trans fats are unequivocally bad), but the consumer information is not always (it may be necessary to read labels, to know whether a margarine is conforming to the new guidelines).

    Butter is a fast track to cardiovascular disease: True or False?

    True or False depending on amount. In moderation, predictably it’s not a big deal.

    But for example, the World Health Organization recommends that saturated fats (of which butter is a generous source) make up no more than 10% of our calorie intake:

    Source: Saturated fatty acid and trans-fatty acid intake for adults and children: WHO guideline

    So if you have a 2000 kcal daily intake, that would mean consuming not more than 200 kcal from butter, which is approximately two tablespoons.

    If you’d like a deeper look into the complexities of saturated fats (for and against), you might like our previous main feature specifically about such:

    Can Saturated Fats Be Healthy?

    Enjoy!

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