Stress and Hashimoto’s

“Stress Could be Strangling Your Thyroid. Every time you have a thought, it is actively changing your brain and your body-for better or for worse.”

-Dr. Caroline Leaf, PH.D, Neuroscientist 

Before we go into how important it is to manage our stress levels, I want to talk about  how equally important it is to control  your mental state, your attitude towards becoming healthier and your life in general. Your mind can control your brain.  And your biochemistry can change your hormones, and emotions.  

You see, I believe we are designed to be vibrant, curious, and engaged in life, to feel and express joy, and to exist in a state of positive well-being. I believe you feel the same way. 

Although functional medicine has made significant inroads into the management of chronic health conditions, this doesn’t mean functional medicine is omnipotent. There is still so much we don’t know. One piece of the puzzle we know is the role of our mindset. Some  of the greatest teachings on controlling toxic thoughts  and emotions is by neuroscientists Dr. Caroline Leaf.  She is a prolific writer and speaker, with numerous books such as Who Switched Off My Brain? Controlling toxic thoughts and emotions – one of my favorites 

 It’s not uncommon to see better outcomes in patients who have a positive outlook than in those who cling to an angry, defeatist, or negative attitude. We know that  our mind governs our brain, in turn our attitudes and perceptions about ourselves, our environment, and others, and   these forces can have a powerful positive impact on our health. This is a huge budding  field called epigenetics, how our environment, food, people,  supplements, impacts our genes, emotions and our quality of life.  

I know it is hard to stay positive when you feel like ”road kill” all the time, but spending even a few minutes each day doing positive self-talk, positive visualization, or prayer and meditation has been proven to improve the ability to cope and to heal.

Today, we are going to focus on how your adrenal glands could be impacting your emotions, energy level, gut, brain, thyroid and sleep.  The takeaway message is that if your labs are normal but you feel “at the end of your rope,” then your health is most definitely not normal. You are not well. Perimenopause and menopause are not the end of the road and neither is Hashimoto’s and hypothyroidism. With the right information and tools under your belt this stage of life can be a glorious new beginning to your second act.

For best results you have to check your blood work and  really start  loving yourself again. This is not narcissism, this is putting the air mask on first, so you can be supportive  and a source of hope for others .  That you realize, no matter what others say, you are valuable, capable, gifted with talents that your family,friends, the world needs.  We are talking about grit. Remember? But how?  By managing stress,  by practicing your faith, and being around people you love, and who love you.  Most importantly,  by testing and not guessing!  You are now equipped to check your lab work and see if you have a form of adrenal fatigue which impacts your reactions to stress. I have several programs designed to help you sort through the madness and help you get the answers you need.

Make  Peace of Mind as Your Number One Priority, and Organize Your Entire Life Around It. 

It’s not enough that you have an autoimmune disease and that every day can be different and some days much more challenging than others.  No, of course not, now you must go out and face the day and the ongoing stress that inevitably comes along for the ride.

There are two types of stress, physiological stress (the stress placed on your body when not all of your systems are working properly) and every day stress (mental and emotional stress) caused by things like,  a really long commute to and from work, managing your home and finances and getting dinner on the table before the kids start their homework.

Then of course, life can occasionally hit us hard, when things start tumbling down all at once, this is when we can become chronically stressed. This is stress on steroids.  This chronic stress can cause chronic inflammation or other imbalances in your body and make your Hashimoto’s symptoms worse. This kind of stress depresses the immune system, alters our moods, and damages our professional and personal relationships. Prolonged or unremitting stress will take a toxic toll on the body, brain, mind, and spirit. Its ongoing assault wears us down, measurably aging — or “weathering” — our insides and outsides.

And, the crazy thing is, we “maladapt”!  Often not realizing the subtle changes in our energy levels, personality, weight, because you keep putting one foot in front of the other, many times just in survival mode.  

Chronic stress, whether physical (pain), emotional or cognitive places strain on our neurotransmitters and stress hormones, and leads to imbalances in stress hormones, thyroid hormones, sex hormones and neurotransmitters. Which system fatigues first in any given patient can only be determined by a thorough history, and confirmed with laboratory testing. We are all individuals, each different genetically, and we fatigue our brain and body systems at different rates. This is both the challenge and the opportunity in an integrative healthcare approach. 

But,  adrenal imbalances are the most common health issues I see in functional health and because healthy thyroid function is so dependent on healthy adrenal function, I want you to be empowered to check if this is one of your issues impacting your thyroid.  You are going to learn how to nurture these worn out workhorses back to health.  

When you have chronic viruses, environmental toxins and food intolerances, cortisol is triggered into the body from the adrenal glands, and triggers the body to release extra glucose into the bloodstream.  The additional glucose is used to increase energy production to adapt to the demands of the stress. This is OK, in emergency situations, when mom lifts the car off of her child, but not everyday, year after year, stuck in this pattern just going to the grocery store, meeting with friends, and cooking dinner.   This also explains why you  may not eat a lot of sugar, but glucose came up high on your lab report.  And why you feel overwhelmed so easily. 

 However, you  have to go easy on yourself and be kind  here.  Many times we are stressed because we feel we  are emotionally  passionate and care so much about a situation or a loved one.  By running lab panels, you can determine if there are biochemical deficits to determine if your over-reaction, or lack of reaction is due to emotions or  an over reaction due to  biochemical issues. You  need to know that you  can change your biochemistry through science based supplements and lifestyle changes, which in turn will help you  reframe the way you  respond to stress in a more appropriate manner, in turn sleep better, and have a normal weight!    

Symptoms of stress, including anxiety, worry, low energy, headaches, stomach issues, insomnia and a loss of sexual desire can come on from fear and uncertainty; change and disruption and your perception and attitude about the constant flux of life.  

Symptoms of adrenal stress on your body can include:

  • Fatigue
  • Headaches, with mental stress, or afternoon headaches.
  • Allergies
  • Emotional roller coaster ride
  • Shaky and irritable before meals, or  with delayed or missed meals. 
  • Craving for stimulants, caffeine, sweets, cigarettes
  • Catching colds, weakened immune system
  • Gastric ulcers
  • Eating to relieve fatigue
  • Transient spells of dizziness
  • Varicose veins
  • Hemorrhoids 
  • Insomnia

The truth is you can’t avoid stress and everyone has different stress triggers and everyone knows by now that daily and chronic stress can have a major impact on your health and well-being.  

It doesn’t seem like anyone can escape stress. Work stress and financial worries top the list for most, but if you are at a time in your life where you have kids in a costly college, a boss that is an exhausting pain in your you know what and you have taken on the responsibility for caring for an aging and/or terminally ill parent(s), well then you know what hard core stress can feel like it. 

Stress comes in all shapes and forms

Life stresses can also have a huge impact. Examples of life stresses are:

  • The terminal illness and/or death of a loved one.
  • A rocky marriage that ends in divorce.
  • Constant financial worries, loss of a job or income.
  • Increase in financial obligations.
  • Getting married or remarried.
  • Moving to a new home.
  • Chronic illness or injury (hello!)
  • Emotional problems (depression, anxiety, anger, grief, guilt, low self-esteem).
  • Taking care of an elderly or sick family member.
  • An unfortunate, traumatic event, such as a natural disaster, theft, or violence against you or a loved one.
  •  Being unhappy in your work, working long hours, threats of your work terminating through technology, lack of advancement, unsupportive colleagues, or being unemployed or underemployed.  
  • Pandemics, I don’t know how to do a pandemic, do you?  

Sometimes the stress comes from inside, rather than outside. You can stress yourself out just by worrying too much about things. Yes you can worry yourself sick. 

Studies are being done about stress all of the time and patients complaining of stress and fatigue make up more than 20 percent of all patient contacts in primary care, which amounts to 18 million physician visits annually in the United States (1,2). Seventy-five to 90 percent of primary care visits have been reported to be stress-related (3). Despite these statistics, conventional medicine is often at a loss as to how to care for these patients. 

What are The Adrenal Glands Supposed To Do, and How They Impact Your Life.  

Stress has always been a part of life, whether it comes from a charging saber tooth tiger a hundred thousand years ago or a truck running a red light this morning.  When we find ourselves in a stressful situation, the adrenal glands kick into high gear, pouring hormones into our system.  You’ve no doubt been in a stressful situation  where you felt your heart race, and your senses heightened. Your body was jacked with energy, strength and focus, allowing you to flee, fight, or respond immediately to the threat.  ( even if that meant slamming on the brakes to avoid the accident) 

This is what the stress response is supposed to do.  It can save your life. Or help you avoid injury during emergency situations.  However, the adrenal glands haven’t had a chance to evolve in the age of all night college cram sessions, job interviews, endless traffic, bombardment of social media, the requirements of modern parenting.  Our adrenals can’t tell the difference between the non-threatening yet stressful situation of waiting in line at the DMV, and the truly dangerous situation of facing a rattle snake on a hiking trail. 

Healthy adrenal glands, two little glands that sit on top of your kidney, which secrete stress hormones such as cortisol,norepinephrine and epinephrine, are vital for optimal health and the management of autoimmune diseases.  The adrenal glands are  one of the major players in a normal sleep wake cycle, and normal weight.   Chronic stress can burn out our adrenal glands until they turn into dried up pieces of toast. Cortisol plays a large role in balancing the immune system by telling the body whether to go into “stress mode” and increase immunity efforts. 

When the adrenal glands release cortisol, the cortisol is accompanied by a small protein called  cytokines, which are inflammatory messengers. Cytokines suppresses the pituitary, in turn the TSH signaling to the thyroid.    Every negative thought you have about yourself or others is reigning havoc on your immune system, and modulates your TSH! 

 Your limbic system in your brain controls your emotions, and is located next door to your pituitary, that releases TSH.  This is why it is imperative to know the condition of your adrenal glands, and govern your thoughts.  Scientifically and biblically, we become what we think.  We need to lose the “should have”, “could have”, regrets, forgive yourself, and move forward into this mentally and emotionally  competent new you.  

What High Cortisol Does to Your Quality of Life:

There are several stages of adrenal fatigue, as first outlined by Dr. Hans Selye, “the father of stress”, in the 1950’s.  But for our purposes, high cortisol levels in the body reflect chronic inflammation, which leads to an eventual breakdown of the hormone system and the thyroid. Which leads to you not being able to maintain a normal weight, wired but tired, and an inappropriate response to stress.  Common causes of elevated cortisol and cytokines include chronic stress, post-traumatic stress disorder (PTSD), or hidden gut infections, such as parasites. Other causes of elevated cortisol levels include hypoglycemia, insulin resistance, and diabetes. Keeping blood sugar stable is an important factor in managing cortisol as well. Let’s turn these burnt-up little adrenals that look like raisins into lushous vibrant grapes, that will help regulate cortisol levels for many years to come! 

Adrenal Fatigue

Those in the field of integrative or functional medicine, are more familiar with the terms “adrenal fatigue,” “adrenal stress,” and “adrenal exhaustion.” These terms are often used to explain not only fatigue and stress, but also a broad array of symptoms including sleep disturbance, low libido, poor exercise tolerance and recovery, weak immune function, and brain fog.

How Our Bodies Manage Our Stress : The HPA Axis 

Now, your body has a very effective system for dealing with stress, it is a system called the hypothalamus-pituitary-adrenal (HPA) axis.  Essentially, every time you get stressed, think negative about yourself or others,  a “danger” message is sent from the adrenal glands to your hypothalamus,  where your pituitary gland is located, that signals TSH to your thyroid at the base of your neck to make T4, which triggers a cascade of neurohormones responses, including the release of glucocorticoids, such as cortisol, which increases circulating estrogen, and increases glucose.

Or to say it another way, when the stress level gets to high or chronic, it weakens the communication system between the hypothalamus, pituitary gland which directs hormone production, including thyroid. It hampers the conversion of T4 to active forms of T3 that the body can use for energy, weakens the immune barrier of the digestive tract, lungs, and brain.  Weakens the immune system, and promotes poor immune regulation.  This will increase your risk of Hashimoto’s or exacerbating it. 

Our bodies are built this way to keep us out of danger.  Faced with an emergency the reaction of our HPA axis will help to save your life. However, when the same stress response becomes a chronic condition, the HPA response can go into overdrive, increasing circulating levels of glucocorticoids, even when you may be curled up in bed, snuggling with your dog and bingeing on your favorite Netflix series.

If your blood test results show hypothyroid, high sugar, high cholesterol, or high T7 from your lab report, you might want to consider  ordering an Adrenal Salivary Index kit from Diagnos Techs Labs.  ( You can call our office, and we can make arrangements to have a kit sent to your home) 

 This  is a one-day, no fasting saliva test, that you do from the privacy of your home. You send in the specimens straight to Diagnos Techs Labs, with your payment, and we can see what stage of adrenal fatigue you are in, and other important variables impacted by the adrenal glands, like leaky gut, gluten sensitivity, and  low progesterone which can lead to insomnia.  

It’s important to re-do the test, so we know we are on the right protocol, and on the right track.  If your adrenals are not responding, we  know we need to dig deeper to see what is sabotaging the adrenals, Is it a parasite, reaction to heavy metal? food intolerance? Low grade chronic virus or bacteria?  

What You Need to Do First, to Get Your Adrenals to Respond;

You need to take care of these conditions before you are able to support the adrenals.

Anemia, check on your ThyroSisters  blood panel for Total iron, ferritin, TIBC, to see if any of the variables are low.  When you are anemic, oxygen cannot circulate to the cells for any metabolic progress to take place, including adrenal and thyroid support.  

High or Low Blood sugar,  both are a stressor on the adrenal glands. Check the Glucose, HA1C, and the insulin levels. 

Gut infections, check the neutrophils for bacteria infection, eosinophils for parasite or allergy issues, lymphocytes for viral infections. ( Check ThyroSister Summary of Lab Indications Link for details.  

Toxicity issues  if you have developed immune reactions to environmental compounds, like mold, heavy metals, or chemicals, these issues need to be resolved before the adrenals will respond.  

Food intolerances and food allergies. It stresses the adrenal glands, if you are eating a food that is causing  an immune reaction.  Even if you don’t have symptoms.  

Feel free to reach out to our office for additional support if you are not responding to the protocols, or need advanced help as your case becomes more complex.  Don’t go it alone we are here for you.  

There is evidence to support concerns that prolonged HPA axis activation leads to chronic stress and maintaining high levels of circulating glucocorticoids, which promotes an inflammatory response and raises the risk of autoimmune thyroid disorders.

So how do you know when you are on stress overload? Well the symptoms I just spoke about are a sure sign, but it gets really confusing because when you have Hashimoto’s because you may already have symptoms of low energy, insomnia, headaches and so on.

By now you have heard me say it more than once. We can’t just go by symptoms alone, especially with our health at stake.  You don’t have to guess about your cortisol or hormone levels and what they might be doing to your body, like exhausting your adrenal glands. 

Please check our ThyroSisters  Nutrition store where you will find these key ingredients in formulas  in combined easy product  formulas. 

The following are key Ingredients for Insulin Resistance:  

The goal here is to support a healthy insulin response. 

  1. Chromium
  2. Alpha lipoic acid
  3. Mixed tocopherols
  4. Magnesium
  5. Zinc
  6. Inositol
  7. Gymnema sylvestre

Key ingredients for low cortisol and low DHE, low adrenals:

The goal here is to support the adrenals as well as the sugar handling issues.  

  1. Panex Ginseng
  2. Ashwaganda
  3. Holy basil leaf extract
  4. 2,000mg of phosphatidylserine
  5. Essential Fatty Acids.  EPA and DHA from fish oil, taurine, or green tea extract.
  6. Licorice
  7. B vitamins

Key ingredients to support hypoglycemia:

  1. Healthy blood sugar balance
  2. Bovine adrenal gland
  3. Choline
  4. Bovine pancreas gland
  5. Inositol
  6. L-carnitine
  7. Co-enzyme Q10
  8. Vanadium aspartate

Little Known Sources of Stress

Other factors not commonly considered when people think of “stress” will place just as much of a burden on the adrenal glands. These include blood sugar swings, gut dysfunction, food intolerances (especially gluten), chronic infections, environmental toxins, autoimmune problems and inflammation. All of these conditions sound alarm bells in the body and cause the adrenals to pump out more stress hormones. 

I think by now, you can understand how thyroid conditions such as Hashimoto’s thyroiditis are worsened by chronic stress so learning ways to manage your stress is your key to better health. While stress alone, may not cause a thyroid disorder, it may contribute to a worsening of your symptoms.

For those with a typical Type A personality, stress can be even worse. These types seem to set super high standards for themselves. They set up goals, reach them and then create even higher goals before taking a moment to celebrate their achievements. They seem to drive themselves so hard that they don’t take a moment to breathe. They will put ambition and achievements above everything else, even their health. The real problem is, some Type A women have to crash before they wake up to the fact that self-care is critical and perfectionism is impossible.  Chances are, a Type A personality doesn’t do a ton of self-care because she has put most of her identity into her achievements, not herself. 

Personality traits that include having a Type A personality also have a fear of failure, a penchant for perfectionism, spend a ton of time listening to negative self-talk and are constantly tough on themselves. 

In order to become a more calm and peaceful person, you have to be really honest with yourself, do you have a stressful personality? Are you a positive or negative thinker? What might you want to change about your own psychology to make living easier?

If you haven’t already, I encourage you to join my Facebook community which is an exclusive community of hypothyroid, Hashimoto’s and hormone challenged women who no longer want to feel invisible, lazy, crazy or finished. We have private discussions about everything from how to strengthen and lengthen your hair to a diet that supports a healthy digestive system and much more. 

The other thing I want you to do, if you haven’t already, is to sign up for my Thyrosisters newsletter where you will receive updates and important information about the newest advancements in Hashimoto’s and thyroid research.

IMPORTANT NOTE: These supplements are food concentrates provided to upgrade the quality of your diet in order to support normal physiology and biochemistry. Always take your supplements with meals or food, unless otherwise stated on the bottle. The supplements are NOT intended to cure any medical disease, or to be consumed in lieu of medical recommendations.


Links to Posts on Stress

  1. Chronic Stress & The Adrenals 
  2. Workplace Stress
  3. The Link Between Stress & PMS with Autoimmune
  4. How Stress Really Harm’s Your Health
  5. Is Stress Making You Sick? Try An Adrenal Stress Test
  6. Stress Can Wreck Your Hormones & Cause PMS When You Have Hashimoto’s 
  7. Did Stress Push You Off the Healthy Hashimoto’s Hormone Wagon?
  8. Is Undiagnosed PTSD Causing Your Chronic Stress?
  9. Adrenals Often Wrong Target with Chronic Stress