The Gut-Thyroid Connection

The Gut-Thyroid Connection: How Gut Health Affects Thyroid Function and What You Can Do About It

When it comes to your thyroid health, your gut is a key player you don’t want to overlook. If your gut is out of balance, it can directly affect how your body produces, converts, and transports thyroid hormones. In fact, gut health plays such a crucial role that digestive issues, like bloating, indigestion, and constipation, may not just be uncomfortable—they could be sabotaging your thyroid function and overall well-being.

Let’s dive deeper into how poor gut health can impact your thyroid, and more importantly, what you can do to support both your thyroid and digestive system to feel your best.

How Gut Health Influences Thyroid Function

Your thyroid relies on several key nutrients to produce thyroid hormones and maintain a healthy metabolism. These nutrients, which are essential for thyroid health, come from the food you eat. But if your gut isn’t functioning properly, your body may not be able to absorb these nutrients effectively. As a result, you could end up with a deficiency in vitamins and minerals that are critical for thyroid function.

Moreover, gut imbalances can trigger inflammation in your body, which can further complicate thyroid health. Inflammation not only interferes with thyroid hormone conversion but can also lead to autoimmune thyroid disorders like Hashimoto’s, where your immune system attacks your thyroid.

Thyroid Hormone Conversion and the Gut Connection

The thyroid produces two main hormones—T4 (thyroxine) and T3 (triiodothyronine). T4 is considered the inactive form of thyroid hormone, while T3 is the active form that your body uses to fuel your metabolism and energy levels. But here’s where your gut comes in: For your body to make use of thyroid hormones, it needs to convert T4 into T3. This conversion happens primarily in your gut and liver.

If your gut is out of balance, this conversion process can be impaired. Low thyroid hormone levels (especially low T3) can lead to sluggish digestion, low energy, and other symptoms like brain fog, weight fluctuations, and even a slow metabolism. And the worst part? You might be eating well, exercising, and doing all the “right” things, but if your gut isn’t on your team, you could still be dealing with these frustrating symptoms.

So, what exactly happens when your gut health is poor? Let’s break it down.

The Impact of an Imbalanced Gut

Your gut microbiome plays a huge role in maintaining overall health. An imbalance in gut bacteria (think an overgrowth of “bad” bacteria) can lead to a number of digestive issues, such as bloating, indigestion, and constipation. These gut imbalances can directly affect your thyroid by:

  1. Impeding Nutrient Absorption: Poor gut health can reduce your body’s ability to absorb essential nutrients like iodine, zinc, selenium, magnesium, and vitamin D. These nutrients are vital for thyroid function, and without them, your thyroid can’t work as effectively.
  2. Increasing Inflammation: Chronic gut inflammation can affect your thyroid by interfering with hormone production and conversion. It can also contribute to autoimmune thyroid conditions like Hashimoto’s, where inflammation damages the thyroid gland itself.
  3. Impairing T4 to T3 Conversion: The conversion of T4 to T3 happens primarily in the gut. If your gut is not healthy, this conversion process can slow down, leading to low T3 levels. Low T3 can result in symptoms like low energy, brain fog, and weight gain—no matter how healthy your diet is.

How to Support Both Your Gut and Thyroid Health

The good news is that you can take steps to improve both your gut and thyroid health. By focusing on the right foods and supplements, you can help your thyroid function properly and support your gut health at the same time. Here are some strategies to get you started:

1. Focus on Fiber:

Fiber-rich foods like vegetables, fruits, and seeds play a key role in promoting healthy gut bacteria and improving digestion. Fiber acts as fuel for “good” bacteria in the gut, which helps protect your immune system, support gut lining, and ensure proper digestion.

High-fiber foods can also help regulate bowel movements and reduce bloating, both of which are common problems when thyroid function is off.

What to eat:

  • Leafy greens like spinach and kale
  • Berries and apples
  • Whole grains like quinoa, oats, and brown rice
  • Seeds such as chia and flaxseeds

2. Get Plenty of Protein:

Protein is essential for both thyroid and gut health. It helps produce important hormones, including thyroid hormones, and provides the building blocks your body needs to maintain healthy digestion. Protein is also crucial for repairing the lining of your gut and supporting the immune system.

If you’re dealing with sluggish digestion or low thyroid function, adequate protein intake is even more important to help support your body’s ability to convert T4 into T3.

What to eat:

  • Lean meats like chicken, turkey, and beef
  • Fish and seafood
  • Eggs

3. Probiotics and Prebiotics:

Probiotics and prebiotics help restore a healthy gut microbiome by encouraging the growth of beneficial bacteria. A healthy gut microbiome can support optimal digestion, nutrient absorption, and even thyroid hormone conversion.

  • Probiotics: These are live bacteria found in fermented foods that help replenish “good” gut bacteria. Some of the best sources of probiotics include yogurt, kefir, sauerkraut, kimchi, and kombucha.
  • Prebiotics: These are plant fibers that feed the beneficial bacteria in your gut. Foods like bananas, garlic, onions, and asparagus are excellent sources of prebiotics.

4. Reduce Inflammatory Foods:

Inflammation is a major player in both gut and thyroid health. Limiting foods that promote inflammation—like ultra-processed foods, sugar, refined oils, and in some cases, gluten—can help reduce overall inflammation in the body. This can improve digestion, reduce bloating, and support thyroid function.

When you reduce inflammation in your gut, you also reduce the burden on your thyroid, which can help improve hormone production and conversion.

What to avoid:

  • Ultra-processed foods
  • Refined sugars and carbs
  • Refined vegetable oils
  • Gluten (for some individuals with sensitivities)

5. Focus on Nutrient Powerhouses:

Certain nutrients are particularly important for both thyroid and gut health. These nutrients support the thyroid gland, help with the conversion of T4 to T3, and support overall digestive function. The most important nutrients for thyroid and gut health include:

  • Selenium: Found in Brazil nuts, tuna, and sunflower seeds, selenium supports thyroid function and has anti-inflammatory properties.
  • Zinc: Found in meat, shellfish, legumes, and seeds, zinc plays a critical role in thyroid hormone production.
  • Magnesium: Found in leafy greens, nuts, seeds, and legumes, magnesium supports muscle function, digestion, and thyroid health.
  • Iodine: Found in sea vegetables, iodized salt, and dairy, iodine is crucial for thyroid hormone production.

If you suspect you have deficiencies in any of these nutrients, testing can help guide your supplementation strategy.


Ready to Feel Your Best?

If you’re struggling with digestive issues and suspect that your thyroid health might be contributing, it’s time to take action. Supporting both your thyroid and gut health is essential for feeling your best, and it’s never too late to start.

If you’re ready to uncover the root causes of your thyroid and gut issues, we can help. At Chews Food Wisely, we take a comprehensive, root-cause approach to uncovering what’s really driving your symptoms. We use functional testing to assess your thyroid, gut health, and nutrient levels, so we can create a personalized plan that supports your entire body.

Apply to work with us today and take the first step toward better thyroid and gut health! Your body deserves to feel its best.

Meet Nicole Fennel Functional Dietitian

Hey There, I'm Nicole!

Nicole Fennell is a functional nutrition Dietitian—and a fellow Hashimoto’s patient—who understands firsthand the challenges of living with thyroid hormone imbalances and immune system dysfunction. Her approach to managing chronic disease and stubborn symptoms focuses on building the body up with enjoyable and realistic nourishment rather than breaking it down with restrictive, unrealistic, short-term diets.

With a real-food philosophy, Nicole emphasizes the power of nutrition, movement, and peace of mind in both disease prevention and long-term health. Outside of her work, she loves staying active with her husband and three kids, lifting weights, practicing yoga, walking, cooking, enjoying good food, and spending time outdoors.
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