If you have Hashimoto’s hypothyroidism, you could unknowingly be developing another autoimmune disease as having one autoimmune disease raises your risk for developing future ones.
This is because autoimmune diseases sometimes start off as “silent” autoimmunity. This means your immune system is attacking tissue in your body but the damage isn’t bad enough to cause symptoms yet.
Autoimmune disease is more common than cancer and heart disease combined, and that’s just the diagnosed cases. Many, if not most, cases of autoimmunity are happening without a diagnosis.
This is because medicine does not screen for autoimmunity until symptoms are advanced and severe enough for a diagnosis and treatment with steroids, chemotherapy drugs, or surgery.
With Hashimoto’s hypothyroidism, you may be diagnosed with hypothyroidism and prescribed thyroid replacement, but unless you are also screened for Hashimoto’s, you won’t know to manage your immune system. More than 90 percent of hypothyroidism cases are caused by Hashimoto’s.
Autoimmunity: The disease for the modern era
Autoimmunity can affect any tissue in the body, such as the thyroid gland, or brain. It occurs when the immune system attacks and damages tissue as if it were a foreign invader.
Common autoimmune diseases include Hashimoto’s hypothyroidism, Graves’ disease, multiple sclerosis, lupus, rheumatoid arthritis, type 1 diabetes, celiac disease, and psoriasis. More than 80 different autoimmune diseases have been identified so far.
Autoimmune disease affects 1 in 5 people, the majority of them women. It is believed women are more commonly affected because of their hormonal complexity. Although autoimmune disease is very common, the statistics do not tell the whole story.
Autoimmunity can happen long before diagnosis
Autoimmunity can begin long before damage is bad enough for a disease to be diagnosed. Many people can go years, decades, or even an entire lifetime with symptoms but never have damage bad enough to be labeled disease.
Another example is autoimmunity against the pancreas can cause blood sugar issues long before the development of type 1 diabetes. Additionally, about 10 percent of people with type 2 diabetes, which is caused by diet and lifestyle, also have pancreatic autoimmunity. This is called type 1.5 diabetes.
One of the most common autoimmune diseases is Hashimoto’s hypothyroidism. Patients may need to gradually increase their thyroid hormone because although they were diagnosed with low thyroid, the autoimmunity was overlooked and left unmanaged.
Or a patient may have an autoimmune reaction that has not been recognized as a disease. For instance, autoimmunity to nerve cells may produce symptoms similar to multiple sclerosis (MS), which is an autoimmune reaction to nerve sheathes. However, because the autoimmunity is not attacking nerve sheathes specifically, the patient cannot be diagnosed despite MS-like symptoms.
Also, once you have one autoimmune disease, such as Hashimoto’s hypothyroidism, your risk of developing future ones goes up considerably.
Autoimmunity can attack anything in the body
People can also have symptoms that suggest many types of autoimmunity. Although symptoms vary depending on which tissue is being attacked, many autoimmune sufferers experience chronic fatigue, chronic pain, declining brain function, gastrointestinal issues, hair loss, weight gain or weight loss, brain fog, and more.
These are common not only with Hashimoto’s hypothyroidism, but many other symptoms as well.
Fortunately, functional medicine offers lab testing that can screen for autoimmunity against a number of different tissues. We also use strategies such as an anti-inflammatory diet, blood sugar stabilizing, gut healing, addressing toxins, and habits that minimize stress and inflammation.
Ask my office if autoimmunity may be causing your strange and chronic symptoms and how to manage Hashimoto’s hypothyroidism.