Hashimoto’s Weight Loss: 9 Actionable Tips + Treatment Guide for Patients

Are you struggling to lose weight with Hashimoto’s? In this post I outline the 9 steps that I use to help Hashimoto’s patients lose weight in my practice.

Hashimoto’s patients need to be differentiated from other thyroid patients when it comes to treatment, but also when it comes to weight loss.

If you didn’t already know exercising more and eating less will NOT lead to lasting weight loss in Hashimoto’s patients.

I discuss the 4 main reasons for weight loss resistance that patients face that most doctors aren’t even looking for:

1. Body set point malfunction – hypothalamic changes that make weight loss almost impossible.

2. Low resting metabolic rate or low resting energy expenditure (AKA slow or damaged metabolism) – Your metabolism controls the majority of your calorie consumption and a damaged metabolism will make weight loss very difficult.

3. Leptin resistance – High levels of leptin tricks your brain into thinking that your body is starving even though you are overweight.

4. Gut imbalances – Specifically SIBO and SIFO can cause inflammatory states which reduce thyroid conversion and lead to changes in microflora of the GI tract which causes weight loss resistance.

These 4 topics are VERY important and these tips help treat them:

1. Check and treat your metabolism if damaged
2. Get on the right type and dose of thyroid medication – that generally means T3 in some form (NDT or T3) especially if you have insulin or leptin resistance
3. Find the best hashimoto’s diet for YOUR body – that means anything ranging from AIP vs nutritional ketosis vs gluten free, dairy free, soy free
4. Make sure you are exercising (preferably HIIT + low intensity daily)
5. Address gut health – specifically SIBO/SIFO and malabsorption
6. Reduce inflammation in your body
7. Address adrenal related problems
8. Treat leptin and insulin resistance
9. Avoid endocrine disruptors and xenoestrogens (AKA make sure you are detoxing)

Listen to the video for tips on how to treat each of these conditions and let me know if you have any questions below!

More information in the video and the full blog post can be found here:

You can read more on my website here:

This video is not intended to be used as medical advice. If you have questions about your health please consult your physician or primary care provider. Dr. Westin Childs goes to great lengths to produce high quality content but this is NOT a substitute for medical care.


Sun Goddess says:

first thing no synthroid ! secondy use armour thyroid a natural med where your doc can subscribe but you have to ask .3) order Dr sebi cell food sea moss sythroid is a man mad drug that’s made in a lab ..wake up before you die !!

grace Mazzucco says:

Thanks for the informative videos! I have recently been diagnosed with Hashimotos and indeed am overwhelmed. Can you please tell me is there is a vegetarian diet option for healing?? All these paleo diets focus on meat and cutting out legumes which I rely on for protein.

amy boyer says:

Can you recommend a doctor in Portland OR that can help with this?

Katie Peltier says:

So I was diagnosed at the age of 18 with hypothyroidism and have been on synthroid and levox since, I blew up to 350 lbs eventually I had weight loss surgeries, complications and bowel obstruction surgery, gall bladder removed I was diagnosed with Hashimoto’s today, I am the clean eater that works out everyday trying to bully the weight off, my brain is mush, I have fought this so hard all of my life and now I am just exhausted with where to start, I am a Military wife and my PCM and car changes constantly we move to Fort Stewart GA this summer and I just had my first appt with an Endocrinologist three days ago? I am going to call in the morning and ask about the t3 but how will being a gastric bypass patient and having issues play into this? It’s like my body is always in starvation mode I have put on an extra 20-30 back and forth and no matter what I do it will not come off!!!!

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