7 Ways Gut Health Impacts Your Thyroid: A Microbiome Connection

gastrointestinal gut health hyperthyroidism signs and symptoms hypothyroidism physician hormone specialist texas thyroid Sep 19, 2024
 

 Hello, everyone! This is Dr. Dana Gibbs.

We are diving deep into the fascinating world of gut health and its surprising connection to your thyroid.

The human body is a complex ecosystem, and the intricate relationship between the gut and the thyroid gland is a fascinating area of ongoing research. Our gastrointestinal (GI) tract, teeming with trillions of microbes, plays a surprising role in thyroid function. This article explores seven key ways gut health can influence your thyroid, emphasizing the importance of a balanced microbiome.

  1. Gut Microbiome and Nutrient Absorption:

The trillions of bacteria, fungi, and other microbes living in our gut form a complex ecosystem. These tiny residents play a vital part in breaking down our food and absorbing essential nutrients, including those needed for thyroid hormone production, like iodine, selenium, and iron. They also consume and convert certain nutrients into hormones that affect our bodies as a whole. If this gut microbiome becomes unbalanced, it can hinder the absorption and production of these important nutrients, potentially affecting thyroid function.

  1. Gut Bacteria and Thyroid Hormone Activation:

Some of the bacteria living in our gut have special tools, called enzymes, that can change thyroid hormones. These enzymes can activate T4, the inactive form of the hormone, into its active form, T3. If the balance of bacteria in the gut gets disrupted, it can affect the production of these enzymes. This disruption could potentially lead to problems with how well our bodies activate thyroid hormones.

  1. The Gut-Immune Connection and Thyroid Autoimmunity:

When the gut experiences chronic inflammation, often linked to an imbalance in gut bacteria (dysbiosis), it can trigger a widespread inflammatory response throughout the body. This systemic inflammation may be a factor in the development of autoimmune diseases, including Hashimoto's thyroiditis, the most common cause of low thyroid function (hypothyroidism). This inflammation can also  lead to deficiencies in iodine, selenium, and iron, potentially contributing to:

  • Goiter: Enlargement of the thyroid gland due to insufficient thyroid hormone production.
  • Hypothyroidism: A condition where the thyroid gland doesn't produce enough thyroid hormones.
  • Fatigue: A common symptom of both iodine and iron deficiency.
  1. Leaky Gut and Thyroid Function:

When the gut barrier weakens, it becomes more permeable, allowing larger particles and potentially harmful substances to leak from the gut into the bloodstream. This leakage can trigger immune reactions throughout the body. Chronic inflammation can disrupt the finely tuned system that controls thyroid hormone production, known as the hypothalamic-pituitary-thyroid axis. Additionally, leaked toxins from gut bacteria may directly interfere with how thyroid hormones work at the cellular level.

  1. The Gut-Brain Axis and Thyroid Regulation:

There's a fascinating two-way communication highway between the gut and the brain, called the gut-brain axis. This network of nerves and hormones allows the gut microbiome to influence the production of chemical messengers (neurotransmitters). These messengers talk to the hypothalamus, a control center in the brain, and the pituitary gland. The hypothalamus plays a crucial role in thyroid function by releasing a hormone called thyrotropin-releasing hormone (TRH). TRH then tells the pituitary gland to produce thyroid-stimulating hormone (TSH). If this communication system gets disrupted, it can throw off thyroid hormone production.

  1. Gut Motility Problems

Interestingly, low thyroid hormone activity in the body can also interfere with the microbiome. By slowing down the movement of food through the gut, it allows bacterial overgrowth  and fermentation to occur in the small intestine, where it should really not be occurring. This can produce painful and unsightly bloating and constipation, sometimes severe enough to result in costly workups without a specific cause being found. The proper balance of thyroid hormone is needed for optimal gut health. If you are seriously deficient in T3, the active form of thyroid hormone, no amount of water drinking, fiber eating or exercise may be enough to compensate until the deficiency is corrected.

  1. Probiotics and Thyroid Health:

There's growing interest in the potential of probiotics, live bacteria found in fermented foods and supplements, to support gut health. These beneficial microbes might play a role in maintaining a healthy gut barrier, potentially reducing inflammation and preventing leaky gut.

They may also influence the gut-brain axis, promoting the production of neurotransmitters that support balanced thyroid function. Additionally, some probiotic strains might possess enzymes that aid in thyroid hormone conversion.

Certain microbes are also found to be deficient in people with insulin resistance and Obesity, that naturally produce the hormone GLP-1, that helps control hunger. 

Studies suggest that probiotics may improve gut health and potentially offer benefits for thyroid function, although further research is needed. 

The  Importance of a Balanced Diet:

What you eat and drink directly impacts the trillions of microbes living in your gut. A balanced diet packed with fiber, fruits, vegetables, and whole grains helps these microbes thrive. On the other hand, processed foods, sugary treats, and unhealthy fats can disrupt this delicate balance, leading to an overgrowth of harmful bacteria. This imbalance, known as gut dysbiosis, can weaken the gut barrier and trigger inflammation throughout the body. As mentioned earlier, inflammation can negatively impact thyroid function.

Understanding the gut-thyroid connection empowers us to take a more holistic approach to thyroid health. While these are promising areas of research, it's important to consult with a healthcare professional for diagnosis and treatment of thyroid conditions. Maintaining a healthy gut microbiome through diet, lifestyle modifications, and potentially probiotics, can be a valuable strategy as part of a comprehensive thyroid management plan.

So, there you have it! I hope this explanation helps you navigate on how our gut health and thyroid affect each other. I'm Dana Gibbs MD. I'm an integrative physician in North Texas. I help people address fatigue and loss of vitality resulting from thyroid and other hormone imbalances. If you are in North Texas and you want a caring doctor to help you resolve your exhaustion, joint and muscle aches, poor sleep issues and weight gain, come sign up for a discovery call with me now.

Stay healthy everyone!

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