Thyroid, Blood Sugar, and Metabolic Syndrome | Chris Kresser

Thyroid, Blood Sugar, and Metabolic Syndrome

by Chris Kresser

Last updated on

This article is part of a special report on Thyroid Disorders. To see the other articles in this series, click here.

According to the American Association of Clinical Endocrinologists, 27 million Americans suffer from thyroid dysfunction – half of whom go undiagnosed. Subclinical hypothyroidism, a condition in which TSH is elevated but free T4 is normal, may affect an additional 24 million Americans. Taken together, more than 50 million Americans are affected by some form of thyroid disorder.

Metabolic syndrome (MetS), also affects 50 million Americans, and insulin resistance, one of the components of metabolic syndrome, affects up to 105 million Americans. That’s 35% of the population.

Metabolic syndrome has become so common that it’s predicted to eventually bankrupt our healthcare system. Both metabolic syndrome and insulin resistance are risk factors for heart disease and diabetes, two of the leading causes of death in the developed world. It’s also closely related with diabesity.

With such a high prevalence of both thyroid dysfunction and metabolic syndrome, you might suspect there’s a connection between the two. And you’d be right.

Studies show an increased frequency of thyroid disorders in diabetics, and a higher prevalence of obesity and metabolic syndrome in people with thyroid disorders.

That’s because healthy thyroid function depends on keeping your blood sugar in a normal range, and keeping your blood sugar in a normal range depends on healthy thyroid function.

Thyroid, Blood Sugar, and Metabolic Syndrome

Metabolic syndrome is defined as a group of metabolic risk factors appearing together, including:

  • abdominal obesity;
  • high cholesterol and triglycerides;
  • high blood pressure;
  • insulin resistance;
  • tendency to form blood clots; and,
  • inflammation.

Metabolic syndrome is caused by chronic hyperglycemia (high blood sugar). Chronic hyperglycemia is caused by eating too many carbohydrates. Therefore, metabolic syndrome could more simply be called “excess carbohydrate disease”. In fact, some researchers have gone as far as defining metabolic syndrome as “those physiologic markers that respond to reduction in dietary carbohydrate.”

When you eat too many carbs, the pancreas secretes insulin to move excess glucose from the blood into the cells where glucose is used to produce energy. But over time, the cells lose the ability to respond to insulin. It’s as if insulin is knocking on the door, but the cells can’t hear it. The pancreas responds by pumping out even more insulin (knocking louder) in an effort to get glucose into the cells, and this eventually causes insulin resistance.

Studies have shown that the repeated insulin surges common in insulin resistance increase the destruction of the thyroid gland in people with autoimmune thyroid disease. As the thyroid gland is destroyed, thyroid hormone production falls.

How Low Blood Sugar Affects the Thyroid

But just as high blood sugar can weaken thyroid function, chronically low blood sugar can also cause problems.

Your body is genetically programmed to recognize low blood sugar as a threat to survival. Severe or prolonged hypoglycemia can cause seizures, coma, and death. When your blood sugar levels drop below normal, your adrenal glands respond by secreting a hormone called cortisol. Cortisol then tells the liver to produce more glucose, bringing blood sugar levels back to normal.

The problem is that cortisol (along with epinephrine) is also a sympathetic nervous system hormone involved in the “flight or fight” response.

This response includes an increase in heart rate and lung action and an increase in blood flow to skeletal muscles to help us defend against or flee from danger. Cortisol’s role is to increase the amount of glucose available to the brain, enhance tissue repair, and curb functions – like digestion, growth and reproduction – that are nonessential or even detrimental in a fight or flight situation.

Unfortunately for hypoglycemics, repeated cortisol release caused by episodes of low blood sugar suppresses pituitary function. And as I showed in a previous article, without proper pituitary function, your thyroid can’t function properly.

Together, hyperglycemia and hypoglycemia are referred to as dysglycemia. Dysglycemia weakens and inflames the gut, lungs and brain, imbalances hormone levels, exhausts the adrenal glands, disrupts detoxification pathways, and impairs overall metabolism. Each of these effects significantly weakens thyroid function. As long as you have dysglycemia, whatever you do to fix your thyroid isn’t going to work.

How Low Thyroid Function Affects Blood Sugar

We’ve seen now how both high and low blood sugar cause thyroid dysfunction. On the other hand, low thyroid function can cause dysglycemia and metabolic syndrome through a variety of mechanisms:

  • it slows the rate of glucose uptake by cells;
  • it decreases rate of glucose absorption in the gut;
  • it slows response of insulin to elevated blood sugar; and,
  • it slows the clearance of insulin from the blood.

These mechanisms present clinically as hypoglycemia. When you’re hypothyroid, your cells aren’t very sensitive to glucose. So although you may have normal levels of glucose in your blood, you’ll have the symptoms of hypoglycemia (fatigue, headache, hunger, irritability, etc.). And since your cells aren’t getting the glucose they need, your adrenals will release cortisol to increase the amount of glucose available to them. This causes a chronic stress response, as I described above, that suppresses thyroid function.

How to Keep Your Blood Sugar in a Healthy Range

It’s important to understand that whether you have high or low blood sugar, you probably have some degree of insulin resistance. I described how high blood sugar causes insulin resistance above. But insulin resistance can also cause low blood sugar. This condition, called reactive hypoglycemia, occurs when the body secretes excess insulin in response to a high carbohydrate meal – causing blood sugar levels to drop below normal.

In either case, the solution is to make sure your blood sugar stays within a healthy range. There are two targets to consider. The first is fasting blood glucose, which is a measure of your blood sugar first thing in the morning before eating or drinking anything. I define the normal range for fasting blood glucose as 75 – 95 mg/dL. Although 100 is often considered the cutoff for normal, studies have shown that fasting blood sugar levels in the mid-90s were predictive of future diabetes a decade later. And although 80 mg/dL is often defined as the cutoff on the low end, plenty of healthy people have fasting blood sugar in the mid-to-high 70s (especially if they follow a low-carb diet).

The second, and much more important, target is post-prandial blood glucose. This is a measure of your blood sugar 1-2 hours after a meal. Several studies have shown that post-prandial blood glucose is the most accurate predictor of future diabetic complications and is the first marker (before fasting blood glucose and Hb1Ac) to indicate dysglycemia.

Normal post-prandial blood sugar one to two hours after a meal is 120 mg/dL. Most normal people are under 100 mg/dL two hours after a meal.

Now that we know the targets, let’s look at how to meet them. If you’re hypoglycemic, your challenge is to keep your blood sugar above 75 throughout the day. The best way to do this is to eat a low-to-moderate carbohydrate diet (to prevent the blood sugar fluctuations I described above), and to eat frequent, small meals every 2-3 hours (to ensure a continuous supply of energy to the body.

If you’re hyperglycemic, your challenge is to keep your blood sugar below 120 two hours after a meal. The only way you’re going to be able to do this is to restrict carbohydrates. But how low-carb do you need to go? The answer is different for everyone. You figure your own carbohydrate tolerance by buying a blood glucose meter and testing your blood sugar after various meals. If you’ve eaten too many carbs, your blood sugar will remain above 120 mg/dL two hours after your meal.

I highly recommend you pick up a blood glucose meter if you have a thyroid and/or blood sugar problem. It’s the simplest and most cost-effective way to figure out how much carbohydrate is safe for you to eat. There are tons of meters out there, but one that gets a lot of good recommendations is the ReliOn Ultima. It’s pretty cheap, and the test strips are also cheap, which is where the major expense lies.

Finally, if you have poor thyroid function it’s important that you take steps to normalize it. As I’ve described in this article, the cycle works in both direction. Dysglycemia can depress thyroid function, but thyroid disorders can cause dysglycemia and predispose you to insulin resistance and metabolic syndrome.


Join the conversation

  1. About a year ago I have been diagnosed with bad thyroid and was on meds and stoped them about 6 months ago and suger was fine and now a year later I was retested and NOW my thyroid is FINE but my blood suger level 130. I have been eating completely bad food for the past six months and even day before the test I ate bunch if Arby’s and nutty bars and whatever. But I didnfast for the 12 hours over night during sleep. So what is going on is it possible thyroid healed and my suger is high because if all the crap foods I have been eating or is it possible I’m a diabetic? Or since I have been eating so bad and my metabolism is really slow that 12 hours wasn’t enough to drop my suger back down?

  2. I have reactive hypoglycemia after a meal sometimes 30 mins later it drops to 80s. Sometimes I don’t know if a meal will drop it instantly or bring it up like it should. I have cut out all the sweets and white bread. I eat wheat rarely. I do drink sweet tea bc if not it drops to 70s. Never seen it below 66. I also am on thyroid medicine 50mg because they said it was too high. I have also gained 100 pounds in a year. I need advice on getting my life back and what could be going on. Someone had said my thyroid medicine wasn’t high enough. Also I know I had a candida infection that said it is linked to reactive hypoglycemia. In am currently waiting on results for that. I think something has caused this. I do not have anyone in my family with hypoglycemia.

  3. Thank you very much for your help in clarifying the relationship between Iodine and blood sugar level. This is the best article on the subject so far.

  4. An amazing factual right to the point article about Iodine and relationship to blood sugar.
    Thank you so very much for your help in clarifying the subject.

  5. I am fascinated that the Thyroid and Blood Sugar are connected. I was diagnosed with pre-diabetes about 5 years ago and put on Metformin. My fbs has never been great, but usually right around 100. My post meal bs has been usually around 115-120. About 3 months ago, I was also diagnosed as hypothyroid and put on 25 mg Synthroid, then moved to 50 mg Synthroid after 6 weeks. Now, my fbs is 143. Help! Now what do I do? I am slightly overweight at 137lbs (5’4″). Will loosing weight make a difference? Are there supplements that can help?

  6. I do have thyroid issues which they say now is back in line. I think I have reactive hypoglycemia. About a hour after a meal my sugar is in the 80s. Does anyone know if you have a high fasting insulin if it can cause the reactive hypoglycemia?

    • I am also having thyroid and reactive hypoglycemia issues and now I’m over weight. I want to follow your feed. Dealing with it for several months now. 🙁

  7. I am hypoglycemic and have been on a metabolic diet for a year now to help balance it (worked flawlessly). I also have hypothyroid that I take armour thyroid for it to keep levels normal. In the past few months, I have started to gain weight fast, I feel nauseated, everything I eat (healthy) my body responds like I am feeding it sugar, and my face oddly feels numb all day. I have been going to the doctor to find the problem. My progesterone levels are normal, my thyroid levels are normal, blood pressure is normal, and I have been on gut medication for 3 weeks with no results. I am wondering if, despite being on a diet, I could be pre diabetic? My insulin was 2 points lower than normal on an all-around blood test, but I am wondering if I should take an insulin resistance test to get a more clear reading?

    • Sounds like Adrenal Fatigue. Both Thyroid and Adrenal Glands are intimately linked together… Take 3000mg Vitamin C and 500mg Magnesium… Avoid yeast (this includes msg, vinegar, citric acid – its made from mold not citrus btw look it up), carbohydrates, and sugar at all costs, this includes starches (breads, pastas, etc…)… Basically, you need to change to a Meats Fruits and Vegetables ONLY Diet…Anyway, look it up. I’m going through the same basically. Good Luck.

    • Check your thyroid T3 and T 4 levels. Finally after years of doc telling my thyroid was normal, it wasn’t .
      Also there are additives in food today that are not labeled MSG, but for me I get an attack and black out. If a product says “yeast” it is a flavor enhancer and in just about everything

    • Diet is 80% of it, but the other 20% key to restoring your health is physical activity. Walking is an easy way to start, but even easier is to simply start by doing stretches that feel good! You can just sit on the floor or even on your couch and stretch your legs and arms in ways that feel satisfying, not overdoing it. Slowly increase your stretch and after a few weeks when you are then sleeping better and your joints and muscles are all feeling better too, bring in another activity. I really like jumping rope, because it only takes a few minutes to get your blood pumping, and it’s fun! When I started I was absolutely exhausted before 70 jumps (that is maybe a minute of exercise) so that is where I’d stop (stop when you’re exhausted) I have not been doing it long but I am now nearing 150 jumps. It’s fun to see progress.

      I highly suggest adding a physical activity regime alongside your healthy eating, something simple like this. It can really do wonders if you stick to it. Write what you did (or if you skipped workout that day) every day in a journal, and write out the next day’s date on the next page after you are finished as motivation to then actually fill it out the next day.

      (PS I suggest doing the jump rope in runners, it feels better than barefoot.)

  8. Hi, Chris. I love your information and am grateful. I also downloaded the free Thyroid Disorders ebook (thank you!), which had some good stuff; however, there wasn’t much in the ebook in the way of hyperthyroidism (specifically Grave’s Disease) and the roll of insulin resistance; the focus seemed to be mostly on hypothyroid/Hashimoto’s or autoimmune in general. My interest is because about a year ago I was diagnosed with GD. For the record the past couple of weeks I have been eating very low carb and also going through a basic elimination diet (including gluten and dairy) in an attempt to see what works, and I do feel better (though I don’t know if this is due more to the low-carb or the cutting out of dairy and gluten, etc, or both). I’ve read a paper by Drs. Tsai, Winer, et al about Diabetes Type 2 ( and would love to hear your thoughts. Thanks!

  9. I have hypothyroidism. My TSH levels sometimes fluctuate so that I have to alter my synthroid dosage. I am very symptomatic of hypoglycemia yet my blood level tests show me as normal. I’ve done the six hour glucose test and have checked my blood at home, all normal. My doctor sent me to an endocrinologist and she said there is no connection of my symptoms to my thyroid. I usually have to eat 2 hours after breakfast and lunch yet I can go all evening after dinner until the next day, so my symptoms are worse during the day – weird right. Do you know what condition I have if it’s not hypoglycemia? Thanks.

    • You are just like me! I have just been diagnosed with Hirata’s Syndrome. I don’t know a whole lot about this syndrome as of yet, except it is an autoimmune situation. You might want to check into it though.

      • Dana, thank you for your response. I find it so disheartening that my doctor and the specialists don’t know what condition I have. A dietician said she feels it’s reactive hypoglycemia. I’d be interested to know how you came to get your diagnosis? Thanks.

          • Thank you for commenting on my post. I don’t take any medications at all. However, I do have Grave’s Disease and several other autoimmune disorders. My doctor prescribed Metformin to help with the insulin use. I am hoping it will help.

        • Hey, Nina! My endocrinologist has spent many moons testing me for different things. I do have several autoimmune disorders–one of which is Grave’s Disease. Many times, folks develop Hirata’s after Grave’s Disease. I am not on any medications for that right now because my Grave’s Disease is intermittent. I am not sure if you have been tested for any type of thyroid problems, but that is always a first stop for many things. I am hoping you do find something to help you—and quickly. It is very discouraging to not know what’s going on inside of you! My master’s is in public health and my doctorate is in naturopathy for that very reason!

          • Hi Dana and April, thanks so much for your comments. I’m going to mention Hirata’s Syndrome to my doctor.
            You mentioned sulfhydryl compounds but I’m not taking any meds except for Synthroid for my hypothyroid. However, something occurred to me which maybe completely unrelated…I am addicted to using Blistex. I decided to read the ingredients which includes Padimate and Oxybenzone. When reading about this ingredient it made reference to sulfa drugs. I know this may be a bit of a stretch. Anyway, it might be worth a try getting off the lip balm.

            The other thing worth mentioning is that my hypoglycemic episodes came about at the same time my thyroid went out. This can’t be a coincidence.

  10. Read a study the other day that tested a variety of foods for their insulinogenic effect… Beef came out top – what do you make of this?

    The theory is that fat in the blood stops insulin from being used effectively by the cells to uptake glucose – and proponents of this say excess fat is the real cause of diabetes.

    I’m not sure yet either way, but surely excess fat in the blood would either be caused by a slow liver or by excess weight. And surely the problem would be compounded by refined carb intake. So perhaps it is the combination of the 2 which causes the damage?

  11. I have hypothyrioid and nodules on my thyroid. The doctor tried medicine to see if it helped and it did not work so he took me off it. I had gastric bypass in 2010 because health issues. Now I started to have seizures and black out because my blood sugar bottoms out & I feel it happens when my thyroid decides to work and wipes out what sugar I do have in my system. Can anyone give any advice what my next step should be or what to do so I quit having the seizures ?

    • Disclaimer: Not a doc, take advice with a grain of salt.

      First thing, get your diet right. Take out ALL restaurant food. No more eating out EVER. Eat foods as close to what you would find in nature as possible (think Paleo with wild caught fish for your protein, iodine, and DHA source).

      Especially eliminate high-fructose corn syrup and other added sugars from your diet (these could be the cause of those hypoglycemic episodes you said you are having). If it’s high in carbs, low in natural fiber and it didn’t grow on a tree, picked from a bush or vine, or get pulled from the ground, probably don’t eat it.

      Do research on hypothyroidism. Read research papers online. Stick with the science. Doctors are dangerous (they almost always want to give drugs, not assay and fix the actual problem), but research papers can be very illuminating.

      Almost all issues can be cleared up with good food and good exercise or the elimination of bad food, but it takes time. Sometimes years.

      The important thing is sticking with the most healthy diet you can eat and getting regular weight-bearing exercise in your life.

      If you are having hypoglycemic episodes either due to the bariatric surgery (because now your stomach is compromised) or your thyroid, I advise you to get some glucose tablets to have on you at all times.

      Since you are limited to the amount of food you can put in your stomach, you must eat the most nutritionally dense foods on the planet.

      I hope these simple things will at least put you on the right track.

    • I jave successfully stopped hypoglycemia AND seozures by using Progesterone. I was estrogen dominant at Peri menopause and it was hell. Now 5 years later and now i am fine still. I was started st first on Prometrium then i switched to cream. I also use Estrosmart to keep estrogen at bay. For some reason i have trouble clearing it out of my system. I also have been prescribed Erfa thyroid 2 grains. Much improved overall.

      • That would make sense as progesterone is one of the hormones needed to make cortisol and cortisol is required to increase blood sugar levels ? if you are having trouble clearing out excess oestrogen I would suggest you get some liver herbs and dim which will help clear out excess hormones by enhancing liver detoxification pathways (student nat)

  12. I have Hashimoto and eat a relatively low carb diet, carbs are mainly from green vegetables and berries/apples. For past four months my fast glucose is 122, and then 112 after eating. I am stumped my fasting blood is consistantly too high even though I am eating limited to no sugar or carbs. How is it showing this elevated readings, the day before my last fasting blood test, I ate 88 g carbs- fruit and veggies and the results were 122. Dr said limited carbs and sugar, but offers no advice when I tell her I am not eating sweets, processed foods, etc. Any insight because, can I be getting a false reading somehow?

  13. I never dx of hypoglycemia or diabetes. .but have had gastric bypass 4 yrs ago now within 2 yrs i hv passed out face forward blood sugar drops in 30 at one episode i couldnt see nothg but blackness out of my vision im so tired of this to where i just sit and sit afraid to go anywhere or have company afraid i will pass out again

    • I am 1 yr. post op sleeve and have frequent episodes of low blood sugar with horrible symptoms. Debilitating and scary. Being followed for hypothyroidism and metabolic syndrome. Hope to figure out something soon.

    • i had gastric 5 yrs ago same issue severe blood sugar drops & then go into seizures. doc. said even though i have hypothroidism & nodules i am fine, but this is getting scary. had 2 be put on anti seizure meds. just 2 stop the seizues.

    • Hi, I don’t know if this will help anyone but I thought I’d let you know what I was going through. I was diagnosed several years ago with Type 2 diabetes but got to the point where I was too tired to even cry. My Dr took the thyroid test further out to test T3 and T4. There it was. Hashimotos disease. On Nature… Now and better.

  14. So glad I found this page, I think this is exactly what’s wrong with me. I’ve been getting attacks of low blood sugar for a while now, it’s become more frequent, usually a few times a week, sometimes even twice in one day. I find it very scary and sometimes it happens when I’m driving so I have to get to a shop and buy something to eat and wait till I’m ok to drive home. It’s always either around lunchtime or a few hours after lunch so it definitely a few hours after eating, I’m starting to notice a pattern that it usually happens when my last meal contained carbs like bread or cereal etc. I’ve been to the doctors and have a blood test book for a few days time, I just wondered in the meantime what sort of thing should I be eating when I get an attack? At first I would go and buy something sugary like a cake or chocolate bar, but then decided it’s probably not the best thing so if it was near lunchtime I’d wait until I had my meal and that would settle it down, but I sometimes find it then happens again a few hours later. I sometimes buy snacks like graze as they contain things like nuts, raisins and a little bit of chocolate as I thought that might be handy to have on me for if it happens. What would you recommend? Should I completely cut out the bread and cereal? I’m veggie so my options are a bit limited without it.

    • Olivia. What you need to do is avoid triggering insulin. Sugar, grains, are the most likely to do this. Fiber and fats (as in seeds and nuts) are less likely to trigger high insulin levels. Insulin is what is causing the low blood sugar episodes. Search for the glycemic index. It will tell you which foods are less likely to trigger a high insulin/low blood sugar response. Stray away from high scoring foods on the glycemic index. Chocolate would be a good choice if it was sugar free. Artificial sweeteners should also be avoided. Stevia is a good choice for a sweetener. I especially like to take dehydrated okra as a snack in the car if I will miss lunch otherwise.

      • Thank you, that’s really helpful. I also stay away from artificial sweetener, poisonous stuff! I usually use xylitol, I think it is low GI. I will have a look at the glycemic index. I do eat a lot of bread, mainly brown but I think that is my worst trigger so I need to try and get rid of that

      • I am 8 years post op RNY Dx with hypothyroidism 20 years ago and felt with very occasional sugar lows very seldomly, I suggest you Go buy glucose tabs in the diabetic section near the pharmacy section fairly cheap! I usually take two when start to feel symptoms but feel I need more than those so I drink cola or orange juice. It’s said milk brings bs levels up and stabilizes but after gp i am in able to tolerate milk!
        I have all the symptoms of hypoglycemia, shaking sweating lightheaded irritability and fatigue thank god I get symptoms and when I check my bs it is usually 65 or lower very scary
        I have glucose tabs located everywhere and also carry a bottle of cola with Bc with the tabs and Coke it jacks my sugar up to about 110 and I also have hypothyroidism. Lately more glycemic issues and just found out my thyroid level is 0.065 compared to few months ago of 8.59 big change and I’m having a lot of different symptoms all related to hupothyroidism
        It sucks!
        Good luck!

  15. I never do this, but my Doctor always says “I don’t know” to all of the weird symptoms I have. I realize the symptoms are linked because one systems affects the others. So here goes..I’m a celiac and follow a strict diet, I’m hypoglycemic-I don’t eat carbs except in the form of fruits and veggies, ei. no GF bread, pasta, etc. I suffer from malabsorption of some kind, having 4-7 BMs a day-usually type 5 and 6 on the poop scale. I eat frequently but cannot seem to maintain a consistent BS level. The mornings are definitely the hardest, my BS drops while I’m sleeping and its quite difficult to wake up in the morning but if I have a snack before bed I cannot sleep because I get a burst of energy. I’m curious what else I could do to help myself-homeopathic, supplements, etc. Any suggestion?

    • Stef: Apparently hypoglycemia can be one of the complications of celiac disease. There is a discussion here in the ehealth forum:
      As a diabetic, I would suggest be sure you have enough good fats and lots of fiber, and you might try eating less frequently–if you can get the energy to last for a longer period. Inulin and glucomannan are fiber supplements that might help you get some staying power out of your meals.

    • NO, you should not cut out bread and cereal. You should add eggs and protein which last longer in your body. sugar comes and will go out of your body very quickly, and that is why this is happening. Keep what you are doing, add another meal, and then with EVERY meal, add some protein. I think you said you don’t eat meat…might change that to adding eggs if possible (which are not baby chickens as people think), or fish?

    • I am Celiac also. I am going to a naturopath doctor who had a degree in biochemistry. She is going to help me with methylation and hpa axis. I have asthma triggered by hypoglycemia. In the meantime I am taking small mints, sweet potatoes, and occasional potatoes. Lots of fruit also. I have to wake up and eat and go back to bed. You cannot solve this in your own. It is too complicated. You need a good naturopath doctor. Otherwise like Chris says, you’ll end up with a prescription for hormones and xanax, which is what the last doctor tried to do. Needless to say, I never went back!

      • I got frustrated with the conventional “hormones and xanax” route. I went to a naturopath to help with hurt me more than conventional medicine. Nearly 2 years later it still affects me.

  16. Hello everyone.

    I’m eating around 900kcal a day, and my fasting is around 3.9.

    The problem is when i eat anything, even 30g carbs from vegetables, i’m going up to 7.8, then going down again in around an hour. I don’t know what to do!

    Thanks 🙂

    BTW i’m a 23 year old female with no other known health issues

    • Hi Emma: You must be in Canada? Sounds like a high insulin problem. Search for “the glycemic index” and make sure you are eating at the very lower end of that scale. You do need to find a holistic doctor who can check that there isn’t some medical problem with your pancreas–to be shooting out excess insulin. As far as diet, you need to absolutely stay away from processed foods, sugars and grains, and sodas==especially diet sodas. All of these trigger insulin which could keep your blood sugar too low. Stress can be another factor. High insulin can lead to poor health over the long run, so you do need to find out what is happening here.

  17. I have suffered from low blood sugar episodes my whole life. If I google it online it says I have either diabetes or liver disease. As far as I know I don’t have either lol. I started working out in Jan 5-6 days a week and it’s been tough to manage the blood sugar especially since I cut my calories to 1500 a day. I usually only have problems in the mornings. Sometimes it doesn’t matter what I eat for breakfast, I can’t seem to get my sugar levels up and I have a hard time getting through my workout. Eating a banana will get me half way through my workout. I bought some glucose tabs and I will pop 2 or 3 of those and that helps sometimes. I just wish I could solve the mystery of why it happens and how to prevent it. I feel like my weight loss is hampered when my sugar levels drop because my body goes into panic mode.

    • Rachel: The foods that you mention are all glucose or glucose forming–foods that would trigger insulin surges. Insulin is a fat storage hormone, other than being the hormone that lowers blood glucose. So the more glucose forming foods you eat, the more you trigger insulin, the fatter you get, and the lower your blood sugar goes. So you need to target the high insulin levels and get them under control. Your food should be high fiber vegetables–add high fiber antioxidant fruits (berries) after you get your insulin under control. Eat good fats and protein as well as leafy greens, and a wide variety of vegetables, including cruciferous vegetables==every day. According to Alan Christianson, author of the Adrenal Reset Diet, a high protein breakfast sets your insulin levels for the day. Probably a true hypoglycemic should use fiber supplements such as inulin or glucomannan. Avoid sugar and grains like the plague–they are your poison. If you can find someone to check your insulin and adrenal levels, it will tell you what worked and what didn’t. You probably need to get your adrenals and pancreatic function checked. Panic mode is your adrenals kicking in. And that event can cause another blood sugar spike, and more insulin to get it down. cortisol spikes blood sugar, just like sugar and grains drive up blood glucose, so you want to keep it at an even keel. I hope this helps.

      • Yesterday I bought a glucose tester. My glucose 2 hrs after lunch was 96. This morning when I first woke up it was 50 which according to what I looked up is low. I had a slight headache which was probably from low blood sugar. Instead of having coffee first, I made a smoothie with greek yogurt, banana, cinnamon, protein powder and some vitamin water lol (I had run out of milk and needed some liquid) It was pretty disgusting but I managed to get the whole thing down in between sipping coffee. I then swam 22 laps (50 meters = 1 lap) at the public pool. My levels felt low after the pool so I got an egg, bacon and cheese burrito (which I never do, but thought the protein/carb mix would do me some good) I started my period today and my blood sugar always goes haywire right before, but regardless I’ve always had to be careful of what I eat in the am. I am going to be careful of what I eat before bed and what I eat in the am as well as drinking water with cinnamon extract to see if this helps.

        • Rachel. I see what you mean. glucose meter readings. Yes In the US, 50 is quite low. I think normal is around 75 to 85. As a diabetic I rarely see mine below 100. On insulin I have had readings of 45 — that is ready to lose consciousness at that level. Dont drive! An egg, bacon and cheese burrito for breakfast everyday should stablize your insulin at a better level.

  18. I’m curios to see if any other women have issues with hypothyroidism, luteal phase defect, and a slightly elevated prolactin level. Almost off of the women on my mothers side have issues with hypoglycemia and a lot of her brothers and sisters have hypothyroidism (one brother has hashis). My obgyn just prescribed me prometrium to help my luteal phase defect but I question whether we should be treating my progesterone levels or thyroid first. I know the three are all connected. I also had labs done that showed elevated DHEA (230) but lower end testosterone. My prolactin was only at 27 so I don’t want to pursue an MRI at the moment as I know hypothyroid can cause slightly elevated prolactin. If anyone has any insight I would greatly appreciate it!

      • When I had my progesterone checked 7DPo it was 8.5. TSH was 3.1 and free T4 was high and free T3 was low. Since the progesterone my free T3 and T4 are perfect and TSH is at 1.5 so pretty much perfect numbers I assume. Only bad thing is that I feel good during luteal phase but horrible the other two times of the month. Hair is now falling out in large amounts.. Not sure where to go from here.

    • 50 what? I would say you want carbohydrate intake of about 50%, but no sugars, grains, refined foods–those should be 0%
      Your carbs should be high fiber fruits and vegetables –brightly colored which means they contain lots of antioxidants. Lots of leafy greens.

  19. I am hypothyroid with latest test result of 1.9 for TSH which is very normal. But My sugar levels post meal are 70 which should be around 120 which is very rare. I also have sleeping issues with a very bad gut. Currently on Thyronom 125mcg. Can someone please help me with why my sugar levels are so low and having digestion, bloating and sleeping issues.

    • Have you had your progesterone levels checked? It’s not uncommon to find women (myself included) with hypothyroidism as well as low progesterone. (You want to check 7 days after ovulation btw). Now I’m trying to figure out which came first.. The hypothyroidism or the low progesterone. Best of luck!

      • I have lupus and high blood glucose levels. I no longer have insurance but when I last did my Dr mentioned low progesterone. I am beyond depressed all the time and have no energy but racing thoughts. I heard that low progesterone can lend to depression and low energy as well as the other two. Have you found this? What do you do for progesterone?

        • I take a bio identical progesterone (not prometrium- I go to a compounding pharmacy and they make their own) on days 14-28 of my cycle at night time. Find a dr in your area who specializes in bio identical hormones. (I had to travel 4 hours to find a good dr). You want a dr that will test your levels 7 days after ovulation. Then prescribe as necessary based on those numbers. You also want a dr that will recheck your levels every 2-3 months to make sure you’re staying at a normal level and not getting too high as too high of progesterone is just as bad as being too low. The racing thoughts could be related to anxiety or something else (I’m not a dr just someone who had a long journey to get my health back) and anxiety can can also be caused by low progesterone. I have very high estrogen, and while I don’t buy into all of the estrogen dominance hype I do think there is something there when you don’t have a healthy balance of estrogen to progesterone. As high serotonin has been linked to the cause of social anxiety and estrogen is a precursor to serotonin if I’m
          Not mistaken. Sorry for the overload of information! Just find a good dr and before you book the appt and waste money ask questions and make sure they are testing correctly and are knowledgable in the field. 🙂 best of luck (while you search for a dr learn how to check for ovulation so you know what day you need to get the labs drawn) also I would stay away from synthetic hormone- bio identical hormones are really so much safer and overall a better option for your body if it’s necessary to take something.

    • Aubrey. Digestive problems. You probably are not eating right—you need high fiber fruits and vegetables, good fats, and protein–especially at breakfast. Breakfast sets your insulin levels for the day. You need a high protein breakfast. Low blood sugar is high insulin. High insulin is from refined carbs, sugars and grains. And also from cortisol –stress. The stress of low blood sugar can trigger cortisol, which triggers sugar made by the liver (gluconeogenesis) and more insulin. Blood sugar problems and thyroid can work together. Fix one, you may fix both.

      • Very true but as an athlete I have a specific diet ( my mother is a dietician) I don’t eat simple carbs except during exercise. All 5 meals are 3oz protein, 20-30g carbs (usually oatmeal or organic wheat toast), and a handful of fat. My mother, aunts, and grandmother all have the same issues. Non diabetic hypoglycemia, but all have also tested for low progesterone and eventually hypothyroid. Due to the unbalanced hormones they all also have pre cancerous cells in the uterus. 0.o I have skimped on my fiber the last week though so i thank you for the reminder!

        • Aubrey. if you are doing o.k. on that diet, fine.
          If it aint broke don’t fix it.” But if you want to optimize, You could (should) swap out some of the grains for antixidant fruits (berries) and leafy greens and other vegetables such as avacado, beet, beans, etc.

          Oat meal and wheat toast are simple carbohydrates.

          • Oatmeal and whole wheat toast are complex carbohydrates. A simple carb would be white toast, white rice, fig newtons, sugary cereal or drink etc. I eat beets and spinach every day actually. For whatever reason fruit doesn’t keep my blood sugar stable very long so I only eat it on occasion.

            • Actually only whole grains –those that are intact as collected from plants –are complex carbohydrates. Whole wheat toast -made from whole wheat flour, which contains gluten, and oatmeal – made from processed oats – do not contain the grain fiber and are rapidly turned to glucose in the blood stream. Diabetics are advised not to eat processed grains.

  20. To Alalia,

    I have the same condition. I have seen so many doctors, including endocrinologists. They all say that it is rare and abnormal, but the bottom line is that it is not well researched enough for them to be able to treat it. They sent me to a nutritionist who gave me recommendations based on what they do for diabetics, but it backfired. They encouraged more starches because they said that slow carbs wouldn’t stress my system, and my sugar never went over 100, but it would be low all the time. I was dizzy and lightheaded, and I would pass out without warning maybe three times a week. I kept with it because I had done various low carb diets before and, while I initially felt great, eventually all the side effects would creep in. I would get stressed and jittery, lose a lot of weight, have trouble sleeping, my digestion would go to hell, even my hair would start falling out! So, even though I felt terrible all the time, I was reluctant to go back to low carb because I figured that I had already tried it and it didn’t work. This whole time, I was avoiding fruits because they made my sugar go up, and the endocrinologist told me that was very bad. But, then one day I ate an apple and checked my sugar. It went up, but it also stayed up and didn’t crash the way they said it would. So, I did another experiment even though at that point I was really tired of experimenting. I cut the starches and replaced it with fruits for carbs, like apples, bananas, even the forbidden dried fruits. Slowly, but surely, I came back. At first, I still had to eat every couple of hours, but in a few weeks I became a normal person again. The dizziness and lightheadedness is gone, and I can even go four or five hours without eating and actually get to the point where I feel hungry instead of just force feeding myself all the time so that I don’t pass out. I haven’t lost too much weight because I avoid fasting too much, and I hope that the side effects I had from low carb won’t kick in again, but if they do, they are still preferable to what I dealt with before. I almost lost my job because I kept passing out at work and having to go home. I was terrified to even leave the house. I finally feel like a normal person again. I don’t know why this works, but I theorize that the problem is not carbs per se, but glucose specifically, and fructose heavy fruits don’t effect your insulin the same way because they need to be slowly processed by your liver, and in between meals the liver lets out a steady stream so you don’t crash.

    • Susie: As a diabetic, I have had hypoglycemia but it was because I took too much insulin. That effect was: shakes, panic, sort of a stupid feeling, and suddenly losing consciousness–once falling into my plate at a Thanksgiving dinner (embarrassing). My solution was to get off insulin. Intermittent fasting is one way to lower insulin, but that might not be a good idea for a hypoglycemic. Susie’s solution of “slow carbs” reminds me of using fiber: glucomannan and inulin. And some dried fruits such as dates or figs have good carbohydrates and lots of fiber–that should work better than heavy doses of glucoses. Im finding more and more, the m.d.s do not have the answer. After all you go to a doctor to diagnose and manage a disease–they don’t know a thing about health.

      • Really not true about doctors. Cardiologists and Endocrinologists know a lot about nutrition, as well as metabolic issues. It is unbelievable that people think so little of highly educated physicians…amazing. Of course, there are a few bad apples, but I would never trust some “health coach” with a faux degree from some online school. If one doesn’t know human anatomy, physiology, and biochemistry, literally, I think a good doctor or a science-based (at least a BS in the physical sciences, preferably a MS) nutritionist/dietitian is the only way to go.

        • Im glad you have found an M.D. to serve your needs. I am 73 and still looking a medical practitioner who is not about drugs and surgery.

        • It’s not that they don’t know anything about health, it’s that they don’t want to take the time to sit with you and figure out what the right balance is. Most doctors want to get you in and out quickly to make their $$ and are not interested in actually solving your problem. The body is very complex and what works for one person may not work for another.

        • The big problem is that when faced with something that doesn’t look automatic to fix, some Drs will flat out give up on a patient or won’t take the time to uncover something. That’s why a lot of patients respond by saying they felt like they had to hit rock bottom before their physician would do anything for them.
          Medicine has a problem and it’s a lack of basic problem solving skills. Pattern matching only gets you so far you need to think like a detective truthfully. If someone is coming to you with an issue and they’ve seen several physicians over the last few years then your approach should be more testing and in depth question asking. TALK to your patient as though they were a witness or suspect get the truth from them and get their story straight. That means knowing how people think and making them feel comfortable to give up the hidden information. If you’re good enough at this you can get them to remember things that they didn’t even realize they remembered. This is key to helping some one especially when they appear to have cronic illness. It’s not enough to hold a degree and prestige.

    • Hi Susie, I was very interested in your reply above as I think it may have some bearing on the way I am feeling. I have had IBS for over 20 years. 12 months ago I went on the FODMAP diet and have good results for the IBS, I found that I was intolerant to gluten, fructose and sorbitol. A month ago I woke up with vertigo this lasted 2 days followed by lightheadedness. This comes on after I eat breakfast & goes away after lunch. I have had bloods checked & am hypothyroid and have started on the hormone.I have been avoiding fructose for the last year.
      I am in Ireland and our doctors are not proactive. He does not think there is any link with the diet, I don’t agree. I think I’ll have to try eating that apple!!

      • Gerjoy,

        That does sound similar! Dizziness in between breakfast and lunch sounds like classic reactive hypoglycemia. Maybe now that you are taking thyroid meds and avoiding gluten, your digestion will improve enough for you to tolerate fructose again. My digestion used to be horrible also before I went Paleo, but now it’s almost perfect. And, I also had difficultly absorbing fructose when I was low carb, but that was probably because my thyroid was suppressed. After reintroducing carbs, all my low thyroid symptoms went away. Now, I’m ok with it. I still limit myself when it comes to things with long chain fructans like brassicas, but the simple fructose in fruits is usually ok. Some things, like peaches or cherries, I can only have a little of before it may upset my stomach. But, I’m getting about 200g/ day of carbs exclusively from fresh whole fruit and I have total blood sugar control now. Before, when I was passing out all the time, I was only getting about 100g/day of carbs, but it was all from starches. I thought I was doing the right thing, but I felt horrible. You may still want to avoid long chain fructans, but simple fructose found in fruit might be alright. I would start will lower sugar fruits like berries and then see if you can graduate up to other things. Just avoid starches in the mornings. It will mess up your whole day. I pretty much eat just fruit for breakfast with a cup of tea, and I’m fine. And, make sure you’re eating whole raw fruit so you have all the fiber and enzymes. Juice is off the table. And, honey is tricky. I can get away with small amounts, but I mostly just avoid it because it’s just too much concentrated sugar, so I still crash a bit afterwards. Good luck! And, don’t stop trying until something makes you feel better! I almost gave up and resigned myself to misery so many times, but eventually I found what works for me.

        • Thank you so much Susie for your reply. I am really happy to know what is going on with me – I am 100% certain that it is reactive hypoglycaemia. My doctor is treating me for vertigo, but I didn’t think that was the answer. I tried the fruit yesterday but my IBS didn’t like it. I think I will purchase a glucose meter and see if I can work out what suits me best, I also tried taking a small glucose drink this morning. I think I need to find a professional to work with. As I am only taking the Elthroxine for two weeks I suppose I have to give it time to work. Thanks again

    • I actually have the opposite reaction to fruits.
      They don’t keep my blood sugar up at all. Even as a baby and child, I didn’t like fruit, and it’s probably because of the strong reaction it has on my blood sugar.

      But you are correct, that fructose is processed differently then glucose in the body.

  21. So how does one control their blood sugar if they have chronic hypoglycemia?

    Fasting 59-74
    Postprandial hypoglycemia (below 70) within 30 minutes to 90 minutes. Postprandial blood sugar never gets higher then 100 at any point (checking as much as every 15 minutes.)
    I’ve tried high carb, low carb, ketogenic and no carb.

    Physicians are largely disinterested. Despite my neuroglycopenic symptoms, if I don’t have consistent blood sugar levels under 50 continously they generally see my hypoglycemia as a non-issue.

    Postprandially I typically have 4 hypoglycemia events. Where my blood sugar drops, then raises (cortisol – glucagon), then swiftly drops again followed by a repeated cycle until things slowly level out.

    I no longer attempt to use sugar to recover from hypoglycemia, since it creates more hypoglycemia for me. And Physicians don’t seem to understand that. Most just carte blanche assume I’m lying about everything because to them, it makes no sense.

    After 15 years of neuroglycopenic hypoglycemia (as well as a baby/child/teen not ‘liking’ sugar or fruit) I finally got a fasting insulin test, and it did show elevated insulin levels while hypoglycemic. But then the doctor tried to give me metformin…..
    (CT scan for other purposes did not show an Insulinoma)

    So, how do I lower my elevated insulin levels that persists through hypoglycemia?

    • Alalia. I am not an M.D. just someone with a lot of experience managing blood sugar. This sounds to me like you need a complete endocrine work-up–from an endocrinologist, not a regular doctor. Keep your blood sugar records in a dedicated notebook and take it to your appointment. Note what you’ve been eating. This article describes some of the things the endocrinologist needs to look for. Make a check list and make sure he responds to each of your questions.

      • The basic ways to control insulin levels are: 1, on the Glycemic Index stick to low glycemic foods. 2. no sugar or junk food. and 3. intermittent fasting. this is supposed to “reset” your insulin levels if it is out of control.

        Beyond this you need to eat very high quality food: plenty of proteins, and good fats, fruits and vegetables and fruits selected for nutrient density and fiber. And plenty of exercise.

      • I’ve actually seen a few Endocrinologists. And still there doesn’t seem to be much understanding of what’s happening to me.

        To them, it’s great my blood sugar doesn’t go over 100, and they don’t see hypoglycemia as a problem unless it hits a certain number. That arbitrary number doesn’t stop me from feeling the effects of low brain sugar (neuroglycopenic) at 50s-60s blood sugar. But unless I go under 45, and stay there for a substantial amount of time the Endocrinologists I’ve seen won’t do squat.

        So yes, I do have a normal glucagon response, but I still have high insulin no matter what food I eat. And hypoglycemia symptoms with in the first 30 – 45 minutes, however it can occur as quickly as 10 minutes after eating.

        And it seems like in order for an endocrinologist to treat high insulin-hypoglycemia, is to have also a poor glucagon response.

        • There are several posts on hypoglycemia here that concern me very much. Its high insulin levels that are so dangerous. If there is no dietary response to a low glycemic, moderate fat, and high fiber diet, then there is something wrong and it will affect the quality of your life. I would say just keep looking for an endocrinologist who will make the effort to deal with a broad spectrum issue.

          • I completely agree.

            Where I keep meeting resistance is that they (Dr’s) honestly believe that diet can and will always control insulin and if you have high insulin it’s only because the patient is not being honest with their food intake.

            With the very very very very very remote possibly of an Insulinoma, but it’s so rare that they refuse to even try testing it!

            Even though there are at least 20 different (rare) reasons for endogenous hypoglycemia beyond insulin resistance.

            Maybe they think if you have something rare, you would have been diagnosed with it already???

    • Hi I was diagnosed with hypoglycemia when I was about 13 but had been passing out almost daily for years. Anyway I also suffer from seemingly chronic low blood sugar attacks and sugar does not help it only makes it way worse about 30 to 50 minutes later. I have never had any tests besides the oral glucose tolerance test when I was diagnosed. Its becoming very hard to maintain my blood sugar levels. On waking I’m between 40 and 60 and the severe nausea irritability rage fits weakness are so bad I find it almost to hard to eat. I would like to know who to see about this my family doctor after my last severe attack told me in his opinion hypoglycemia is not real what the heck is he talking about. Sorry I live in a small town and our doctors are rejects from big city’s the last time I went in a new doc did a thyroid test of some sort which showed nothing and that was that he was no longer concerned and sent me home saying to eat right and see a nutritionist which I’ve done several times and it doesn’t help so if anyone knows what is my next step

      • Justin. Low blood sugar is really high insulin. I recognize what you are talking about because it is exactly what happens when a diabetic takes too much insulin.
        First. you have to clean up your diet and get off processed grains and sugars of all kinds. search and find The Glycemic Index. Then plan your meals from the lowest glycemic values you can find. Include lots of leafy greens. If you are not vegetarian, include eggs, fish, and meats. As close to free range and organic as you can find. Secondly, when you eat include healthy fats. A salad for lunch for example can have an olive oil dressing. Include fats with everything you eat. this slows insulin spikes.
        Third. You may need a fiber supplement, until you get used to including lots of fiber in your meals. Inulin or glucomannan work You can add them to smoothies, or anything liquid.
        Finally, never use sugar or glucose to combat a hypoglycemic episode–you are going to pass out. Use something sweet with fiber. Figs. Dates. Just a few should do it. I hope this helps. I can’t think of anything worse than facing constant hypoglycemia. I took insulin once before going out to a Thanksgiving dinner. The dinner was delayed, and finally when we did eat I passed out face first in my loaded plate! I hope this hasn’t happened to you. its too much insulin. And you do need to get things checked out because it could be something like a pancreatic tumor–but usually its just too much sugar, and grain products that turn to sugar.

      • Justin, I feel awful for you, after reading about your suffering. Forty years ago, I suffered tremendously like yourself, with gut problems, low sugar, and the waking “severe nausea irritability rage fits weakness are so bad I find it almost to hard to eat.” My nerves jangled always, so I couldn’t get restorative sleep to ease the constant irritation. Finally, I found a very high dose natural B supplement at a health food store. It cost $50 for 30 capsules, at a time when my take-home was $250/month (it was 1975). It settled my nerves and gut immediately, so I continued paying for it. Later, I found an understanding doctor who gave me injections of 1000 mcg of liquid B12 each week, and I felt on top of the world. Unfortunately, he retired shortly after this and I could not find another doctor with the same holistic outlook. I dealt with the low blood sugar and the host of related problems by reading health books and upped my supplements when I could afford to. Nutritional yeast drink (Pep-up) helped.

        I am now type 2 diabetic and low-thyroid, taking T3 prescribed by a naturopath, after a GP refused due to “normal” TSH result. Also on iodine. T3 worked great initially, but glucose readings are higher now; I read that T3 can be the cause.

        Fortunately, in 2015 we have the internet to research and ask for help, and access to more and cheaper supplements. I only mentioned the B12 injections and Mega-B vitamins for those of you who weren’t aware of their benefits. Of course, one needs to take calcium to balance the high phosphorus content of B vitamins.

        • Of course you should never take high dose vitamins like this without a test to see if you need them. High dose vitamins can create other deficiencies because the nutrients are interdependent. Look at the RDAs and stay within that range. And try to take the full spectrum of oil and water-based vitamins and minerals, if you truly aren’t getting nutrients from food. A nutrient dense diet should make excessive vitamin sujpplements unnecessary.

      • Hey Justin

        I understand completely!

        First, stop using sugar to recover from hypoglycemia. Pick up either powder or chews of an amino acid called L-Glutamine. L-Glutamine is the only amino acid that can cross the blood brain barrier and deliver energy.
        I also carry a granola bar with me everywhere. But not off the shelf, you need to find one under 15g carbohydrates (15g after you subtract fiber). Which is more difficult then it sounds. Anything that claims to be low carb, or high fiber are the best ones to look at.

        I have honestly been looking for help for 15 years with no help(except dietary referrals).

        Do you know if you have high insulin, low glucagon or malabsorbtion (when you eat, food isn’t absorbing correctly into your body for energy or nutrition)?
        (There are over 20 possible causes but most have something to do with, or effect these three possibilities).

  22. Hi, I was diagnosed with Hashimoto’s and have recently started mesuring my blood sugar. It is consistantly too high eventhough I am following a Autoimmune Protocol diet. However what surprises me most is, that my blood sugar seems to rise even when I do not eat at all. For example, yeaterday I has 113 in the morning right after waking up, 98 1 hour after lunch, 124 2 hours after lunch and 199 just before dinner ( which was around 7 hours after lunch and I had not eaten anything). How is that possible? Also my 2 hours after meal reading are always higher than the 1 hour after meal, should it not be the opposite? Thanks a lot!

    • Charlotte: Im looking for the answer to this also, and I think that part of the answer is, that glucose can be manufactured from protein (and fats?) as well as carbohydrate. This is called gluconeogenesis and sometimes “dawn phenomenon”. I am following an intermittent fasting program to “reverse diabetes”. I eat between 10 a.m. and 4 p.m. This seems to be working since my last A1c was 5.4. However my over night blood sugars range between 115 and 170 even though I haven’t eaten since 4 PM the previous day, and I am following a very low carb diet. Also I am in a hyperthyroid episode (since last summer) and face radioactive ablation of my thyroid. I don’t have any symptoms particularly, but I feel it must be related to the high fasting blood sugars.

      • You might try eating some iodine.. some seaweed perhaps. start lightly… Seems hyperthyroidism can be caused by severe iodine deficiency.. whereas the body would normally make T4 and then convert it to T3, it seems severely deficient people will just make T3 as it requires less iodine.. Eat some foods from the ocean.. wild caught shrimp, sardines, etc. etc.

        • True. Iodine deficiency is problematical and taking excessive iodine can cause severe hyperthyroid problems–such as the sometimes fatal thyroid storm.. Best to check iodine levels first before O.D. ing on kelp–if you can find someone to do the tests.

    • I have the same problem with
      Fluctuating glucose levels–it’s running very high. recently,–all of a sudden. I qent to the ER twice, and both times they said I had a virus -but I don’t think so
      My doc will be looking into the thyroid function. I have type 2 diabetes & everything just seems out of whack. I haven’t been able to function normally for 2 weeks now. I’m normally a very active person. I am 70 yrs. old .

  23. Hello, my name is Emily. I am 15 years old. I have had Type 1 Diabetes since February 2nd 2009, I found out I had hypothyroidism four years after. I have often changed the types of insulin I’ve been taking, I started out taking Novalog, and as I got older they switched me to Humalog, and that’s when my Thyroid started acting up. I thing my thyroid is affecting all of my blood sugars, all week they have been in the 500’s, even after taking the correct amounts of insulin, I don’t really have control of it. But does this supposed to make my blood sugars like this frequently?

    • Hi Emily – have you ever used Apidra? I used it for about eight years in an Omnipod system and it was wonderful. Now that I have been forced to switch to an insulin pump because of Medicare (Omnipod is not covered and I am now 65), Apidra has not been tested in the pump I have (t-slim by Tandem) AND I AM NOW USING HUMALOG. As a result of this change, in the last seven weeks, my glucose readings have been terrible and what was probably a subclinical level of hypothyroidism has become very apparent. I am glad I saw your posting. How are you now?

  24. I have Graves Disease and have recently had recurring bouts of severe hypoglycemia – so severe that I have gone to the ER twice in the last three weeks. My endocrinologist suspects that I have Herata’s disease – I have every symptom except sweating. Any advice would be helpful- my hypoglycemia is so severe that it is difficult for me to focus for any extended time period – I would also be interested in advice on how to stabilize my blood sugar. Currently if I don’t eat something every 25 minutes or so I become moderately hypoglycemic. I carry honey with me at all times – I am considering getting a holster for it to make accessibility even easier – and things get very dicey if I don’t remember to take it every help hour or so.
    Any input would be deeply appreciated!

  25. Hello everyone,
    I found this site because I am having horrible heart palpitations after eating mostly after dinner/supper. I have Reactive Hypoglycemia and I’m Hypothyroid along with several food allergies/intolerances, Aspergers Syndrome, and ADHD. 🙁 I’m loaded with issues. 🙁 I’ve been suffering since I turned 30 and am now turning 37. I suffer during the middle of my period most with my lows and a few days before I get the period I suffer from the highs. I get low blood sugar on a daily basis so I think when I eat my supper after working chasing kids around for 5-6 hours–I’m not at a good blood sugar level. 🙁 I am currently on Levothyroxine 25mcgs daily and I am also on Bupropion XR 150mgs once daily. I take a chewable Vitamin C at night with my supper to keep the immune system strong as I can. Cardiology tried to put me on Atenolol 12.5mgs a day for the palpitations but like everything else I reacted horribly to it and went off it immediately because of the dizziness/chest tightness/chest pain and shortness of breath. Recently at my endocrinology Dr she found out I am Vitamin D deficient and I started on D2 end of January for 3 months 50,000units once a week. I also had lower potassium levels too. Yesterday my non-english speaking heart care dr said i’m to try Metoprolol XR 12.5mgs a day, well it is from the same family of medicines as Atenolol so no, I most likely won’t take it. Seen enough of the ER lately ugh. I am wondering what it is I can do about the heart palpitations because before I was diagnosed with the Hypothyroidism I got them and then they went away for quite some time once I got on the medicine, but have since returned and seem to hit even if I eat a lower amount of food or lower carb food. I’m ready to scream…what do I do? Please help me!! 🙁 My doctor even agrees with the cardiologist that I should take the Metoprolol and she is well aware I had reaction to the Atenolol and states my symptoms were not a reaction. They are of no help to me whatsoever right now. I need another opinion but looking on here first as I have read all the other comments and alot of them I can relate to! Thank you to anyone who can help me!! 🙂

    • Hi Robin,

      I don’t have any experience with those medicines, but am pretty sure I have some sort of reactive hypoglycemia like you, but the ER doctor’s will not look passed the anxiety it causes.

      I find it odd your doctor told to to supplement D2 instead of D3, since most studies and Vitamin D proponents almost whole-heartedly point at the importance of making sure it’s the D3 variety, taken with a source of fat so it’s soluble. Have you looked into this?

      • William,
        I don’t have a clue about vitamin D and I doubt my endocrinologist does either. I asked her if I could go off it because I have been getting quite sick from it after it is in my system for several hours. I would rather take the otc one that’s only 1000 units a day. I wasn’t told anything about fat or anything cuz shes very short with my visits with her and I get more confused every time.

        • If you feel nauseated after taking D then obviously it’s too much to take. My naturopath has told me that vitamin D overdose shows up as nausea. I think it’s best for you to take a high quality D3 supplement (try pure pharma or even bluebonnet (it’s the brands name) drops. I would take 5000-8000 IU a day.

          • Also D3 is a fat soluble vitamin, so you should take it with the meal that has the most fats. Also if you take D3, you need to take K2-to keep calcium soluable and not backing up in blood vessels. Recently, Dr. Mercola’s articles suggest that if you only take one vitamin supplement, it should be D3.

    • Have you tried natural armour thyroid medicine. I hate chemical medications that doctors are so eager to prescribe. No promises but I have done much better on the natural. And I will tell you now, it will be hard to find a doc that is willing to prescribe it. You would need to do your own research on armour, and decide, but there are a lot less side effects on armour and it is natural not cooked up in a chemical lab. I would agree with you on not wanting to take another medicine in the same group. Remember doctors are only working with books and drug companies, we are the only ones who know when a medicines doesn’t feel right. Hope you find your answers

      • Thanks for all your responses! I am currently on D3 2000 units a day by my own choice. I am not on any heart medicines of any kind. I’m only on the Levothyroxine as I was before but my appointment is upcoming in June. I will try to see if she will agree to Armour but she’s so strong-willed/hard-headed that I’m sure she won’t. It’ll be up to me. I am going to bring up all the palpitation issues and explain each reasoning I feel it’s due to the Hypoglycemia/Hypothyroidism. She loves to just cut all my appointments short like 5 mins and that’s all she ever gives me. She is always late to my appointments too. Not keeping her if she does this one more time to me. Have had it with her rudeness. I need care not her ignorance.

        • Update: June 22nd, 2015 I was told i now have LOW CALCIUM on top of Vitamin D deficiency which has since improved. I chew a Viactiv now a day with D3 and K in it. Is this a sign of Hashimotos? Should I be worried now? I tried to ask her about Hashimotos and she’s pretty sure she feels I don’t have it. Why am I falling apart then?! 🙁 Someone please help me! 🙁 I’m ready to throw in the towel and stay miserable.

          • Low Calcium could make you feel really bad and nervous, and it would take a while to rebuild if you’ve had low D3 and K2—and a useless endocrinologist. Give it some time. Eat well. And look for a new doctor.

    • I had Graves’ disease and had my thyroid removed so now I am hypothyroid. The one thing that helped me with the palpitations was calcium/magnesium it did wonders and still does for me. Hope this helps

  26. If you could help, I would be eternally greatful!!
    I am hyperthyroidism and hypoglycemic; I know but I am also a Libra, off balance!! hehe
    Problem is that all weight loss is to curb appetite, my problem is I don’t get hungry at all. I have to remind myself to eat.
    I was diagnosed at 12 and am now 47, trying to find a way to get an appetite back to lose weight.
    When I ate 6-7 small meals a day I was extremly skinny and couldn’t gain a pound. Now it seems I have no appetite and can’t lose a pound.
    Please help me find a way to get an appetite back so I can lose some weight.
    Thank you!!

    • I was diagnosed with hyperthyroidism may 6 2014 I was in hospital with thyroid storm. I never knew I had any thyroid issues until my both ankle swelled up and heart rate 180 I was so scared I didn’t know what was wrong with me. In hospital for 4 days. Being 41 I always was healthy. But now I’m on thyroid medication. My thyroid is regulated now with meds. 5mg a day. I’m pre diabetes and I also got hypoglycemia. I have to ad more protein to my diet. And go from there. I know how you feel. I go see my endocrinologist every 3 months. Do you go see a endocrinologist? Good luck

  27. I notice my sugar levels drop when I am getting ready to start my period. I have a week of my blood sugar running low or having reactive hypoglycemia. It makes my body and insides feel awful. My doctor recommended a hysterectomy but I do not feel that is the answer. I have heard DGL can help stabilize the blood sugar but to be careful. I have thyroid nodules but blood work is always excellent. I do not eat or drink anything that has caffeine or carbs. I have learned to balance this all out. I has been trial and error. When I do have months where I am not having a period I feel so much better. I have also tried bio-identical hormone creams and they did not help me it just regulated my period. Does anyone have any insight as to what to do during this week to keep my sugar regulated? I even thought about asking my doctor to put me on steroids during this week. Thank you! Very frustrated. Oh and I have gained like 60 lbs in 6 months.

    • I have the same problem, Mo. My blood sugars are terrible about a week before I get my period. My moods are swinging everywhere and I put on 32 pounds in 6 months last year (2014). I had a complete work up done and I would’ve bet money my thyroid was low but TSH and free T4 were normal. My doctor couldn’t explain my symptoms and she was content to leave everything as is. She’s no longer my doctor. I feel like I’ve completely out of sync with my body. (It’s unreliable at best. I was dieting on a low glycemic diabetic diet and I had a Greek yogurt and my sugar went down to 54!). Any insight would be wonderful!

      • The same thing happened to me. Dairy makes your insulin go up, so even if you aren’t consuming any carbs (besides the lactose naturally found in it, although yoghurt has less), you will still have an insulin surge that will drive your sugar below starting level. The same thing happens when you eat lean protein without carbs because protein also makes insulin go up. Insulin isn’t just dependent on glucose. So, after you eat insulinogenic foods without carbs, your blood sugar drops and then your liver has to kick in with gluconeogenesis, which is when you get that adrenaline rush that basically feels like a panic attack. It’s your body pushing stored glucose from your liver into your bloodstream to make up the deficit. I have had so much frustration trying to figure out how to eat with reactive hypogylcemia. I stick with fatty meats and vege and fill in the rest with a moderate amount of carb because if I go too low carb, I lose too much weight and my thyroid gets underactive with all the accompanying side effects, the worst of which is constipation and bad digestion since your thyroid helps with the production of digestion enzymes. It’s been over ten years, and I’m still trying to find a happy medium. The key is to have just enough carbs to where you don’t suppress your metabolism, but not so much that you anger your pancreas (sorry that didn’t sound very scientific, but that’s how it feels).

        • Suzz
          Thank you for that information and I had no idea about the dairy or the gluconeogenesis (new word in my vocabulary)! Yes Hypoglycemia is very hard to understand and manage. I hope something comes out that can help us all who are struggling so badly.

          • you all need to look at adrenal function too along with gut pathogens, like parasites, bacteria – heal leaky gut. the autoimmune paleo seems to be working for many, i just started one month ago. my adrenals are flat lined cortisol. if cortisol is low, then blood sugar is affected. look into a saliva adrenal test. not covered under insurance. most things that help are not covered…

    • @Mo, I have the same problems but not cyclical as I had a Hysterectomy & dbl oopherectomy due to endometriosis nearly 8 years ago. I just turned 38 &can say with great certainty a Hysterectomy can predispose you to further complications (hormone imbalances, mood swings, hot flashes, weight gain, night sweats etc, etc….) unless there is something medically necessary to do such a major surgery I would think long & hard & personally I would run. Any surgery taking away natural processes of a female body is life altering in many ways. Most Dr’s don’t tell you the details they just gloss over everything, they don’t have to live with this decision on a daily basis &get paid no matter what. Its not like a pill you can quite if it doesn’t work, it’s permanent.

      • C.S. Thank you very much for your information. I spoke to my Internal Med NP and she was going to talk to her partners and get back with me…that was 2 weeks ago. She agreed that a hysterectomy was not the right thing to do. She wants to send me back to the endocrinologist who I have already seen who has no idea what to do with me.

        • the short sightedness of the medical profession is criminal and beyond ignorant. i’m blown away that because you have blood sugar issues before your period, you doctor suggests just ripping out the “offending” organ without looking at hormones, including adrenal function, gut health, and yes blood sugar.

    • I meant to leave a comment for you but I accidentally posted on someone else’s question (no idea how to delete it) I would suggest going back on a bio identical progesterone. Progesterone helps stabilize the blood sugar. Have your dr test your progesterone 7 days after ovulation. I have very similar issues and was recently diagnosed with hypothyroidism as well as a luteal phase defect.

  28. My son (21 years old) has Down syndrome and has asthma. He was diagnose with Flu A on Dec. 22nd. He was put on tamiflu, along with breathing treatments every 4 hours around the clock for 48 hours (albuterol and Pulmicort), 4 puffs of Symbicort 2x a day. The next day, the dr. add 3 teaspoons of Prednisolone 2x a day for 3 days and then tapered to 1 teaspoon a day for 3 days. He developed thrush and we took him to an Urgent Care center. They took a chest X-ray and CBC and diagnosed pneumonia in both lungs plus his blood sugar was 211. We were sent to the hospital and spent 5 days getting oxygen, breathing treatments along with blood sugar testing. They diagnosed him as diabetic and began insulin, Metformin. We are now home, his blood sugar last night was 88 and we were told to give him 10 units of Lantis. This morning his sugar was 71. Called the Dr. and he said if blood sugar remained below 200 throughout the day, we should not give the Lantis or the Metformin. The dr. that followed him in the hospital was not an Endocrinologist. We have an appt to see an Endocrinologist on Jan. 13th. Could the stress of the flu along with the breathing treatments and steroids (liquid and inhaled) have caused his blood sugar spikes?

    • Yes. His blood glucose level was likely increased due to the oral steroid doses and his inflammatory response from the influenza. He is quite unlikely to be diabetic. It is common to test blood glucose levels of people on steroid doses. However, labeling him as “diabetic” was premature to say the least. Ask for a blood test called a hemoglobin A1C to be done. This is a test that will tell you how his blood glucose levels have been doing for the last four months. If it’s high, he’s diabetic. If not, it was just the illness and medications that caused the spike.

      This happened to my ex-mother-in-law every time she would get sick and go into the hospital and I’m a Registered Nurse, so I would just spout off her last hemoglobin A1C to them and they would leave her alone about it.

      Good luck!

    • as well as candida. after antibiotics, we wipe out the good bacteria of the gut, which is 80% immune function. this sets the stage of candida overgrowth and dysbiosis and leaky gut. taking more drugs (and vaccines cause harm to the gut) will only make your son more ill. heal his gut. start with probiotics- – get off gluten and dairy and processed sugar. eat whole foods and all carbs with a healthy fat or protein. start there and see how he responds.

  29. Chris,

    how would you proceed for someone who eats ultra low carb, moderate protein (.8g/lb lean mass) and still has a fasting blood glucose of 105-110? If carbs aren’t doing it, and protein isn’t doing it, what could be going on?

    • Chris,
      Your next step should be investigating your postprandial sugar levels and see if they fall into a better range. That would be a good clue for direction and these would be needed to get the best picture of your current situation.

  30. P.S.

    If you were interested in my ALCAT results, here is the list of my food intolerances:

    SEVERE: Artichoke, flaxseed, salmon, whey

    MODERATE: Brazil nut, halibut, hazelnut, honey, pork, venison, gluten/gliadin

    MILD: Acorn squash, almond, bison, black pepper, bok choy, brewer’s yeast, broccoli, carrot, cashew, catfish, chickpea, coconut, coffee, cumin, fava bean, garlic, honeydew melon, hops, jalapeño pepper, lamb, lentil, macadamia, mahi mahi, millet, mung bean, mustard, orange, paprika, parsley, pine nut, quinoa, raspberry, safflower, sardine, shrimp, snapper, squid, tapioca, tomato, turmeric, turnip, veal.

  31. Hi Chris, I couldn’t help but notice your response to someone who had an ALCAT blood test. To clarify: It is NOT an allergy test, but an intolerance indicator (“intolerant” and “allergic” are not equivalent).

    I had numerous allergy tests that came back negative, but the ALCAT was able to pin down quite a few foods that were giving me trouble and that would have taken me a very long time to source out with an elimination diet, due to my extremely diverse and unroutine palate (I’m a multicultural gastronome). Even though a gluten rast came back negative, the ALCAT uncovered I was moderately intolerant of gluten/gliadin. Also, I had no reaction to casein but I am severely intolerant of whey… I was also shooting myself in the foot every day by taking flax oil, of which I am also severely intolerant. The list goes on.

    After being on levothyroxin 88 mcg and supplements for years with no real improvement, since I changed my diet according to my ALCAT results, at month three I first noticed that my goiter shrank significantly, my triglycerides went down from 265 to just a bit above normal range while eating more eggs and red meat, oddly, my HDL is now 59 (from 39) and my vitamin D is finally in normal range.

    What is most important as that the chronic fatigue is gone, and so is the mind-numbing brain fog. I wanted to jump in front of a bus before all this, I felt so defeated. And now – while I can’t say I am 100% like I was before the downward spiral into hyperthyroidism began – I feel quite functional, mostly normal, and not just barely “getting by” anymore. 🙂

    Yes, my endo was skeptical when I told her about it, and she wants to look into the ALCAT to research just how accurate it might be. Perhaps the results are merely anecdotal, but something was certainly removed from my diet that was causing me harm, and it was something that was also listed among my intolerances from the ALCAT.

  32. I have often had a mild feeling like I’m going to throw up in my throat feeling and its been going on subtly for about 6 years on and off and I found out in 2012 I crashed on the Synthetic T3 now I’m on Natural Desiccated Thyroid and feeling almost completely better. But the last month I have been increasing in that same symptom and it has been stronger and I haven’t been feeling well. My husband said it’s a symptom of diabetes so had me take 2 tbs of blackstrap molasses and it subsided. We believe now I should get a blood test for diabetes, I never thought I would ever have a problem like this although when I eat carbs or sugar my heart beats fast for me. I really want to rid my house of all carbs again breads and potatoes. I guess I will have to but a glucometer to test.
    Also my husband is hypoglycemic and he eats bread at night to help him sleep and I know that is not a good idea since the bread makes his blood sugar low and those over the counter sleep meds are not good and the herbs don’t help at all, I suspect he has high cortisol at night because of many years of swing shift. Thank you for your time.

    • Also this is Terese again, The TSH lab showed I was normal but indeed it is not working for many people as you can see on the STTM site. Like me my Dr. said I was normal for 6 years and I had almost all the symptoms and also have adrenal fatigue.
      When I first was tested in 1993 with the TSH lab I was hypothyroid and I changed to Synthetic and crashed by around 2005 although I had symptoms all along on Synthetic like low blood pressure and the Dr’s would say I was normal but I had unexplained weight gain after being 110lbs for a long time also:
      Toe nails falling off easily when wearing too tight shoes
      Abnormally Fast Heartbeat just going up the stairs
      Hard time hiking up small Mountains, never had that before
      Decreased Strength
      Itchy legs I could dig them for sure
      Itchy ears
      Very low blood pressure basal temp 79/45
      Weight Gain
      Tired all the time
      Air hunger always felt better if we opened a window at work
      Hair loss
      Temperature going from 96-101 during the day with no cold or flu
      Bruising lightly
      Cry if I bumped myself lightly
      No desire poor hubby
      I do have ringing in my ears and for about 10 yrs
      Hard time eating breakfast
      Feeling like puking almost like when I was pregnant
      Poor memory
      Brain fog
      Poor to no interest in normal activities
      Crying over nothing
      and more but it must be getting boring 🙂

      • Hi Terese,

        I started having a LOT of what you mentioned about ten years ago. I used to be an avid hiker and biker, then I found I could never go even do my basic amount without having all sorts of those symptoms. Aside from that, I would have extreme body temperature drops the night of exercise that would send me into the shakes, then bounce back and forth mild fevers. I hit 94.7 during a bad series of episodes from one hike, but of course by the time i got to the ER it recovered into a mild fever.

        If not for being hit with bad acid reflux at the time, I never would’ve found out when I would take Tums, the shakes and uncomfortable heartbeat would ease up very quickly, from the calcium I assume.

        I went to the doctor several times trying to get to the bottom of it, but was left up a creek and couldn’t get anywhere because I had been treated for anxiety in the past, so they would not budge from the “the body does a lot of weird things when a panic attack occurs”. Right, systematically after certain types of exercise of foods? They wouldn’t test for diabetes, thyroid, or anything else, and I was pretty young so I didn’t really have my backbone yet.

        If you want to compare notes sometime, maybe it’d help.

        • hi Will
          Im sorry i didnt see your reply
          Also ive been on Natural Thyroid meds i buy myself and im feeling better esp if i stay on track with taking thyroid meds on time and eating right and supplements
          I wonder if u have thyroid n adrenal issues
          I was diagnosed with thyroid issues earlier but synthetic T4 is not working for anyone
          Go to the Stop The Thyroid Madness website
          Its the only good website for thyroid and adrenal help
          I had fevers n low temps all in one day every day and now i take Natural Thyroid n no more fever
          My temp is almost normal daily and i have had shaking with no control
          I know the mercury fillings i had is the cause
          But u have to remove them safely IAOMT Protocol but not theyre detox protocol its dangerous along with iv chelation
          Dr Andrew Hall Cutler is the only Dr i know who helps people detox safely
          But im still not willing to risk that with my health issues
          Hope this helps

      • Omgosh this is me and Im sure it all began after puberty, but my issues did not become noticeable until I had my second pregnancy I was 21 and it ended with an emergency surgery they thought I had a tuble pregnancy in stead was an otopic my over I was saved but my hormone’s were all out of wack we tried birth control pills hormone and non hormonal the shot ring patch I gained 40-60lb that year had one more misscarage and one successful pregnancy,kind of I had swelling which because of my huge weight gain the past year went unoticed till about 6 month in then was told possible toxemia but labs were fine ??till delivery all of a sudden pre-aclamcia another emergency surgery ,but this time I was blessed with my second son at 22yr old from the 2nd pregnancy to my 4th one in less than 24months I had officially gianed 80lb and had no periods or if I did It was less that 3 a year for the next 5 years now I can’t loss a pound my labs were always in normal or border line yet nothing done I eventually just gave up and live now with the constant fatigue absent mindedness now 100lb gain stomach issues bm issues exct.but I have 5 beautiful children and regular periods much heavier than the 3 day ones before all the madness 🙂 but regularly now and I’ll take it we eat very clean my kids are my everything but just today my oldest 14 this week had blood test come back with very low sugars so I’m kinda freaking praying all will be fine he has a lot of my issues but basic labs always came back in normal range he has very back acne with scares all over face and upper body I pray we haven’t missed anything by just assuming he’s fine and acne is normal 🙁

  33. I primarily eat paleo. My tryglycerides were in the 40’s last check. What worries me is my HgbA1C is 5.7. How do I get a high number here when I eat a pretty low carb diet. I’ve thought I was hypothryroid for over 10 years, but my physicians say my levels are “normal”. They are always just barely in the normal range. I eat lots of meat, take fish oil, and exercise. I think this number is still due to my hypothyroid state. What do you think??

    • Please find an integrative or functional medicine doctor who will treat you for optimal levels regarding your thyroid. What tests were done by your physician? Please look up Stop The Thyroid Madness website as well as look up Dr. David Brownstein, and Mary Shomon, for what tests are needed to fully examine if you have a thyroid condition, and what optimal levels should be. Many general practitioners and even Endocrinologists, even in this day and age, refuse to educate themselves on how to optimally recognize and treat Autoimmune Hashimoto’s and/or hypothyroidism. Many even go by just TSH results, and there millions suffering because of it! Please be your own best advocate and find a doctor who will listen to you! 😉

  34. Hi everyone, I wondered if anyone can give me some guidance on this. I am doing as suggest above, testing my blood glucose after meals to figure out carbohydrate tolerance, but am confused as to WHEN I need to test and whether the readings I get are concerning. Basically, every so often, I will test a few meals in a day after 15, 30, 45 and 60 mins and then after 2 hrs. The readings I get in the first hour can sometimes spike right up to 180 (I’ve seen 220 sometimes!), but I will usually return to a less worrying range at 2 hrs – usually around 115 if the spikes have been large. Should I be concerned about the spikes between the meal and the 2hrs reading, or is it normal to see spikes in this time period? I don’t know if I am over-concerned about the spikes or not. Anyway, any advice/ pearls of wisdom, I’d be grateful. Thanks, Jen

  35. I feel so enlightened by this article Chris.
    I have lived with hypothyroidism all my life,I’m now 44yrs old.
    When I was 15 I put on a lot of weight from binge eating disorder and depression, and blamed my thyroid condition entirely even up to today for my struggle over my figure.
    I now know it still is a major factor, but I also have to take responsibility for working with the equation also, when making food choices to keep my blood sugar stable.
    It’s good to learn that measuring blood sugar kits are not just useful for going straight out to buy one.
    I have been very aware for some time my link between my medication dose level and if it changes in effectiveness, the creeping nature of carb cravings that seem to occur.i find that interaction very distressing and one I’m fearful of, as DESPISE weight gain.
    Even when I get very lean the abdominal/midriff fat stubbornly remains.
    This article is great.i have learnt so much new insight.
    Thanks Jo

  36. Hi Chris,

    thank you for the very informative post, I learned a lot from reading it! I’m 25yo female endurance athlete and have been struggling with weight gain and hypothyroid/overtraining related symptoms the last 3 years. I was 47kg (162cm tall) before this nightmare began; now I’m 70kg (still 162cm)… I’ve tried thyroxine, liothyronine, the combination of the two, and armour thyroid, but so far I’ve just gained weight (way too much if u ask me) and felt awful 🙁 currently I’m on liothyronine only, the dose is 110µg.

    I eat a healthy diet, maybe too little energy but otherwise I guess it should be okay. Some 1700-1900 kcal, 200-220g CHO, 60-80g PRO, 50-70g fat a day. Training 1-2h/day (running/cycling/water running) + nonexercise activity 2-3h a day (walking/cycling to work/grocery store etc). Still gaining weight! Which makes me so unhappy, frustrated when nothing seems to work.

    My fasting blood glucose was just measured and I was shocked to see it was 6.1 mmol/l. The limits for healthy are 4.0-6.0, and they say if you have 6.1-6.9 it’s impared fasting glucose, and 7.0 or more diabetes 2.

    So, I’m asking you what do you think about my situation (diet/training regimen/thyroid/blood glucose)?

    Thank you so much if you find some time answering I really am desperate with this 🙁

  37. Chris, Thank you for this blog. I have a unique problem that no doctor (UCSF, Stanford & numerous other MD’s) cannot find the answer to. All of my test show I am in the best of health. I am a severe reactive hypoglycemic. I have hypothyroid but if I take the medicine for it I will have a hypoglycemic attack. I often go into the 20’s & 30’s, sometimes my meter only show Lo. I cannot tolerate anything with flour. If I eat breakfast (egg) I start the hypo process so I usually eat only one meal a day at night to limit the amount of attacks I have (beans soup, veggies, meat). After eating this I need some sweet like ice cream to not have an attack. I often lose part of my vision during an attack and worry about losing cognitive function. I cannot tolerate bio-identical hormones or estrogen. I am highly allergic to many medicines. After 10 years of being shuffled around I am at my wits end. I cannot use the Dexacom Meter because some of my meds will render it useless. I have neuropathy and am in pain most of the day even though I try not to be. They will not give me an alert dog because I am not diabetic. I have been told my step is the Mayo or Cleveland Clinics but I really cannot afford the time to stay there and I doubt they could do more? I guess you and some of your readers might provide the best hope for me.
    Sincerely, Janis

  38. Hello Chris.

    I am 41 years old. About a year ago, I was getting dizzy spells at work. More light headed than dizzy. I went to employee health where my BP was 180/110.

    I went home and saw the MD who put me on a Beta Blocker.It helped the BP at first but after about 4 months I started having the lightheadedness again only more severely after activity.

    He stopped the Beta and put me on an ACE inhibitor. Felt better at first, now having very high heart rates with little exertion. With that, frequent urination and lower heat tolerance. Also, the lightheadedness has returned.

    I do have reactive Hypogylcemia and was wondering if that has been the problem all along. I know low blood sugar causes high heart rate which was masked by the Beta but would it increase my BP?

    With all this has been frequent anxiety and panic attacks which I never had before a year ago. Thanks Chris.

  39. Dear Chris,
    My mother has been diagnosed as diabetic.But later the doc reduced her dose and detected low thyroid level.After taking up thyroxine her glucose level is normal since then.Do you think it wasn’t diabetics but hypothyroidism?

  40. Hi. I have hypothyroidism and im hypoglycemia since I was 15 im now 30. I have never had a bad attack until recently. My sugar dropped Severely, & I was told I went crazy/ lost it. I dont remember any of it. Is this normal. My husband of 8 years said he had tried to restrain me and I was biting him to get loose. Is this normal I feel horrible and embarrassed all at the same time. I was at my neighbors house and it just hit all I can remember is standing at the counter talking about vacation bible school and they Said next thing I was laying on their floor whispering. I had forgot to eat for two days. Is this normal for all this and the memory loss of it? Im completely still racking my brain over what I said or did is their any way of remembering? Could you please help me understand it a little better thank you.

      • It is very easy if you don’t feel hungry and don’t get any pangs, headaches or lighheadedness. That is my problem, I can go days without eating but have noticed I have an insatiable thirst.
        If I eat after forgetting for some time, I crash for at least 10-12 hours of sleep that is almost comatose if you hear my kids discribe it.

  41. I’ve had boarder line underactive thyrold for four years but when I had last blood test was told I have underactive thyrold . Now I am on medication . My problem is I keep getting low sugar .i start to feel shaking and I don’t have sugar in my tea. But when I get them I put two sugars in my tea and I can’t taste it . Told my docter but does not seem to do anything .

  42. I am always hungry and my stomache feels like a bottomless pit. i am 27. average weight. female. have not had my period in 5 months. have had issues with missed periods in the past as well (in 2013 i missed my period for 6 months as well). i eat VERY WELL. very clean. i bought a blood glucose monitor. here is an example of my blood sugar readings and i’m not sure if these fluctuations are normal: fasting blood sugar: 4.4 at 830AM. ate from 10-11:15am (steel cut oats, 2 tomatoes, mushrooms, chickpeas). reading at 11:15AM: 6.6. 11:29AM 8.3 , 11:32AM 7.7 , 11:46AM 6.7, 12:01PM 6.2, 12:24PM 5.1, 12:40PM 4.4, 12:53PM 4.3, 1:13PM 3.8.
    looks to me like these readings are way too deviated and fluctuating. please advise
    blood tests for hormones etc all came back normal. ultrasound came back normal.

  43. Dear Chris,

    I have just read through the article and am concerned as to the information you are distributing.
    Most of the information on there relating to blood sugar levels and glucose intake are incorrect.
    Too low is 1, too high is 15.
    If one has an episode of low levels we have this stuff called glucogel, goes shooting up really fast but then you have to keep monitoring it to make sure it levels out and doesn’t go down too far again.

    So why is your article stating the opposit.
    Please reply

    • i think he is talking about fasting glucose and you are talking about fasting insulin. i too, would like to know how you test for insulin as well. my glucose falls between low and high. wondering what insulin is doing. are there meters for that?

  44. I have an eating disorder so my history has been me at an average weight->underweight->gaining all plus more->underweight on low carb (30-100g/day) paleo for 3 years->gaining 50lbs in 2 months from binging on carbs/sugars (for about a month). It has been two months since gaining those initial 50+lbs and I believe I am still gaining despite eating low carb again and no longer binging (eating just over 2000 cals/day). I am only 21 and my job 5 days a week is pretty active. I know I have a compromised thyroid but have immersed myself in research for years and just cant find the culprit. Hashimotos? Just hypothyroid? Dysglcemia? I cant pin point where my blood sugar/insulin resistance is because of my starve on low carb/overeat on sugar history. So any advice on my situation would be amazing!

  45. Hey Chris! Your blog has been very informative. Due to a couple bouts of hypoglycemia about an hour or so after a meal I visited the ER in a panic. They ran a test for the thyroid and my TSH level came back at 21.92! I started on synthroid immediately the next day and am seeing an encronologist this week. I check my glucose levels frequently due to a prediabetic scare a few years back. My fasting bg is about 100 in the mornings, and typically hanging around 80-120 at any given time when I check it. Although, I do check it sometimes and have seen it as high as 150 right after some yogurt and whole grain granola, but then dropped below 120 within 10-15 mins. Doesn’t seem normal. I dieted earlier this year and lost 30 lbs, I’m a 25 year old male and weigh 205 now. I also deal with anxiety and was tying out lexapro when this first happened. No longer on lexapro it wasn’t for me. Anyways, i don’t eat just and if I do eat bread or pasta it’s whole grain. I’ve cut my meals into 4-6 smaller meals and always snacking in fear or getting low again, but now seeing the higher numbers that freaks me out too. I just had blood work done from my GP at my request to rule out anything else too and should get the results this week as well. Your thoughts would be greatly appreciated! Thanks!

  46. Kris, I have been dealing with a nasty case of insulin resistance, which has made weight loss nearly impossible. My glucose numbers always look great, but it is my insulin numbers that do not. I have high insulin while fasting and high insulin at 2HPP. It is a slow process to repair and my fear is that any straying to the dark side (even fruit sugars) will cause my insulin to start screaming again. After 8 weeks on vegetables (no starchy ones) and protein, my insulin was still high. So, tracking blood glucose isn’t always going to show the existence of insulin resistance.

  47. Hello, After 3 previous episodes of hyperthyroidism I have now been on a maintenance does of Carbimazole for the past 2 years of 2.5mg. During the last 2 years my tsh and t4 levels have been consistently around 2 and 9 respectively. My Endocrinologist who has just discharged me from his care says my results are `perfect`. However I do not feel myself most of the time – agitated, tired, irritable,variable pulse rate (from 50bpm to 120), hungry even after just eating), non existent sex drive, cold hands, muscle pain, and general feeling of malaise. I am very worried that my Endocrinologist has discharged me and feel his care has been poor since I was first diagnosed with hyperthyroidism 10 years ago. I have also recently been diagnosed with `pre-diabetes` and wonder if there is a link. I try to keep myself fit and have a good diet. I am 66 years old and not overweight. Any advice you can offer would be very gratefully received.

  48. Hi Chris,
    To start of I’m a huge fan of your work! Kudos to you for all you do! After being a highly (emotionally, physically and psychologically) stressed raw vegan for over a year I switched cold turkey to paleo diet (craving organ meats, dairy, cream ,butter in huge quantities) and it is then that my metabolism got totally messed up, started gaining fat like crazy, feeling depressed, lethargic. Later on found out im intolerant to dairy which contibuted highly to inflammation and weight gain. Kicked off dairy, slowly transitioned to keto like diet to lose the rest of the weight and get rid of inflammation, normalize thyroid and adrenals..
    I am pretty sure it was my adrenals that have been suffering which then translated to low thyroid symptoms (depression, lethargy, weak dry hair, weight gain) and the whole restrictive raw diet only aggravated the whole situation resulting in huge deficiencies. Now, I’ve been meaning to ask you, if one is still experiencing some of the symptoms of a metabolic syndrome but has been on a low carb, keto like diet for few months already (I did notice an improvement but the higher body fat in abdominal area as well as higer triglycerides are still here)..So should I stay low carb, keto for some time more or should I implement some safe starches/sweet potatoes to fully heal? Thank you in advance!

  49. Hi Chris

    My 10 year old daughter is having random bouts of low blood sugar levels. Would love to get your thoughts on this. When it gets really low (today was 36) she gets very sick. Low body temp, vomit once or twice, tired, stomach ache but hungry at the same time. Once it is high enough to eat, she eats a lot and starts getting strength back. We have been eating paleo/primal for the last two years. She does get starchy veggies and treats so she is not too low on carbs. Does this article apply to adults only? Do you have any research on children with blood sugar issues?

  50. Hi, I feel really warn out, cant stand up for too long and palpitations etc.. its the same feeling before i had to have my thyroid removed. I’m on thyroid medication, but i think i have eaten to much chocolate over the Christmas period, should i just wait it out for all the sugar in my system to drop or seek medical help..

  51. Hi Chris,
    I have been told I am not diabetic but I’ve been to the doctor numerous times complaining of blurry vision, shaking headache, ringing in ears after I eat and wake up in the middle of the night at 2 am shaking, sweating, ears ringing, headache and after not eating for 8 hours! I started checking my glucose levels after buying a home monitoring test and my levels are anywhere between 130 and 155 during this time! My levels are 110 after I wake up in the morning fasting for 12 hours! My a1c test came back at 5.5 and they say that is perfect! I was just recently diagnosed with small fiber neuropathy in my feet also handsalso have hagimotos disease (levothyroxine .75mcg) and gained about 100 lbs over the last 2 years which I cannot take off! My glucose levels seem normal after eating but I shake, my ears ring and get sweaty and a headache after I eat. What can you tell me about this? Thanks

  52. Hi Chris,
    My mother is 58yrs 0ld.Diabetic for last 2 yrs. taking 15units of novomix in mng & 20 units at night. her Hba1c is 9.2.hv hypothyrodism. TSH level 20. Was taking 100microgms of Elthrosin. now she is taking 125microgram as TSH is 20. my question is can she improve her Hba1c after her treatment for hypothyrodism

  53. Only once in a while do I have a problem with hypoglycemia. As long as I eat regularly, I do ok. But 2 weeks ago I had an IVF egg transfer. Within a few days I was having multiple hypoglycemic attacks. They were fast and furious and they were daily. Trust me, I was eating good, but it never seemed to be enough. This past Tuesday I miscarried. I continue to have attacks but they are getting better. I can’t help but this this was a contributing factor to the miscarriage. What can I do to get this hypoglycemic stuff under control especially for my next cycle.

  54. Here is a case of possible metabolic syndrome.
    Fasting glucose of 120,Hb Aic of 6.6 and TSH of 5.08.Triglycerides of 209mg/dl
    The person in question is not overweight,Exercises three times a week for 45-60 minutes ,eats healthy other than a high intake of rice diet just once daily.Seldom eats red meat and does not smoke or drink alcohol. Has dry skin on his legs but no other signs of Hypothyroidism.The question is not whether he is a diabetic or has high Lipids( Positive family history in his mother).The question is whether replacement therapy with Synthroid or Levothyroxin is indicated.The blood sugar levels obviously need to be controlled better with regular medication rather than dietary supplements from Medix.What are your thoughts?Please advise.

  55. Chris,

    I have auto-immune thyroiditis.

    I have tried all types of thyroid medication(Levoxyl, natural) and am now taking Cynomel(from Mexico).
    My temperature is still low, usually around 96.5 degrees and I still have hypo symptoms. The thyroid hormone builds up in the blood, causing FT3 to look elevated. Thyroid hormone is not getting into
    the cells. Regarding adrenals: saliva testing over a year ago showed elevated cortisol, midnight –
    4:00AM ,but low cortisol around 9:00AM. I have had a lot of stress since then. I am sure my adrenals
    are much worse( can not test adrenals in Uruguay, South America).

    I have very elevated sex hormone binding globulin: over 200(I am a woman, 61). I have very low growth
    hormone: IgF-1: 34.

    My fasting blood sugar is : 92. I do not eat many carbs at all.

    I have an awful lot of inflammation(all over). i have tried many products, such as fish oils, curcumin,
    silver-even cortisone. Everything I try works the wrong way and makes the inflammation worse.
    Could this be due to autoimmune? It seems like there is something in my system that is blocking
    supplements/some medications, from working properly.

    This information may be important for you to know: I also contract cellulitis-type bacterial infections often. They always become systemic. A tiny scratch in cuticle, or in nose or in front of my neck, is the cause of the infection.

    • Hi Jo, I don’t think Chris is responding to his old posts.. I wrote also..
      I have a lot of the same symptoms.. Seems whenever I eat something I get inflammation. Come to realize it’s my liver. I only know this because it I take things to detoxify my supplements work. In the past if I used thyroid supps, progesterone creams, gaba for sleep. nothing worked or I had awful unusual side effects..including muscle and joint paint which is the inflammation and toxins.. If you have a congested liver not only will it refuse to get your meds of supplements in the right place but it makes this stuff more toxic to your body.. Here is what worked last night for me and I was pain free.

      I take Enzemdica’s ViroStop.. an enzyme for inflammation and toxins and other junk floating around.. always take on an empty stomach.. For hormones.. same idea.. if you have a congested liver any hormone supplement including your own bodies hormones are just not going to get where they need to go so they turn toxic.. I take Calcium D glucarte and DIM.. This will detoxify all the bad hormones and get your own hormones where they need to go.. I cannot get technical so please google these.. But for your inflammation issue those enzymes will surely work for you.. I tried everything including those things you mentioned for inflammation and the only thing that works is the enzymes geared towards ridding the body of toxins.. You must take them an hour before or two hours after food or they will end up digesting your food instead of the toxins creating the inflammation.

      Good luck and hope this helps you.

  56. Hi William, yes if I were to do a lot I do think I would crash. This is the adrenal exhaustion and it seems like my adrenal just makes enough cortisol to get me through a normal day. But not enough to exhert myself. I think (just my opinion from my own experience) what you are experiencing is the hypoglycemic in a much worse way than me. I don’t get headaches or swollen glands just the fast heart rate a little hot, not a flash.. then if I don’t eat I would just get a hangover feeling the next day. For you, when you exhert yourself you use up what little cortisol your body is making for you.. Cortisol controls blood sugar. so in the middle of the night when it is at it’s lowest there is just nothing to control your drop.. this is my guess and what I think is happening to me. But I seem to get this when I eat sugar.. as in fruit during the day after say 12 noon. I grew up a sugar holic and It’s just not fair I cannot even now enjoy a piece of fruit. When I eat sugar during the day I feel great and energetic. So I’m trying to find a way I can eat it and fix this sleep issue.

    good luck with your issue.. Oh I also try tyrosine once and it didn’t do me well either. I read that if your thyroid is off tyrosine isn’t going to work since it needs the thyroid to process it.. (something like that). So that’s a good sign your thyroid or adrenals are insufficient.. good luck…

  57. Jess, thanks for sharing your story. I have a question.

    Are any of your symptoms triggered by exercise intolerance? I have the night time problems a lot like you describe, with sometimes severe body temp drop and bad shaking, swollen glands and headaches. Usually having something with a bit of natural sugar and potassium and calcium helps (learned the long way). Blending celery with my smoothies have made a pretty big difference when nothing else seems to ease it.

    Just when it first got bad it was always the night after a big hike or bike ride, back before i knew i had a problem. I used to do those things regularly, then when these problems started, I had to stop abruptly.

    I still can’t get my doctor(s) to look past the symptoms and translating them to anxiety when I stress it’s food, activity, and body cycle triggered exclusively, so I’ve been up a creek for years just trying to eat healthy. When it first started back then I tried L-tyrosine but it caused me problems.

    I feel like I’ve been hit by a bus so often it’s ridiculous. But the 2am-4:30am hours can be brutal. Not sure that Chris responds to these anymore so If you ever want to compare notes or have any advice it’d be greatly appreciated.


    • Hi William, yes if I were to do a lot I do think I would crash. This is the adrenal exhaustion and it seems like my adrenal just makes enough cortisol to get me through a normal day. But not enough to exhert myself. I think (just my opinion from my own experience) what you are experiencing is the hypoglycemic in a much worse way than me. I don’t get headaches or swollen glands just the fast heart rate a little hot, not a flash.. then if I don’t eat I would just get a hangover feeling the next day. For you, when you exhert yourself you use up what little cortisol your body is making for you.. Cortisol controls blood sugar. so in the middle of the night when it is at it’s lowest there is just nothing to control your drop.. this is my guess and what I think is happening to me. But I seem to get this when I eat sugar.. as in fruit during the day after say 12 noon. I grew up a sugar holic and It’s just not fair I cannot even now enjoy a piece of fruit. When I eat sugar during the day I feel great and energetic. So I’m trying to find a way I can eat it and fix this sleep issue.

      good luck with your issue.. Oh I also try tyrosine once and it didn’t do me well either. I read that if your thyroid is off tyrosine isn’t going to work since it needs the thyroid to process it.. (something like that). So that’s a good sign your thyroid or adrenals are insufficient.. good luck…

  58. Just saw this reply by another person….

    “The problem is that cortisol also stimulates the sympathetic nervous system, causing a group of effects known as the “flight or fight” response. This response prepares us to defend against or flee from danger. It includes an increase in heart rate and lung action, increased blood flow to skeletal muscles and inhibition of organs and tissues not immediately involved in fighting or fleeing (such as endocrine and digestive organs.)”
    Really? According to Endocrine texts it’s Ephidrine (Adrenaline) that does that? Having LOW Cortisol can cause huge Adrenaline spikes. And Adrenaline uses up Glucose so can cause precipitous drops in Blood Sugar levels.
    Of course HIGH Cortisol is bad too. And low thyroid is a big stressor on th body & can cause you to overproduce Cortisol. High Cortisol can also cause Hyperglycemia.
    Adrenals should be treated before Thyroid. It can be dangerous to do it the other way round.\

    This IS ME.. I have low adrenal and when I try and treat my adrenals with any form of adrenal glandular it makes my night time (2am) hypoglycemia much worse. I have tried different ways of taking the glandulars before bed..etc.. but nothing works.. Everything I read in the alternative arena about the thyroid/adrenal issues..they all say to treat adrenals first and the thyroid will then recover.. but I’m finding it is actually better to treat the thyroid since a thyroid glandular won’t spike my insulin or doesn’t seem to at this point anyway.. What are your thoughts on treating the thyroid first as opposed to treating the adrenals.. I”ve even tried all of the adaptogens and they just made me lethargic.. I did avoid the epinephrine spikes which was good but had no energy to work..

    Thanks again.

  59. Good article.. I suffer from it all.. I can deal with the hypo during the day easy, it’s at 2am when I wake up with a pounding heartbeat and night sweats and in an hour I will get hypo if I don’t eat. This only happens if during the day I have any sugar including fruit after say noon. I do not spike my insulin at all during the day for the most part. I eat healthy as can be.. gluten free, low fat due to gallbladder issues..I’m thin as a rail..I do have almost every symptom of hypothyroid and although it runs in the family I”m sure mine is due to this long term cortisol insulin release at night.. So you mentioned this statement “Unfortunately for hypoglycemics, repeated cortisol release caused by episodes of low blood sugar suppresses pituitary function. And as I showed in a previous article, without proper pituitary function, your thyroid can’t function properly.” And I always dig deeper since I treat myself.. so wouldn’t it be best to ‘treat’ the pituitary? I am currently taking thyroid glandular and wonder if I should have just started with the pituitary glandular.. wouldn’t it be wise to treat the source.. of course treating the symptoms will give me the relief I need (one can hope anyway).. Do you not think this would be a good idea?

    Thanks for the article:

  60. Hi Chris,
    I was diagnosed as having subclinical hypothyroidism a few months ago. I was given 25mcg of levothyroxine and sent on my way. I am still exhibiting symptoms of hypothyroidism, but now that my TSH is in the normal range my endocrinologist and GP say to “just ignore the symptoms.” My question is regarding the following excerpt from your article:
    These mechanisms present clinically as hypoglycemia. When you’re hypothyroid, your cells aren’t very sensitive to glucose. So although you may have normal levels of glucose in your blood, you’ll have the symptoms of hypoglycemia (fatigue, headache, hunger, irritability, etc.). And since your cells aren’t getting the glucose they need, your adrenals will release cortisol to increase the amount of glucose available to them. This causes a chronic stress response, as I described above, that suppresses thyroid function.

    I am starving all of the time, shaky, weak, and irritable, but I eat all of the time and drink tons of water. My meals and snacks are all balanced. Regarding your excerpt, if my glucose test show normal, but my cells aren’t getting the glucose they need, what in the world do I do? I am so beyond confused and my doctors could really care less as long as my TSH is “normal.” Please help.

  61. I have been having problems with my thyroid for several years now via ultrasound. Blood work comes back normal all the time. I am seeing a hormone specialist now that does not prescribe RX meds she does everything natural. I had a saliva test done last year and my hormones were all low but she didnt test my thyroid at the time. She has me on progesterone and testosterone cream (bio-identical).
    My issue is I gained 50 lbs in 5 months, and my blood sugar is low all the time. It is especially bad when I am getting ready to start my cycle or ovulating. It doesnt matter what I do I cant keep my blood sugar up. My hormone specialist is wanting me to try some Thyrofem and some Adapten All. I am very scared to try anything like that because I dont want my blood sugar dropping even more. Other symptoms I have is a lot of constipation, moodiness, anxiety. I am feeling more and more pressure in my throat. Not sure if anyone has had blood sugar issues with their thyroid and how they resolved it. Thank you for your time. If I could just regulate my sugar I could deal with the rest. It literally hit me out of no where, the blood sugar issue. I can’t even exercise because my sugar drops on me. Very frustrating. Any help would be greatly appreciated.

    • Forgot to mention I was diagnosed with hashimoto’s. My sugars are usually in the 70s and 80s and I feel horrible. I eat a diet full of protein, and balance it out like my endocrinologist told me. I have about 16 nodules on thyroid, one keeps growing but they don’t want to do anything about it. Anything to stabilize my blood sugar would be good for me. Endocrinologist tried me on diabetes medicine but A1C is always excellent. It made things very bad for me and will never take meds like that again!

  62. Hi Chris,
    My eight year daughter is diagnosed with Type-1 Diabetes 2 months back and dependent of 4 insulin injections daily. now she is also diagnosed recently with Thyroid (TSH=8.57).
    Kindly suggest : Is any relation between thses two and any solution for these disease.

  63. Hi,
    The first page found that made actual sense to me. I went to the doctor with souring heart pressure. After blood tests showed nothing is wrong, just the high blood pressure. and fainting. Only eating pure sugar I found would help me temporarily.
    So got high blood pressure medicine.
    Got the blood pressure down, but not really down and my body was vibrating on its own. All muscles. I think I was on the brink of death and the doctor said he didn’t know. Frustrating. So I started to look at the blood tests myself as electric engineer. I saw my TSH was 3.5 so no problem according to my doctor. My T4 was 0.9, so also within the “specs”. When I understood the TSH should higher the T4, and after putting it in “amplifier terms” and some diagrams, I decided that I needed to change out the “amplifiers” Pituitary and Thyroid. I found some syntroid (synthetic T4) and just took a bit to find out if it would help. Now that was it. I am sure I would have been dead by now if I had listened to my doctor.

  64. Hi Chris!

    I’m trying out the blood glucose monitoring system you describe above and I’m curious about why you have people test only at lunch? Wouldn’t a high carbohydrate breakfast have some impact on my lunch reading?

    Thanks 🙂


  65. I am 48 and have always had blood sugar issues. As a child, I always felt like I had low blood sugar. When I had children, I had gestational diabetes with one and was boderline with the other one. I monitor my blood sugar everyday with a meter and eat very low carb. My fasting blood sugar is usually in the 95-100 range. I think it would be lower if I didn’t have to eat a snack before bed. When my blood sugar drops into the low 90’s or high 80’s during the night, I often wake up and have to eat something. Is there a way to avoid feeling like I have hypoglycemia at night when my blood sugar isn’t even that low?

  66. Thank you for your information. I am a newly diagnosed reactive hypoglycemic. I am a little confused based on how I feel each day, which is different. My blood sugar generally is about 76 after eating breakfast and its very hard to get it higher. Sometimes i get it to 89 but thats it. I dont feel good at all. Yesterday it was low after breakfast so i ate a banana and a half of cup of oatmeal and it went to 200 within 16 minutes…What do you suggest I do and is it dangerous being so low>

    • Gail
      I have the same issues. I always eat Graham crackers and milk before bed, or peanut butter crackers. Keeps me pretty stable. I am always in the 70s and 80s and it makes me feel like crap. Even though that is in the normal range, it makes you feel horrible. It is very frustrating to deal with.

  67. I am a diabetic. I struggle daily with my diet and sugar levels. The doctor keeps upping the medication and it helps for a short period but then my fasting blood sugar goes back up. It hovers around 180-200. I feel terrible some days, others not as bad. I can tell when my sugar is up because I am very, very tired and sleepy. It doesn’t seem to matter what I eat I am always sleepy after I eat. I can eat just eggs and have a glass of tea and get sleepy after I eat. The doctors have checked my thyroid and it always looks normal. But it seems to me there is something going on with me besides my diabetes. Several years ago I lost about 120 pounds but have not been able to keep it off. Any suggestions?

  68. Great information. My thyroid was surgically removed when I was 23 because of 14 years of hyperthyroidism. I am 46. Since I have learned of gluten issues 2 years ago, my dose of synthroid has decreased by 1/3 to 0.200 mg/day. I struggle with weight and I always have. I had finally started losing weight, but then the dosage was cut in response to low TSH numbers. Can you direct me to the right articles/info about what those of us without a thyroid gland should do, or where our thyroid numbers need to be, if different from those who still have an active gland? Even better, do you have anyone in Maryland you would suggest that I see? Thanks/.

  69. Feeling frustrated.. I jog everyday 6 to 8 miles,work all day on my feet,have had back issues,now I have hypothyriodism, which my t3 and t4 are low, anemia,b12,low Alkaline Phosphate,highRDW,lowMonocytes,low Globulin,high Albumin/Globulin ratio,virtually make no hormones,High cholesterol,and LDL,hair has not grown in 5 years,dry skin,cold,night sweats even when my body feels cold and I could be here all day. I was put on antidepressants and arthritis meds for anxiety as they say but i dont. I have told my doctor i feel surges of hyper and hypo everyday. I know i dont eat well and can go all day without food since i am never hungry but seems like when i eat something happens inside my body whether be tremors or shakes or very tired i cant find out. After workout i tend to sweat more when i am done than jogging even my heart rate doesnt go up until i am done. Then i feel surges like i need to get the rest of the energy out because it makes my tremors go away. Any idea of which i should look into. Thanks Elise

  70. When I was in my early 20s, I started having bad responses to cardio — even mild cardio such as a 45 minute walk or hike. I was used to being able to walk or bike endlessly without much issue other than sore muscles before that. Now, I would find my heart rate would not recover properly, my left gland would get sore and swollen, and I’d stay wound up well into the night and next morning and get pounding headaches just from an hour of walking. I would feel great right after for an hour or so, but not come down from it. It started to get to the point my body would go into panic mode and my body temperature would plummet 3-4 degrees and I’d get bad shakes.

    I went to the ER 3 times in a row and I practically had to beg them to do a blood test, but all it showed was I was low on potassium. I thought for sure there would’ve been a blood sugar issue, but I don’t think they even checked it, much less worried about a thyroid issue — even though I stressed that both run heavily in the family. They diagnosed it as anxiety attacks. Alright, sure — the Ativan at least relieved them eventually so I could sleep in peace. But the attacks would still only appear after cardio, even years later to the point I completely had to change how I went about it. I’d have mild versions of this from eating certain types of starchy foods I noticed, in the months following. I of course changed my eating habits greatly, low carb and low sugar, and it helped, yet the problem persisted, hours after mild or moderate cardio. No amount of stressing these 2 direct connections seemed to concern my doctors, so for a long time, I gave up on them, and relied on my diet tweaks and short-burst (stop-start) forms of cardio instead of one big chunk at a time — which I discovered my body responded much better to this after so much trial and error.

    It just frustrates me, because I still suspect my thyroid had something to do with my anxiety and heart rate issues, rarely able to feel relaxed because of it. Since the anxiety attack diagnosis, I’m mostly stonewalled on trying to get these other issues taken seriously, since that’s the easier answer to feed me since the symptoms are similar (ignoring the trigger). I just worry about the damage done to my body having something undetected hammer away at my system.

    Do you think any of this could be related to this thyroid blood sugar connection? If so, do you have any advice on how to approach my doctor in the future when I talk them into testing my thyroid once and for all? Thanks for your article.

  71. Hi Chris, I have been on Synthroid for a year now due to hypothyroidism. I started with 50mg and I’m now up to 125mg. Recently my hair has been falling out in handfuls and I’m ready to get off it altogether. I started out on Armour Thyroid but doctor switched me because he couldn’t get it balanced. I just started research to see if there is anyway to cure hypothyroidism myself. I thought it very interesting that about a month after I first started on medication I happened to try a 30 day no sugar. When I went back to have my levels checked just after I finished the diet, I had gone from hypo to hyper. I told the doc that I had cut out sugar for 30 days (thinking that must be the reason I went from one extreme to the other in such a short time) but he didn’t seem to think much of it. Since then, I have always wondered if I would cut out sugar I could regulate my thyroid without medication. I’d love to hear your thoughts on this. My blood tests never show high blood sugar although I feel like I have the symptoms of one that does and eat a lot of sugary foods.

  72. My boyfriend has hyperglycemia, blood glucose of 200-500+ sometimes after a fasting. He is still in the middle of neurological and endocrinology appointments. He’s having his b12 lvl and his thyroid tested. He’s now on two forms of injectable insulin and two pill forms. Beyond carbs are there any other suggestions for diet and in case he comes back with a over active thyroid leaving him practically sluggish all day, things he can do to help himself?! He also has severe full body nuropythy so excersise is hard. Also he’s thin and not obese. ( covering all our descriptive bases here 🙂

  73. Jo

    If I raise my thyroid too fast I get reactive hypoglycaemia. I found this out a NUMBER OF TIMES in my eagerness to get my thyroid right and my life back. Raising too fast messes with one’s blood sugar as it is harsh on the adrenals and they are involved in blood sugar regulation.

    One of the criticisms of Wilson’s is that it works via very fast raises and can thus lead to symptoms such as you describe. It also taxes the adrenals. If you have high RT3, I’d suggest you check out Nick Foot’s website and increase T3 in a slower way. If you have just plain ol’ hypothyroidism, I’d suggest you check out

  74. Hi Chris:

    Great information. I have both insulin resistance and low thryoid right now. I am currently on time-release T3 therapy (Wislon’s protocal) which has worked well for me two other times in the past ten years, but this time, (the first that I knew I had blood sugar issues too) I have not responded so well to the T3. I did buy a glucometer and have been keeping very careful records, cutting carbs, measuring and recording every bite, and exercising — but my fasting blood sugars seem to increase everytime that I change my T3 dosage — up or down….is this as I am starting to suspect, because of the changing T3 amounts — or could there be something else going on here that I need to consider?

    The other thing I am wondering about — I have all but cut fruit out of my diet — having it only in a morning protein shake, after which my blood sugar is usually in the 80s (lower then when I wake up!) But I do miss it sooooo much. So I succumbed twice in the past week to an apple late in the afternoon and was shocked to see my blood glucose spike after words — BUT it seemed to spike much more the day following my liberal use of coconut and cashews — more fat than I typically have….when I get my t3 dosage figured out and stabilized I plan to do a controlled experiment — fruit following a day of very low fat eating and fruit following a day of higher fat eating and see if there is a difference — what do you think I will find here?


    • Hi Jo,

      I’m wondering if you ever got clarity on your situation at all? I am following in your footsteps and am curious. (Currently on T3 therapy via Wilson’s plan…)

      Many thanks.

      • Well, interestingly enough — I have made some very helpful discoveries just recently. I am now menopausal by several years, and clearly the T3 only protocol is harmful to me now — although it did work amazingly well for me several times years ago. I now believe I was/am dealing with entirely different problems. Before — I was consuming gluten and I suspect it was stirring up an autoimmune reaction to my thyroid (don’t know for sure, because antibody levels were never measured back then) Several years gf and I no longer needed thyroid replacement. When menopause hit and I had hypo sytmpoms again I (and was still GF) I did get antibody levels measured and they were negative — and this time, T3 did NOT work — in fact, I had to take large amounts and only got partial symptom relief and much evidence that I was taking too much. Recently I read the FANTASTIC BOOK, The Functional Approach to Hypothryoidism by Kenneth Blanchad — it makes a lot of sense. I am now taking mostly T4 and a tiny tiny bit of T3 and seeing improvement. The big thing I came to appreciate — I don’t think I fundamentally have blood sugar issues — I think it was an artifact of the high high T3. Interestingly the abnormal response to carbs was a symptom — not a cause of what was going on — It really didn’t matter what I did diet wise — when I was taking that much T3– even the tiniest bit of carb –was problematic and now — I can eat a few peaches before bed and my fasting glucose is none the worse.

  75. Hashimoto’s is far from rare. 9 out of 10 women with hypothyroidism in the U.S. have it.

    You’re right: blood sugar is confusing. But your numbers are typical for a low-carb dieter. I’ve explained it here.

  76. I’m very confused about my blood sugar. I had fbg done at my Md’s and it was 103″ and somehow he said that was normal and I looked at the lab ranges and the lab he uses defines normal unto fbg of 110! Weird.

    Also, i have eaten lower carb for the past year plus, and 1 year ago at the doctors my fbg was LESS, 94, prior to trying lower carb. So I bought a meter and tested at home and found my fbg was 105 one day, and tested a few times and it is never below 95. But, 2 hours after eating a breakfast of eggs, bacon and white potatoes my bg was 85. What gives? I ate carbs and bg was normal a couple hours later, but my fbg is generally high.

    My tsh is ok, 2.3, the doctor didn’t do a hasimotos test as he thinks it’s very “rare”.

  77. I just read this and I am freaked out. I have had a thyroid condition for 13 years and i have had it monitored regularly. I started feeling weird and my hair was falling out. So I went back to doctor, and my thryoid was like 8 when it was supposed to be 1 or 2. She also said my fasting glucose was 102. I have never had glucose problems. I am a very health eater(ridiculously so) and am thin. I am normal weight and have always been normal. I am 45 and I had two kids and never had gestational diabetes. I was also taking a lot of fish oil for dry skin. I have heard that this can impare fasting blood glucose. I don’t want diabetes. I went back to the doctor once and my thyroid meds have to be bumped up again, and glucose was borderline. What can I do to avoid diabetes?

  78. Hi Chris,
    Thanks for all your posts.
    Do you think that somebody with potential adrenal and thyroid problems should eat 3 meals a day instead of the usual 2 meals recommended for IF? If the glycogen stores are not re filled the same day the liver is going to make glucose from protein and that taxes the adrenals so a certain amount of carbs is recommended too. Do we need the 400 kcal that Paul Jaminet recommends?

    • See this comment I just wrote on Paul’s blog on this exact question. The short answer is that I’m wary of IF for people with hypoglycemia, adrenal and thyroid problems. Some argue that IF can have a blood sugar stabilizing effect, but I’m not convinced of that in this particular patient population. I’ll be curious to see how Paul responds. Yes, I think 400 kcal of glucose is a good target for those with blood sugar issues.

  79. Chris, thx for great info.
    Regarding eating high fat diet and haveing a high blood glucose and just want to say that high  fat levels in the blood stream (TGL)  can reduce insulin sensitivity and therefore eating low carb high fat can still make your blood glucose hight.
    I notived myself, if i eat lost of nuts (over 100 g of fat) in the evening or other fats liek coconut oil my fasting glucose levels goes up 5 or even high, whilst  normaly is around 4.7 – 4.7.

  80. I would like to know what kind of meal is best eaten before checking post prandial blood sugar ? Im sure what you eat affects your readings,and eating what you normally eat may not cut it. Should one include sugar ? Or how many grams of carbs should that meal include ?

    • The whole point is to eat what you normally eat and see how it affects your blood sugar. If it goes too high, you know you’ve eaten too many carbs. If it doesn’t go too high, that suggests you’re able to tolerate the amount of carbohydrate the meal contained. This doesn’t mean you are free to eat anything as long as it doesn’t raise your blood sugar. It’s only one criterion.

  81. Thanks, Chris.  I guess I need to do some reading on treating hypothyroidism as high TSH, and see about getting that cortisol test.  (I know you’ve written more stuff on thyroid than I’ve read so far, so I won’t ask you to repeat it here. 🙂 )  I’ve already decided to cut out gluten, since my wife had to, and it seems like a good idea for anyone.  I’m going to test my BG more often to figure out how much non-refined carb (probably mostly potatoes) I can eat without going over 120 BG.  Stuff I’ve read over the years on healing adrenals, like the book Adrenal Fatigue, always said not to go too low carb, but they never really said why, so I just ignored them since I also wanted to lose weight.  Maybe I need to focus on the hormones first and worry about weight later.
    Incidentally, what do you think of the raw milk diet for adrenal fatigue and/or hypothyroid?  We just did that for about 10 days and my BG stayed surprisingly good, never exceeding 110.  We basically stopped out of boredom, but I’d do it again for longer if I thought it’d help.
    Thanks again.

  82. Hi Chris,
    There’s a lot of good stuff to think about here.  A couple questions:  Do you think going too low-carb can be a problem for people with thyroid/adrenal issues?  Also, do you really think overconsumption of carbs causes insulin resistance by itself?  I used to think that, but reading about the Kitavans and other societies that eat a high-carb (unrefined) diet without any metabolic disease is making me think there must be some other factor (inflammation, nutritive wasting by refined carbs, stress) that kicks off the insulin resistance, maybe in combination with carb load.
    My background:  After a bad bout of mono and a stretch of trying to combat fatigue and long work hours with caffeine and ephedrine, a chiropractor/kinesiologist diagnosed me with adrenal fatigue about 15 years ago, and told me to lay off the stimulants and ‘white’ foods: white sugar, white flour, potatoes.  I did for a while, and felt better and lost some weight.  Of course, I drifted back to a SAD diet, and ever since I’ve had problems with fatigue and stress.  (I’m naturally introverted anyway, but now any sort of social stress leaves me needing a day to recover.)  I also gradually gained weight, and discovered low-carb to combat that.  It seemed to help with the fatigue and mood too, but after a few years that effect (and the weight loss) lessened.  But I stuck with it because a ‘normal’ diet would drive my BG over 120 (and junk food like potato chips would drive it to 180+).
    But now I’ve been reading about how going too low-carb long-term might be a problem for people with adrenal issues, because the adrenals have to produce more cortisol or other hormones to break down protein for sugar.  So instead of over-working your pancreas, you end up over-working your adrenals.  Does that make sense?  Does it mean I should go just low enough to keep my post-prandials under 120, and no lower?  Should I eat more carbs spread out in small snacks, to keep BG supplied without the help of the adrenals?  Would it be helpful to get an adrenal test done to see whether my cortisol is high or low, and that sort of thing? Also, my TSH is high (4.280), but my T3 and T4 are in the middle of their normal ranges.  That, together with your articles, also has me thinking about gut inflammation, and all the omega-6 I got over the past few years from snacking on nuts and peanut butter to stay low-carb.
    Sorry for all the questions, but this seems like the one place where all my issues are being discussed.  Most places focus on one thing, like adrenal health, to the exclusion of everything else.

    • Aaron,

      I am aware of the Kitavans and yes, I think the problem is more related to refined carbs than starch. Unfortunately, that’s predominantly what Americans eat. Also, once dysglycemia sets in, even natural starches can push blood sugar to unhealthy levels. I’ve seen this over and over by asking patients to measure their blood sugar after various meals.

      I have heard anecdotal reports that a very low-carb diet can cause hypothyroid symptoms and adrenal issues, but I haven’t seen that firsthand. There are some physiological mechanisms that make it plausible, which is why I don’t recommend a VLC diet over the long term for most people. Steps must be taken to restore insulin sensitivity along the way, with the idea of being able to reintegrate some healthy carbs later. There’s no hard, fast rule though.

      It’s super important to keep your BG below 120 post-prandial, and I personally would prioritize that and then focus on supporting the thyroid and adrenals. Testing your cortisol (using the salivary profile offered by Diagnos-Techs) would be worthwhile to see where you stand there. High TSH on its own is hypothyroidism, even according to the mainstream definition, regardless of your T4 and T3 levels. That needs to be addressed, and my guess is your blood sugar and adrenal issues will improve when you do that (and vice versa).

  83. Chris,
    I am a 46-yr-old female, recently diagnosed with multi-nodular goiter but have “normal” blood results (including autoimmune); needle biopsy of a large nodule which I was told revealed “nothing abnormal” (although my mom, who is a physician, said didn’t look like a very good sample as it was “mostly blood with a few follicular cells”). I have what I feel are hyperthyroid symptoms upon waking (racing thoughts, OCD, fast heartbeat, palpitations) and hypothyroid-related symptoms throughout the day (lethargy, constipation, depression, low Vitamin D, unexplained high cholesterol, long periods, hot flashes). The tightness in my neck from the goiter is very uncomfortable. My question is this — After reading your articles I’m going to try to address leaky gut, gluten intolerance etc. — Is there a chance that will help me with the NODULES, or are are those only going to go away with thyroid hormone and/or surgery?
    I’m SO glad to have found your site.
    Thank you! Denise

  84. So it should be under 5 mmol/l ? Mine is always 5.2 or higher (as high as 5.6) first thing in the morning, it can go up a couple of points with moderate exercise, ie an hour of jogging, and it goes down into the 4’s if I kill a workout (go with hard intensity) and feel tipsy afterward.
    I have been eating lettuce as my only carb and lots of fat and a little protein over the past couple of days and I still get my blood sugar at 6 mmol/l 2 hours post.
    Although yesterday it never went about 5.4 all day.

    Testing is very thought provoking I can say that. Like the first week I got it, I had a coffee that had sugar in it, and it went up to 8.5 or something ridiculous…no more drinking calories for me. The bio feedback is good for me.

    • It should be under 85 ng/mL when fasting. If it’s not, it indicates blood sugar dysregulation. That doesn’t mean diabetes, but keep in mind diabetes develops slowly over time. It’s not like catching a cold. So identifying imbalances like this early is an important step in preventing them from developing into full-blown diabetes later in life.

      As I’ve written in this series, it’s not just about diet. The adrenals and the immune system must be addressed.

      Phoenix, yes, balancing the adrenals is trickier when autoimmunity is involved. As you pointed out, certain botanicals have a stimulatory effect on the Th1 system, which is often overactive in Hashimoto’s patients. This is why it’s important to find someone to work with on this stuff. I wish it was simple enough to just write a couple articles on and give people enough information to treat themselves. Unfortunately, thyroid disorders are far too complex and multi-factorial for that. And I wish it was easier to find practitioners who are well-versed in functional medicine. I’m doing the best I can to get the word out, but there is a definite lack in this area.

  85. I’m going to keep taking them and recording it so I can show my dr.  ugh…I think I need diabetes like I need a hole in the head…

    • A normal fasting blood sugar is 85 mg/dL or less. Doctors say anything under 100 mg/dL is normal, but plenty of research shows that fasting blood sugar in the mid 90 mg/dl (5 mmol/L) range often predicts diabetes that is diagnosed a decade later. In your case there is definitely a blood sugar imbalance going on based on the readings you have shared.

  86. Phoenix – Your adrenals do sound very fatigued, HOWEVER it could also be the ERFA. I found it to be an inneffective med for my body and I had to switch back to the Thai Thiroyd. It basically made me very hypo again. This could be an issue for you too. If you are looking for support or advice, the forums at are excellent.

  87. 128 is high for 2-hour.  You want it to be under 120 2-hours after.  If it’s higher than that, it means you ate more carbs than you can tolerate.  If you also had a significant amount of fat at that meal, it probably slowed down the absorption of the carbs which is why your blood sugar was still low one hour after the meal.  Take another reading at 3 hours out next time you have a meal like that.  I suspect it will still be high.

  88. thanks.  Was 7.1 two hours post prandial…which is 127.8 mg/dL.  Which I would say is on the high side…but maybe not after such a heavy carb load.  I will take it fasting in the morning the next few mornings and then some different meals too.  Normally I don’t eat that many carbs at all…but I figured it would be interesting to see how my body is “coping” with that many carbs.
    Thanks again!  Your blog seriously rocks!

  89. I’m so confused!!
    I have also been curious about my blood sugar levels as when I was pregnant the second time and had the Oral glucose test at 28 weeks.  It showed I was hypoglycemic.  But no one ever has checked me not pregnant.
    So…I bought a glucose monitor today.  Ate a large carbohydrate meal and tested one hour after eating….it was 4.3 mmol/L!  Which translates to 77.5 mg/dL!  That’s one hour after a heavy carb meal of 93 g of carbohydrate.
    What gives?  I am going to test in one more hour to see what it is at 2 hours post prandial…

    • Sounds suspicious. When we look at blood sugar, patterns are more important than single readings. Take your fasting BS for a few days in a row, as well as 1- and 2-hour post-prandial readings with different types of food. Then we’ll see what pattern emerges. If you are persistently hypoglycemic, you definitely need to address it.

  90. My thyroid was destroyed some time ago, and I depend on Synthroid. Years of stress, also wore my adrenals out, and doctors just pooh pooh that when I suggest it to them. If you don’t have a measurable disease, you get no help from almost all doctors. I say this from years of having many doctors, always the same results.

  91. Great Post!! I have to eat mostly SCD. I have Celiacs and Crohn’s, but even gluten-free grains give me fatigue and sugar cravings. I’ve been wanting to figure out what my issue with grains is, and have been tempted to get a glucose meter after reading Blood Sugar 101. I had no idea my thyroid could be involved in this too. In fact, before your articles I really did not know much about the thyroid. Wow, I wonder how many thyroids the food pyramid has destroyed!

  92. ok, I’m cool with eating eggs but have cut back consumption of eggs and nightshades due to Cordain’s work in Paleo nutrition with people with auto-immune disorders.
    I think I am the 70% that won’t be able to raise my cholesterol with diet….
    So no more fish oil? I googled foods with high saturated fat…and as you are probably well aware I got nothing but the SAD pushed…so crazy. (I’ve read good calories, bad calories, so I am not buying their junk).
    Other suggestions for reducing inflammation? I took the ALCAT two weeks ago and showed a reaction to 50 different foods. (in addition to what I already knew of wheat and dairy).
    I think my immune system is stronger than terminator…I never get sick….and my body perceives everything as a threat. including sadly my thyroid…..

    • If you’re concerned about a potential reaction to eggs, limit your consumption to yolks. When people are sensitive to them, it’s almost always to the whites.

      EPA & DHA are both anti-inflammatory, and can help improve hormone receptor site sensitivity, so I wouldn’t cut it out. Good sources of saturated fat are butter, cream, ghee, coconut oil, palm oil and beef tallow. I respect Cordain and his work, but I don’t necessarily agree with him on dairy – especially the milk-fat products like butter and cream, which are exceptionally nutrient-dense and healthy, especially for someone in your predicament. My sense is you need more nourishment, and it’s hard to come up with more nourishing foods than egg yolks, butter, and cream.

      I don’t believe in the food allergy tests. There are a number of problems with them, and I don’t think they’re accurate. The only way to really determine food sensitivities is an elimination/provocation protocol. Even then, most people find that when they heal their gut, they are able to tolerate foods they were sensitive to before.

      I’d suggest investigating the GAPS diet ( as a means of addressing some of your issues. It’s the best method I know of for restoring gut mucosal barrier integrity and reducing intestinal inflammation.

    • Just want to emphasize again, though, that my sense is reducing stress and balancing your adrenals is going to be the key to your recovery. When I say stress, I’m using the term in a broad sense – physiological (overtraining, leaky gut, inflammation, etc.), psychological and emotional. Stress causes something called the “pregnenolone steal” (Google it to learn more), where pregnenolone, the precursor to all sex hormones, is preferentially diverted to cortisol production. This is an evolutionary response. Cortisol raises blood sugar levels so we can produce more ATP (energy), which is necessary in times of stress (fight or flight). But if this happens persistently, there’s no pregnenolone left over to make the other vital hormones (like DHEA, estrogen, testosterone, aldosterone). This is probably why you haven’t had a period for several months.

  93. Hi Chris,
    Thanks for the quick response. My Cholesterol has always been low, and yes my doctor does comment on how awesome it is…although my naturopath doesn’t think so, she says that with no cholesterol I don’t move hormones in my body either. I also have very low blood pressure 97/49 avg. and always have. I don’t get dizzy easily either. When I first got sick the only thing that made me feel remotely normal was training…I had a 24 hour test done…but haven’t had the Saliva done.
    Do you think acupuncture for encouraging the HPA axis?
    I am done with Ironman in 4 weeks so my goal is to focus on my health and getting the TSH up. I haven’t been adhering to a low carb diet as a result of training…just can’t get the 20 plus hours a week in on pork chops, but I feel good when I can low carb it, and don’t get me wrong I don’t eat terribly either. I can count on one hand the number of times I have eaten out this year and have a garden I am quite proud of and Im not scared of a big steak. I consider sweet potatoes and an extra piece of fruit cheating. When I can get things together I weigh about 124 pounds and right now I am at least 20 pounds heavier…all gained since April. (while training and eating properly).
    If you could recommend someone to work with who would that be? Aside from fish oil, anything else I could do to raise my cholesterol?
    Thanks again!

    • As your naturopath may have told you, cholesterol is the precursor to all sex hormones in the body. If you don’t have enough cholesterol, you can’t make hormones.

      Saturated fat will raise your LDL (increasing large, buoyant LDL and decreasing atherogenic small, dense LDL). In 30% of people eating cholesterol will raise in in the blood, but in 70% of people it has no effect. I’d suggest eating 2-4 eggs a day. Fish oil will likely lower – not raise – your cholesterol.

      Acupuncture is great for regulating the HPA axis.

      Try this to find a practitioner.

  94. Wow, Phoenix, your system is really out of whack. You need some good care by an alternative type practioner, or at least someone very knowledgable about nutrition, plus an endrocrinologist who knows what the heck he is doing.

  95. Hi Chris
    Great blog! I’m a long time reader, first time commenter. I have been struggling with a number of problems and thought it would do no harm to ask you, although I understand you are studying profusely and looking forward to a vacation in mexico 🙂

    Basically my scenario is thus: I got diagnoised with Hashimoto’s by my naturopath approx. 4 years ago. (TPO was 900). I was already wheat free and mostly gluten free by then as I have severe digestive reactions to those foods. She put me on a bio-identical hormone and for the next 18 months or so I have the highest quality of life I had ever had. I was able to finially lose weight (with careful food monitoring…nothing is for free) and felt like a normal person again after years of flailing with symptoms and no diagnosis.
    Then the government here in Canada took away naturopath’s right to prescribe medication, so I ended up going through my primary care MD to get onto more main stream synthetic drugs. In the interm I stopped cold turkey the old meds…my TSH shot up and my T3 and T4 plummetted. I was able after many month and a fairly high dose of meds to get my T3 and T4 into “normal” range. I now take Thyroid (by Efra) at 180 mg, and Cytomel 50 mcg. daily

    But unfortunately in order to achieve this symptom free state I had to keep my TSH at 0.01…fast forward a couple of years later and I have been diagnoised with Ostepenia as evidenced on a recent bone scan. Also I have now been in menopause for months…I’m 32… estrogen apparently. I should mention I am now into my third year of training for Ironman competitions.

    In the past couple of months the old problems have returned and I have gained gads of weight. I actually had been testing my blood sugar prior to this post so was pleasantly surprised. It isn’t perfectly controlled. But I wake with it in the high 5’s (5.7 or 5.8 on average). I can drop it to under 5 with intense or very long exercise (6 hour ride). I can also spike it to 8.5 if I drink anything with sugar in it (like a mocha) on an empty stomach.

    If I don’t eat carbs and have nuts and protein my blood sugar stays below 6 even after eating.
    So my question is this: since my current T3 and T4 are now well below normal and continue to drop at every test, and my TSH remains at 0.01 it is pretty clear that adding meds to this isn’t helping, and the low tsh is causing bone loss. How do I get myself a) off the meds and b) converting t4 to t3, or whatever it is that I need to do on a cellular level.

    Other numbers of interest
    Cholesterol 3.77
    Triglycerides .3
    HDL 2.35
    LDL 1.28
    (all considered LOW…sorry these are canadian measurements in mmol/l)
    free T4 9.0
    Free T3 1.0

    Chris, any thoughts or opinions will be greatly appreciated. I read Dr. K’s book, but to be honest much of it went over my head in terms of trying to figure out which dominate I am, and there are no practictioners in Canada.
    from Canada

    • Phoenix,

      I wish it were possible to advise in a situation like this, but the complexity of thyroid physiology (which you got a taste of in Dr. K’s book) makes it difficult.

      My guess from reading your post is that your adrenals are taxed from training and that has thrown your blood sugar and hormones out of balance. I’m guessing you have high cortisol from your training regimen, and possibly some underlying inflammation, both of which are dampen receptor site sensitivity. That could explain why you’re not responding as well to your meds, even at doses high enough to severely inhibit TSH.

      Also, your total cholesterol is very low. Has it always been this way? Sometimes this can simply be genetic, and nothing to be concerned about. However, if it’s induced by your training and/or diet, it’s probably not healthy. Cholesterol levels under 160 mg/dL carry a higher risk of heart disease, depression, and other mental health issues. Your triglycerides are the lowest I’ve ever heard of. While most doctors would be patting you on the back, I don’t think levels that low are physiologically normal. Oddly, we might expect to see a TG count that low with hyperthyroidism. But it also happens with malabsorption syndromes and extremely low-carb diets. Your LDL is also very low, and it raises the same concern for me as your total cholesterol and TG reading. Your HDL, however, is in an excellent range.

      It’s very likely you won’t be able to get off meds. I’ll be writing an article about this in the future, but it’s my believe that Hashimoto’s patients with persistently low T4/T3 readings need replacement. Thyroid hormone is just too essential to the body to be deficient in for any significant length of time. But hopefully by improving receptor site sensitivity and addressing the underlying metabolic imbalance, you’ll be able to reduce the dose you need to have the same effect and get your TSH back into a normal range.

      Overall I’d say you’re experiencing a metabolic derangement probably related to overtraining/stress. The key will be supporting your adrenals, regulating blood sugar, eating plenty of saturated fat and cholesterol, bringing your cortisol levels down and reducing inflammation. Perhaps you could find a practitioner that’s willing to work with you on the phone.

  96. >When your blood sugar drops too low, the pancreas secretes insulin to get whatever glucose remains in the blood into the cells where it can be used for energy.
    Pure nonsense. The body’s goal is autoregulation and not suicide through even worsened hypoglycemia… Silly mistakes like these really threaten your image as the well informed “science writer” you claim to be. You would be very well advised to correct this immediately! Gary Wu already gave the necessary hints above.
    Cheers, guzolany

  97. Chris – great post. Having spent a frustrating afternoon listening to friends talk about “sugar issues” and cholesterol numbers, I’m delighted to find your work and will send the website info on to them. I really appreciate all the detailed information, and so, I hope, will they.

    One small caveat: people could be confused by the following (non-medical) issue:

    “Your body is genetically programmed to recognize low blood sugar as a threat to survival. Severe or prolonged hypoglycemia can cause seizures, comma, and death.”

    Should be coma, no? I seriously doubt that anyone has been done to death by punctuation!


  98. Thank you, Chris, for showing the connection of low blood sugar and hypothroidism. I have had both since an early age and no doctor ever addressed the connection. I have to eat frequent meals, but I avoid carbohydrates. It’s my understanding that protein keeps blood sugar normalized, and it does for me. Just before bedtime, I have a glass of milk to hold me through the night, or I will wake up hungry after about five hours.

    I used to get migraines from low blood sugar, or from any physical stressors. Now that I’m taking 4000 i.u. vitamin D3 daily, I haven’t had a migraine in months. I was getting them about every two weeks.

    I did have a five hour test for low blood sugar about thirty years ago, when I was fifty. The test was given because of fatigue. I don’t remember the exact results, but afterwards I was so hungry, on the way home, I picked up brownies, went home and ate all with a cup of coffee. Needless to say, that threw me into bed with a massive migraine. I didn’t know any better at the time and wasn’t warned.

    I’ve had very poor hypothroid management over the years. In the early years, doctors raised my medication in response to my symptoms, but in later years began to lower the meds because the tests showed too low TSH. Every time the medication was lowered, I gained ten pounds. That’s without increasing my calorie intake. When I got to 170 lbs, I started fighting the doctors to keep them from lowering my Synthroid any further. I had to go through a few doctors to finally find an endocrinologist who will let me stay on my present dose as long as I don’t show any hyperthyroid symptoms. My TSH is 0.01, but my free T4 and T3 are normal. This doctor did agree to adrenal testing, but unfortunatly not the saliva test.

    I’ve tried dieting using high protein, low carbohydrate diet, but can’t lose weight. I still have some hypo symptoms, but overall I’m feeling balanced. I can’t afford to go all organic in my food choices, but do the best I can. And I avoid all sugar products, except for some dark chocolate, and eat mostly low carbohydrate. My snacking is always nuts and/or some protein and fruit.

    From all the responses here, I see that this whole subject is quite controversial.

  99. > When your blood sugar drops too low, the pancreas secretes insulin to get whatever glucose remains in the blood into the cells where it can be used for energy. Eventually this lowers the response of cells to insulin, creating insulin resistance.
    It seems counter-intuitive to say that your body will secrete insulin in response to low blood glucose, since the immediate effect will be a further reduction of blood glucose levels.
    My understanding of the rough mechanism is that in a hypoglycemic condition, cortisol and glucagon are secreted to raise hepatic glucose production.  At the same time, some mechanism (details of which I forget) is used to signal the muscle and adipose tissues to become temporarily resistant to insulin so that the increase in blood glucose is not immediately consumed, thereby bringing blood glucose levels back to normal range.

  100. “The problem is that cortisol also stimulates the sympathetic nervous system, causing a group of effects known as the “flight or fight” response. This response prepares us to defend against or flee from danger. It includes an increase in heart rate and lung action, increased blood flow to skeletal muscles and inhibition of organs and tissues not immediately involved in fighting or fleeing (such as endocrine and digestive organs.)”
    Really? According to Endocrine texts it’s Ephidrine (Adrenaline) that does that? Having LOW Cortisol can cause huge Adrenaline spikes. And Adrenaline uses up Glucose so can cause precipitous drops in Blood Sugar levels.
    Of course HIGH Cortisol is bad too. And low thyroid is a big stressor on th body & can cause you to overproduce Cortisol. High Cortisol can also cause Hyperglycemia.
    Adrenals should be treated before Thyroid. It can be dangerous to do it the other way round.

    • Lethal Lee,

      Sorry, that was a poorly written paragraph. I’m probably trying to do too much right now, writing this series with my state board licensing exams coming up. My brain is tired.

      I’ve re-written it so that it’s more clear:

      The problem is that cortisol (along with epinephrine) is also a sympathetic nervous system hormone involved in the “flight or fight” response. This response includes an increase in heart rate and lung action and an increase in blood flow to skeletal muscles to help us defend against or flee from danger. Cortisol’s role is to increase the amount of glucose available to the brain, enhance tissue repair, and curb functions – like digestion, growth and reproduction – that are nonessential or even detrimental in a fight or flight situation.

      • Both high cortisol and low cortisol are bad news for blood sugar. When cortisol is elevated it shuts down receptor sites and glucose can’t get into cells. Low cortisol will lead to reactive hypoglycemia and eventually adrenal exhaustion. I agree that adrenals and blood sugar need to be addressed before directly addressing thyroid – that’s one of the reasons I wrote this article.

  101. Hi Chris,
    just a huge thank you for your great blog. One of the fewest with really new informative and well researched articles.
    I have hashimoto with low T3. Over 12 years LC and the last year nearly keto. Now trying some berries again. I´m also hypoglycemic with fasting BG under 50, postprandial 85 sans carbs, 115 con carbs. TG are 35, LDL 120 and HDL 199. I can´t eat more carbs because of allergies, intolerances and overeating problems. Basic is meat, fatty fish, yolks, chicory, cucumber, ghee, red palm oil and fish oil. Can someone be a really hypoglycemic without  feeling any symptoms?
    Sorry for my english. Greetings from Munich.

    • Byron,

      Are you on thyroid replacement? The two major causes of hypoglycemia (outside of poor diet, which doesn’t sound applicable to you are adrenal problems and hypothyroidism. If your T4/T3 has been normalized, I would investigate adrenal health. If your T4/T3 has not been normalized, I would attend to that. Thyroid hormone is just too important to the body to allow to be low for any significant length of time. With a fasting BG under 50 and a post-prandial (with carb) BG of 115 with carbs, it sounds like there may be an insulin issue. That’s a large spike in blood sugar after a carb rich meal. Although it’s still below 120, it’s a 65 point elevation from your fasting level.

  102. This is great information, thanks.  Except the advice at the end is lacking.  The best way to normalize blood sugar is to eat plenty of high quality animal fats, rich in cholesterol, saturated fats, essential fatty acids and the fat soluble vitamins ADE&K that keep your hormones, adrenals, thyroid, and brain healthy.
    I normalized my blood sugar and got rid of candida by going on a milk diet, and eating (drinking) nothing but raw milk for several weeks, followed by a period of adding bone broths, and then soups and stews into my diet.  It was very transformational.
    My thyroid and blood sugar problems were further healed with important supplements in addition to a healthy nutrient-dense diet, which included fermented skate liver oil (similar to cod liver oil but higher in vitamin D) and iodine (Lugol’s and Iodoral).
    I’m not sure whether your information comes out of books, from observing your patients, or from your personal experience.  However, in my experience, education, and observations, a person must do much more than tinker with their blood sugar levels in order to get well from serious chronic diseases like metabolic syndrome and thyroid disease.
    If your goal is just any type of improvement, than fine, but there are so many other things that can be done to support complete or at least extensive healing, and no special equipment or lab tests are necessary.

    • Maria,

      Please read my other articles on thyroid and nutrition. You’ll find that I’ve already addressed most of your points, and those that I haven’t yet will be addressed in future articles. This article is only one of an ongoing series.

      I don’t believe iodine is a good choice for most people with hypothyroidism, which I explained here.

  103. Assuming your diet isn’t poor, which it sounds like it’s not, adrenal fatigue and hypothyroidism are the two most common causes of hypoglycemia.  Have you had your thyroid checked and your adrenal hormones evaluated (using a saliva test)?

    It’s possible you’re stuck in a vicious cycle where low blood sugar stresses the adrenals, which in turn suppresses pituitary function, which reduces thyroid hormone output, which wreaks further havoc on blood sugar and the adrenals, etc.

    Probably worth finding someone who’s good at figuring this stuff out to work with.

    • wow this is , or was exactly my problem, low bg, stressed adrenals, low thyroid, and more low bg, etc etc,stressed, over exercising to address weight gain of a lb a week despite clean eating and low iron made my life a living hell. eyebrows and eyelashes fell out. my skin hurt I could barely walk for the stiffness and joint pains. yet everything on tests was “normal”
      and then Menopause on top of that, and WHAMMO! complete adrenal exhaustion, severe hormone imbalance, and a year and a half of trying to fix it.
      bio identicals were necessary, plus gluten free, plus rest rest rest and no stress.
      thyroid still didn’t pick up the pace. adrenals good now, and hormones balanced. sugars better. but had to go on metformin plus natural thyroid pills in the end. so far so good. I’m no longer “walking dead” and feel well enough to return to work after being totally disabled. my sugars are always between 4.6-5.4 (in canada thats how we measure.) still mostly grain free and no gluten. this has helped me the most I believe. I work with a Naturopath and a very knowledgeable GP who specializes in bio hormones and she fixed me up , one long process, but Progesterone was the first thing she put me on. It is miraculous!

      • Anita, I’m printing out your post to take to my doc. This sounds exactly like what I have experienced for quite some time! Thanks for doing the leg work and “brain” work for me!!!

      • Anita, you should be checked for Hashimoto’s I have it and it does not show up on a standard thyroid test, but they need to do an antibody test (TPO)

      • Hi Anita, I just stumbled upon this website and your post is sooo similar to me. I scrolled down only to find out you are in the Niagara region, exactly where I live—-what are the odds of this! I’m suffering in silence as no one can “see” what is wrong with me. It’s one thing to read what people post, but a whole different story to actually talk to someone who can relate and is going through the same or similar issues. I don’t know if you will even see this post as its over a year later from when you posted. I would love to speak with you directly….is this something you would be interested in doing? Not sure how I could do this, but please let me know if you would be willing to converse!! Thanks. Christine

    • Hi Chris – I have just been diagnosed with Diabetes 2. My history is readings which flirt with diagnosis of type two diabetes. However one GP detected low thyroid function not diabetes?
      I was put on thyroxin but have still been diagnosed with type two. I have a history of anxiety disorder sine I was 17 (now 53) I seem to be very sensitive to low blood sugar now with trembling and weakness even though my BG isn’t that low 4.8 to 5 when sensation begins. Do you think my Doctors are missing something?

  104. I’m not high SFA yet, thats the reason. Mostly monounsaturated, moderate protein. gluten free. I don’t know why blood sugar is so low. It is a little strange, but it seems idiopathic. Any ideas?

  105. Hey Chris,
    Thanks for the excellent post. I struggle with hypoglycemia, usually with a fasting blood sugar in the sixties, sometimes upper fifties, sometimes lower seventies. I don’t have much of a problem with handling high carb meals (no reactive hypoglycemia), but just have to eat often. I would like to keep my carbohydrate intake moderate for long term health reasons, and am curious what you personally think about moderate carb intake + high saturated fat, particularly in a hyper caloric environment ( I am trying to gain weight.) It is my opinion that the body is much better equipped to handle SFA in a low insulin and/or hypocaloric enviornment, but that when insulin is present or calories are above maintenance, there is the potential for poor cholesterol metabolism or reduced insulin sensitivity. I will note that it wouldn’t hurt if I increased my Cholesterol a little! (130 total)

    • I doubt high SFA + moderate carb intake would be a problem in your case, with numbers like those. But if you’re concerned you can simply monitor yourself using a blood sugar meter as I described. If your blood sugar is going above 120 two hours after meals, you’re exceeding your carbohydrate tolerance. And I agree that it wouldn’t hurt in the slightest if your TC went up. I’m surprised it’s that low on a high saturated fat diet. As you know, we often see higher LDL, HDL and TC on a high SFA diet, but lower triglycerides and small, dense LDL.

      What I’m wondering is why your blood sugar is so persistently low. Have you investigated this?

      • Hey Chris,

        I know this article was written about four years ago (haha) but I’m writing this in hopes you are still around and might have a second opinion for me.

        I believe I am suffering from either primary or secondary addisons disease. It all started in February of 2014 when I was thrown into a 3 day coma after “drinking too much water. ” I am now under the impression it was partly this, but also partly an adrenal crisis as the whole three months prior (and even up to two to three years prior, three months prior being the worst) I was experiencing an intense amount of stress and anxiety. So anyways fast forward to me now, ever since that coma I have been experiencing nightly attacks that can possibly be attributed to hypoglycemia. I wake up from strange dreams always before they happen; I get hot and sweaty and irritated and my thoughts race and I have an immense amount of adrenaline rushing through my chest. So much it feels “hot”. It sometimes gets so bad I feel I’m going to go crazy from how hard my heart beats, how much brain fog I have, and how my whole body feels like it’s vibrating from the inside out. I get weak and shaky and so immensely hungry. These happen more so during the week before and the week of my period (were all human here, sorry if tmi) but sometimes they can happen in the day Times. It’s mostly during this time of the month. The rest of the month I have brain fog every day (haven’t had a clear day in over two years) digestive issues (it varies from extreme constipation for three weeks, the week before my period I have more than my normal amount of craps, and when I do crap it’s either pale, floating, shiny or yellow.) most of the time I have undigested food in the toilet, so I have been taking digestive enzymes and probiotics for this and it seems to be helping with the undigested food a bit.
        I have always had trouble with gaining weight, and since February most days I am really nauseous and some days even trying to swallow solid food makes me feel like im going to puke. So soup and milk are my go tos for days like this. One morning I had ten slices of bacon and I vomited it back up in my mouth from feeling so nauseated from it (involuntarily). I assume this is a sign of fat and protein malabsorption/intolerance and have read addisons can contribute to this. If I eat anything with high carbs I instantly become tired and my brain fog gets worse. I don’t eat anything with gluten, I don’t eat a lot of fruit; I eat mainly meat, vegetables, and low glycemic things. I drink only water with lots of salt and lemon. Sometimes with baking soda. I drink lots of water. 1600ml or more a day.
        I am mostly bed ridden. I have absolutely zero energy most days. My top complaints would be tired all the time, brain fog, mood swings, cold intolerance, persistent eye floaters and digestive issues. Also those night time hypoglycemic type episodes can give me so much adrenaline and anxiety I admit myself to the ER but of course the hospital I go to sucks ass for leaving me in the waiting room for five hours before I’m even seen by anyone. Of course by that time all of my symptoms dissolve and I’m deemed with a clean bill of health.
        I was supposed to go for an acth stimulation test this week but I have to purchase the test myself and it’s $1200 freakin dollars. I haven’t been to work since February, actually the last night I worked was an 11 hour shift before I went into the coma. I’m too weak to stand up most days to make myself food. I don’t have the money to pay for that!! I’m hoping I can find an endo who believes in the saliva cortisol testing…

        The worst part about this all is that Im only 20. My birthday is in March….

        • Brianne, I just stumbled across your comment on one of my google rampages to try to get down it the bottom of my health problems… I am experiencing so much of what you are. Would like to chat more if you can.

        • Hi Brianne

          I have experienced exactly what you describe and I’m healing. After tons of stress my body failed and I spent months feeling the same way. I had super low vitamin d. Started taking that, then added two packs emergency vitamin d I have hashimoto thyroiditis.

        • Hi Brianne

          I have experienced exactly what you describe and I’m healing. After tons of stress my body failed and I spent months feeling the exactly as you described even with er visits. I had super low vitamin d. Started taking that, then added two packs emergency vitamin c 1000 mg. but the biggest changes came when I stopped all sweets and added Phillips colon health probiotics. I sleep by 10 most nights and get a solid 7 hours now. What ever is stressing you quit it leave it or avoid it. Turn off all negative stimulation. I’m so sensitive for this crazy world and was so depressed about things out of my control but I’m so much healthier and happier. About 50 percent recovered! I have hashimoto thyroiditis for 15 years and my numbers are better than ever. This has taken 9 months to recover from so far. This has worked for me. Please get well and take care. I love this website too. Awesome info! Good luck

        • I can relate to you too unfortunately. my downfall mostly came after a large round of vaccines in the peace corps almost 20 yrs ago. i have dealt with hypoglycemia for years, wrecked gut, pathogens. i have flat lined cortisol and went on hydrocortisone following STTM protocol at 25 mg. i gained 20lbs mostly in my stomach. so despite having low cortisol, HC made me go into insulin resistance i think and gain tons of weight. i’m still exhausted, but fat now too.
          I eat very healthy (auto-immune paleo) and have lost nothing on this diet and still exhausted.

          i have mercury poisoning come to find out and am chelating on andrew culter’s protocol (am 5 months in to a 2 yr program). mercury hinders progress of the adrenals…which hinders progress of blood sugar. that could be a missing piece for you. but make sure you chelate safely via AC protocol – low and frequent dosing on the half life of chelators to prevent redistribution of metals and thus reinjury. that does mean getting up at night, which sucks, but i have to get the metals out safely.

Leave a Reply

[if lte IE 8]
[if lte IE 8]