Hashimoto’s Disease

What is Hashimoto’s Disease?

Hashimoto’s Disease, also known as Hashimoto’s Thyroiditis, is an autoimmune condition in which the immune system mistakenly attacks the thyroid gland. Over time, this inflammation damages the thyroid and reduces its ability to produce key hormones that regulate metabolism, energy, mood, digestion, temperature, and cognitive function. Hashimoto’s is the most common cause of hypothyroidism (an underactive thyroid).

 

Many people with Hashimoto’s experience symptoms for years before receiving an accurate diagnosis — often being told their symptoms are just stress, aging, or “normal.” It is common to feel unheard or dismissed.

 

At First Call DPC, we take your symptoms seriously. We look beyond basic thyroid labs, identify underlying immune triggers, and help restore balance in the full-body systems affected by Hashimoto’s. Because when your thyroid is struggling, your whole life feels the impact — and you deserve care that honors that reality.

What Causes Hashimoto’s Disease?

Hashimoto’s involves a combination of immune, hormonal, environmental, and genetic triggers. Some of the most common contributing factors include:

Autoimmune Activation

The immune system becomes dysregulated and begins targeting thyroid tissue.

Hormonal Changes

Perimenopause, menopause, postpartum shifts, and low progesterone can trigger or worsen Hashimoto’s.

Chronic Stress

Elevated cortisol interferes with thyroid hormone production and immune balance.

Gut Health Imbalances

Leaky gut (intestinal permeability), dysbiosis, and chronic gut inflammation can lead to immune overactivation.
70% of the immune system lives in the gut.

Nutrient Deficiencies

Low levels of selenium, zinc, iron, iodine, vitamin D, omega-3s, and B vitamins can impair thyroid function and immune regulation.

Environmental Triggers

Toxin exposure, heavy metals, mold, infections, and endocrine disruptors can stress the immune system.

Genetic Susceptibility

Family history increases risk, but environment influences expression.

Hashimoto’s is not your fault.
Your body is reacting to overload — not failing.

What Symptoms Will I Experience With Hashimoto’s Disease?

Symptoms often develop gradually and may fluctuate. Common experiences include:

Metabolic and Physical Symptoms

Fatigue, low stamina, or feeling sluggish

Weight gain or difficulty losing weight

Cold hands/feet or sensitivity to cold

Constipation or slowed digestion

Hair thinning or hair loss

Dry skin or brittle nails

Menstrual irregularities

Cognitive & Emotional Symptoms

Brain fog or slowed thinking

Difficulty concentrating

Low motivation

Increased sensitivity to stress

Depression-like symptoms or mood instability

Anxiety or feeling “wired and tired”

Inflammation-Based Symptoms

Joint or muscle aches

Puffiness or swelling (especially around the face or eyes)

Sore or swollen throat or neck discomfort

Many people say:

  • “I feel exhausted no matter how much I rest.”
  • “I know something is wrong, but I keep being told my labs are normal.”
  • “I don’t feel like myself anymore.”

Your experience is real — and you deserve answers and support.

What Should I Try at Home Before Seeing a Provider?

You can begin helping your thyroid and immune system rebalance with gentle lifestyle practices:

Focus on Anti-Inflammatory Nutrition

Prioritize whole foods; reduce processed sugar, refined flour, and seed oils.

Support Your Nervous System

Stress directly impacts thyroid function — even 10 minutes of slow breathing or walking makes a difference.

Prioritize Rest and Sleep

Deep sleep is where thyroid repair and hormone regulation occur.

Reduce Alcohol

Alcohol increases inflammation and disrupts thyroid hormone conversion.

Move Daily (Softly)

Walking, light strength training, or yoga supports hormone signaling and metabolism.

If symptoms persist despite your effort, that’s not a failure — it’s a signal that your thyroid and immune system need clinical support.

Best Treatment Options for Hashimoto’s Disease

The right treatment depends on the stage of the disease, symptom severity, and your unique physiology. At First Call DPC, we take a root-cause, whole-body approach that may include:

Thyroid Hormone Optimization

We may use T4-only, T3/T4 combination therapy, or desiccated thyroid depending on your conversion patterns — not just a one-size prescription.

Immune Modulation & Inflammation Reduction

We help calm the immune system rather than suppress it, using nutrition, peptides, and anti-inflammatory support.

Peptide Therapy

Certain peptides support cellular healing, hormone signaling, and immune regulation.

Gut Healing & Microbiome Repair

Improving gut health reduces immune overactivation.

Stress + Adrenal Support

Cortisol balance is essential for thyroid function and emotional stability.

Nutrient Repletion

We restore levels of selenium, zinc, iron, iodine (when appropriate), magnesium, vitamin D, omega-3s, and B vitamins.

This is not just symptom control —
This is thyroid recovery and immune balance, from the root.

Our Process for Treating Hashimoto’s Disease

Comprehensive Conversation & Symptom Review

We take time to understand how Hashimoto’s is affecting your body and your life.

Advanced Thyroid & Immune Testing

We evaluate:

  • TSH
  • Free T4
  • Free T3
  • Reverse T3
  • Anti-TPO & Anti-thyroglobulin antibodies
  • Cortisol and stress hormone rhythm
  • Gut/inflammation/nutrient markers

Clear, Compassionate Interpretation

We explain your results in clear, simple language — so you feel informed and empowered.

Personalized Treatment Plan

Tailored to your biology, current symptoms, and long-term health goals.

Ongoing Direct Access to Your Provider

Healing requires partnership — not rushed appointments or long waits.

At First Call DPC, we focus on restoring energy, metabolism, clarity, and confidence — so you can feel like yourself again. You deserve to feel steady, strong, and supported in your own body.
When you’re ready to reclaim your energy and hormonal balance — we’re your first call.