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Note: Originally published in July 2013, this article has been revised and updated for
accuracy and thoroughness.
For me, as a clinician, the goal of the approach is to help your body reset, nourish itself, and
reduce inflammation caused by reactive foods, as well as to help you reconnect to an intuitive
way of eating, where (eventually) you will naturally select foods that make you feel better and
avoid those that make you feel worse.
Dietary protocols are meant to be used as starting points, or templates, where you implement
the basic plan and eventually change it up based on your needs. To keep it simple, I
recommend sticking with the basic template for 30 days or so, and of course, make sure you
reintroduce foods methodically, one by one so that you can isolate your body’s reactions to
individual foods.
For those of you who have tried Paleo but have not seen significant improvement, I want you
to know there are additional steps you can take that will give you the power to take back your
health!
The traditional Paleo diet is a classic elimination diet that focuses on omitting things people
are commonly sensitive to in an effort to lower inflammation.
As you may know, the Paleo diet eliminates all grains and allprocessed foods. The focus is on
replacing the things you take out of your diet with nutrient-dense foods such as organic or
grass-fed meats, wild-caught fish, organic vegetables and fruits, nuts, seeds, eggs from
pasture-raised hens and, depending on who you ask, dairy.
The Paleo diet is certainly a great start, but it is not always enough to address every case of
Hashimoto’s. Often, we need to peel back more layers of that onion! The good news is, with
each new diet, supplement, or treatment that you try, you are finding out how your body
responds to different external factors. Each case of Hashimoto’s is unique and many of us
have additional sensitivities that are deregulating our immune system. People with
Hashimoto’s often have sensitivities to a wide range of foods—particularly gluten, dairy,
eggs, and soy—which are all omitted on the traditional Paleo diet.
Anecdotally, the Paleo diet is said to have been introduced in the 1970’s with the book, The
Stone Age Diet by Walter Voegtlin, but it has significantly gained in popularity over the past
ten years. Since then, countless resources such as cookbooks, websites, and articles have been
created that include recipes ready for you to use! I’m sure many of you have seen these
resources at your local bookstore, your go-to health food store, and even at Costco! It’s a very
exciting time to be on a Paleo diet!
As for the Autoimmune Paleo diet, I don’t know who invented it, but I have seen it work
wonders for many people with Hashimoto’s.
Although the Paleo diet has helped some people with Hashimoto’s recover completely, I have
found that the AIP diet can be even morehelpful, based on 75% of my readers and clients
reporting significant symptom reduction—and almost 40% seeing a reduction in thyroid
antibodies—with this dietary protocol!
On a personal level, this was one of the key protocols on my own healing journey and helped
me get my condition into remission.
The Autoimmune Paleo diet has helped many people with Hashimoto’s and autoimmune
conditions get better but can be quite difficult to implement. As a pharmacist, I see this daily,
people who know what they need to do to get better but just don’t know how to get started.
When I work with someone who is overwhelmed by jumping straight to AIP, I recommend
slowly transitioning. The 4 most helpful dietary templates I recommend are (in order of
difficulty to implement):
If you’ve been eating the standard Western diet for most of your life, starting a dietary
protocol like the AIP can be extremely intimidating! Though you may eventually end up
“going AIP,” it’s okay to take baby steps and begin with gluten free, then move on to dairy
free and soy free. I encourage you to remove one food group at a time if that makes you feel
more at ease with the transition. Committing to a 100% gluten free diet is an important first
step, and 88% of my readers with Hashimoto’s have indicated that they felt better after going
gluten free.
I know that some of you will dive right in! However, many of you will find the AIP diet
difficult to adhere to early on in your personal journey. We all have different needs,
motivations, and challenges, and I encourage you to honor your individuality and listen to
your body!
The Autoimmune Paleo Diet consists of the following guidelines:
*I recommend avoiding mushrooms because of their ability to exacerbate Candida, and sea
vegetables because of high iodine content which may exacerbate autoimmune thyroid disease.
Research suggests that casomorphins (from the dairy protein casein) and gliadorphins (from
gluten, the protein found in wheat) can bind our “feel good” endorphin receptors, much like
the morphine found in addictive drugs.
This has led some people to say that these foods are as addictive as heroin and other drugs
(which also bind our endorphin receptors)… While I think this is an exaggeration, I have seen
people experience withdrawal-like symptoms including brain fog, irritability, cravings,
fatigue, and headaches, after quitting gluten, dairy, and sugar while adhering to the
Autoimmune Paleo diet.
The good thing is, once off these inflammatory foods, a person will start to feel better.
You can expect to see results within 30-90 days of implementing the AIP diet, although it
may take longer. If you do not see results in 30 days, eliminate mammalian meat and use fish
as your main protein source. Then, you can start to systematically reintroduce certain foods
one by one. This allows you to create a diet for the long term that is tailor-made for you! This
process will allow you will be more in touch with what does—and doesn’t—work for you. I
felt incredibly empowered when my grocery shopping and prep work resulted in a lasting
improvement in health—and I know you will too!
I have seen many of my clients find 100% relief from their symptoms by implementing the
AIP diet into their lifestyle changes. The symptoms that many find relief of are joint pain,
muscle aches, fatigue, bloating, diarrhea, brain fog, tinnitus, skin rashes as well as
decreased food sensitivities. Even for those who do not recover completely, they will
experience significant improvement. You have nothing to lose (except for symptoms!) and
everything to gain by considering the AIP diet!
If, after 90 days, you are still having gut issues, it may be a good time to test for parasites and
other gut infections as well as SIBO.
However, the transition to life without eggs did not feel limiting after all. I found it made me
more creative in the kitchen! Here are some meal ideas—my husband’s included!
Bacon
Steamed spinach with olive oil
Avocado
Fermented cabbage (from farmer)
Fermented cucumbers (my recipe)
Lunch
Dinner
Thirsty?
Mineral water with lemon and lime or, for the occasional treat, add a few berries!
Herbal teas are a great choice on an AIP diet
Need a Snack?
Sip on some homemade bone broth, enjoy a root cause green smoothie, a slice of
avocado with a squeeze of lime and sea salt (yum!), or make some savory sweet potato
chips!
If you are interested in these recipes, you can find those and more in my FREE eBook: Root
Cause Autoimmune Paleo Diet 2-week Recipe Plan!
Remember, 75% of my clients saw a reduction in symptoms on the AIP diet, so it is definitely
worth a try! I know that you can do it…and enjoy it too Once you get going and see the
progress you make, you will not want to turn back!
I’d love to hear from you…what type of benefits have you seen from the AIP diet?
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Comments
1. Laina McCall says
July 20, 2013 at 2:09 PM
3. Kirstin says
August 2, 2013 at 8:47 AM
Hi Kirstin,
From my personal experience the AIP may be a good place to
start. It would be the most efficient place to start, for let’s say
1-2 months, allowing your gut to heal. Eggs, seeds and nuts on
the regular Paleo diet can still cause problems in someone
with intestinal permeability and delay healing… You will
likely see improvements with Paleo, but than may hit a wall if
you continue eating eggs/nuts/seeds
Reply
5. Jennifer says
August 8, 2013 at 8:53 PM
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6. Kirstin says
August 12, 2013 at 4:00 AM
(sorry this didn’t post under the reply above…I kept getting an
error message!)
Thanks so much! That’s kind of what I was thinking.
Interestingly, I already know I’m sensitive to eggs, so I’ve
nearly eliminated them (I can tolerate them baked in things). I
wonder if, after I do the AIP diet, I might be able to add them
back in???? One can dream, right?
So do I understand correctly that I would do the AIP diet for
roughly 2 months and then add in different categories of foods
one at a time, to see if I see a reaction? How will I tell if the
AIP helps my Hashimoto’s?
Reply
7. Beth says
August 19, 2013 at 9:00 PM
9. Evan says
November 28, 2016 at 3:35 PM
Hi Izabella,
Reply
That said, while meats and fats are important for healing,
eating them exclusively will produce an acidic
environment in the body; hindering healing, and thus the
diet should be balanced with plenty of nutrient rich
vegetables (suggested ratio may be 20% meat/80%
veggie).
Reply
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o henriette says
June 12, 2017 at 6:22 AM
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Dr. Izabella Wentz says
June 27, 2017 at 2:03 PM
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o Dr. Izabella Wentz says
January 20, 2017 at 2:30 PM
http://rootcauserecipes.com/
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CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-
database.html
Reply
Reply
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-
database.html
Reply
Hi,
I have a history of multi thyroid nodules for years, tested and
was cleared as non-cancerous, with my TSH results always
running on the lower side of norm,somewhere between 0.4-0.5
my endo doctor always sent my home with normal results
BUT I know I am not well.
Thank you so much for all you do, please inform me does my
condition with nodules and low TSH indicates hypothyroidism
or hyperthyroidism?? Please help me understand. I am in the
process of finding functional medicine practitioner in Chicago
area but its not so easy.
Am I hypo or hyper? Thanks so much in advance.
Reply
CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-
database.html
FIND A FUNCTIONAL MEDICINE CLINICIAN
https://www.functionalmedicine.org/practitioner_search.as
px?id=117
Reply
Reply
Did you know that if you live in the United States, the
UK, Australia, Europe and most developed countries that
add iodine to the salt supply and take thyroid medications,
there’s a higher probability that you do have
Hashimoto’s?
But most doctors will never tell people that they have
Hashimoto’s, or that their own immune system is
attacking their thyroid. People are told that their “thyroid
is sluggish”, and that these things happen with age and
“Just take this pill, you’ll be fine.” I hope you check out
these articles that I wrote.
Reply
16. Julie says
March 13, 2017 at 1:57 PM
1. Genetic predisposition
2. Environmental triggers
3. Intestinal permeability (leaky gut)
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o Dr. Izabella Wentz says
June 6, 2017 at 10:41 AM
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Izabella,
Candice
Reply
Candice – thank you for following this page and for your
heartwarming words of support. <3
Reply
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https://www.facebook.com/groups/hashimotos411/
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CLINICIAN DATABASE
http://www.thyroidpharmacistconsulting.com/clinician-
database.html
Reply
I’d like to try the AIP diet but I got Alletess food sensitivity
test done. And It shows reaction to lettuce, mushrooms,
carrots, spinach, green peas, coconut, watermelon, almonds,
salmon, different spices like cinnamon, oregano, nutmeg etc.
among other things.
Thank you
Reply
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Hi Izabella,
first thank you for the amazing work you do in giving us
informations which help. I live in Germany and Functional
Physicians aren’t here. I hold on to your nutritional advice
since a year , strict AIP . And I have followed your plan
outlined in your book how to find my root causes.
Reply
Ursula – thank you for following this page and for your
kind words of support. <3
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Hi!
I was wondering where flours Fall into this program (like
coconut flour, almond flour, etc) and are they okay to
consume?
Also, what about nut-butters?
Thank you!
Reply
Britlie – thank you for following this page. Here are a few
articles related to diet that hopefully help you get started.
Reply
26. Tahnee says
June 13, 2017 at 1:00 AM
Reply
http://www.thyroidpharmacist.com/testimonial
Reply
Hi,
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28. Lynn J says
June 13, 2017 at 5:23 PM
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Lynn – thank you for following this page and for your
support. <3
You may be interested in my 12 week online program
called Hashimoto’s Self-Management Program that covers
all of the strategies that I go through with my one-on-one
clients, in a self-paced format, so that participants have
access to all of the things I’ve learned about Hashimoto’s
without having to schedule costly consults with me or
another practitioner. In addition, any person that goes
through the program will get access to a Quick search
Q&A Database of 1000+ questions asked by past program
participants, Root Cause Assessment based on 100’s of
my clients’ root causes and triggers, 2-week Meal Plans,
recipes, and shopping lists to get you started on the
following diets: Paleo, Autoimmune Paleo, SIBO,
Candida. Also, Discounts on lab tests, high-quality
supplements, and consultations and much more to support
you in your journey! There are a few requirements that
you should pay attention to, such as my book is a required
read.
Reply
Here’s why:
https://www.verywell.com/interpret-your-thyroid-test-results-
3231840
Weight loss: 30 pounds!
THIRTY POUNDS! ?
And guess what? They took me off statins and off blood
pressure medication, with Metformin elimination only a
couple of months away.
With gratitude,
Jill
Reply
Reply
Jill – thank you for following this page and for sharing
your amazing success story. I’m so thrilled for you! <3
http://www.thyroidpharmacist.com/testimonial
Reply
I have been quite good about giving up flour and sugar but am
finding it difficult to give up milk with the hot beverages. I
have a stressful job and I have a cup of tea with milk helps me
get my work done.
regards, Anne
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Becca – thank you for following this page. Here are a few
articles related to diet that hopefully help you get started.
Reply
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o Dr. Izabella Wentz says
June 26, 2017 at 12:22 PM
Carolyn – thank you for following this page, and for your
support! <3
http://www.thyroidpharmacist.com/testimonial
Reply
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33. Jolene says
June 25, 2017 at 5:10 PM
Izabella,
A warm thank you for the wisdom, experience and love you
have put into helping others with Hashimoto’s.
I have two questions.
Thanks so much,
Jolene
Reply
That said, while meats and fats are important for healing,
eating them exclusively will produce an acidic
environment in the body; hindering healing, and thus the
diet should be balanced with plenty of nutrient rich
vegetables (suggested ratio may be 20% meat/80%
veggie).
Reply
Reply
Hi Dr. Wentz,
I have been AIP for almost 8 weeks now. I read today that
people with Hashimoto’s can be triggered again by even a
molecule of gluten that may drift onto the GF food at a
restaurant and the have antibodies go back up for 8-9 months
after this exposure. Is this true? I have been absolutely GF, as
far as I know. But I have eaten the occasional grilled chicken
salad at a restaurant where it wasn’t marinated in a GF
dressing. Do we have to be so careful as to request glove
changes at Chipotle and separate pans at restaurants?
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Jen says
July 6, 2017 at 6:39 PM
Thanks, again!
Reply
https://thyroidpharmacist.com/articles/elimination
-diet-for-hashimotos
Reply
need an advice
i have started reintroduction of food and start with egg yolk,
and after 3 time he complain stomach pain and i have
introduced 10/6/17 and blood test done on 5/7/17 and TSH
raise 16.42. whether reintroduction fails can raise TSH level.
Reply
Reply
Many thanks
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So, i’ve decided to follow your Paleo diet, but here we don’t
have some foods like sweet potatoes… So i made this
integrations:
– 2 times a week legumes, such as peas, chickpeas, always
gluten free
– 1 fruit a day (less sweet as possible)
– Almonds, pumpkin seeds, sunflower oil, oil of various seeds
– Total abolition of gluten-based foods, milk and derivates,
sugars, flours (except quinoa, 2 times a week)
– D3 Vitamin (5000units, once a day), selenium (1
capsule/day 100mg), serotonin (1 capsule/day).
Hope i’m doing well for my health. I’m crossing fingers for
future…
Sorry for my english and thanks again.
Have a nice day!
Raffaella
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o Dr. Izabella says
July 31, 2017 at 9:37 AM
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o Dr. Izabella says
August 22, 2017 at 11:29 AM
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o Dr. Izabella says
September 19, 2017 at 8:30 AM
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Hi Dr. Izabella,
I’m wondering if you’ve seen patients that have
hypothyroidism and asthma? My Dr. and I can’t figure out
why my asthma kicks in shortly after taking the medication
and we’ve tried a few different things. I’m in Canada so we
don’t have access to the variety of medications that you do in
the States. I’m working hard on the leaky gut issue, AIP diet,
and a host of other things but I’d love to know if you’ve heard
of any connection between hypothyroidism and asthma.
Reply
o Dr. Izabella says
November 1, 2017 at 11:35 AM
Hashimoto’s Protocol
https://www.amazon.com/Hashimotos-Protocol-
Reversing-Thyroid-Symptoms-
ebook/dp/B01HXK6GVQ/ref=sr_1_1?ie=UTF8&qid=150
6463784&sr=8-
1&keywords=hashimotos+protocol+izabella+wentz
Dra Izabella,
I was diagnosed with Hashimoto several years ago. I made
some small changes and was able to quit my meds very soon. I
check my thyroid levels and visit my endo every quarter or so.
I recently started feeling foresaken and anxious. My T levels
were under control but my TPO was higher than when I was
diagnosed (I haven’t checked them in between, just those two
times). So I started the AIP, since I really didn’t want to feel
anxious not lonely I also started taking magnesium citrate and
thiamine (in lower doses than your articles about the nutrient
deficiencies). Within few days I started feeling better; no more
loneliness and no more anxiety. But I feel kind of stuck. I am
also constipated and very gassy. Is it normal? Every since I
started AIP I was also very hungry, even 30 min after a meal
when I had felt full. At the beginning if I did not eat when I
was hungry I will feel like depressed, took me a few days to
discover the link. So I will eat and I will feel better. It does not
happen anymore (to feel depressed if I don’t eat when I am
hungry) but the constant hunger continues.
Is it normal and part of the healing process? How to know
when to reintroduce the foods? I’ve read that some do after 30
days, some later (even years later!). If I am not feeling neither
anxious nor foresaken can I say it is safe to start the
reintroduction foods? Or is my TPO supposed to lower after
the AIP (should I testing it again to see if it lowers?). Is it
common to have my thyroid levels under control but my TPO
to be higher? Also, if my soap is made with not oils such as
safflower, castor, sunflower, etc. does it mean that I’m not
AIP compliant at all?
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o Liv says
November 4, 2017 at 6:55 PM
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In case you would like to read more, here are the links to
my books:
Root
Cause: http://www.amazon.com/gp/product/0615825796?i
e=UTF8&camp=1789&creativeASIN=0615825796&link
Code=xm2&tag=thyroipharma-20
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