Hashimoto’s and Dietary Diversity

Diversity and hashimoto's now this is a big topic and i'm continually reminded to
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try to keep these things to six minutes or less or i'll lose your attention so we'll see
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so uh so micro microbiome diversity it should be the the title of this
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maybe but it really is dietary diversity in the end basically what is being found is they've
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been doing projects on the microbiome since i think about 2007 so what is the microbiome
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it's like three to five pounds of bad back of not bad i'm sorry it's about three to five pounds of
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bacteria in your gut there should be a bacterial balance in your gut between good and bad
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and what is being found out is it should be it's probably going to be a little different
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with each person as to what that balance is um and and sometimes you'll take a
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probiotic and and and and that will bring your good balance up to where it should be you
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feel wonderful life is good probiotics are the greatest thing on earth and other people take a probiotic and it
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blows up in their face they start getting gas bloating diarrhea and and depression and all
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kinds of other things it has a lot to do with that microbiome and the microbiome is is the head
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scratcher for most of you because first of all most of you don't really understand
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what uh the completely about the microbiome i don't think because the research is evolving and
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coming out literally like every couple of months and dietary diversity is is really
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more um the subject because diet lack of dietary diversity causes your microbiome
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to not have the proper bacterial imbalance so your microbiome has a lot to do with everything not just
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how your bowels perform it has a lot to do with your mood it has a lot to do with blood sugar it has a lot to do with
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with um if you if you get gas if you get bloating it has a lot to do with uh inflammation on the inside of your
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gut uh i mean i i there's an entire chart it's like you can't even read all the
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things that the microbiome has a positive or negative effect on so so so the point of this is um right now
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most people with hashimoto's kind of know the diet's important
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and it started off with the uh 4r thing remove replace you know and re-inoculate so everybody's doing
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the leaky gut thing and and then some people were having good help with it other
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people frankly more than not eventually it didn't work for
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uh not for a long period of time and and there's been a lot of research going on as to as to why that
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is and it's coming down to this it really is coming down to this diversity in this microbiome so what's diversity
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diversity is is if you're like the average american you eat like the same eight or six
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or four or three vegetables all the time okay for those of you eat vegetables
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so so and and diversity means that there should be a a much wider variety of vegetables that we eat over a long
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period of time what they've what they've found now in hashimoto's is is that the gut microbial
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diversity and microbiome in the hashimoto's patient is completely different from people who
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don't have hashimoto's so there's going to be a lot of research on what the mechanisms are
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of that and that's all going to be fine and that might give us some more stuff we really what we really need to know is
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that people who have hashimoto's have a bad microbiome this bad microbiome um
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is a lot it has to do with the lack of diversity in your diet mainly of vegetables
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okay and and it and it also and it also has a lot to do with why you can't figure out your your diet now
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with that because what they have found is in this bad microbiome that the hashimoto's patient
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has that's so unique to them is that they have a lot more
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bacteria and a lot more of those bacteria bad so for those of you who've heard of
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small intestinal bacterial overgrowth this is a big part of that
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in fact other studies have shown that most people who have hashimoto's have some sort of a combination of small
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intestinal bacterial growth and poor microbiome diversity and something else called oral tolerance
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problems without getting into oral tolerance problems this is the people
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who come into my office and go i'm down to like five foods if i eat anything else i get gas i get
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bloating i get indigestion diaper yeah so so you're losing the number of foods that you're eating
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because you you're either having sensitivities to them and tolerances to them and that's a
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whole nother that's a whole other presentation so so if it sounds a little complex it is it's
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because if you're trying to figure out so so if you have gas bloating diarrhea you eat starches sugars stuff like that
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you have that you take probiotics you have that you probably have this and you get you
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take probiotics and you blow up you get gas you get bloating you get distension in your stomach
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you get stinky gas you get not stinky all this stuff comes from from from this and this
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combination is no small thing because because you have bad bacteria some of the vegetables are
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going to be feeding the bad bacteria some of the uh a lot of the foods are are going to give you what are called
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oral tolerance problems you're just your your gut's not tolerating because your gut's bad
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maybe from the bacteria maybe from the hashimoto's damaging the ability of your stomach to break down
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foods and stuff and and these types of things and you're trying to figure out what your diet should be
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you're like okay i'm like i'm going to do the fodmap diet or i'm going to do the autoimmune paleo diet i'm going to
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do the whole 30 diet or whatever it is okay and all of those diets probably are okay
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for people who don't have any of this and and so so these things are the this
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this dietary diversity is huge and and and just to give you just quick a quick
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quick example at a seminar that i went to on on hashimoto's in a presentation on this
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there was a study done they took the microbiomes of everybody on earth every everyone i say everybody on earth
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not everyone every they had to take a representative um biopsy if you will of the microbiomes
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of each country on earth and each one of them had kind of a characteristic microbiome then they did um indigenous
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tribes one indigenous tribe i can't remember the neighborhood starts with an h but that one
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indigenous tribe ate over 600 vegetables a year because they were like nomadic and they just went around and they just
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they just ate whatever they could find that was their life was running around trying to find stuff to eat
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and and they had the best microbiome on planet earth like by far and i'll bet you can guess who
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had the worst and if you can't it was the united states of america
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and so and and who's sick you know and who's sick uh the united states of america is is
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becoming one of the sickest places on earth with all these autoimmunities and and this is during the time of covet i'm
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not even talking about that okay so so this microbiome is a big issue and dietary diversity the problem with
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dietary touristy is because one of the biggest dietary mistakes that people make when they
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start changing their diet and restricting their diets is that they lose microbiome diversity
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so so they know they have some sensitivities they get off of gluten
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they get off the eggs they have some other sensitivities now they eat these five foods
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now they start to become sensitive to these five foods because they have this because they have this microbiome
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diversity that is not being properly addressed by eating maybe 10 or 20 different vegetables over a
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period of two weeks so this is actually a very big deal and i don't know if i'm presenting it as
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well as i'd like to but but but if you have hashimoto's the chances of
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you having sibo or or poor dietary diversity causing a bad
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microbiome or both it's probably about 50 to have both and you're gonna have
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one or the other i'm just telling you you're going to have it we rarely rarely just start
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with a flatline autoimmune paleo diet on people which is probably the best diet for autoimmunity
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okay but we give them the diet and the next thing they blow up they get gas bloating and
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we know that they have sibo if or they co or the patient comes in here goes
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i can only eat four foods in like two months i'm gonna be down or if you're the person that's eating
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the nutty meat only diet and say well but it makes me feel better it does make you feel better because you're not
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eating any things that are blowing you up but it's also destroying your entire
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digestive tract so and we can talk about that at another time so um
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so this is the so this is the dietary diversity the takeaway from this is if you are not the oral tolerance person
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who can't eat a lot of vegetables because they blow you up there's one of the nuances
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that i guess that people call me for right then
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you can then you should start you should start dripping in um a wide variety of vegetables you should
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you should you should try to eat like four or five or six or ten different vegetables each
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week i know it sounds like a pain and there are websites on online that'll tell you how to do it
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um and uh and and it's not that hard you go out you buy just tons of stuff yeah you just buy this whole bunch of
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different vegetables you put them in a food processor you grind them down until there's until they're like ground
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down to nothing you put them in different bowls and you just you just eat a little bit of it each day
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now it's more complex than that because i don't want to take 20 minutes here okay
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but uh but and so you can eat your normal meals without having to cook a lot of
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vegetables you can just you can just take little bits and pieces of this you just need to introduce
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a variety of different vegetables you can look up you can look up oral tolerance you can look up mucosal
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tolerance you can look up veggie mash you can look up microbiome management
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by food diversity and there'll be things online that'll kind of walk you through how to do that but it's a big deal
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and it is specifically specifically the worst in people who have hashimoto's so this
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was really relative to your hashimoto's and if you're the person who flares up if
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your opponent is getting the tenderness here and it comes it goes you get a goiter it comes it goes your heartbeat
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is coming to go this is one of the triggers that's causing that this is what it is your bad
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microbiome is one of the triggers that's causing that uh
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those flares so that's one of the triggers that we look for when a person comes in here so dietary
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diversity and hashimoto's it's a complex subject i hope
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that i gave you enough of the meat of it so that if you want any more of the bits and pieces it'll encourage you to look
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up some of this some of the specifics on it okay that's it