Izabella Wentz,
PharmD, FASCP
Feel Better While You Heal
Izabella Wentz,
PharmD, FASCP

Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 1

GLUTEN-FREE BASICS

Congratulations on taking the first step in your healing journey and going gluten-free. You will not regret it. Why go gluten-free? There is a strong connection between gluten reactions and the thyroid. Some people will be able to completely put their conditions into remission by going gluten-free, while others may need to dig a bit deeper. The majority (88% of people with thyroid conditions, in my experience) will feel exponentially better!

Celiac disease often co-occurs with other autoimmune disorders, including lupus, Addison’s disease, and Hashimoto’s. The gluten-free diet is always recommended for people with celiac disease, but most doctors ignore the importance of the gluten-free diet in Hashimoto’s and other types of autoimmune conditions. New research suggests that everyone with an autoimmune condition has gluten sensitivity that is not always Celiac mediated. Everyone with Hashimoto’s should eliminate gluten for two weeks to see if they see an improvement in symptoms.

Celiac Disease

So what is Celiac disease, gluten sensitivity, and how does it relate to Hashimoto’s? Celiac disease is an autoimmune condition, where eating gluten, a protein found in wheat, barley, and rye causes the body to attack the lining of the small intestine. The attack on the intestines destroys the villi, which are delicate hair-like projections that cover the intestines and help to digest and absorb nutrients from food. This damage of the villi causes the person with celiac/gluten intolerance to become malnourished, no matter how much food he or she eats, because the body is not able to absorb the nutrients from the food that is consumed, as the villi also contain enzymes that help us digest our food.

Celiac disease has been called the “great imitator” as people with celiac disease will often have many symptoms that mimic those of other diseases, and the symptoms may vary from person to person. Some people may have terrible diarrhea, others constipation, nausea, vomiting, acid reflux, weight loss, easy bruising, anemia, depression, hair loss, infertility. This is why Celiac disease goes undiagnosed for so long, it is often mistaken for other issues. Left undetected, people with celiac are more likely to develop intestinal cancer.

Testing

The tests for celiac disease are also not perfect. The blood-screening test is very often negative in all but the most advanced cases. Additionally, traditional tests do not pick up Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 2 gluten sensitivity, a newly described condition that can also contribute to autoimmunity. This is why eliminating gluten and other wheat-containing products for at least three weeks, watching for improvement, and if unsure reintroducing to check for reactions, is the best and cheapest approach for most people.

The damage to the intestinal lining also causes increased intestinal permeability. This intestinal permeability “leaky gut”, allows food particles to enter into the bloodstream where they are recognized as foreign substances by the immune system and the body launches an immune attack every time those food are eaten. This can make eating extremely difficult and unpleasant, causing symptoms that may include diarrhea, heartburn, upset stomach, pain, nerve-tingling… the intestinal permeability has been linked to other autoimmune conditions and people with celiac disease are at risk of developing those as well… especially if they don’t change their diet.

A gluten-free diet is necessary to heal the intestines and symptom resolution can be seen within 6 months to 2 years of following a strict gluten-free diet. But healing takes time….and even a small amount of gluten can be a huge setback. Other foods may also need to be eliminated during the healing process.

Avoid

Avoid all things containing wheat, barley, rye. Unfortunately harder than it sounds, as many processed foods contain some form of gluten/wheat as a stabilizing agent. Always check labels on salad dressings, marinades, all BBQ sauces, soups, etc. Gluten must be completely avoided for healing and relief of symptoms, there is no such thing as partial gluten-free.

Improvement may be seen within a few days for celiac patients, three months to two years for full healing. In those with gluten intolerance, improvement should be seen in two to three weeks and healing within 6-8 weeks. There is some preliminary evidence that celiac, which is more severe, is permanent, while gluten intolerance may be reversible.

Dairy

Some people may develop a secondary dairy intolerance due to gluten-induced damage to the gut. If not experiencing full relief from the gluten-free diet, dairy avoidance may be indicated for 3-6 months. Many people regain the ability to tolerate dairy after 6 months, however, some will need to avoid it indefinitely. Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 3 Goat dairy may be better tolerated in some cases. Camel milk is usually well tolerated.

Soy

Many gluten-free products, bread, and cookies contain soy, which can be problematic for thyroid patients and worsen the autoimmune attack on the thyroid. I believe that my thyroid condition became worse after eating soy-containing gluten-free products. My antibodies jumped! After 1 month of off soy products, my anti-thyroid antibodies dropped from 800 to 380 IU/mL…

Eating Out

Many restaurants have gluten-free menus. But eating out can be hard as even GF restaurants can have contamination. Once exposed to a small amount of gluten, the person’s body will react to it and the person may have severe gastrointestinal symptoms. This may seem strange having had seemingly milder symptoms before, but when a body that makes reactive cells to food is no longer eating the food, the reactive cells build
up and will result in a stronger reaction.

Supplements

Some people with celiac may have profound damage to their intestinal villi and are not able to absorb certain nutrients. Nutrient supplementation will speed up the healing journey. The following are especially important to thyroid health: B12 (Methylcobalamin form works best), Folic Acid (Methylated form like Methylation Support), Ferritin/Iron (like Opti-Ferrin), Selenium and Vitamin D supplements are often necessary.

Supplements should be free of artificial additives, gluten, and dairy. Even small amounts can be detrimental and interfere with absorption and deter healing. A product called Gluten/Dairy Digest by Pure Encapsulations is an enzyme that can help digest gluten. I would not recommend eating a bowl of pasta after taking it, but would take it just in case of eating out at a restaurant and nervous about contamination.

Pure Encapsulations

Be aware that not all supplements are created equally. Vitamin and supplement companies do not undergo the same scrutiny as do pharmaceutical products. This can result in ineffective and even dangerous products! I have spent a great deal of time researching and testing various supplement brands. Pure Encapsulation is a pharmaceutical-grade brand that has extremely tight quality control and manufacturing guidelines. Each product undergoes rigorous testing by a Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 4 third party laboratory to verify label claims, potency, and purity.

All the products sold by Pure Encapsulations are free of gluten, dairy, and additives that may impair absorption. These supplements are normally only available through healthcare professionals, however, the company has agreed to allow me to set up an E-Store. I’ve also developed my own supplement brand, Rootcology, to give you a trusted source of supplements that are safe and helpful for people with multiple sensitivities and
chronic health conditions.

Rootcology is dedicated to creating innovative, bioavailable products that are made with the greatest care, and with the highest quality ingredients available. I maintain a list of recommended supplements at the Pure Encapsulations E-Store and hope this information will help you in your journey! You can find more information on both of these brands and view my recommended supplements at www.thyroidpharmacist.com/supplements

So what can you eat?

Meat, meat, all kinds of meat, all vegetables, all fruit, nuts, seeds, eggs… I urge you to eat a nutrient-dense diet… Don’t make the same mistake I did…
When I first when gluten-free, I made the mistake of replacing my gluten-filled junk food with GFJF (Gluten-Free Junk Food). While a step up from eating gluten, GFJF won’t get you very far on your healing journey.

I recommend using GF pancake mixes, cookies, cereals, and bread only in the transition process if you have been eating the Standard American Diet. Most gluten-free foods will spike up your blood sugar (taxing your adrenals which can weaken the thyroid) and may contain harmful ingredients like soy. Nutrient-dense diets like the Paleo, Body EcologyF and Weston A Price diet are the best diets for humans.

Instead of… Eat…

Pasta Spaghetti squash
Cow Milk Coconut milk
Butter Coconut butter
Bread Almond muffins
Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 5
No more cereal, waffles, toast… then what do I eat for breakfast?

DAY 1

Bacon (6-8 slices)
Guacamole (avocado, garlic powder, tomatoes*, onions)
Fermented cabbage
*avoid if nightshade sensitivity

DAY 2

1 package of grass-fed ground beef or turkey
2 zucchinis
Carrots
Onions
Broccoli, cauliflower, or other veggies you like
Stir fry until veggies and meat are cooked through for 10-15 minutes
Hint: Make a big batch and freeze it in breakfast size packages

DAY 3

Coconut milk
Pea protein/hemp protein/chia seed protein as tolerated
Raw veggies as tolerated (lettuce, celery, carrots are usually easiest on the digestive system)
Lemon juice/lime juice
Avocado for extra fat
Put all ingredients in a blender and enjoy

DAY 4

Put a small/med spaghetti or other squash in the slow cooker at bedtime
Add diced pieces of beef, chicken, or pork
Add water and a tablespoon of coconut oil
Allow cooking on low overnight
Wake up to great smells in the morning
Leftovers from dinner also work as breakfast & lunch for the next day

DAY 5

Diced butternut squash
Ground beef/turkey/chicken
Stir fry for 10 minutes in coconut oil
Top with olive oil
Thyroid Diet Quick Start Guide | Izabella Wentz, PharmD 6

Wishing you all the best on your journey- If you found this booklet helpful, you may also like my Root Cause book, Hashimoto’s Protocol book, website, and Facebook page.

Dr. Izabella Wentz, PharmD, FASCP
Disclaimer: None of these statements have been evaluated by the FDA or any other government body. The opinions
expressed, while based on scientific research and experience, are the personal opinions of Izabella Wentz and may
not adhere to current practices. The guidelines in this guide are not meant to replace your physician’s advice, your
personal beliefs, or your own common sense. If you have a medical emergency, please call 911.