Factors to Investigate

  • Possible Viral triggers (EBV, CMV blood tests)
  • Other infectious agents (Yersinia Enterocolitica blood test, H Pylori stool test)
  • Intestinal Permeability (dysbiosis, disruption of mycobiome/microbiome, etc.)
  • Environmental pollutants, pesticide exposure, heavy metal exposure
  • Stress
  • Diet
  • Food allergy/intolerance (gluten sensitivity and celiac disease, among others)
  • Nutrient deficiencies (iodine, Vitamin D, omega-3 fats, selenium, zinc, Vitamin A, B vitamins)

Treatment Options

  • Medications
  • LDN (low dose naltrexone)
  • Antimicrobial and Immune modulating herbs
  • Detoxification strategies (sauna, exercise, supplements, whole foods diet, water/air
  • filtration)
  • Mental Emotional work to reduce stress and help with altered immune response
  • Dietary changes


  • The Adrenal Thyroid Revolution: A Proven 4-Week Program to Rescue Your Metabolism, Hormones, Mind & Mood by Aviva Romm, MD
  • The Thyroid Connection, Amy Myers, MD

Research Articles

  • Viruses and thyroiditis: an update. Rachel Desailloud 1,2 and Didier Hober1. Virol J. 2009; 6: 5. Published online 2009 Jan 12.