From the Research
Intermittent fasting may potentially affect thyroid disorders and should be approached with caution if you have a thyroid condition, as it can exacerbate symptoms and affect medication absorption and efficacy, according to the most recent study published in 2023 1. When considering intermittent fasting for individuals with thyroid disorders, it is essential to understand the potential risks and benefits. For those with hypothyroidism (underactive thyroid), intermittent fasting might worsen symptoms as caloric restriction can further slow metabolism and thyroid function. On the other hand, individuals with hyperthyroidism (overactive thyroid) might experience blood sugar fluctuations during fasting periods.
Some key points to consider:
- If you have a thyroid disorder and are taking medication such as levothyroxine (Synthroid, Tirosint) for hypothyroidism or methimazole (Tapazole) for hyperthyroidism, fasting could affect medication absorption and efficacy, as noted in a study published in 2022 2.
- It is crucial to take thyroid medication consistently, typically on an empty stomach 30-60 minutes before eating, as recommended in a study published in 2021 3.
- Before starting intermittent fasting, consult with your healthcare provider who can monitor your thyroid function through blood tests (TSH, T3, T4 levels) and adjust your treatment plan accordingly, as suggested in a study published in 2022 4.
- The relationship between fasting and thyroid function stems from the thyroid's role in regulating metabolism - when the body perceives caloric restriction, it may reduce thyroid hormone production as a protective mechanism to conserve energy, as discussed in a study published in 2023 1.
In terms of treatment options, the most recent study published in 2023 1 recommends individualized and patient-centered approaches, including antithyroid drugs, thyroid surgery, and radioactive iodine treatment. Additionally, a study published in 2022 2 highlights the importance of considering dietary and alternative approaches to manage thyroid disorders, while also noting the limited evidence for many of these approaches.