Some women find they end their pregnancy with not only a new baby but a new hypothyroid condition as well. That’s because normal immune shifts during pregnancy can trigger an autoimmune disease such as Hashimoto’s hypothyroidism, depending on genetics and other predisposing factors.

The immune system can be looked as having two primary roles, one that reacts immediately to an invader (such as pus surrounding a splinter), and one that reacts later to produce antibodies (such as to build immunity to a virus). The part of the immune system that reacts immediately is TH-1 while the delayed response is TH-2.

When one of these arms of the immune system becomes overly dominant it can trigger an autoimmune disease such as Hashimoto’s disease. Researchers are increasingly finding factors that lead to immune imbalance and trigger autoimmune diseases. They can include not only a genetic predisposition, but also food sensitivities (gluten and dairy being the most common offenders), environmental chemicals (such as those found in plastics), leaky gut, viral or bacterial infections, brain injury or degeneration, and, when a woman’s immune system is already likely at the tipping point, pregnancy.

How pregnancy can trigger Hashimoto’s and other autoimmune diseases

Pregnancy and the postpartum period naturally polarizes the immune system. In the third trimester the TH-2 immune response is dominant. Postpartum the TH-1 immune reaction is stronger. If a genetically predisposed woman goes into pregnancy with an existing immune imbalance, these natural immune shifts could trigger Hashimoto’s or other autoimmune diseases.

For 90 percent of Americans with hypothyroidism, Hashimoto’s, an autoimmune disease in which the immune system attacks and destroys the thyroid gland, is the cause.

Pregnancy and hypothyroidism

Pregnancy can also trigger hypothyroid symptoms that are not autoimmune. A common cause of low thyroid function is chronic stress. Common stressors include leaky gut and gut infections, food intolerances, blood sugar imbalances (hypoglycemia or insulin resistance), and hormonal imbalances. These stressors can depress the pituitary gland in the brain. The pituitary gland controls hormone function in the body.

When this happens the pituitary fails to signal the thyroid to produce enough thyroid hormone. For many women this manifests not only as low thyroid function, but also postpartum depression.

Because so many women enter pregnancy dealing with immune imbalances and chronic stress, the increased demands of pregnancy overwhelm the body, which can lead to hypothyroidism. Ideally, a woman will address health and immune imbalances before conceiving to reduce her risk of hypothyroidism.

A preconception health overhaul may also lower the risk of her infant developing eczema, asthma, food allergies, and even autism, which has been found to be caused by brain autoimmunity in many cases. When the mother’s immune system is healthy and balanced, there’s a stronger possibility her baby’s will be too.

Managing a chronic illness and improving your health can require some drastic lifestyle changes. Although most people report feeling and functioning better on such a protocol, some obsess over the minutiae, spend days on the internet hunting for answers that don’t seem to exist, and worry constantly about their health and whether they’re “following the rules.” The end result? A heap of health-sabotaging stress.

For those prone to anxiety, type A behavior, eating disorders  or wanting to do everything right, a change in diet and lifestyle habits can feel like an endless pop quiz you can never get an “A” on. Additionally, some people have very complex illnesses no one can figure out, so they must hunt down solutions themselves, yet they risk getting bogged down in conflicting information, their own lack of knowledge about basic physiology, or a problem that science simply has not yet solved.

Although strictness is vital in some areas –- a person with gluten sensitivity or a chemical sensitivity needs to vigilantly avoid those substances –- the truth is perfection is an unreasonable goal. For the vulnerable person, trying to follow a protocol perfectly can become a trap that only compounds their illness through constant stress and worry.

Recognizing this tendency, clever marketers and bloggers use fear-based writing to deliver the latest health news. It seems every week a new article is warning you that a particular food, habit, or medication is going to cause dementia or an early death, and that their new supplement or device is the cure.

Health and nutrition have become like religious wars, with gurus and zealots each proclaiming their diet is the only path to good health and anything else will kill you. It’s as if people don’t follow a diet so much as join a cult.

For the chronically ill person who is fatigued, vulnerable, and desperate to get well, forays onto Google in search of help are riddled with such land mines.

It’s a tricky balance to educate yourself and commit to a healing protocol without letting it consume you. It’s important to understand that good health extends beyond physiology to include emotions, beliefs, attitude, and support.

How to keep your health protocol from making you crazy

True, getting well may require some drastic diet and lifestyle changes. But this doesn’t have to be a death sentence for your sanity. Instead, keep the following tips in mind:

• Studies show a positive attitude is a powerful facet of good health. If you constantly feel negative about your health protocol, it’s time for an attitude adjustment.
• Research on the placebo effect demonstrates how powerfully our belief systems can influence our success. Put one of the positive visualization tools out there to work for you instead of fretting over every little detail.
• If you’re coping with an eating disorder, constant anxiety or worry, or a need for perfection, consider one of the many techniques to help reconfigure your subconscious beliefs, such as hypnotherapy, EFT, or EMDR.
• Studies have shown that stress is toxic and pro-inflammatory. Check in with yourself and see whether you are stressing out over your health protocol. If so, take action to reduce stress and increase relaxation.
• Find the right kind of support. Research shows healthy socialization is vital to good health. Be careful not to get caught up in a non-stop pity party with other sufferers. Find those who are positive and have helpful information to share.
• Understand that modern science has its limits and there is still much about human health yet to be discovered. There simply may not yet be an answer to your question or dilemma.

Working with the guidance of someone who understands physiology, functional medicine, and health and nutrition, and who has experience of working with chronic illness can help relieve some of your burden. Ask our office for information on how we can help support you in your journey to better well-being.

You notice you’re feeling worse and worse. You suffer from chronic fatigue, pain, digestion issues, depression, anxiety, insomnia …. the list goes on. Yet when you go to your doctor, you’re told your lab tests are fine, it’s just age, or perhaps you need an antidepressant. If you press for more tests or keep returning with complaints, you’re labeled a problem patient or told it’s all in your head. Read More

Autoimmune disease has become frighteningly common today. This degenerative condition, which can affect any tissue in the body or brain, happens when the immune system attacks and destroys the body as if it were a foreign invader. Chances are either you or someone you know has an autoimmune disease. Read More