Hashimoto's diet: the complete nutrition hub

There is no single Hashimoto's diet. What consistently helps is separating levothyroxine from coffee, calcium, iron and fibre, correcting low ferritin, vitamin D and selenium status, eating enough protein, and testing suspected trigger foods one at a time instead of eliminating everything at once.

Levothyroxine and food timing

Take levothyroxine on an empty stomach with water. Wait 30–60 minutes before coffee, and separate calcium, iron, soy, high-fibre meals and antacids by about 4 hours.

TPO antibodies

Raised thyroid peroxidase antibodies confirm the autoimmune mechanism but are not the treatment target; clinicians dose on TSH and free T4 plus symptoms.

Every Hashimoto's guide

• Hashimoto's Diet Plan: 7-Day Menu + Food List — An evidence-based Hashimoto's diet plan: 7 days of meals, foods to eat and avoid, plus selenium, iodine and gluten guidance you can use today.
• Hashimoto's 7-Day Meal Plan (Free Printable) — Seven days of gluten-free, selenium-rich Hashimoto's meals with portion sizes and a printable shopping list. Evidence-based, no signup needed.
• Hashimoto's 14-Day Meal Plan — A complete Hashimoto's 14-day meal plan with daily macros, selenium and zinc targets, gluten-free meals, and anti-inflammatory recipes for thyroid support.
• Hashimoto's Foods to Avoid: Full List — Complete list of foods to avoid with Hashimoto's thyroiditis, including gluten, soy, excess iodine, and processed foods — plus thyroid-safe swaps for each.
• Hashimoto's Gluten-Free Diet Guide — Why gluten triggers Hashimoto's, what to eat and avoid, a 7-day gluten-free meal plan, and how to read labels — sourced from peer-reviewed research.
• Best Supplements for Hashimoto's: Selenium, Zinc, Vitamin D & More — Evidence-based supplement guide for Hashimoto's thyroiditis: selenium dosing, zinc, vitamin D, magnesium, B12, and the iodine warning every patient needs to know.
• Levothyroxine and Coffee: How Long to Wait Before Your Cup — How long to wait between levothyroxine and coffee, plus the full spacing chart for food, calcium, iron and fibre — with the studies behind each interval.
• How to Lower TPO Antibodies: What the Numbers Really Mean — TPO antibody ranges explained, plus the nutrition interventions with actual trial data — selenium, vitamin D, myo-inositol and gluten — and what they can realistically change.
• Selenium for Hashimoto's: Dose, Timing and the Safe Ceiling — How much selenium per day for thyroid health, when to take it, which form trials used, and the upper limit that makes Brazil nuts risky if you overdo them.
• Levothyroxine and Vitamins: What to Space, What to Pause — Can you take vitamin D, B12, magnesium or calcium with levothyroxine? A vitamin-by-vitamin timing table, plus the biotin rule before thyroid blood tests.
• Hashimoto's Breakfast Ideas: 7 Meals That Fit Your Pill — Seven high-protein Hashimoto's breakfasts with protein counts, plus a morning timeline that keeps food and coffee clear of your levothyroxine.
• Hashimoto's Weight Loss: What Works — Why weight loss is harder with Hashimoto's, your real metabolic rate, calorie targets, exercise that works, and a sustainable plan grounded in peer-reviewed evidence.
• Hashimoto's Flare-Up Foods to Avoid: The Complete Trigger List — The exact foods that trigger Hashimoto's flares — gluten, dairy, soy, sugar, goitrogens, nightshades, alcohol — with the science behind each and what to eat instead.
• Diet for Hashimoto's Thyroiditis — Evidence-based diet guide for Hashimoto's thyroiditis covering selenium, iodine, gluten-free options, and foods that reduce thyroid antibodies.
• Thyroid Diet Plan: 7-Day Menu for Hypothyroidism — An evidence-based 7-day thyroid diet plan — iodine, selenium, zinc and iron targets, goitrogens explained, levothyroxine timing, and foods to limit.

Free tool: check any food against AIP, low-FODMAP and Hashimoto's side by side.