In this episode of Thyroid Strong Podcast, Dr. Patrick Hanaway MD discusses the crucial role of gut health in managing Hashimoto's disease. Emphasizing a food-first approach, Dr. Hanaway explains how what you eat and prebiotics, rather than probiotics, can help balance the gut microbiome and improve your overall health. He highlights the connection between gut permeability, inflammation, and autoimmune diseases, and delves into the impact of diet on gut diversity. The episode also covers the potential effects of medication on the gut microbiome, the importance of prebiotics, and the role of postbiotics in maintaining gut health. Dr. Hanaway shares insights on the gut-brain axis, fecal transplants, the significance of vagal tone, and practical steps for improving gut health, including the five Rs: Remove, Replace, Reinoculate, Repair, and Rebalance.

Highlight:

00:00 Introduction to microbiome that can play a role in Hashimoto's

00:31 Understanding Hashimoto's and Gut Health

01:44 The Role of the Gut Microbiome in Autoimmune Diseases

06:52 Medications and Their Impact on Your Gut Health with Hashimoto’s

11:13 How what you eat can shift your gut

16:35 Probiotics, Prebiotics, and Postbiotics Explained

22:19 Fecal Transplants and Postbiotics

31:01 How the Gut-Brain Axis works and Mental Health

38:06 Practical Steps for Improving Gut Health

44:22 How to find certified practitioners

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