Indian Diet for Hypothyroidism: A Comprehensive Guide

Hypothyroidism, a condition affecting millions in India and worldwide, occurs when the thyroid gland doesn't produce enough thyroid hormones. In India, nearly 42 million people suffer from thyroid disorders, with hypothyroidism being the most common. According to a 2023 report by the Indian Thyroid Society, one in 10 adults in India has an underactive thyroid, with women five times more likely to be affected than men. Over 60% of Indians with thyroid issues remain undiagnosed, leading to complications like infertility and heart disease. This condition leads to various health issues, as the body’s normal functions slow down, impacting various systems of the body, leading to physical and mental health challenges. While medication is a primary treatment, diet plays a crucial role in managing the condition and supporting thyroid function. A well-balanced diet rich in nutrients like iodine, selenium, and omega-3 fatty acids is essential for thyroid health and hormone production.

Understanding Hypothyroidism

Hypothyroidism is a condition where the thyroid gland doesn’t produce enough thyroid hormones, which are crucial for regulating metabolism and energy. The thyroid, located in the neck, produces hormones that control metabolism. A slower metabolism can lead to unexpected weight gain, even with regular diet and exercise. Thyroid hormones help keep skin and hair healthy. Diagnosis, crucial for identifying specific types of hypothyroidism, involves comprehensive blood tests assessing thyroid hormone and thyroid-stimulating hormone levels.

Key Nutrients for Thyroid Health

Maintaining thyroid health requires essential nutrients like iodine, selenium, and omega-3 fatty acids, which support hormone production and reduce inflammation. A balanced diet rich in these nutrients can support thyroid health and overall well-being.

Iodine-Rich Foods

Iodine is a crucial mineral for thyroid function, essential for producing thyroid hormones. Iodine is found mainly in animal protein foods and sea vegetables, and to a lesser extent in fortified foods like breads, cereals, and milk (Dairy products), curry leaves, pomegranate, beetroot, and iodized salt. An Indian diet for hypothyroidism should include iodine-rich foods, as iodine is critical for producing thyroid hormones. Ensuring adequate iodine intake is crucial for optimal thyroid health. When iodine levels are insufficient, the thyroid cannot perform its functions effectively and may eventually decrease the production of thyroid hormone. Iodine-rich foods like fish, sea vegetables, seaweed, kelp, and mushrooms are beneficial choices, while those like dairy and wheat products are not reliable sources of iodine.

Selenium-Rich Foods

Selenium supports the thyroid by reducing inflammation and aiding hormone synthesis, making it essential in an Indian diet for hypothyroidism. Selenium rich food - Barley, broccoli, brown rice, chia seeds, flax seeds, Brazil nuts, mushrooms, sunflower seeds, and wheat are the main source of selenium. Selenium is another important mineral for thyroid health. Brazil nuts are a fantastic source of selenium. Avoiding soy-based products and excessive caffeine, while minimizing processed foods and alcohol, is key to effective management.

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Zinc-Rich Foods

Zinc is beneficial for those with hypothyroidism. The best source of zinc is mainly found from animal foods and plant-based food like Chickpeas, Lentils, Beans, Oatmeal, Curd, Tofu, Whole Wheat, Moong, almonds, cashews, seeds like pumpkin seeds and watermelon seeds.

Omega-3 Fatty Acids

Include lean protein sources like poultry, fish, tofu, legumes, and beans.

Other Essential Nutrients

Fruits and vegetables: A well-balanced diet that includes a variety of fruits and vegetables ensures a good intake of essential vitamins and minerals. Whole grains: Include whole grains such as brown rice, quinoa, oats, and whole wheat in your diet chart for hypothyroidism.

Foods to Include in a Hypothyroidism Diet

Adopting a hypothyroidism-friendly diet involves incorporating foods that support thyroid function and overall health. Focus on the following:

  • Seafood: Seafood, particularly iodine-rich options like fish and seaweed, are beneficial for thyroid health. Iodine is a vital component of thyroid hormones, so including these foods can help support hormone production.
  • Low-fat dairy products: Dairy products, such as milk, yogurt, and cheese, are excellent sources of iodine. Additionally, they provide essential nutrients like calcium and vitamin D, which are important for bone health.
  • Fruits and vegetables rich in antioxidants: Antioxidants help reduce inflammation and oxidative stress, which can be beneficial for individuals with hypothyroidism. Include a variety of fruits and vegetables, such as berries, spinach, bell peppers, and sweet potatoes, in your diet.
  • Whole grains: Opt for whole grains like quinoa, brown rice, and oats instead of refined grains. Whole grains provide essential nutrients and fiber without the potential negative effects of gluten.

Foods to Limit or Avoid

Managing hypothyroidism involves not only selecting the right foods but also being mindful of those that can potentially interfere with thyroid function.

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  • Soy-Based Products: Excessive consumption of soy products, such as tofu and soy milk, can contain compounds that may hinder thyroid hormone absorption.
  • Cruciferous Vegetables: When consumed in significant numbers, goitrogens, substances that might affect thyroid function, are present in vegetables including broccoli, cabbage, cauliflower, and Brussels sprouts. Cruciferous vegetables like cabbage, cauliflower and broccoli should not take as salad / Raw.
  • Processed Food: Processed meals frequently include unhealthy fats and high levels of salt, which can lead to weight gain and exacerbate hypothyroidism symptoms.
  • Excessive Caffeine: Excessive caffeine use may aggravate symptoms such as anxiety and heart palpitations in those with thyroid issues.
  • Foods High In Sugars And Refined Carbohydrates: These foods can induce fast variations in blood sugar levels, potentially altering energy and mood.
  • Alcohol: Excessive alcohol intake can affect thyroid hormone balance and interfere with medication absorption.
  • Gluten: Gluten, found in wheat, barley, and rye, may cause problems for individuals with autoimmune thyroid conditions like Hashimoto’s thyroiditis.

Sample Indian Diet Plan for Hypothyroidism

A well-balanced hypothyroidism diet plan plays a crucial role in maintaining thyroid health. This 7-day Indian diet plan for hypothyroidism focuses on nutrient-dense foods and balanced meals to support thyroid health.

Early Morning (around 6:30 am to 7:00 am)

  • Take thyroid medicine on an empty stomach. Keep 1hour gap between thyroid medicine and meals.
  • Coriander seed water and a handful of soaked walnuts and almonds. Or take 1 glass of lukewarm water added with one spoon of apple cider vinegar, mix it well and have it.

Breakfast (Around 7:50 am to 8:00 am)

  • Take protein rich food like 2 Moong Dal Chilla1sprouts chaat Or1 bowl of Vegetable oats Or1 bowl of vegetable brown rice Or1bowl of Quinoa Bowl2. One should take 2spoon of flax seed powder mixed with any meal or fruit dish.
  • California Sweet Potato Hash with Feta and Eggs. Because it’s Sunday.

Mid-morning snack (around 10:00 am to 10:30 am)

  • Any seasonal fruit can be taken but Citrus fruit is preferred. Chia seed water or fresh coconut water can take OrOne glass of smoothie3/ smoothie bowl.

Lunch (around 12:30 pm - 1:00 pm)

  • Take salad before 15min of lunch which improves digestion and reduces overeating.
  • 1-2 Sattvic chapati4 or ragi / bajra / jowar roti with 1 bowl of properly cooked vegetables. One bowl of daal or curd.
  • Greek Yogurt Tuna Salad.
  • Middle-Eastern Mason Jar Salad. So smart and so simple.
  • Pumpkin Soup Like You’ve Never Tasted Before. I’m a big fan of soups, especially in winter.
  • Quinoa Salad with Nuts. Quinoa is a versatile grain that is naturally gluten-free and high protein.

Evening snacks (around 4:30 pm)

  • Cup of green tea or herbal tea + 1 spoon of pumpkin seeds or watermelon seeds.
  • Spicy Honey-Roasted Chickpeas.
  • Super Simple Banana Bread. Only 4 ingredients and perfect for toddlers too.
  • Homemade Hummus.

Dinner (around 6:30 pm to 7:00 pm)

  • 1 bowl of properly cooked vegetables, 1bowl of dal, boiled rice, millets or multigrain roti or mixed Dal khichdi.
  • Healthy Chipotle Chicken Sweet Potato Skins.
  • Egg Shakshuka + rice to serve. This Tunisian dish is a wonderful source of vegetables and eggs, a source of iodine.
  • Shrimp, Zucchini & Pesto Angel Hair Pasta. You should choose gluten-free pasta for this recipe (doesn’t need to be angel hair).
  • One Pot Cheesy Taco Skillet.
  • Quinoa Crusted Chicken Parmesan + vegetables to serve.

At bedtime (around 9:00 pm to 10:00 pm)

  • 1 glass of Golden milk.

Snack

  • 2-3 Brazil nuts. High in protein, fibre and healthy fats, Brazil nuts are a fantastic source of selenium (for thyroid health).

Additional Tips for Managing Hypothyroidism

  • Flexibility is key: Of course this plan cannot meet all your individual needs, so if there is an ingredient you don’t eat then replace it or leave it out.
  • Limit or eliminate junk foods and highly processed products: This plan focuses on whole, unrefined foods as they are fundamental to a healthy diet. Realistically it’s very difficult to eliminate all highly processed (often pre-packaged) foods, but just be mindful of cutting down.
  • The recipes sourced often make 2-4 servings: Consider this when writing your shopping list. You will have leftovers. Feed the family or save the leftovers to have in place of a meal on another day.
  • Choose water as your drink: The meal plan does not include drinks, but keep a bottle of water with you at all times and drink up.

The Link Between Hypothyroidism, Diabetes, and Diet

Thyroid disorders are associated with thyroid hormones - T3, T4 and TSH (Thyroid Stimulating Hormone) released by the thyroid gland and diabetes is closely associated with insulin released by the pancreas. Since one of the major function of thyroid is to control metabolism, its disruption that interferes with metabolic activities can alter the blood sugar levels and lead to the onset of diabetes. On the other hand, hormones like thyroid and insulin work hand-in-hand to control metabolism and blood glucose. If the thyroid hormone decreases, as in case of hypothyroid, then the levels of insulin may increase to balance off and this may sometimes increase the risk of hypoglycemia (low blood sugar levels).

Key Dietary Pointers for Hypothyroidism and Diabetes

  1. The most important is to not skip any medication or alter its timing and /or dosage. Remember any minor change in medication causes further disruption in hormone level.
  2. Since low metabolism also leads to weight gain, avoid high carb and high GI (glycemic index) foods like potatoes, sweet potatoes, yam, purple yam, mango, banana, chickoo and custard apple.
  3. Certain foods though rich in antioxidants are not in favour of thyroid hormone. Avoid cruciferous vegetable like broccoli, cauliflower, cabbage, Brussel sprouts, kale and spinach. Rely on other vegetables like mushrooms, capsicum, ladies finger etc. instead to make up for your nutrient requirement and prevent other deficiencies.
  4. Go easy with soy and its products. They hinder thyroid hormone production.
  5. Include protein, zinc, selenium and iodine by way of dals, pulses, sprouts and iodized salt. Protein from recipes like Suva Masoor Dal and Sprouted Matki and Coriander Uttapa has a delayed effect on gastric emptying thus avoiding blood sugar spikes.
  6. Avoid wheat and its products like broken wheat, semolina, plain flour along with barley and rye if you have gluten intolerance. Going gluten-free in general can help thyroid levels stabilize too, though it is quite individualistic. Avoid other plain flour (maida) based products like bread, burger, pizza and all types of cookies and biscuits as they tend to be absorbed very quickly and lead to a rapid rise in blood sugar levels.
  7. Prefer low fat dairy products over high fat dairy products.
  8. Rely on grains like buckwheat, quinoa and oats. They are the best whole grains for your body.
  9. Dodge away the coffee and alcohol routine if any. They enter your blood stream directly giving a big rush of sugar in the blood and further disrupting the hormone levels.
  10. Sugary items and fried foods are indisputably to not feature on the menu.
  11. Include MUFA (mono unsaturated fatty acids) by way of avocado and olive oil. They help stabilize blood sugar levels.
  12. No packaged and ready-to-eat foods also please.
  13. Fresh and dried herbs are your best friends to flavour foods.
  14. Watch your portion size of course. Too much food at a go is definitely not advisable since hypothyroid is commonly associated with weight gain and diabetes both. Avoid that fluctuations in blood sugar levels by restricting the serving size. One other way to have a feeling of satiety is to serve food in small plate and chew your food very well.
  15. Drink enough water. At least 10 to 12 glasses of water.

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