NSAIDs —dangers and alternatives with Hashimoto’s

According to the National Institutes of Health, nearly 50 million American adults have chronic pain or severe pain. The conventional medical model teaches us to reach first for medication to relieve pain, with ibuprofen and other NSAIDs (nonsteroidal anti-inflammatory drugs) at the top of the list. However, with research mounting to show NSAIDs have a notable list of dangers, it makes sense instead to look for the root causes of pain, especially if you are working to manage Hashimoto’s hypothyroidism.

Many people turn to NSAIDs for relief from pain and inflammation. Common NSAIDs are ibuprofen (Motrin, Advil) and naproxen (Aleve). Celecoxib (Celebrex), diclofenac (Cataflam, Voltaren) are prescription NSAIDs. Aspirin is an NSAID, but it does not pose the same risks for stroke and heart attack.

Ibuprofen is metabolized by the liver, and can cause lesions, liver failure, or jaundice over time. The FDA has even warned against NSAIDs because they increase the risk of heart attack and stroke. These are not the sort of health challenges you need to add to your plate when you have Hashimoto’s hypothyroidism.

NSAIDs promote leaky gut

Another reason to avoid NSAIDs is their tendency to promote leaky gut.

In leaky gut, the lining of the small intestine becomes damaged and overly porous, allowing undigested food, bacteria, yeast, and other pathogens into the bloodstream. This triggers inflammation and pain throughout the body — the same thing people use NSAIDs to relieve.

Leaky gut is a primary factor in autoimmune diseases such as Hashimoto’s hypothyroidism. With an emphasis on healing leaky gut to tame autoimmune flare ups, it’s important to avoid factors like NSAIDs that worsen leaky gut.

So, if the typical go-to medications for pain aren’t an option any more, where do we turn? Functional medicine offers solutions.

Address inflammation to root out pain

When pain is treated with NSAIDs, it typically comes back when the medication runs out. However, in functional medicine the goal is to identify and address the cause of the inflammation and pain instead of simply putting a temporary Band-Aid on it.

It’s understandable to want relief so you can feel and function better. The good news is many people find their chronic pain diminishes substantially or disappears completely when they adopt functional medicine strategies.

Following are a few ways functional medicine can not only relieve pain and inflammation, but also help you better manage Hashimoto’s hypothyroidism:

Anti-inflammatory diet. Remove foods that trigger inflammation, such as gluten, dairy, grains, legumes, eggs, sugar, and nightshades. This is typically done as an elimination and reintroduction protocol where you follow the diet strictly for a period of time and then customize it depending on your food sensitivities. This is a first step to managing Hashimoto’s hypothyroidism.

Avoid nightshades. Vegetables in the nightshade family can cause pain and inflammation in the joints. These include eggplant, potatoes (but not sweet potatoes or yams), peppers, tomatoes, tomatillos, hot pepper products and pepper-based spices. Simply removing nightshades from the diet has brought relief from joint pain for many, especially those with rheumatoid arthritis.

Turmeric and resveratrol. Each is a powerful anti-inflammatory alone, but research shows that taking them together is much more effective, making them potent tools for quenching the inflammation and damage associated chronic inflammatory disorders such as Hashimoto’s hypothyroidism.

Improve your posture. Chronic pain can develop due to spinal misalignment. Rarely do patients with chronic pain have even pressure on both feet or eyes that move in synchrony. Many patients experience significant or total relief of chronic pain by addressing these imbalances.

Nutrients that fight inflammation and pain. These include vitamin D, vitamins A, E, and K, and plenty of omega 3 fatty acids.

White willow bark is an herb traditionally used for pain relief.

Moderate to high intensity exercise can help reduce inflammation. It also improves insulin sensitivity, a bonus for diabetes prevention. Just make sure to choose exercises that do not exacerbate joint pain; there are lots of options.

Balance your blood sugar. Many people have blood sugar dysregulation issues that contribute to systemic inflammation, pain, and immune disorders such as Hashimoto’s hypothyroidism. In addition, imbalanced blood sugar is one of the risk factors for Alzheimer’s and Parkinson’s.

Support production of SCFA. Short chain fatty acids (SCFA) produced by your “good” gut bacteria are helpful in dampening inflammation. Eat abundant and varied fresh vegetables daily, eat probiotic-rich fermented foods, and take SCFA-supporting supplements such as butyrate, Saccharomyces boulardii, Lactobacillus sporogenes, and DDS-1 Lactobacilli acidophilus.

Support glutathione. The most important antioxidant in your body, glutathione aids in detoxification, helps maximize immune system function, and shields cells from damage caused by oxidation and inflammation.

A healthy body makes enough glutathione, but faced with chronic stressors such as toxins, poor diet, sleep deprivation, smoking, and excess sugar, glutathione become depleted.

Glutathione supplements are not effective taken orally. Instead, boost glutathione levels through a liposomal cream, suppository, nebulizer, or IV drip.

One must also support glutathione recycling to balance the immune system, protect body tissue from damage caused by inflammation, and help repair damage. It’s an excellent strategy in managing Hashimoto’s hypothyroidism as well.

To enhance glutathione recycling, remove stressors depleting glutathione levels such as lack of sleep, smoking, food intolerances, diets high in sugars and processed foods, and excess alcohol intake.

The following nutritional and botanical compounds have been shown to support glutathione recycling:

• L-glutamine
• N-acetyl-cysteine
• Alpha-lipoic acid
• Milk thistle
• Selenium
• Cordyceps
• Gotu kola

These are just a few ways to use functional medicine to address the root causes of inflammation and pain so that you can stop taking NSAIDs. Ask my office for more advice.