Gluten and dairy can be addictive for people with Hashimoto’s

Scientists have proven what many with Hashimoto’s hypothyroidism have learned the hard way: Gluten, dairy, and processed foods trigger addictive responses in the same way commonly abused drugs do. The more processed (i.e., high carb) and fatty a food is, the more likely it is to cause addiction, and the most addictive foods contain cheese, with pizza taking top honors.

This is due in part to the high-glycemic load of these foods — processed carbs, like pizza crust or a donut, are rapidly absorbed by the body and quickly spike blood sugar before causing it to crash. This triggers areas of the brain as well as hormonal responses that stimulate cravings. It also triggers inflammation, which can in turn trigger Hashimoto’s flares.

In fact, in a 2013 study, scientists used brain scans to observe brain function after subjects ate foods high in processed carbohydrates as well as foods low on the glycemic index, such as vegetables.

They observed that the subjects who ate the processed foods were hungrier and experienced surges and crashes in blood sugar in contrast to the low-glycemic eaters. They were also more prone to overeating and to choosing more high-glycemic foods compared to the low-glycemic eaters, whose blood sugar remained stable. Stable blood sugar is one vital tool in managing autoimmune Hashimoto’s hypothyroidism because it calms inflammation.

Brain scans showed the subjects eating the starchy foods also exhibited more blood flow to the right side of the brain in areas associated with reward, pleasure, and cravings in the high-glycemic eaters. This can drive people to overeat and indulge in yet more starchy foods, perpetuating a vicious cycle.

We also know high-carb foods cause imbalances in the hormones insulin and leptin, which increase hunger and promote fat storage over fat burning.

The best way to stabilize your blood sugar and curb your carb cravings is to avoid processed carbs (breads, pastas, pastries, etc.) and minimize carb consumption so your blood sugar does not spike or drop. That level will be different for everyone, but is much lower than on the average American diet.

Gluten and dairy cause opioid responses

Gluten and dairy can be addictive for additional reasons — they trigger an opioid response in the brains of some people. In fact, these people may go through very uncomfortable withdrawls when they go cold turkey off these foods. This is important as going gluten- and dairy-free are important to best manage Hashimoto’s hypothyroidism.

The opioid created by the digestion of milk protein is called casomorphin while the gluten opioid is called gluteomorphin.

These food-derived opioids activate the same opioid receptors in the brain that respond to prescription pain pills and heroin.

The effect is compounded in processed cheese and processed gluten products.

The worst part of a food-based opioid sensitivity is that going gluten-free or dairy-free can cause severe withdrawal symptoms. These can include depression, mood swings, or worsened gut problems.

It is similar to heroin or pain pill withdrawals, only not as severe.

Because gluten and dairy are among the most common causes of food sensitivities, most people with Hashimoto’s hypothyroidism have to eliminate them from their diet. Although this is difficult for most everyone, for the Hashimoto’s patient who also experiences opioid responses to them, going gluten-free and dairy-free can mean a couple of weeks of misery.

If this occurs, plan ahead and know you have to weather the withdrawal symptoms until you’ve kicked the addiction and are on your way to much improved thyroid health and relief from symptoms.

It’s important to further support yourself by avoiding high-glycemic processed foods so you don’t trigger your brain’s craving mechanisms and trigger autoimmune thyroid flares. For more advice, contact my office about how to manage autoimmune Hashimoto’s hypothyroidism.