A summary of the book:
It is a supplement-heavy, lifestyle modification and diet-based hormone re-balancing program that starts with a 2-wk Liver Cleanse, followed by a 4-wk Adrenal Rejuvenation Program, and ends with a 6-wk Gut Cleanse. If you still experience GI issues or hypothyroid symptoms after the Gut Cleanse then you are directed to continue to the Advanced Protocols at the end of the book. I finished reading the book and have only just begun the protocol today so my review is only regarding my experience so far (which isn't much!). Apparently she also has an interactive program sold on her website that helps you find the root cause of your thyroid issue, tells you which labs to order, how to interpret them and which Supplements to take. I believe this book is a distillation of the most common issues her clients must overcome before obtaining remission (liver = detox, Adrenal = stress response, gut = immune system).
Comparisons: I have read the following adrenal/thyroid books and Hasimoto's Protocol is the only one that offers a clear-cut program that is well laid-out for you.
1. Adrenal Reset Diet by Dr Alan Christianson
2. Why Do I Still have Thyroid Symptoms When my Lab Tests are Normal? by Dr Datis Kharrazian
3. The Hormone Cure by Dr Sara Gottfried
How this book fits into my life:
Gut overgrowth-
I completed The Whole Journey's Gut Thrive in 5 (for SIBO) and Candida Cleanse protocols a year ago so I haven't decided if I'm going to do the Gut cleanse protocol in this book. I think I'll wait till after the Adrenal program and evaluate my symptoms at that point. My GI is 100% better since last year but I did mark 3 symptoms on the book's GI Assessment, which is a Green light for doing the Gut Cleanse. Maybe once my adrenals are better, I'll have better digestion though.
Adrenal Fatigue-
The Whole Journey's programs are good for GI but not so much for adrenal health. In fact they warn that they can make adrenal fatigue worse, which they did in my case. Granted, I didn't know that I had adrenal fatigue until 6 months ago so I didn't follow any of their warnings about needing to take adrenal support supplements and abstain from the heavy-duty detox protocols included in their programs. So even though I got rid of gut overgrowth from SIBO and Candida, I am left with adrenal fatigue, which resulted in hypothyroidism and low progesterone. I actually think the adrenal fatigue preceded the gut overgrowth but has definitely gotten worse after it. My naturopath tried putting me on Adaptogen herbs but they caused insomnia: I would wake up every day at 3am with a pounding heart and anxiety and couldn't get back to sleep. In The Hormone Cure book (above) I read that it could be low progesterone, which matched some other symptoms I had. So my naturopath put me on progesterone, which did help with sleep. I also started taking melatonin 1-3 mg before bed also.
Weight loss resistance-
My first complaint to my naturopath was my inability to lose weight with calorie restriction and increased exercise. I am 5'7" and 150#, which a normal weight but I recently lost about 20# while treating SIBO and liked being that weight but cannot get back down to it. This book does say that if you lose weight by following a paleo diet, which I started following when I got diagnosed with SIBO 2 yr ago, then you either have nutrient-absorption issues or gut overgrowth. So maybe now that my gut overgrowth is cured, I'm getting back to my normal 'healthy' weight (according to my body). Dr Westin Childs from RestartMed listed some hormonal obstacles for weight loss, including leptin- and insulin-resistance and body "set point", which is a weight that your body always goes back to after losing weight. The set point is a new theory and no info exists as to how to overcome it. I only eat 1,200 kcal/day and did High Intensity Interval Training (HITT) x 1 month and saw no results. I also tried weight-lifting 3x/wk and walking x 30min/day x 2 months and saw no results. I was worried I now had Leptin- or Insulin-resistance according to an article I read on RestartMed. I just got my leptin results back and normal at 2.6 (normal is <4). I didn't get my insulin tested but I've been testing glucose levels, which are fine. I get light-headed if I skip or delay meals but I think it's actually an adrenal fatigue symptom instead of low blood sugar issue (this book confirmed that).
Hypothyroid-
My reverse T3 (can cause weight loss resistance) was kinda high at 13.2 (normal is <15) and my TSH was 2.4. After complaining to my naturopath about weight loss resistance, she started me on thyroid hormones. She believes my hypothyroidism is caused by adrenal fatigue due to gut overgrowth and has had many patients in my position that only go on thyroid hormones for a year or two at a low dose then they are able to stop taking them since the body had a chance to recover. She said it's mainly due to nutritional imbalances since gut overgrowth results in impaired digestion and absorption. She keeps testing my AM Cortisol level with blood draw but it's been normal since I went on Adaptogens. I never did an Adrenal Saliva Index, as recommended in the book if Adrenal Fatigue continues after the fundamental protocols. It's cheaper to order it myself without seeing the naturopath actually. So far I have not had success on thyroid hormones. After starting NaturThroid 32mg daily, I got terribly exhausted and read that feeling worse on thyroid hormones could be due to adrenal fatigue. So I restarted my Adaptogen herbs but the insomnia came back so I asked to have my progesterone dose increased. After taking NaturThroid x 1 month, my Reverse T3 climbed up to 17 and I didn't feel any better. At that point my Naturopath switched me to Cytomel 5mcg twice daily x 1 month. My Reverse T3 only came down to 16. The author does not recommend stopping thyroid hormones but since I haven't yet titrated up to the correct dose and don't feel any better while on the hormones, my plan is to wean myself off of the Cytomel during the program and then get my thyroid levels checked again after a few months. The thyroid hormones were getting really expensive: $400/mo, including labs, doctor visits and drugs (granted my high-deductible insurances doesn't cover any of them). You'll pay a lot for the supplements in this book (probably $1,000) but hopefully you won't need thyroid hormones afterwards. The author mentions that up to 50% of people with Hashimoto's will test negative for the antibodies since they're only high enough to be detected in advanced disease. My thyroid labs have been 'borderline' hypothyroid for at least 2 yr now (granted I didn't see the doctor till gut overgrowth was in full swing 2 yr ago so who knows how the thyroid was doing before that). So far my antibodies have been negative so I'm hoping that my thyroid will recover completely once my adrenal glands recover. I find it interesting that the author never recommends anything to directly cure the thyroid, likely because it relies on other systems (liver, adrenal, gut) in order to do its job.
Small Complaints
Don't bother with the Audible Audiobook since the narrator does not read any tables aloud so you won't have access to the Assessments, Supplement charts, nor recipes. The narrator directs you to the 'enhancement' for these, which is supposedly an audiobook PDF companion with charts and recipes that I've yet to find anywhere on the web. I've contacted Thyroid Pharmacist website and the publisher to no avail.
It would be nice if there was a summary for each protocol regarding diet and lifestyle modifications. I created my own document with this info.
The supplement charts are quite a mess in the Kindle Version since there are no lines separating the 'boxes' in the charts. I don't believe the print edition is any better though since it looks like the Gut supplement chart was simply copied (likely from the print edition) and pasted onto the Kindle version and is very low resolution (barely readable). I decided to make my own charts that list the total quantity needed of each supplement so I can purchase the correct amount. The Whole Journey programs (above) were so convenient because the creator assembled the supplement protocol for you and sold it as one big package. That's convenient but not cheap so there are pros and cons either way.
I just started the protocol today and noticed some discrepancies in the supplement charts:
1. In the Liver Detox chart it says to take Amino-D-Tox 6 cap daily and continue during the gut detox. However, the gut detox supplement chart does not list Amino-D-Tox. Also, Amino-D-Tox is contained in the PaleoCleanse kit if you buy the 14-day kit with individually wrapped sachets of powder as opposed to just the container of powder. So you don't need to buy extra for liver detox if you purchase that kit. I notice the same company also makes a VegeCleanse powder with pea protein that seems to be replacing the PaleoCleanse, according to manufacturer website.
2.The PaleoCleanse kit isn't explained in the book but it is actually a protein powder (18gm beef hydrosylate) that is supposed to be taken twice daily x 14 days in place of 2 meals. It also contains a lot of herbs and vitamins. The only directions the book offers is that it should be added to smoothies but it doesn't say how many smoothies one should eat every day (her sample daily menu only lists 1 smoothie per day). I think I'll try replacing 2 meals/day with the PaleoCleanse powder.
3. The Homocysteine-Lowering B supplement (the first supplement listed on the Liver Detox supplement chart) says it should be continued indefinitely if you have the MTHFR gene. However, the Adrenal supplement chart instead lists a different B vitamin complex and I would not recommend taking both at the same time since unpleasant side effects can occur with too high of doses of Methylated B Vitamins, especially if you have gut microbe imbalance, which will not be addressed until after the adrenal program. Therefore I am going to stop taking the homocysteine-lowering B supplement during adrenal program and resume it during gut cleanse.
4. NAC on the Liver supplement chart says to continue x 3-6 months yet it is lacking on the adrenal supplement chart. (FYI It is included on the gut cleanse chart). I plan on taking it without stopping during the entire program.
I think the Hasimoto's Protocol is designed somewhat loosely but it's much better than the protocols in the other books I've read (see above). If you're someone like me who believes every rule needs to be followed to the letter in order to achieve success then this may frustrate you. These are minor gripes considering the success of the program (according to other reviewers) but it was a bit of a challenge to sort out and could be easily improved upon with the next edition.
All in all I am very optimistic that this program will bring to balance my hormones. I will report back at the end of the program. Good luck!
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Popular Highlights in this book
The most common food sensitivities in Hashimoto’s are to gluten, dairy (this was my biggest one), soy, eggs, sugar, grains (especially corn), nightshades (potatoes, tomatoes, eggplants, and peppers), caffeine, alcohol, and nuts and seeds.Highlighted by 2,084 Kindle readers- You’re going to cut out gluten, dairy, sugar, soy, caffeine, and alcohol.Highlighted by 1,880 Kindle readers
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I read her first book "Root Cause" and have to say I MUCH PREFER this new book! So if you are deciding between the two, opt for the new one! I can tell that she worked much more closely with an editor because there is far less rambling & repetition. Right now I am about 3/4 the way through the book and have started on the first protocol but have not started feeling "great" yet. The information however is very useful and concise, you know what brand of supplement to order and how much, which is a big improvement IMHO to the first book which was a bit vague. It's a shocker to see just how many supplements are required each day, it is pricey... but so is feeling sick and tired all the time!(Attached photo shows supplements required for 1st protocol)UPDATE #1:Finished the 2 week liver protocol with some success.We are now in 2nd week of 4 week Adrenals protocol.A) I took the thyroid symptom assessment quiz before we started went from a score of around 229 to a 166, now at 83!(lower number means less symptoms)B) In the liver assessment test I went from a "severe" toxicity 50, down to a moderate 23, now an 8!C) Adrenal Assessment I went from a 16 to a 3!D) Also my hubby's blood pressure went down & it's now in the acceptable range.E) I do seem to have more energy and mental clarity the last week and have been losing weight.F) No cravings for sweets, salty foods or coffee. (yay!)I will update again once we finish the 2nd protocol. (added photo of supplements for 2nd protocol)
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