How to Support Your Thyroid with Nutritional Supplements in Perimenopause – Anna Garrett

by health and nutrition advice journalist

Successful management of thyroid disease can feel like trying to putting together a jigsaw puzzle. There are many different pieces that, with patience and perseverance, all fit together to form a beautiful image. Today, we will focus on a small section of this puzzle dealing with nutrition and supplements related to thyroid disease.   

Because thyroid conditions are so prevalent, many supplements on the market claim to “support thyroid function.” Most of these supplements are, for the most part, harmless, but it is important to know that some may have undesirable side effects. Some may even worsen your thyroid condition. Keep reading to find out how to optimize your supplements safely and effectively.

How can I optimize thyroid function with supplements?

Before we go any further, it is important to know which nutrients the thyroid needs for optimal functioning.

The following list contains some of the most important thyroid nutrients:

Your thyroid also needs other vitamins, such as B vitamins or Vitamin E and A. Some foods that naturally contain these nutrients are fish, nuts, eggs, and iodized salt.

What supplements are best for hypothyroidism? 

Hypothyroidism is a condition where your thyroid gland does not produce enough thyroid hormones. Hashimoto’s thyroiditis is a type of hypothyroidism where your body mistakenly attacks your thyroid gland. Another name for this is an autoimmune disease. You can read more about hypothyroidism and Hashimoto’s thyroiditis here.

The following supplements can be beneficial for those suffering from the disease:

Those in the ashwagandha group showed significant increases in triiodothyronine (T3) and thyroxine (T4) levels of 41.5% and 19.6%, respectively. Furthermore, thyroid-stimulating hormone (TSH) levels decreased by 17.5%. 

People with nightshade sensitivities should not take ashwagandha.

Just because you can doesn’t mean you should.

Some people may be tempted to use over-the-counter thyroid glandulars. These products are made from dried ground-up pig, sheep, or cow thyroid tissue. These products are not supposed to contain active thyroid medication, but one study from 2014 that analyzed 10 thyroid supplements found that most of them contained detectable amounts of T3 and T4. Some of the products tested contained more T3 and T4 than healthcare providers typically prescribe to people with hypothyroidism. These products are best avoided without guidance.

What supplements are best for hyperthyroidism?

Hyperthyroidism is a condition where your body produces too much thyroid hormone. Today, we will focus on the most common cause of hyperthyroidism in the United States, Graves’ disease. The following supplements can be beneficial for those suffering from Graves’ disease:

How can I ensure that I am safely choosing supplements for my thyroid condition?

The best thing you can do to optimize safety when choosing supplements is to work with a trained healthcare professional who can help you choose what you need based on your lab tests (get a FULL thyroid panel). They can help you choose the correct supplement based on your individual needs. It is also essential to start or stop a new supplement to let your prescriber and pharmacist know. Lastly, choose supplements from trusted brands that test their products for quality and purity using organizations like USP and NSF International.


Research shows that certain nutritional supplements can improve the health of your thyroid. However, it is important to choose supplements based on testing to assess your individual needs and health conditions. If you are interested in adding supplements to your thyroid regimen, work with a trained healthcare professional to obtain appropriate testing to ensure maximum safety and effectiveness.

Dr. Anna Garrett is a menopause expert and Doctor of Pharmacy. She helps women who are struggling with symptoms of perimenopause and menopause find natural hormone balancing solutions so they can rock their mojo through midlife and beyond. Dr. Anna is the author of Perimenopause: The Savvy Sister’s Guide to Hormone Harmony. Order your copy at

Dr. Anna is available for 1-1 consultation. Find out more at

This content was originally published here.

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