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4 Things We’d Do If We Had Hashimoto’s & Wanted To Conceive

Support Circadian Rhythm

Your thyroid loves routine. When your sleep, light exposure, and meal timing are all over the place, it throws off hormone production — especially TSH and cortisol. Simple shifts like morning sunlight, less screen time at night, and consistent sleep/wake times can make a big difference.

⏰ Why it matters: Restoring a healthy rhythm improves thyroid hormone conversion, reduces autoimmune flares, supports ovulation, and regulates the menstrual cycle. Fertility depends on consistent hormonal signaling — and circadian health is where that begins.

Support Healthy Blood Sugar Balance

Every blood sugar spike triggers a cortisol response, and chronically elevated insulin can suppress thyroid function, worsen inflammation, and drive androgen excess — all of which impair ovulation.

🥑 Why it matters: Stable blood sugar improves thyroid hormone sensitivity, reduces antibody activity, supports healthy cervical mucus production, and protects egg quality. It also helps prevent common fertility disruptors like PCOS and luteal phase defects. Balanced meals (with protein, fiber, and healthy fats) = more stable hormones, better ovulation, and smoother cycles.

Take Selenium & Myo-inositol

Selenium is essential for thyroid hormone metabolism (via deiodinase enzymes) and protects the gland from oxidative stress. Myo-inositol improves TSH sensitivity, reduces autoimmune antibody levels, and supports ovulatory function.

💊 Why it matters: These two are kind of a dream team. This combo has been shown in clinical trials to reduce anti-TPO antibodies, improve TSH, and support ovulation — making it one of the most research-backed approaches for improving Hashimoto’s and fertility outcomes.

Complete A GI Map Stool Test

Your gut is where 20% of T4 is converted to active T3, where estrogen is detoxed, and where immune tolerance is regulated. Pathogens like H. pylori or yeast overgrowth can worsen autoimmunity and increase circulating estrogens.

🧬 Why it matters: Identifying and addressing gut infections, inflammation, and dysbiosis helps reduce antibody load, optimize nutrient absorption (like iron, B12, and zinc), and rebalance hormones — all of which are essential for conception and healthy pregnancy.

Here are some great resources to dig into more of these topics:


reminder: i’m currently accepting people into my Nurture Your Fertility program. you can learn more here about the program and fill out an application!

Hi, I'm Amanda Montalvo

Amanda Montalvo is a women's health dietitian who helps women find the root cause of hormone imbalances in order to increase chances of pregnancy.
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