I have Hashimoto's (and I'm pretty sure I have adrenal fatigue)

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I have Hashimoto’s (and I’m pretty sure I have adrenal fatigue) and it’s been a doosy. I’ve been keto for 6 months and lost 30lbs in the first 3 months. I’m thin now! I haven’t lost or gained any weight for months. I’m having issues when I fast doing the 16:8 and have for a couple months. Mainly low blood sugar symptoms – shaky, disoriented, etc. My a1c a couple weeks ago was 4.7. I have read in a couple of books that hashi people shouldn’t be fasting but I feel so much better when I do but there are days when I can’t because of the low blood sugar issue. Has anyone else experienced this and what can I do to get it to go away?

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It is very common for hashi folks to have hypo issues. In fact I suspect MOST of them do, but its only exposed in a keto diet. (I have tried to get some keto docs to help me prove that out as a formal study). The thing to consider is that your DOSE or CONVERSION may be sub optimal if you are hovering below about 75 fasted or walking around. That is a clinical medical situation and must be considered. A WORKAROUND to that is to treat it with dextrose. Just a smarty or two to trickle in some high speed sugar to balance things out if you get low. If your lows are unmanaged without med adjustment, it may be, for YOU, a higher carb, or longer lasting carb model may be a better choice. ye olde sweet potato for breakfast sort of thing.

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I have hypothyroidism (not sure about hashi’s because I was only tested a year after starting thyroid treatment). I can usually do a 16:8 fast with no issues, but if I go further than that, I can get shaky and ick feeling. I’ve pushed myself to 18:6, but can only do a couple of those per week. I have also done only two 24 hour fasts and had to just lay down for the last couple of hours of those fasts. I have been eating Keto since 11/5/2016. I didn’t even start fasting until Id been eating keto for at least a year. My body flips out with any type of major stress. I also have a t4 to t3 conversion issue, so that may be what causes my problems. Who knows? I’ve found the majority of doctors are ignorant to thyroid issues, unless they are by the book thyroid problems.

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I recently did water fast for 40 hrs and on hour 28 I had dizzy and low blood sugar. I have just rolled it into keto diet. Think I will try intermittent fasting.

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