When managing Hashimoto’s hypothyroidism, you should not overlook the importance of addressing your brain health and function. Hashimoto’s hypothyroidism can have profound effects on the brain and you may need to support your brain in addition to managing your Hashimoto’s thyroid condition.

Because every cell in the body needs thyroid hormone for proper function, a thyroid hormone deficiency can significantly impact brain health and function. Likewise, the inflammation that accompanies unmanaged Hashimoto’s can inflame and degenerate the brain.

Your thyroid health affects brain inflammation, communication between neurons (plasticity), brain chemicals (neurotransmitters), and general brain health and function.

It is these reasons why many people with unmanaged Hashimoto’s hypothyroidism experience depression, fatigue, brain fog, memory loss, worsened cognition, and other brain-based symptoms.

Thyroid hormones perform vital roles for brain function. One of their most important roles is to dampen brain inflammation through their effect on the brain’s immune cells, called microglia cells. Unlike the body, the brain does not have an off switch for inflammation and it depends in part on sufficient hormone function to keep inflammation in check.

Unchecked inflammation can degenerate, or age, the brain too quickly.

While taking thyroid hormone medication may be necessary, it’s also important to address your autoimmune Hashimoto’s by removing inflammatory triggers, dampening inflammation, and restoring balance to the immune system.

Hashimoto’s is an autoimmune condition that causes 90 percent of hypothyroid cases in the United States; the immune system must be included in care.

It is also important to address autoimmunity to lower the risk of developing autoimmunity in the brain or elsewhere in the nervous system. One autoimmune disease significantly increases the risk of autoimmunity to other tissues in the body, and many people have more than one autoimmune disease.

In fact, it’s not uncommon for people with Hashimoto’s hypothyroidism to also have autoimmune attacks against their cerebellum, an area of the brain that plays a role in movement and coordination.

If you have Hashimoto’s and also have symptoms pertaining to balance, dizziness, or nausea, you may want to be screened for brain autoimmunity.

A worst-case scenario when it comes to Hashimoto’s and brain autoimmunity is Hashimoto’s encephalopathy (HE), also known as autoimmune dementia, HE is caused by the same immune antibodies that destroy thyroid tissue — thyroid peroxidase (TPO) antibodies. In addition to memory loss, symptoms can include tremors, seizures, impaired speech, confusion, partial paralysis, fine motor problems, and poor coordination. However, HE is not common and you should not assume you have it.

This information is important because many doctors tell their patients to wait until their thyroid “burns out” and then remove it surgically. This does nothing to treat an overzealous immune system that is at the root of thyroid dysfunction and poor brain health.

If you have been diagnosed with Hashimoto’s hypothyroidism, ask my office about how functional neurology can help you recover and optimize your brain health.
You can contact our office at 317-848-6000 or  [email protected].

While popular brain training gadgets and apps have their place, don’t overlook an age-old strategy to optimize brain health: Walking. 
Humans are unique from the rest of the animal kingdom because of our ability to walk upright on two legs, a development that profoundly evolved our brains compared to our finned and four-legged friends.
Learning to walk freed our hands to do all manner of things and allowed us to conserve energy while moving over long distances, giving us more endurance than any other animal on the planet. The ability to walk also stimulated the development of the human brain into the most evolved in the animal kingdom.
Because walking played such an important role in the development of the human brain, it improves brain health in ways other physical activities don’t. Research shows that walking grows an area of the brain called the hippocampus, the seat of learning and memory. This makes it an excellent way to lower the risk of dementia and Alzheimer’s.
Also, the impact of the feet on the ground while walking has been shown to send more blood to the brain, improving oxygenation of the brain.
Maybe this helps explain why so many great thinkers and authors over the centuries were fans of long walks.

The many ways walking benefits the brain

Although walking confers myriad benefits, if you really want to super charge your brain, walk in nature.
A recent study found that walks in nature significantly decrease the obsessive, negative thoughts associated with depression and anxiety.
Researchers found that study subjects who walked through nature for an hour and a half showed less rumination and reduced activity in the subgenual prefontal cortex, an area of the brain associated with depression and mood and mental disorders.
The study subjects who took their walks in urban environments did not show the same results.
Another study showed getting kids with ADHD into a natural green environment significantly reduced symptoms. If you’re stumped for a creative solution to a problem, walking has been shown to increase your creativity by 60 percent compared to sitting. Many people report arriving at their “aha” moment while walking it out.
Walking better connects the various regions of the brain and improves memory and learning abilities.
In fact, one of the more interesting reasons walking is so good for creative problem solving is that its steady rhythmic pace facilitates and enhances our thinking abilities.
If you’ve ever had a functional neurology exam, then you know we ask you to walk as part of the exam. Sometimes we also ask you to walk while reciting every other letter of the alphabet or counting backwards by 7s.
This is because looking at how you walk, especially if you are multitasking, gives us insight into how different parts of your brain are working (or aren’t). Your walking gait, your arm swing, your leg stance, and your posture all give valuable information about what’s going on in your brain.
Any exercise is good, and certainly better than no exercise; but even if you work out regularly, don’t miss out on the brain benefits of walking. And if you don’t exercise, walking is perhaps the most inviting way to significantly improve your brain health.
Ask my office how functional neurology can help your brain better function. 
​You can contact our office at 317-848-6000 or  [email protected].