Hepatic hypothyroidism can be misdiagnosed as a thyroid disorder by functional medicine leading to inappropriate diet recommendations. Technically, hepatic hypothyroidism is called intrahepatic hypothyroidism because it defines the hormonal status inside a fatty liver where thyroid hormone receptors are don’t work correctly, resulting in thyroid hormone resistance. This is a common occurrence in patients who have fatty liver disease. Experts recommend a balanced reduced calorie diet for nonalcoholic fatty liver disease. The blog “Hormones Demystified” dedicated to separate endocrinology from quackery, describes several thyroid diet myths. There is no need to avoid cruciferous vegetables (broccoli, cabbage, kale, etc.), soy, or gluten (unless you have gluten intolerance or Celiac disease). And there is no need to take thyroid supplements or iodine supplements.
