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Case Study

Emma

Thyroid, Hashimoto's and Hormonal Rebalancing
Chapter Chapter 12
Duration 9 months
Status Resolved
Before Undiagnosed Hashimoto’s and hormonal chaos.
→
After Nine months to thyroid and cycle restoration.
The Story

Hashimoto's and Hormonal Rebalancing

Emma was in her mid-30s and had been repeatedly told her thyroid was normal. But her fatigue was worsening, her hair was thinning, her periods were becoming irregular, and her PMS was escalating. Standard thyroid testing only checked TSH. When we ran the full thyroid panel including antibodies, the picture was very different.

Her TPO antibodies were 14 times the normal limit. She had active Hashimoto's that nobody had tested for. But the thyroid was not where we started. The gut was driving the autoimmune response, and her hormones could not rebalance until the underlying drivers were addressed.

The full clinical story Chapter 12 of The Healing Hierarchy Get the Book →
Diagnostics

What we tested. And what we found.

Every protocol in The Healing Hierarchy starts with comprehensive testing. The right tests reveal the actual drivers. Without them, you're treating symptoms.

Tests Used
1
Comprehensive Blood Panel
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2
Hair Tissue Mineral Analysis (HTMA)
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3
GI-MAP (Stool)
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4
Organic Acid Tests (OAT)
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Key Findings
TPO Antibodies
485
Normal range : < 34
Active thyroid autoimmunity
Thyroglobulin Ab
320
Normal range : < 115
Selenium, Zinc, Iodine
Low
Copper
68 ppm
Normal range : 10-27
Elevated
Progesterone (Day 21)
12 nmol/L
Optimal : > 30
Luteal phase collapse
Zonulin
215
Normal range : < 107
Leaky gut driving autoimmunity
Low B6
Elevated beta-glucuronidase
Impaired hormone clearance
The Protocol

Sequenced,  not stacked.

The phases are deliberate. Each one prepares the system for the next. Doing them out of order, or all at once, is where most protocols fail.

Phase 1
Stabilise and Repair
Months 1-6

Selenium, zinc, molybdenum, and silica for thyroid and mineral support.

AFM Formula A →

Vitex (Chaste Tree Berry) to stimulate progesterone production

P Balance →

Magnesium and Vitamin B6 (P-5-P) for progesterone synthesis and nervous system calm.

Give Back Health MagRelax → BioCeuticals Ultra Museleze P5P →

Gut barrier repair with healing amino acids and probiotics.

GIT Regenex → Spectrum Pro 8 → MegaSporeBiotic →

Designs for Health Calcium-D-glucarate to block beta-glucuronidase and support oestrogen clearance.

Calcium D-Glucarate →

NAC, glycine, and methylated B vitamins for methylation and detox suppor

Biomedica NAC → Bioenhanced Methyl B → Give Back Health Glycine →
Phase 2
Autoimmune Protocol Diet
12 Weeks

AIP Elimination Phase Removed gluten, dairy, grains, legumes, nightshades, eggs, nuts, seeds, refined sugars, processed foods

Focused on Organ meats, bone broth, wild-caught fish, pastured meats, diverse vegetables (non-nightshade), fermented foods, healing fats

AIP Reintroduction (starting week 12) Systematic testing of excluded foods.

Result Identified eggs and nightshades as thyroid antibody triggers, removed long-term. Nuts and seeds reintroduced successfully.

Phase 3
Hormone Rebalancing
Months 1-3

Vitex to support luteal phase progesterone.

P Balance →

Omega-3 fatty acids for inflammation and hormone balance.

Bioclinc Opti EPA/DHA →

Assist Sleep Sleep hygiene and stress management to normalise cortisol.

MagRelax →

Result Period normalised by Month 3, regular cycles, reduced PMS, stable mood.

Phase 4
Cautious Iodine Trial
Months 7-9

After antibodies reduced and gut healed, introduced low-dose iodine under close monitoring.

Result Further antibody decline, improved energy, hair regrowth.

Phase 5
Maintain and Thrive
(Ongoing)

Anti-inflammatory nutrients: omega-3 and curcumin

Bioclinc Opti EPA/DHA → Orthoplex Curcuma Clinical →

Probiotic complex

Spectrum Pro 8 → MegaSporeBiotic →

Continued vitex and magnesium for cycle support

P Balance → MagRelax →

Methylation and detox pathway maintenance.

Bioenhanced Methyl B → NAC →
Duration 9 months

Markers  Energy returned. Hair grew back.

The biomarkers tell the story. Every value moved from "abnormal" to "optimal" within six months of the protocol going live.

TPO
485 → 95 80% decrease ✓
Thyroglobulin Ab
320 → 68 Normal ✓
TSH
1.5 → Free T3 and T4 Optimal ✓
Progesterone (Day 21)
12 → 34 nmol/L Optimal ✓
Selenium, Zinc, Iodine
Optimal ✓
Zonulin
72 Normal ✓
Secretory IgA
Restored ✓

Thyroid antibodies dropped 80%. Period returned to healthy regular cycle. Energy returned. Hair grew back. PMS resolved.

Read the full clinical story

Emma's case is  Chapter  12.

The reasoning behind every decision, the sequencing logic, the diagnostic interpretation, and the framework these protocols sit inside, all of it is in the book.

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Important. This protocol was designed for a specific individual based on their unique test results, medical history, genetics, and clinical context. It is presented here for educational purposes only and should not be replicated without professional guidance.

Every person requires an individualised approach. Work with a qualified practitioner who can assess your situation, interpret your test results, and design a protocol tailored to your needs. Supplement links are provided for reference to the practitioner-grade products used in this case. This information does not constitute medical advice, diagnosis, or treatment.