Latka wrote: I am also wondering about this. Especially since I am having to consider introducing more carbs into my diet as this is just not working for me any more.
I had initially decided to be tough and soldier my way through; go through anything to heal myself. But now I am not so sure that I am actually healing. I have been putting up with the fatigue by trying to lessen the demands I put on myself: no more exercise, no more hobbies or socialising for the time being -I don’t have the energy. And that’s fine; it’s not going to be like this forever. I feel like I am sleep walking through my days, keep dozing off at work, and even that is bearable if it’s just for now and in time I will get better…
But. My body temperatures have been dropping significantly in the past two weeks. I need to measure these as I am already hypothyroid and on thyroid supplements for that. Right now I am down to 33.4 celcius and that is very low especially as it is summer! (approx. 92.12 farenheit). I was in pretty bad shape before starting on my thyroid medication and don’t want to go back there. Somehow the stricter the diet I am on the slower my metabolism gets, it seems. I will need to get more energy from my food somehow (of course it is possible that since my digestion is weak I am not digesting proteins properly and therefore not getting enough energy from that?). But right now I need to get my body temperatures up.
Are you getting over 50g of carbs a day? There’s some sort of link between very low-carb diets (<50-60g/day) and hypothyroidism, but I've forgotten the details. Do you get at least the RDA of selenium and iodine too? These tend to be hard to attain from diet now soils are so depleted, unless you regularly eat brazil nuts and sea vegetables.
Try to make sure you stay out of ketosis, but at the same time don’t go crazy on the carbs. You want to supply enough to take care of brain function and muscle glycogen, and then feed your mitochondria plenty of fat, especially saturated and monounsaturated fats found in coconut oil, ghee, palm oil etc. Mitochondria run best on fats and healthy mitochondria keep you warm and provide energy. This article I just found explains the link between mitochondrial function and hypothyroidism and other thyroid stuff.
You don’t need to break with your diet; you just need to find your own healthy balance. Staying out of ketosis, getting enough fat calories and correcting any mineral deficiencies would make a good start. Stress is another thing you need to conquer, and elevated stress hormones are another reason ketosis is so undesirable.