Treatment will depend on the type of hypothyroidism you are diagnosed with and will include medications, diet, and exercise plans. Most people with hypothyroidism (excluding iodine deficiency) will need lifelong thyroid hormone medication, and lifestyle choices are just as important. The foods we eat and exercises we perform will have a substantial impact on people with hypothyroidism. Pharmacological options for treating hypothyroidism include: Levothyroxine: It is a synthetic form of thyroid hormone provides T4 that will then need to be converted into T3 Typically given at doses of 1.6–1.8 μg per kg of body weight. Administration of levothyroxine must be controlled and regularly evaluated since excessive levels may have adverse effects. Synthroid: Is in synthetic form, provides T4 that will need to be converted into T3 Armour (natural option made from bovine cells) Sheild: Is a combination of T4 and T3. This medication is often considered the best option for those who have either the inability to convert T4 into T3 or who have a lower conversion range Many people will start on one medication, feel better for a while and then start to feel worse again. Others may not feel better at all. Reasons, why this occurs are very individual, but nutrition deficiencies, protein imbalance, insufficient iodine, low T4 to T3 conversion rates, or food sensitivities all play a role.

Diet plays an important role in the maintenance of thyroid function. Hypothyroid patients need to pay attention to what they consume because there are foods that have been proven to hinder thyroid function such as estrogenic and goitrous and foods that improve it such as selenium rich. In addition, patients with hypothyroidism are at risk for weight gain so making proper food choices are essential for maintaining healthy BMI. Nutritive deficiencies such as low B-12 are common among patients in this group and can lead to co-morbid conditions such as anemia, so foods high in nutrients should be chosen over empty calorie foods. How often to eat : Studies have shown that hypothyroid patients have more energy when eating 5-6 small meals per day in comparison to 3 large meals per day. Hypothyroidism Dietary Recommendations: Proteins : It is recommended that hypothyroid patients have one serving of protein at every meal lean meats: chicken, turkey, lamb, pork fish beans Vegetables : 5-6 serving per day. Using plate method, vegetables should make up half your plate. High fiber foods: Hypothyroid patients often suffer from constipation. High-fiber foods not only keep patients regular but also keep them full which promotes weight loss. Iodine rich foods and its right balance:  Studies are contradictory when it comes to iodine.