Navigating Hashimoto’s in Pregnancy, Postpartum & Beyond

In this episode of Below Her Surface, Lily is joined by content creator Matilda for a raw and insightful follow-up Q&A. Having navigated one of the most complex cases of Hashimoto’s Lily has seen in practice, Matilda shares the reality of her 12-month journey from a "thyroid storm" to achieving regulated blood work for the first time in over a decade. This conversation goes beneath the surface of a standard diagnosis, exploring how under-eating, overtraining, and extreme stress can trigger autoimmune spirals. From the heartbreak of miscarriage to the exhaustion of the postpartum period, this episode offers a science-literate yet deeply human look at what it takes to truly heal when the system feels broken. In this episode, Lily and Matilda explore: *Matilda’s Health Update – Moving from a TSH of 104 to regulated markers through food, supplementation, and reduced training intensity. *Can You Reverse Hashimoto’s? – Understanding how to turn autoimmunity "off" and the difference between managing symptoms and achieving dormancy. *Why You Still Feel "Crap" with Normal Bloods – Why TSH alone doesn't tell the full story and the importance of testing T3, T4, antibodies, and iodine. *The Gluten & Dairy Connection – Why removing inflammatory triggers is crucial during an autoimmune flare to clear brain fog and support digestion. *The Reality of Fatigue – Distinguishing between "normal" mum exhaustion and debilitating physiological fatigue that impacts your personality and libido. *Pregnancy & Postpartum Challenges – Navigating thyroid surges, breastfeeding supply issues, and the emotional toll of miscarriage. *Advocating for Yourself in the Medical System – The role of integrative doctors, private testing panels, and finding practitioners who look at the whole picture. *Nutrition Hacks for Busy Parents – Tips for syncing your eating schedule with your kids and the benefits of "flipping" breakfast and dinner. This episode is a grounded guide for anyone feeling dismissed by standard medical advice, reminding us that while the path to health isn't a quick fix, it is possible to feel like yourself again.