How would I know if I'm in remission?

I like to think of remission as a journey, not necessarily a final destination. Your first goal should be to improve your symptoms, and get to a point where you are no longer symptomatic. The second goal would be to reduce your thyroid antibodies; any reduction is a great start, antibodies under 100 is considered a low risk of progression. If you can get them under 35, then you are no longer considered to “have Hashimoto’s on a blood test.” Your third and final goal should be to reverse the damage. This last part happens at a different rate in everyone.

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