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In part because her vitamin B12 and vitamin D levels are poor But also with Hashimoto's we often have poor gut function and poor conversion Low stomach acid is common problem and often with Hashimoto's we are frequently gluten intolerant too According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly