@lkhorton01 we sound very similar in experiences. I also take 50 mg a day of Levothyroxine. I was just starting a gluten free diet when I had another bowel obstruction 2 weeks ago. After it cleared I was advised to go on a bland diet, which was another dietary challenge. So, one day at a time, I am slowly working my way to finding what works best for me. I do know that diet has a direct impact on diminishing Hashimoto’s symptoms.