My Top 10 Nutrients (Supplements)

Top 10

  1. Iron (separate)
  2. Magnesium
  3. Omega-3 (vegan DHA/EPA)
  4. Multivitamin (with selenium + B-vitamins including B12 + vitamin D + zinc)
  5. CoQ10
  6. NAC
  7. Choline / Citicoline
  8. TMG (betaine)
  9. Inositol
  10. ALA (alpha lipoic acid)

Let’s talk about why I list these nutrients in this particular order, starting with CoQ10, because I think iron, magnesium, omega-3 and a good multivitamin are just the basics for every woman and not specific for hashimoto and chronic exhaustion.

1. CoQ10 (highest in this group)

Why first:

  • Direct role in mitochondrial energy production (ATP)
  • Fatigue in Hashimoto is often partly “low cellular energy output,” not just thyroid hormone
  • Strongest direct energy relevance of the list
  • CoQ10 sits at the top because it’s the most direct “I feel less exhausted” molecule in this list.

👉 Think: “engine fuel efficiency”

2. NAC

Why second:

  • Builds glutathione (your main antioxidant system)
  • Supports liver + oxidative stress, which is often elevated in autoimmune conditions
  • Helps if inflammation or “system overload” is contributing to fatigue

👉 Think: “cell cleanup + protection system”

3. Choline / Citicoline (!)

Why third:

  • Supports brain energy, focus, acetylcholine
  • Vegan diets can be relatively low in bioavailable choline
  • Helps “mental fatigue” more than physical fatigue

👉 Think: “brain wiring + focus”

4. TMG (Betaine)

Why fourth:

  • Supports methylation cycle
  • Works indirectly with choline + folate pathways
  • More relevant if you have:
    • high stress load
    • elevated homocysteine (unknown in your case)
    • detox/methylation bottlenecks

👉 Think: “biochemical support layer, not immediate energy”

5. Inositol

Why fifth:

  • More relevant for:
    • insulin sensitivity
    • anxiety/stress signaling
    • hormonal signaling balance
  • Can help in Hashimoto, but not directly energy-driving

👉 Think: “nervous system regulation”

6. ALA (Alpha Lipoic Acid)

Why last in this group:

  • Antioxidant + metabolic support
  • BUT:
    • can sometimes lower blood sugar → worsen fatigue if not needed
    • more “advanced metabolic tool” than baseline support
  • Useful, but not first-line for your symptom profile

👉 Think: “metabolic optimizer, not foundation”

Simple logic summary

Order is basically:

Energy production → protection → brain support → biochemical support → hormonal regulation → optional metabolic enhancer