Episode

15 Dec 2025 · 6 min

0:00

Dr. Michael Ruscio explains that 20-30% of people with hypothyroidism have low stomach acid, rising to 50% if you're over 65 or have a family history of autoimmune disease. Take HCl mid-meal at 500-2000 mg per dose, and stop if you feel burning or continue if bloating improves.

Questions this episode answers

About 20–30% (with certain risk factors this can rise to ~50%).

Age over 65, history of anemia, and a family history of autoimmune disease (combined risk up to ~50%).

About mid-meal; avoid taking at the end of the meal.

Approximately 2–4 capsules per meal of about 500 mg per capsule.

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