A FREE 21-day plan to lower inflammation AND lose 1-4 lbs this week, while also feeding your family. Breakfast, lunch, dinner, and snacks, with a private podcast to keep you on track. Sustainable, easy, and delicious!
Tune in every week to hear tips and strategies for feeding yourself and your family, while you lose weight and get healthy in perimenopause.
Ashley Malik is a women's weight loss coach, podcaster, mom of two, and a grandma.
She helps busy, midlife moms lose weight in perimenopause, and start living a life they love.
If you’re in your 40s or 50s and feel like you’re doing everything right but the scale won’t budge, inflammation might be the real culprit. This shows up constantly for women in perimenopause, and it gets even trickier if your thyroid is part of the picture too. The foods below are some of the biggest offenders, whether you’ve been diagnosed with hypothyroidism or you’re just noticing your body doesn’t respond to food the way it used to.

Hypothyroidism is a condition where your thyroid doesn’t naturally produce enough thyroid hormone. The thyroid is responsible for more than 80 functions in your body, so when it’s not working properly, you’re bound to see some issues.
But here’s what a lot of women don’t realize: you don’t need a thyroid diagnosis for this to apply to you. Perimenopause causes a lot of the same disruptions on its own, inflammation, sluggish metabolism, blood sugar swings, so if you’re in your 40s or 50s and feeling this way, your thyroid labs can come back completely normal and you’ll still be dealing with weight gain, fatigue, low body temperature, and constipation that wasn’t a problem for you before.
The good news is that you can manage a lot of this through diet, whether the root cause is your thyroid, perimenopause, or both. This particular plan is often called an anti inflammatory diet, and you can read more about that here.
Choosing the right foods, and avoiding the ones that cause issues, will help you feel better. Pulling some foods out of your diet can even help kickstart weight loss.
Let’s take a look at the top 10 foods to avoid, whether you’re managing hypothyroidism, perimenopause, or both.
To be honest, I used to think that gluten-free was a fad diet. But once I started realizing the link between gluten and inflammation, I decided to take it out of my diet. (And it made a huge difference!)
For most people, gluten doesn’t cause any issues. But if you’re struggling with inflammation, gluten can make it worse. And inflammation shows up a lot in midlife, whether it’s from hypothyroidism, perimenopause, or both. If you’ve noticed more bloating, puffiness in your hands or face, or joints that feel achier than they used to, those are all signs of inflammation.
Gluten is found in otherwise healthy foods like wheat based whole grain bread and crackers. It can also be hiding in sauces and spreads at the grocery store, so read your labels carefully.
It can take a while for gluten to clear your system. Decide to take it out completely for 6 weeks and see how you feel. (Keeping a food journal during this time can help.) If you notice more energy, less brain fog, and less joint pain, removing gluten permanently might be worth it for you.
If you’re a cheese lover (like me!) this is a difficult food group to kick out of your diet. It actually took me about 8 years to finally give into the fact that my body didn’t love dairy. I was having ongoing gut issues, bloating, and gut infections (especially candida overgrowth). Once I finally decided to take out all dairy, my health greatly improved.

Dairy is difficult for most people to digest, and that gets even harder in perimenopause when your gut and hormones are already working against you. Because of that, it’s beneficial to take out milk, yogurt, cheese, and dairy based sauces and spreads or dips. With hypothyroidism, you may also be sensitive to whey protein, which is derived from traditional dairy.
It makes sense that food from a box or package is probably not the healthiest option. But food brands do a good job of making you think you’re eating something healthy. Packages are marked “low fat,” “gluten free,” “sugar free,” and so on.es are marked “low fat”, “gluten free”, “sugar free”, and so on.

The problem is that packaged foods are designed to be shelf stable. Manufacturers do this by adding sugar, fat, preservatives, and flavors. Great if you need food to last a long time, not great for your gut.
All of those additives are damaging to your digestive system, and that matters even more in midlife. Whether you’re managing hypothyroidism, perimenopause, or both, your gut is already dealing with enough. Instead, choose foods in their whole state: apple, banana, carrot, avocado, and so on. It may not always be as convenient, but it’ll keep you healthy for a lifetime.
Raise your hand if you start your day needing caffeine just to function. That was me too, more cups than I want to admit some days.
Caffeine gives you a quick jolt, then a crash, whether you have hypothyroidism or not. But if you’re dealing with hypothyroidism or perimenopause, that energy dip you’re masking with caffeine is often a root cause issue, not just a busy schedule catching up with you.
It’s tough to cut back, but it helps to understand what’s actually driving the exhaustion. Dietary changes like removing gluten, dairy, and sugar can actually give you more steady energy, so you’re not relying on caffeine to get through the day.
Soy is used in prepackaged foods, and it shows up at restaurants everywhere. It hides in baked goods, canned soups, cereals, cookies, crackers, and more. It’s also a main ingredient in tofu, miso, and edamame.
Unfortunately, soy can interfere with how your thyroid operates. If you have hypothyroidism, or you’re noticing thyroid-like symptoms during perimenopause, your body is already working hard enough. Steering clear of soy means you’re not adding to the load.
To avoid soy, read your labels, and better yet, stick to a whole foods diet.
Many people ask about soy sauce (tricky name!) Soy sauce is actually made from a wheat base, which means it has gluten too. Not a great choice either way.
Not all sugar is bad. But not all sugar is created equal either. Processed sugar isn’t necessarily bad for your thyroid, but it does cause inflammation in your body, and inflammation is exactly what you’re trying to reduce, whether it’s driven by hypothyroidism, perimenopause, or both.
Bad sugars are things like white table sugar, high fructose corn syrup, dextrose, rice syrup, and so on. You also want to steer clear of sugar alcohols like erythritol, malitol, sorbitol, and xylitol.
All of these hide everywhere, so you have to read your labels on sauces, dressings, gum, crackers, cookies, protein powders, and energy bars. And check for “added sugar” on the label. You can assume that’s a processed, not great, sugar.
I know, I know. This is like taking out all the fun stuff! Alcohol is incredibly damaging to your body if you have hypothyroidism. It can damage your cells, your gut lining, and your liver. Your liver is where thyroid hormones get converted, so you need it working at its best, especially if hypothyroidism or perimenopause already has your hormones out of balance.

Many alcoholic beverages also have gluten. Beer is made with wheat, rye, or barley, all gluten grains. Hard liquor is distilled from grain, too. The distillation process often removes the gluten, but additives after the fact can bring gluten back in.
Just as with sugar, there are good fats and bad fats. With hypothyroidism, or if perimenopause has you dealing with more inflammation than usual, you’ll want to steer clear of the bad ones. Too much of the wrong fat and you’re increasing your risk of chronic inflammation.
Skip processed foods with added fats, they’re rarely made with the good stuff. Fried foods are out too. And check your labels for seed and vegetable oils like soybean, canola, safflower, sunflower, and corn oil.
As with other processed foods, processed meats are filled with preservatives and chemicals. None of that is good for your hypothyroidism, or for the inflammation that already comes with perimenopause. The preservatives can increase inflammation and damage your gut, which just creates more inflammation.
Processed meats include deli meat, bacon, hot dogs, sausages, and cured meats like pepperoni and beef jerky.
It’s debatable whether you need to remove corn if you have hypothyroidism. Corn is difficult for most people to digest. It’s a bit easier when it’s more processed, like a corn tortilla, but then you’re veering away from a whole foods diet.

And it’s not just corn on the cob. Corn shows up as a base ingredient in a lot of shelf stable foods. Check a package of cookies and you’ll see maltodextrin, corn syrup, and starch. All of these are hard on your gut and can increase inflammation, whether that inflammation is coming from hypothyroidism, perimenopause, or both.
I found that eating corn or corn based foods increased my gas and bloating. That was a clear signal my body didn’t agree with it. I feel much better having taken it out, and I only occasionally eat corn chips or corn tortillas now.
No doubt, this feels like a daunting list of foods to avoid. Don’t take all the categories out at once. Start slowly with one or two, then add another 30 days later.
The goal is building habits that last. There isn’t a “cure” for hypothyroidism, and there’s no magic fix for perimenopause either, but you can do a lot to manage both through nutrition, workouts, and mindset. If weight loss is your goal, avoiding these foods will help you drop pounds. (And it heals your gut along the way, so that’s a win-win!)

Here’s the thing. Even if your thyroid labs come back normal, perimenopause changes how your body handles inflammation, blood sugar, and stress, which means the foods on this list matter for almost every woman in midlife, not just the ones with a thyroid diagnosis. This is exactly what we work on inside the Perimenopause Weight Loss Method, helping you figure out what your body actually needs right now instead of relying on advice that worked in your 30s.
Yep, daunting but also it feels good to have a hard list to reference and just know what I can and cannot eat with hypothyroidism. I truly want my body to heal and get my shape back- and I want to evolve to a place where life and joy isn’t all based around what I can or cannot eat…I think there is a forced discipline in all this- that in the end, would make anyone a healthier/ happier person.
I hear you Kelly! Healing from hypothyroidism is possible, but it can take longer than we want. You CAN get to a place where there is joy around food again! Reach out if I can help!
Thank you for all this info, I have thyroid problems and am new to all this change of eating.. this was very helpful
Hi Maria: So glad you found this helpful! It can be a bit of a change from what you’re eating now, but making the switch to anti-inflammatory is so worth it!