SIBO and Hypothyroidism: Hashimoto's, Levothyroxine and Gut Motility How an underactive thyroid and Hashimoto's raise SIBO risk, what levothyroxine does to that risk, and why SIBO can make thyroid tablets harder to absorb. Oct 27, 2026 4 min read #hypothyroidism #autoimmunity #motility #root-causes #sibo