Integrative yoga and naturopathy management in a middle-aged woman with hypothyroidism and migraine: a case report

Hypothyroidism and migraine are chronic, often coexisting conditions in middle-aged women, sharing underlying mechanisms such as hormonal imbalance, systemic inflammation, and autonomic dysfunction. Conventional treatments may provide partial relief, prompting interest in integrative approaches, such as yoga and naturopathy, for comprehensive management. A 45-year-old female with an 8-year history of hypothyroidism presented with the onset of recurrent migraine-like headaches, disturbed sleep, and weight gain for the past 2 months. She was admitted to a yoga and naturopathy hospital for a 15-day inpatient program. Following clinical and diagnostic evaluation, she received an integrative protocol including customized yoga therapy, hydrotherapy, mud therapy, acupuncture, massage, a plant-based diet, and relaxation techniques. Following the intervention, the patient showed reductions in weight, body mass index (BMI), body circumferences and pain intensity, and improvements in complete blood count, thyroid profile, lipid parameters, inflammatory markers, and quality of life without adverse effects. This case highlights the potential of integrative yoga and naturopathy in improving endocrine, neurological, and quality of life outcomes in patients with hypothyroidism and migraine. Further studies are needed to establish long-term efficacy and generalizability.