Eyes feel gritty and bulging

Your eyes feel like sand got into them. They sting, water, and turn sore in bright light. In the mirror they may look bigger, or more staring than before.

Graves disease is one common cause of this. Your immune system goes after the thyroid gland in your neck. It can go after tissue behind the eyes too.

That tissue swells and pushes the eyeball forward. Your lids may not shut all the way, so the surface dries. Smoking makes the swelling worse.

The grit and the bulge often change over months. One eye can look worse than the other. Many people also notice puffy lids and red, dry eyes in the morning.

When to see someone

Get same-day eye care if your sight dims, colours look washed out, or you see double. Deep pain behind the eye, or a lid that will not close at night, needs a doctor now. Ask your doctor for a thyroid blood test if no one has checked yours yet.

Below is a list of folk and traditional remedies linked with Graves disease. Each one carries a grade for how much study stands behind it. A grade is not a promise of results, so read these as notes for a talk with your doctor.

Graves Disease: natural remedies and the evidence behind them

9 options · 1 graded B · 8 traditional or ungraded

What's hitting you hardest with your Graves' disease right now?

My eyes are irritated or affected, or I'm newly diagnosed and want the best-studied place to start

  1. Selenium

    Supported by smaller clinical studies (Evidence grade B · No traditional record)

    Best-studied supplement in Graves', especially for mild thyroid eye disease

    Why this matches
    Selenium is the most-studied supplement in Graves', and it's especially relevant early on. A double-blind, placebo-controlled trial in people with mild Graves' eye disease (thyroid eye disease) found a 6-month course improved quality of life and eased eye involvement, making it a reasonable foundational option to discuss with your doctor.
    Why try it
    Selenium is an antioxidant that supports thyroid tissue. In mild thyroid eye disease, a controlled trial found it improved comfort and quality of life. It's worth being realistic about its limits, though: a large trial in newly diagnosed Graves' found selenium did not improve the chance of the overactive thyroid settling into remission. Think of it as supportive, and always alongside standard care rather than in place of it.
    Dose or use
    100–200 mcg daily (as selenomethionine); consult a healthcare practitioner for your specific dose.
    Time to results
    Eye-related benefits were seen over about 6 months in trials
    Key study
    Randomized Controlled Trial (2011, PMID 21591944): 'Selenium and the course of mild Graves' orbitopathy' — a double-blind, placebo-controlled trial in 159 people with mild thyroid eye disease found a 6-month course of selenium improved quality of life and slowed eye-disease progression versus placebo. Note that a separate large trial found no benefit for hyperthyroidism remission, so selenium is best seen as support for mild eye disease alongside standard care, not a way to control the overactive thyroid itself.
    Caution
    High doses over time can cause selenium toxicity; do not exceed recommended amounts without guidance.

  2. Selenium Deficiency

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Low selenium may affect thyroid immune balance

    Why this matches
    If your selenium levels are low, correcting that deficiency may be an important factor in supporting overall thyroid health.
    Why try it
    Checking selenium status is a practical root-cause step — if you're low, correcting it can help support the antioxidant environment the thyroid depends on.
    Dose or use
    Ask your healthcare provider about a selenium blood test before supplementing.
    Time to results
    Varies based on individual deficiency levels
    Key study
    Correcting a documented shortfall can support recovery; this is a root-cause check, not a treatment claim — ask your provider to test your levels.
    Caution
    Supplementing without knowing your levels can lead to excess; always test first.

I want to find out whether nutrient gaps are quietly working against my thyroid

  1. Selenium Deficiency

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Low selenium may affect thyroid immune balance

    Why this matches
    If your selenium levels are low, correcting that deficiency may be an important factor in supporting overall thyroid health.
    Why try it
    Checking selenium status is a practical root-cause step — if you're low, correcting it can help support the antioxidant environment the thyroid depends on.
    Dose or use
    Ask your healthcare provider about a selenium blood test before supplementing.
    Time to results
    Varies based on individual deficiency levels
    Key study
    Correcting a documented shortfall can support recovery; this is a root-cause check, not a treatment claim — ask your provider to test your levels.
    Caution
    Supplementing without knowing your levels can lead to excess; always test first.

  2. Vitamin D Deficiency

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Low vitamin D is common in autoimmune thyroid disease

    Why this matches
    Checking nutrient gaps means looking beyond selenium — low vitamin D is common in autoimmune thyroid conditions like Graves', so testing your level is a sensible root-cause step.
    Why try it
    Vitamin D helps regulate immune function, and a documented shortfall is worth correcting; this is a test-first check, not a claim that vitamin D treats Graves'.
    Dose or use
    Ask your provider for a blood test (25-hydroxyvitamin D) before supplementing, then correct any shortfall to target.
    Time to results
    Varies based on your starting level
    Key study
    Low vitamin D is strongly associated with autoimmune thyroid disease; correcting a documented shortfall is a root-cause check, not a treatment claim — ask your provider to test.
    Caution
    Vitamin D is fat-soluble and can build up if over-supplemented; test first and dose to your levels rather than guessing.

I'm anxious and wired, and my sleep is suffering

  1. Lemon balm (Melissa officinalis)

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Calming herb traditionally used in overactive thyroid

    Why this matches
    While managing ongoing symptoms, lemon balm is a gentle calming herb traditionally paired with thyroid-calming herbs and used for the anxiety and restlessness that come with an overactive thyroid.
    Why try it
    Lemon balm has a long tradition of use for anxiety, restlessness and sleep, and has traditionally been used to calm the nervous tension that can come with an overactive thyroid. That tradition is the honest basis here, not proof that it treats Graves'.
    Dose or use
    Commonly taken as a tea or tincture, often in the evening; follow product labeling.
    Time to results
    Often within a few weeks
    Key study
    Traditionally used for anxiety, sleep and overactive-thyroid symptoms; this specific use has not been confirmed in controlled clinical trials.
    Caution
    May cause drowsiness and can add to the effect of sedatives; if you take thyroid medication, tell your doctor before combining herbs.

  2. HT7 (Shenmen) - Heart 7

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Acupressure point to calm anxiety and racing heart

    Why this matches
    If your main struggle is the anxiety, racing heart and poor sleep of an overactive thyroid, HT7 — the 'Spirit Gate' on the wrist — is traditionally used to calm exactly that cluster.
    Why try it
    In Traditional Chinese Medicine, HT7 is pressed to quiet the mind, ease palpitations and support sleep; it pairs well with PC6 as a simple, drug-free calming routine.
    Dose or use
    Find the point on the wrist crease on the pinky side; press gently for 1–2 minutes each side, ideally before bed.
    Time to results
    Can feel calming within minutes; use as needed
    Key study
    Traditionally used to ease anxiety, palpitations and insomnia; this use has not been confirmed in controlled clinical trials for Graves'.
    Caution
    This is a supportive comfort tool, not a treatment for the thyroid itself; continue any prescribed medication and see your doctor for ongoing symptoms.

  3. PC6 (Neiguan) - Pericardium 6

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Acupressure point for palpitations and anxiety

    Why this matches
    For easing physical symptoms, PC6 on the inner forearm is the classic acupressure point for calming palpitations, a racing heart and anxiety — the symptoms that dominate an overactive thyroid.
    Why try it
    In Traditional Chinese Medicine, pressing PC6 is used to settle the heart and calm the nervous system; it's a free, drug-free self-care tool, though this use is traditional rather than clinically proven for Graves'.
    Dose or use
    Press firmly about three finger-widths above the wrist crease, between the tendons, for 1–2 minutes on each arm.
    Time to results
    Can feel calming within minutes; use as needed
    Key study
    Traditionally used to calm palpitations, anxiety and nausea; this use has not been confirmed in controlled clinical trials for Graves'.
    Caution
    Acupressure is a comfort tool, not a substitute for thyroid treatment; stop if it causes pain and keep taking any prescribed medication.

I'm worn out and my muscles feel weak — I want my energy back

  1. L-carnitine

    Not yet assessed· We have not reviewed the literature for this one (Evidence grade not assigned · Traditional use recognised)Recognised traditional use

    Amino acid that may ease hyperthyroid symptoms

    Why this matches
    If you mainly want to ease the physical symptoms, L-carnitine is an amino acid that works in your tissues and has been used to help with the fatigue, muscle weakness and palpitations of an overactive thyroid.
    Why try it
    L-carnitine helps move fat into cells for energy and is thought to blunt some effects of excess thyroid hormone in muscle and heart tissue; it is offered here as a supportive adjunct rather than a proven treatment.
    Dose or use
    Commonly 2–4 g daily in divided doses; check with your provider, especially if you have heart or kidney concerns.
    Time to results
    Typically several weeks
    Key study
    Studied as a supportive adjunct for hyperthyroid symptoms; no controlled trial is cited here, so treat it as supportive rather than proven.
    Caution
    May cause nausea or a fishy body odor at higher doses and can interact with thyroid and blood-thinning medications; use under medical guidance.

  2. Astragalus

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Traditional tonic for fatigue and vitality, not the thyroid

    Why this matches
    If you're looking for extra herbal support while managing ongoing Graves', astragalus is a traditional tonic used for fatigue and general vitality — not for the thyroid overactivity or the autoimmune process itself.
    Why try it
    It has been used for generations in herbal traditions as a general energy and resilience tonic; that is the honest basis here, not evidence that it treats Graves'.
    Dose or use
    Follow product labeling; consult a healthcare practitioner.
    Time to results
    Typically 4–8 weeks
    Key study
    Traditionally used for this condition; this specific use has not been confirmed in controlled clinical trials.
    Caution
    Astragalus stimulates immune activity, and its role in autoimmune thyroid disease is unproven and potentially double-edged. Only use it under a practitioner's guidance in Graves', especially alongside thyroid or immune-modulating medications, and not as a treatment for the condition itself.

My heart races and I feel shaky and revved up — I want to calm the physical intensity

  1. Bugleweed (Lycopus virginicus)

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Classic Western herb for mild overactive thyroid

    Why this matches
    If you want extra herbal support while managing ongoing symptoms, bugleweed is the traditional Western herb used specifically for mild overactive thyroid — the situation you're describing.
    Why try it
    Herbalists have long used bugleweed to gently calm an overactive thyroid and ease palpitations; this use is traditional and has not been confirmed in controlled clinical trials.
    Dose or use
    Usually taken as a tincture or tea; follow product labeling and work with a herbal practitioner.
    Time to results
    Typically 4–8 weeks
    Key study
    Traditionally used for mild hyperthyroidism and overactive-thyroid symptoms; this specific use has not been confirmed in controlled clinical trials.
    Caution
    Bugleweed can lower thyroid hormone activity, so do not combine it with thyroid medication or use it in hypothyroidism without medical supervision, and avoid it in pregnancy.

  2. L-carnitine

    Not yet assessed· We have not reviewed the literature for this one (Evidence grade not assigned · Traditional use recognised)Recognised traditional use

    Amino acid that may ease hyperthyroid symptoms

    Why this matches
    If you mainly want to ease the physical symptoms, L-carnitine is an amino acid that works in your tissues and has been used to help with the fatigue, muscle weakness and palpitations of an overactive thyroid.
    Why try it
    L-carnitine helps move fat into cells for energy and is thought to blunt some effects of excess thyroid hormone in muscle and heart tissue; it is offered here as a supportive adjunct rather than a proven treatment.
    Dose or use
    Commonly 2–4 g daily in divided doses; check with your provider, especially if you have heart or kidney concerns.
    Time to results
    Typically several weeks
    Key study
    Studied as a supportive adjunct for hyperthyroid symptoms; no controlled trial is cited here, so treat it as supportive rather than proven.
    Caution
    May cause nausea or a fishy body odor at higher doses and can interact with thyroid and blood-thinning medications; use under medical guidance.

  3. PC6 (Neiguan) - Pericardium 6

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Acupressure point for palpitations and anxiety

    Why this matches
    For easing physical symptoms, PC6 on the inner forearm is the classic acupressure point for calming palpitations, a racing heart and anxiety — the symptoms that dominate an overactive thyroid.
    Why try it
    In Traditional Chinese Medicine, pressing PC6 is used to settle the heart and calm the nervous system; it's a free, drug-free self-care tool, though this use is traditional rather than clinically proven for Graves'.
    Dose or use
    Press firmly about three finger-widths above the wrist crease, between the tendons, for 1–2 minutes on each arm.
    Time to results
    Can feel calming within minutes; use as needed
    Key study
    Traditionally used to calm palpitations, anxiety and nausea; this use has not been confirmed in controlled clinical trials for Graves'.
    Caution
    Acupressure is a comfort tool, not a substitute for thyroid treatment; stop if it causes pain and keep taking any prescribed medication.

What kind of support fits you best alongside your thyroid care?

I want the options with the most research behind them, even if the list is short

  1. Selenium

    Supported by smaller clinical studies (Evidence grade B · No traditional record)

    Best-studied supplement in Graves', especially for mild thyroid eye disease

    Why this matches
    Selenium is the most-studied supplement in Graves', and it's especially relevant early on. A double-blind, placebo-controlled trial in people with mild Graves' eye disease (thyroid eye disease) found a 6-month course improved quality of life and eased eye involvement, making it a reasonable foundational option to discuss with your doctor.
    Why try it
    Selenium is an antioxidant that supports thyroid tissue. In mild thyroid eye disease, a controlled trial found it improved comfort and quality of life. It's worth being realistic about its limits, though: a large trial in newly diagnosed Graves' found selenium did not improve the chance of the overactive thyroid settling into remission. Think of it as supportive, and always alongside standard care rather than in place of it.
    Dose or use
    100–200 mcg daily (as selenomethionine); consult a healthcare practitioner for your specific dose.
    Time to results
    Eye-related benefits were seen over about 6 months in trials
    Key study
    Randomized Controlled Trial (2011, PMID 21591944): 'Selenium and the course of mild Graves' orbitopathy' — a double-blind, placebo-controlled trial in 159 people with mild thyroid eye disease found a 6-month course of selenium improved quality of life and slowed eye-disease progression versus placebo. Note that a separate large trial found no benefit for hyperthyroidism remission, so selenium is best seen as support for mild eye disease alongside standard care, not a way to control the overactive thyroid itself.
    Caution
    High doses over time can cause selenium toxicity; do not exceed recommended amounts without guidance.

  2. L-carnitine

    Not yet assessed· We have not reviewed the literature for this one (Evidence grade not assigned · Traditional use recognised)Recognised traditional use

    Amino acid that may ease hyperthyroid symptoms

    Why this matches
    If you mainly want to ease the physical symptoms, L-carnitine is an amino acid that works in your tissues and has been used to help with the fatigue, muscle weakness and palpitations of an overactive thyroid.
    Why try it
    L-carnitine helps move fat into cells for energy and is thought to blunt some effects of excess thyroid hormone in muscle and heart tissue; it is offered here as a supportive adjunct rather than a proven treatment.
    Dose or use
    Commonly 2–4 g daily in divided doses; check with your provider, especially if you have heart or kidney concerns.
    Time to results
    Typically several weeks
    Key study
    Studied as a supportive adjunct for hyperthyroid symptoms; no controlled trial is cited here, so treat it as supportive rather than proven.
    Caution
    May cause nausea or a fishy body odor at higher doses and can interact with thyroid and blood-thinning medications; use under medical guidance.

I'd rather learn free, drug-free techniques I can do myself anytime

  1. HT7 (Shenmen) - Heart 7

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Acupressure point to calm anxiety and racing heart

    Why this matches
    If your main struggle is the anxiety, racing heart and poor sleep of an overactive thyroid, HT7 — the 'Spirit Gate' on the wrist — is traditionally used to calm exactly that cluster.
    Why try it
    In Traditional Chinese Medicine, HT7 is pressed to quiet the mind, ease palpitations and support sleep; it pairs well with PC6 as a simple, drug-free calming routine.
    Dose or use
    Find the point on the wrist crease on the pinky side; press gently for 1–2 minutes each side, ideally before bed.
    Time to results
    Can feel calming within minutes; use as needed
    Key study
    Traditionally used to ease anxiety, palpitations and insomnia; this use has not been confirmed in controlled clinical trials for Graves'.
    Caution
    This is a supportive comfort tool, not a treatment for the thyroid itself; continue any prescribed medication and see your doctor for ongoing symptoms.

  2. PC6 (Neiguan) - Pericardium 6

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Acupressure point for palpitations and anxiety

    Why this matches
    For easing physical symptoms, PC6 on the inner forearm is the classic acupressure point for calming palpitations, a racing heart and anxiety — the symptoms that dominate an overactive thyroid.
    Why try it
    In Traditional Chinese Medicine, pressing PC6 is used to settle the heart and calm the nervous system; it's a free, drug-free self-care tool, though this use is traditional rather than clinically proven for Graves'.
    Dose or use
    Press firmly about three finger-widths above the wrist crease, between the tendons, for 1–2 minutes on each arm.
    Time to results
    Can feel calming within minutes; use as needed
    Key study
    Traditionally used to calm palpitations, anxiety and nausea; this use has not been confirmed in controlled clinical trials for Graves'.
    Caution
    Acupressure is a comfort tool, not a substitute for thyroid treatment; stop if it causes pain and keep taking any prescribed medication.

I'd rather test my levels first and only fix what's actually low

  1. Selenium Deficiency

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Low selenium may affect thyroid immune balance

    Why this matches
    If your selenium levels are low, correcting that deficiency may be an important factor in supporting overall thyroid health.
    Why try it
    Checking selenium status is a practical root-cause step — if you're low, correcting it can help support the antioxidant environment the thyroid depends on.
    Dose or use
    Ask your healthcare provider about a selenium blood test before supplementing.
    Time to results
    Varies based on individual deficiency levels
    Key study
    Correcting a documented shortfall can support recovery; this is a root-cause check, not a treatment claim — ask your provider to test your levels.
    Caution
    Supplementing without knowing your levels can lead to excess; always test first.

  2. Vitamin D Deficiency

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Low vitamin D is common in autoimmune thyroid disease

    Why this matches
    Checking nutrient gaps means looking beyond selenium — low vitamin D is common in autoimmune thyroid conditions like Graves', so testing your level is a sensible root-cause step.
    Why try it
    Vitamin D helps regulate immune function, and a documented shortfall is worth correcting; this is a test-first check, not a claim that vitamin D treats Graves'.
    Dose or use
    Ask your provider for a blood test (25-hydroxyvitamin D) before supplementing, then correct any shortfall to target.
    Time to results
    Varies based on your starting level
    Key study
    Low vitamin D is strongly associated with autoimmune thyroid disease; correcting a documented shortfall is a root-cause check, not a treatment claim — ask your provider to test.
    Caution
    Vitamin D is fat-soluble and can build up if over-supplemented; test first and dose to your levels rather than guessing.

I'm drawn to traditional herbal remedies, used with my doctor's knowledge

  1. Lemon balm (Melissa officinalis)

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Calming herb traditionally used in overactive thyroid

    Why this matches
    While managing ongoing symptoms, lemon balm is a gentle calming herb traditionally paired with thyroid-calming herbs and used for the anxiety and restlessness that come with an overactive thyroid.
    Why try it
    Lemon balm has a long tradition of use for anxiety, restlessness and sleep, and has traditionally been used to calm the nervous tension that can come with an overactive thyroid. That tradition is the honest basis here, not proof that it treats Graves'.
    Dose or use
    Commonly taken as a tea or tincture, often in the evening; follow product labeling.
    Time to results
    Often within a few weeks
    Key study
    Traditionally used for anxiety, sleep and overactive-thyroid symptoms; this specific use has not been confirmed in controlled clinical trials.
    Caution
    May cause drowsiness and can add to the effect of sedatives; if you take thyroid medication, tell your doctor before combining herbs.

  2. Bugleweed (Lycopus virginicus)

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Classic Western herb for mild overactive thyroid

    Why this matches
    If you want extra herbal support while managing ongoing symptoms, bugleweed is the traditional Western herb used specifically for mild overactive thyroid — the situation you're describing.
    Why try it
    Herbalists have long used bugleweed to gently calm an overactive thyroid and ease palpitations; this use is traditional and has not been confirmed in controlled clinical trials.
    Dose or use
    Usually taken as a tincture or tea; follow product labeling and work with a herbal practitioner.
    Time to results
    Typically 4–8 weeks
    Key study
    Traditionally used for mild hyperthyroidism and overactive-thyroid symptoms; this specific use has not been confirmed in controlled clinical trials.
    Caution
    Bugleweed can lower thyroid hormone activity, so do not combine it with thyroid medication or use it in hypothyroidism without medical supervision, and avoid it in pregnancy.

  3. Astragalus

    Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staple

    Traditional tonic for fatigue and vitality, not the thyroid

    Why this matches
    If you're looking for extra herbal support while managing ongoing Graves', astragalus is a traditional tonic used for fatigue and general vitality — not for the thyroid overactivity or the autoimmune process itself.
    Why try it
    It has been used for generations in herbal traditions as a general energy and resilience tonic; that is the honest basis here, not evidence that it treats Graves'.
    Dose or use
    Follow product labeling; consult a healthcare practitioner.
    Time to results
    Typically 4–8 weeks
    Key study
    Traditionally used for this condition; this specific use has not been confirmed in controlled clinical trials.
    Caution
    Astragalus stimulates immune activity, and its role in autoimmune thyroid disease is unproven and potentially double-edged. Only use it under a practitioner's guidance in Graves', especially alongside thyroid or immune-modulating medications, and not as a treatment for the condition itself.

Evidence grades describe the strength of published research for Graves Disease, not a promise of results. Nothing here is medical advice — talk to your clinician before starting anything, especially alongside prescription medication.

Other ways people describe this

Same underlying problem, different words.

These suggestions come from our full page on Graves Disease, where you can see every option and how it is graded. Evidence grades are explained in our methodology, and every phrasing we cover is listed under health topics.

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