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Hypothyroidism happens when your thyroid gland, located at the front of your neck, doesn't produce enough thyroid hormone (underactive thyroid). There are several types of hypothyroidism. The most common is Hashimoto's thyroiditis, an autoimmune disease where the immune system mistakenly attacks the thyroid gland. The disease affects both sexes and all ages, but is most common in women over age 60. Because the thyroid gland helps regulate your metabolism, low thyroid levels cause your body to slow down and can affect everything from appetite to body temperature. Symptoms can appear over time and can be hard to diagnose. Left untreated, hypothyroidism can cause serious health complications.
Signs and Symptoms
What Causes It?
There are different kinds of hypothyroidism with different causes. In Hashimoto's thyroiditis, antibodies in the blood mistakenly attack the thyroid gland and start to destroy it. Post-therapeutic hypothyroidism occurs when treatment for hyperthyroidism leaves the thyroid unable to produce enough thyroid hormone. And hypothyroidism with goiter happens when you don’t get enough iodine in your diet. In the developed world iodine is added to salt so goiter is rare, although it still happens in undeveloped countries.
What to Expect at Your Provider's Office
Your thyroid gland produces two main thyroid hormones, T3 and T4. In addition, the pituitary gland produces thyroid-stimulating hormone (TSH), which helps control how much T3 and T4 the thyroid makes. Your health care provider will draw blood to measure levels TSH. When levels of thyroid hormones are low, your body produces more TSH to increase production of thyroid hormones. Your doctor may also test for levels of T3 or T4.
Natural medicine practitioners may pay particular attention to levels of T3 hormone. T3 is the active form of thyroid hormone. Your thyroid gland makes some T3, but the body also converts T4 into T3. If you are unable to convert T4 to T3, your laboratory tests for T4 may be normal, but you still may have all the symptoms of hypothyroidism. Talk to your doctor about including T3 laboratory tests in the treatment of your hypothyroidism.
Your health care provider will prescribe a synthetic thyroid hormone called levothyroxine (Levothroid, Synthroid, Unithroid) that you will take daily. A natural dessicated thyroid hormone drug, made from the thyroid glands of pigs, is also available by prescription. Your doctor will want to adjust your dose over a period of several weeks, after regular blood tests to check the amount of thyroid hormone in your blood.
Complementary and Alternative Therapies
If you have hypothyroidism, you need conventional medical treatment. Nutrition and herbs can help support conventional treatment, but should not be used by themselves to treat hypothyroidism.
Nutrition and Supplements
Following these nutritional tips may help reduce symptoms:
These supplements may also help:
Herbs are a way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs may as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). People with a history of alcoholism should not take tinctures. Unless otherwise indicated, make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures singly or in combination as noted.
Few herbs have been studied for treating hypothyroidism. More research is needed.
Homeopathy may be useful as a supportive therapy.
Contrast hydrotherapy (application of hot and cold) to the neck and throat may stimulate thyroid function. Alternate 3 minutes hot with 1 minute cold. Repeat three times for one set. Do two to three sets per day.
Acupuncture may be helpful in correcting hormonal imbalances, including thyroid disorders.
After you start on thyroid hormone replacement therapy, your provider will want you to have frequent checkups to monitor its effectiveness.
Carayanniotis G. Recognition of thyroglobulin by T cells: the role of iodine. Thyroid. 2007;17(10):963-73.
Conrad SC , Chiu H, Silverman BL. Soy formula complicates management of congenital hypothyroidism. Arch Dis Child. 2004 Nov;89(11):1077.
Kennedy RL, Malabu UH, Jarrod G, Nigam P, Kannan K, Rane A. Thyroid function and pregnancy: before, during, and beyond. J ObstetGynaecol. 2010;30(8):774-83.
Klein I, Danzi S. Thyroid disease and the heart. Circulation. 2007;116(15):1725-35.
Leung AM, Pearce EN, Braverman LE. Iodine nutrition in pregnancy and lactation. Endocrinol Metab Clin North Am. 2011;40(4):765-77.
Lomenick JP, El-Sayyid M, Smith WJ. Effect of levo-thyroxine treatment on weight and body mass index in children with acquired hypothyroidism. J Pediatr. 2008;152(1):96-100.
Lynn WR, Lynn JA. Hypothyroidism is easily overlooked. Practitioner. 2007;251(1699):61-2, 64-5, 67.
Messina M, Redmond G. Effects of soy protein and soybean isoflavones on thyroid function in healthy adults and hypothyroid patients: a review of the relevant literature. Thyroid. 2006 Mar;16(3):249-58.
Sathyapalan T, Manuchehri AM, Thatcher NJ, Rigby AS, Chapman T, Kilpatrick ES, Atkin SL. The effect of soy phytoestrogen supplementation on thyroid status and cardiovascular risk markers in patients with subclinical hypothyroidism: a randomized, double-blind, crossover study. J Clin Endocrinol Metab. 2011;96(5):1442-9.
Schomburg L. Selenium, selenoproteins, and the thyroid gland: interactions in health and disease. Nat Rev Endocrinol. 2011;8(3):160-71.
Singh P, Singh B, Dave R, Udainiya R. The impact of yoga upon female patients suffering from hypothyroidism. Complement Ther Clin Pract. 2011;17(3):132-4.
Speeckaert MM, Speeckaert R, Wierckx K, Delanghe JR, Kaufman JM. Value and pitfalls in iodine fortification and supplementation in the 21st century. [Review]. Br J Nutr. 2011;106(7):964-73.
Swami G, Singh S, Singh KP, Gupta M. Effect of yoga on pulmonary function tests of hypothyroid patients. Indian J Physiol Pharmacol. 2010;54(1):51-6.
Triggiani V, Tafaro E, Giagulli VA, Sabbà C, Resta F, Licchelli B, Guastamacchia E. Role of iodine, selenium and other micronutrients in thyroid function and disorders. Endocr Metab Immune Disord Drug Targets. 2009 Sep;9(3):277-94. Review.
Vanderpas J. Nutritional epidemiology and thyroid hormone metabolism. Annu Rev Nutr. 2006;26:293-322.
Velija-Asimi Z, Karamehic J. The effects of treatment of subclinical hypothyroidism on metabolic control and hyperinsulinemia. Med Arh. 2007;61(1):20-1.
Visser TJ. The elemental importance of sufficient iodine intake: a trace is not enough. Endocrinology. 2006;147(5):2095-7.
Wu P. Thyroid disorders and diabetes. It is common for a person to be affected by both thyroid disease and diabetes. Diabetes Self Manag. 2007;24(5):80-2, 85-7.
Review Date: 4/4/2012
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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