Disease, Illness and Condition Library


    Hypothyroidism

    Hypothyroidism is a thyroid problem caused by an underactive
    thyroid gland that produces insufficient amounts of thyroid
    hormones. This common condition affects millions of people.

    Because the symptoms may be varied and difficult to define, often mimicking
    other conditions, many people with an underactive thyroid gland may be
    completely unaware of the problem.

    To get a basic understanding of hypothyroidism, you need to familiarize
    yourself with the thyroid. The thyroid is a small gland found in the middle
    of the lower neck (below the larynx or Adam’s apple).

    This gland manufactures thyroid hormones which enable the body to carry
    out a variety of very important functions. The thyroid works in conjunction
    with pituitary gland which produces thyroid stimulating hormone (TSH).

    TSH in turn stimulates the thyroid gland to produce the thyroid hormones,
    T3 and T4. These thyroid hormones play a vital role in the body, influencing
    metabolism and all the organs in the body. They determine how fast or how
    slow the organs should work and how the body generates and uses energy.

    When the thyroid is under-active and doesn’t produce enough of these
    hormones, hypothyroidism can develop.  Metabolic rate and energy levels
    decrease and the body uses energy slower than it should.

    Who Suffers from Hypothyroidism?Underactive thyroid is a very common
    medical condition and statistics suggest that 1 in 50 women and 1 in 1000
    men will develop symptoms of hypothyroidism. It is more common in older
    women and can also occur more frequently during pregnancy.

    Conventional treatment usually involves the administration of synthetic
    or animal derived thyroid hormone replacement drugs.

    Diagnosing Hypothyroidism

    A blood test is needed to confirm the diagnosis of an underactive thyroid
    gland, but does not necessarily tell you the cause. The patient’s clinical
    history and results of antibody screening tests and thyroid scans can help
    to determine the underlying cause.

    Blood tests will measure the levels of TSH, the thyroid stimulating hormone,
    and T3 and T4, the thyroid hormones - as well as their interactions with each
    other.

    The results of these tests will tell you where the problem lies - in the pituitary
    gland, where TSH is produced, the hypothalamus (which controls the pituitary
    gland) or in the thyroid gland itself. This will in turn help physicians to determine
    the correct management for you.

    Symptoms of Hypothyroidism

    The symptoms of hypothyroidism are not always easy to distinguish from other
    conditions, which makes a proper diagnosis very important. Some of the
    symptoms of underactive thyroid gland include:

    * Fatigue and exhaustion
    * Heart palpitations
    * Depression
    * Constipation
    * Weight gain or difficulty loosing weight
    * Dry, tangly hair or loss of hair
    * Brittle, split nails
    * Aching joints and muscles
    * Allergies, e.g. itching, rashes, hives
    * Thrush
    * Bloated stomach
    * Swelling and puffiness in the eyes, face, arms and legs
    * Low sex drive
    * Poor concentration
    * Menstrual problems such as heavy and/or infrequent flow

    What Causes Hypothyroidism?

    There are several potential diseases and conditions that can cause of
    Hypothyroidism.

    Hashimoto’s disease  - This an auto-immune disease, where your antibodies,
    which usually ward off foreign infections or substances, turn on your own body
    and attack the thyroid gland, This causes inflammation in the thyroid gland,  
    gradually affecting its ability to function and produce thyroid hormone.

    Hypothyroidism caused by thyroid gland inflammation – also called thyroiditis.
    This is caused when inflammation of the thyroid gland leaves a large
    percentage of the thyroid cells damaged and unable to produce enough
    hormones. This inflammation could be due to things like infection or trauma.

    As a Consequence of treatment for hyperthyroidism – People who suffer from
    hyperthyroidism are often treated with radioactive iodine or anti-thyroid
    medications to reduce their thyroid function. When the function is reduced
    too much, hypothyroidism can result.

    Thyroid surgery – Removing all or a large portion of your thyroid can diminish
    hormone production. If there are not enough thyroid producing cells to satisfy
    the body’s needs, you will develop hypothyroidism.

    Pituitary/hypothalamic disease – You could also be at risk of developing
    hypothyroidism if the pituitary gland fails to produce enough TSH – the
    hormone responsible for ‘instructing’ the thyroid to produce T3 and T4.

    Iodine deficiency – Iodine is found primarily in seafood, seaweed, plants grown
    in iodine-rich soil and iodized salt and is essential for the production of thyroid
    hormones. Some areas of the world experience a severe iodine deficiency, for
    example India, Chile, Ecuador and Zaire.

    Radiation therapy – Radiation used to treat cancers of the head and neck can
    affect your thyroid gland and may lead to hypothyroidism.

    Medications – A number of medications (such as lithium which is often used
    for psychiatric disorders) can contribute to hypothyroidism. Consult your
    doctor about the effect of your medications on your thyroid gland.

    Hypothyroidism Symptoms are Present but My Tests are Normal.
    What could be the problem?

    Your symptoms may be related to another condition and the tests may be
    correct in indicating that your thyroid is functioning normally. However, it is
    also possible that the tests are not providing a true picture of the functioning
    of your thyroid. Thyroid tests can often come back 'normal' although the
    thyroid is not functioning as it should be.

    This is because a 'normal' result on tests only tells you that your thyroid
    functioning falls within the 'average range'.  Because thyroid functioning
    can vary from person to person, what may be 'normal' for one person is not
    necessarily so for the next person.

    That is why the results of thyroid tests must always be seen in the context of
    symptoms experienced by the patient, which can provide valuable information
    which assists the diagnostic process.

    Help for Hypothyroidism

    Conventional treatment usually involves taking a synthetic or animal
    derived thyroid hormone medication on a daily basis. Levothyroxine
    is the most common conventional medication used to treat hypothyroidism
    and treatment is life-long.

    Patients have to be aware that they understand their condition thoroughly
    and how to take and adjust their medication. The doctor will check TSH levels
    to determine the right dosage of levothyroxine. If the correct dosage is not
    administered side effects could occur, like heart palpitations, shakiness,
    an increased appetite and insomnia can occur.

    If you suffer from heart disease, your doctor will probably start you on a
    smaller dosage and gradually increase it.  Thyroid hormone levels should
    be monitored on a regular basis (approximately every 6 weeks) and TSH
    levels checked to determine whether the correct amount of thyroid
    replacement hormone is administered.

    There are other treatment options that can also be explored and may well
    be more suited to you. These include alternative and natural remedies for
    hypothyroidism and are especially for those who want to avoid the side
    effects of prescription drugs.

    There are a variety of natural therapies that can be included in the treatment plan
    for thyroid disorders. Natural remedies for hypothyroidism with herbal and
    homeopathic ingredients can help to promote steady hormone levels, as well
    as maintain and restore the health of the thyroid gland.

    Some herbal remedies commonly recommended for hypothyroid conditions
    include Equisetum arvense, Avena sativa, Centella asiatica, Coleus forskohlii
    and Fucus vesiculosis. There are also herbal and homeopathic remedies that can
    be used supportively to address some of the troublesome symptoms
    of hypothyroidism.

    Correct use of natural remedies for hypothyroidism may allow patients to
    take less medication and achieve greater symptomatic relief. Discuss this
    option with your doctor, homeopath or naturopath, who will be able to
    recommend a natural treatment option.

    There are steps that you can take to make your condition
    manageable at home.

    Try some of these suggestions to help you cope more effectively:

    * Surround yourself with a good support system
    * Educate yourself on your condition
    * Involve doctors, homeopaths, naturopaths, specialists, therapists,
    family, friends etc in the management of your condition
    * Try to maintain a positive ‘can-do’ attitude
    * Eat a healthy well-balanced diet
    * Include lots of salt water fish, shellfish and sea weed in your diet as
    these are rich in iodine – essential for healthy thyroid functioning
    * Avoid cruciferous vegetables (cauliflower, cabbage, broccoli,
    brussels sprouts, kale) as these contain a natural thyroid blocker
    * Try to do regular physical activity or exercise
    * Take and adjust your medications as necessary
    * Have your hormone levels monitored on a regular basis

    Additional Therapeutic Considerations

    The medical treatment of hypothyroidism, in all but its mildest forms, consists
    of the use of desiccated thyroid or synthetic thyroid hormone. Even though
    synthetic hormones have become popular, numerous physicians (particularly
    naturopathic physicians) still prefer the use of desiccated natural thyroid,
    complete with all the thyroid hormones, not just thyroxine – the major thyroid
    hormone. Currently information suggests that thyroid hormone replacement is
    necessary in most people who have hypothyroidism. Thyroid hormone
    replacement therapy consists of using preparation containing active levels
    of thyroid hormones – either isolated thyroid hormones or natural thyroid
    extracts.

    The thyroid extract sold in health food stores is required by the Food and
    Drug Administration (FDA) to be thyroxine free, in an attempt to prevent
    serious side effects (heart disturbances, insomnia, severe anxiety, etc.)
    associated with taking too much of this thyroid hormone. Nevertheless it
    is nearly impossible to remove the entire amount of hormone from the gland.
    In simpler terms, think of health food store thyroid preparations as milder
    forms of desiccated natural thyroid. If you have mild hypothyroidism, these
    preparations may provide adequate support to help you with your
    thyroid problem.

    It is important to nutritionally support the thyroid gland by avoiding goitrogens
    and insuring satisfactory intake of key nutrients required in the manufacture of
    thyroid hormone. For this reason, most health food store thyroid products also
    include supportive nutrients such as iodine, zinc, and tyrosine.

    Iodine and Tyrosine

    Thyroid hormones are prepared from iodine and the amino acid tyrosine.
    The recommended dietary allowance (RDA) for iodine in adults is quite
    small: 150 micrograms. The average intake of iodine in the United States
    is estimated to be over 600 micrograms per day. Too much iodine can
    actually inhibit thyroid synthesis. For this reason, and because the only
    function of iodine in the body is for thyroid hormone synthesis, it is
    suggested that dietary levels or supplementation of iodine not exceed
    600 mcg per day for any length of time.

    Exercise to Improve Thyroid Function

    Exercise is particularly important in any treatment program for hypothyroidism.
    Exercise stimulates thyroid gland secretion and increases tissue sensitivity to
    thyroid hormone. Many of he health benefits of exercise may be a consequence
    of improved thyroid function.

    The health benefits of exercise are particularly important in overweight
    hypothyroid individuals who are dieting (restricting food intake). A consistent
    effect of dieting is a decrease in the metabolic rate as the body strives to
    conserve fuel. Exercise has been shown to stop the decline in metabolic
    rate in response to dieting.

    Sources: Merck Manual of Medical Information
    Encyclopedia of Natural Medicine
    Native Remedies


    Natural Supplement Options for Thyroid Health

    Thyroid Assist  - Herbal Supplement for an Under Active Thyroid Gland
    This thyroid health supplement contains a selection of herbs known for
    their supportive function in maintaining natural thyroid support and hormonal
    balance. Thyroid Assist supports the healthy functioning of the thyroid, thereby
    helping to maintain balanced metabolism, body temperature, fertility, healthy
    weight and routine, healthy performance.

    Remedies such as Thyroid Assist for natural thyroid gland function can
    make all the difference without compromising health and without the risk
    of serious side effects.
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