Dear RG members

thyroid dysfunction is heterogeneous and with mutifactorial etiology, you talk about nutritional deficiency in oligoelements but we have the autoimmune factor, which is the main one (hypothyroidism and hyperthyroidism = baseball disease and hashimoto). In case of thyroiditis of autoimmune the contribution of elements or oligoelements is not significant because of the genetic factor (DR3) many patients control the hormonal balance (TSH, T3 or T4)and they underestimated the autoimmune factor.

nevertheless taking Omega-3 Fish Oil. will positively activate the immune response and inhibit the effect of autoantibodies

BEST REGARDS

Dear Fatima Gül Rifai

Without any evidence of thyroid disease,i do not recommend any over the counter thyroid supplements. People, I have seen recommending various things without any evidence to boost thyroid gland, like iodine, zinc, green tea, certain shrubs. None of them is suggested till there is an established pathology.These so termed supplements or whatever can do more harm than good.

Regards

Dear Fatima Gül Rifai

Do you mean treating hypothyroidism with supplements without thyroxine or in addition to thyroxine?

Dear Dr.Hussain

The medication is a must for people who suffer from hypothyroidism but some patients refuse to take them especially those who are into natural healing way, so Im looking for the best substitute and support for this disease.

Thank you

Dear Fatima Gül Rifai

What is the TSH and free T4 levels?and what is the primary pathology?

Regards

Dear Sikandar Hayat Khan

Mainly hypothyroidism, no specific range but the range that fall in this disease category. thank you

Dear Fatima Gül Rifai

Kindly go thru my recent review article on the subject and i feel I had a presentation too about thyroid diseases

Any medical intervention has to be optimal. I strictly suggest evidence based treatment. You must base it on the aforementioned tests initially.

Regards

Dear RG members

thyroid dysfunction is heterogeneous and with mutifactorial etiology, you talk about nutritional deficiency in oligoelements but we have the autoimmune factor, which is the main one (hypothyroidism and hyperthyroidism = baseball disease and hashimoto). In case of thyroiditis of autoimmune the contribution of elements or oligoelements is not significant because of the genetic factor (DR3) many patients control the hormonal balance (TSH, T3 or T4)and they underestimated the autoimmune factor.

nevertheless taking Omega-3 Fish Oil. will positively activate the immune response and inhibit the effect of autoantibodies

BEST REGARDS

Yes Meliani Amina

Thank you very much. It is multi-factorial and heterogeneous with multiple etiologies. In pursuit of supplements especially like iodine rich supplements in case of thyroid, NORMAL people may over dose them. So i believe intervention should only be done if there is an evidence.

Regards

Dear Dr. Khan,

Thank you for this feedback, it is obsolutely correct .

An other point of this discussion , is the important role of the neuro-immuno-endocrine axis which govern the immun dysfonctionnement of the thyroid.

When we have a thyroid autoimmune disease, we don’t have a problem with our thyroid, we have a problem with our immune system attacking the thyroid. So not only does our thyroid suffer, but so do many other systems in the body! Until the underlying cause is addressed - immune dysregulation, the thyroid treatment isn’t going to work very well, or for very long.

Nevertheless, Prevention Is Better Than Cure.

Best regards

Amina

Amazing answer and eye opener miss meliani

Thank you Miss Fatima,

good chance for your research

Miss Amina

You are correct in saying that thyroid problems are heterogenous and single supplements are not always appropriate, especially iodine. Adding could be beneficial or harmful depending on your disease process. As a nice neat and evidence based guideline I’d recommend reading Dr. Sandra Cabot’s ‘Your thyroid problem solved’ . Its a good place to start reading about supplements and dietarey measures to help in hypo/ hyper and autoimmune thyroid issues.

Dohee thought there is a role of Vitamin D

Article The Role of Vitamin D in Thyroid Diseases

Hu warned from excess iodine intake as that could lead to autoimmune thyroiditis, then he concluded Clinicians should check patients' iron (particularly in menstruating women) and vitamin D status to correct any deficiency. Adequate selenium intake is vital in areas of iodine deficiency/excess, and in regions of low selenium intake a supplement of 50-100 μg/day of selenium may be appropriate.

Article Multiple Nutritional Factors and the Risk of Hashimoto's Thyroiditis

Hope that helps

Biotin: Biotin alone or as a component of B complex vitamins can interfere with the immunoassay used to determine TSH levels. (TSH may appear to be lower than it actually is.) Biotin is a common ingredient in many supplements designed to improve hair, skin, and nails.

"Green Food" Supplements: Many "green food" supplements contain large amounts of cruciferous vegetables, such as broccoli and spinach. Many of these otherwise healthy foods contain goitrogens, substances that have an anti-thyroid effect in the body.

Source

https://www.verywellhealth.com/thyroid-disease-dietary-supplements-3231589

Conjugated Linoleic Acid (CLA): Conjugated linoleic acid is often recommended for people with thyroid disease who are struggling with trying to lose weight. There is some evidence that these supplements may contribute to modest weight loss by mobilizing fat stores in the body.

Selenium: Selenium is important in thyroid hormone metabolism and a 2018 study found that selenium supplementation may reduce anti-thyroperoxidase antibody levels in people with autoimmune hypothyroidism. In those with Grave's disease (hyperthyroidism), improvements were noted in thyroid antibodies as well as quality of life.

Thiamine (Vitamin B1): There is some evidence that thiamine supplements may reduce fatigue in people with Hashimoto's thyroiditis. Autoimmune thyroid disease such as Hashimoto's disease and Graves' disease/hyperthyroidism can lead to reduced absorption of thiamine even with adequate intake, so people with thyroid disease may wish to talk to their doctor about supplementation.

Source:

https://www.verywellhealth.com/thyroid-disease-dietary-supplements-3231589

Vitamin D: Vitamin D supplements may be particularly helpful for those with thyroid diseases. The supplements improved TSH levels in people with hypothyroidism, as well as thyroid autoantibodies in people with autoimmune thyroiditis. Low vitamin D levels are associated with an increased risk of developing autoimmune thyroid diseases such as Hashimoto's thyroiditisand Grave's disease in the first place.

Vitamin B12: Both under-treated hypothyroidism and vitamin B12 deficiency are linked with an increased risk of stroke, even in young people, it's important to make sure you receive adequate amounts of the vitamin. Vitamin B12 is obtained from meat and animal products, but even with adequate intake, poor absorption due to age or digestive conditions may necessitate using a supplement.

Omega-3 Fatty Acid Supplements: Omega-3 fatty acids, especially icosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are thought to be particularly beneficial for people with autoimmune thyroid diseases for both their anti-inflammatory and immune modulating properties. They can be obtained eating fatty fish (such as salmon, herring, tuna, and mackerel) at least two to three times per week or through fish oil supplements.

Source:

https://www.verywellhealth.com/thyroid-disease-dietary-supplements-3231589

Dear Sadanand Pandey

Any RCTs in regards using Conjugated Linoleic Acid (CLA)?

Is it true that it may cause fatty live?