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HYPOTHYROIDISM

WHAT IS THYROID?

The thyroid is the organ in our throat, just in front of the larynx, between two carotid arteries.

The thyroid gland produces 2 hormones and releases them into the circulation. One of these hormones is called thyroxine and the other is called triiodothyronine. The hormone T4 has 4 iodine atoms and T3 has 3 iodine atoms. Inside the cell, TE is active and T4 is converted to T3 before entering the cell.

WHAT IS TSH?

It is secreted from an organ in our brain called the pituitary gland, and its sole function is to stimulate the thyroid gland to produce, to work, to grow.

If a person has hypothyroidism, the thyroid gland secretes insufficient thyroid hormone, and TSH is elevated. If the thyroid gland is overactive and produces too many hormones, the cause may be toxic goiter and the TSH drops far below normal.

In summary, there is a seesaw balance between FT3 and FT4 and TSH: if one goes up, the other goes down.

The thyroid hormones, T3 and T4, regulate our body’s metabolism and control the metabolic rate, which is the most important relationship between the thyroid diet and the thyroid. If too many hormones are secreted, the metabolism speeds up and the person develops hyperthyroidism.

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GÜLŞEN ALTIN | CAN THYROID PATIENTS LOSE WEIGHT?

Thyroid patients can definitely lose weight. For this, it is first necessary to determine the type of thyroid disorder. Then, with the help of a specialist, a proper medication and nutrition program should be established…

DOES THYROID MAKE YOU LOSE WEIGHT?

If the person has hyperthyroidism, it makes that person lose weight, because the metabolism factors are fast. However, if the person has hypothyroidism, it causes her/him to gain weight.

WHY DOES HASHIMOTO’S DISEASE DEVELOP?

The proteins that the body’s immune system normally produces against germs are called antibodies. Some antibodies mistakenly produced by the immune system act against a molecule called thyroglobulin. These are called auto-antibodies. Anti-tpo and anti-TG antibodies are the most commonly used in its diagnosis. These antibodies are very important in understanding the type of goiter and in diagnosing and monitoring inflammation of the thyroid gland. These antibodies are elevated in toxic goiter and Hashimoto’s disease.

WHY DOES HYPOTHYROIDISM DEVELOP?

Most people with hypothyroidism are not born with the disease, but become ill after adulthood. The most common cause is iodine deficiency. Iodine is essential for the production of thyroid hormone. If there is iodine deficiency in the person’s diet and blood, it leads to hypotriodism and/or goiter. The most common cause of hypothyroidism is an autoimmune disease known as Hashimoto’s disease.

Weight gain due to slow metabolism
Even in the mildest cases of hypothyroidism, triglyceride and cholesterol levels may be elevated.
Elevation is associated with an increased risk of cardiovascular disease.
There is a high rate of edema.
Men may experience loss of sexual desire.
Women may experience menstrual abnormalities.
Nails with thin scales on the surface are observed.
Severe hair loss
Thin and brittle nails
Dryness of hair
Depression and fatigue
Difficulty concentrating and forgetfulness
Muscle weakness
Muscle and joint pains
Shortness of breath
Impaired kidney function

IS IT POSSIBLE TO LOSE WEIGHT IN HYPOTHYROIDISM?

It is certainly possible to treat weight gain caused by hypothyroidism. According to the values of the person, the person can easily lose weight with a comprehensive thyroid treatment program.

Adequate intake of the main nutrients necessary for the production of thyroid hormone.
Avoiding goitrogens such as black cabbage, broccoli, Brussels sprouts, radishes, turnips, soy products (foods that can cause the enlargement of thyroid glands and prevent iodine absorption).

WHO IS AT RISK OF DEVELOPING THYROID DISEASE?

People living in iodine-deficient areas or not getting enough iodine.
Women over 60 years of age.
Men over 70 years of age.

WHAT IS GOITER? WHAT ARE ITS TYPES?

An enlargement of the thyroid gland is called goiter.
The type of goiter in which the thyroid gland secretes too much hormone is called toxic goiter.
If the hormone level is normal, it is called simple goiter. Goiter with nodules is called nodular goiter. Goiter with nodules is divided into two types: goiter with multiple nodules or goiter with a single nodule. According to scintigraphy results, it is divided into 3 groups: cold, warm, and hot.

GOITER IN PREGNANCY

The body’s need for iodine and thyroid hormone increases.
It is common for TSH to be suppressed and hormones to be low or high in pregnant women. Therefore, thyroid hormones should be measured every 3 months.

THYROID AND NUTRITION

In case of weight gain caused by hypothyroidism and Hashimoto’s, the person’s nutrition plan should be prepared very carefully. With the decreased metabolic rate, a completely personalized diet should be planned in order to restore the metabolism to normal levels and increase the rate of weight loss.

Generally, a diet plan rich in fiber should be created by consuming protein-rich quality carbohydrates.

WHAT IS THE THYROID TEST?

In the diagnosis of thyroid disease, it can be measured with the following methods: