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Toxic Nodular Goiter

What is it?

A toxic nodular goiter is a condition where one or more nodules in the thyroid gland produce excess thyroid hormone, leading to hyperthyroidism.

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What are the symptoms?

  • Enlarged thyroid (goiter).

  • Weight loss despite normal or increased appetite.

  • Heat intolerance and sweating.

  • Rapid heartbeat or palpitations.

  • Nervousness, tremors, and insomnia.

What else could it be? (Differential diagnosis)

  • Graves' disease: An autoimmune form of hyperthyroidism.

  • Thyroid cancer: Can cause a lump in the thyroid gland.

What are the aggravating factors?

  • Iodine deficiency: Can increase the likelihood of thyroid problems.

  • Stress: Can trigger symptoms of thyroid dysfunction.

  • Family history: Genetic factors may contribute.

What types of food are helpful?

  • Low-iodine diet: To manage hyperthyroidism.

  • High-calcium foods: As hyperthyroidism can lead to bone thinning.

  • Increase magnesium and vitamin D: Important for thyroid function.

What are the traditional treatments?

  • Antithyroid medications: To reduce the production of thyroid hormones.

  • Radioactive iodine therapy: To shrink or destroy the nodules.

  • Surgery: Removal of the affected part of the thyroid if medications are ineffective.

What are the natural and alternative treatments?

  • Lemon balm: Known to have a calming effect on the thyroid and can help manage hyperthyroidism.

  • Ashwagandha: An adaptogen that helps balance thyroid hormones.

  • Selenium: Supports thyroid health and can help regulate thyroid hormone production.

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