The Complete Thyroid Book, Second Edition

Contents......Page 4
Acknowledgments......Page 12
Introduction: Why We’re Passionate About Thyroid Disease......Page 14
Part 1 The Basics......Page 20
How It Formed, Where It Is, What It Does......Page 22
An Introduction to Thyroid Hormone......Page 28
2 Tests and Labs: Diagnosing Thyroid Disease......Page 32
Tests That Measure Thyroid Hormone Levels......Page 33
TSH: The Most Sensitive Test to Assess Thyroid Hormone Status......Page 34
Thyroglobulin: The Specific Thyroid Protein......Page 37
Thyroid Hormone-Binding Proteins......Page 38
Measuring Thyroid Antibodies......Page 39
Tests of Metabolism......Page 41
Radioactive Thyroid Tests......Page 43
X-Rays, Ultrasounds, and Other Diagnostic Pictures......Page 50
Pathology: Do You Need Surgery? What Did the Surgeon Find?......Page 53
Why Am I Hypothyroid?......Page 58
Slowing Down: Signs of Hypothyroidism......Page 66
Diagnosing Hypothyroidism......Page 71
Treating Hypothyroidism......Page 72
Why Do I Still Feel Hypothyroid?......Page 80
Symptoms of Too Much Thyroid Hormone......Page 82
The Emotional Effects of Thyrotoxicosis......Page 90
Causes of Thyrotoxicosis Without Hyperthyroidism......Page 94
Intrinsic Thyroid Autonomy: Independent Thyroid Hormone Manufacturers......Page 96
Diagnosing Thyrotoxicosis and/or Hyperthyroidism......Page 97
Treating Thyrotoxicosis......Page 98
What Is an Autoimmune Disorder?......Page 100
Hashimoto’s Thyroiditis......Page 103
Other Common Autoimmune Disorders......Page 108
Other Forms of Thyroiditis......Page 112
What Happens in Graves’ Disease?......Page 116
Treating Graves’ Disease......Page 120
Are There Natural Therapies for Graves’ Disease?......Page 126
Evaluating a Goiter......Page 128
Types of Goiter......Page 132
Finding a Thyroid Nodule......Page 136
Steps in Evaluating a Thyroid Nodule......Page 137
Hot Nodules......Page 141
Radiation Exposure to the Neck During Childhood......Page 144
9 Thyroid Cancer......Page 148
What Causes Thyroid Cancer?......Page 149
Types of Thyroid Cancers and Their Behavior......Page 151
Treatment for Papillary and Follicular Thyroid Cancers......Page 156
Diagnostic Evaluation: Long-Term Follow-Up......Page 162
How It All Started......Page 164
T4: The Details......Page 165
T3: Specific and Limited Uses......Page 171
Mixtures of T3 and T4......Page 173
Thyroid Extracts, or Natural Thyroid Hormone......Page 174
Drugs Used to Treat Hyperthyroidism......Page 176
Stable Iodide......Page 181
Potassium Perchlorate......Page 182
Treatment of Hypoparathyroidism: Low Calcium......Page 183
12 Radioactive Iodine Therapy......Page 188
What Is Radioactivity?......Page 189
Types of Treatment with Radioactive Iodine......Page 191
Part 2 People in Special Circumstances......Page 200
13 Thyroid Disease in Pregnancy and After Delivery......Page 202
The Normal Thyroid in Pregnancy......Page 203
Being Pregnant with Preexisting Thyroid Disease......Page 206
Gestational Thyroid Disease (Thyroid Disease During Pregnancy)......Page 208
After the Baby Is Born......Page 213
Natural Menopause......Page 216
HRT, Menopause, and Thyroid Disease......Page 219
Osteoporosis......Page 222
Staying Alert About Heart Disease......Page 226
15 Thyroid Disease in Infants and Children......Page 228
Thyroid Disease in Newborns and Infants......Page 229
Thyroid Disease in Children and Adolescents......Page 232
16 Thyroid Disease and Obesity......Page 240
Defining Obesity......Page 241
Inappropriate Drug Treatments for Obesity......Page 247
Lowering Fat and Healthy Eating......Page 248
Hypothyroidism in Older Persons......Page 252
Thyrotoxicosis in Older Persons......Page 254
Thyroid Disease in a Person with Alzheimer’s Disease......Page 256
18 Thyroid Hormone Resistance and Rare Genetic Disorders of the Thyroid......Page 260
Resistance to Thyroid Hormone (RTH) or Thyroid Hormone Resistance......Page 261
Pituitary and Hypothalamic Diseases and Other Genetic Disorders......Page 263
Part 3 Living Well After Treatment......Page 268
19 Thyroid Misconceptions and Misinformation......Page 270
False Statements About Hypothyroidism......Page 273
Misconceptions About Radioactive Iodine (RAI)......Page 282
Other Myths About Thyroid Cancer......Page 286
The High-Fiber Diet for Hypothyroidism......Page 290
The Low-Iodine Diet (LID)......Page 294
What to Eat After Treatment for Thyroid Disease......Page 296
The Mediterranean Diet......Page 298
The Standards of Care......Page 300
What You Should Know About Ethical Guidelines in Health Care......Page 304
Steps Toward Informed Decision Making......Page 308
Part 4 Complications of Thyroid Disease......Page 310
What Is Thyroid Eye Disease?......Page 312
Battling the Bulge: Treating TED......Page 317
Dry Eyes......Page 319
23 Coping with Depression, Anxiety, and Other Mental Health Disorders......Page 322
Unipolar Depression and Hypothyroidism......Page 323
Anxiety, Panic Disorder, and Thyroid Disease......Page 328
When Your Body Feels Your Emotional Pain: Somatization Disorder......Page 330
24 Coping with Heart Disease......Page 334
Heart Complications from Hypothyroidism......Page 335
Heart Complications from Thyrotoxicosis......Page 340
Normal Fatigue......Page 344
Abnormal Fatigue: Chronic Fatigue Syndrome......Page 349
Environmental Issues in Thyroid and Endocrine Disease......Page 354
Screening Fertile Women for Hypothyroidism......Page 356
Iodine Deficiency in Pregnancy......Page 357
Potassium Iodide in the Age of Nuclear Reactors and Terrorism......Page 358
Appendix A: Thyroid Links on the Web......Page 362
Appendix B: Links to Other Conditions Related to Thyroid Disease......Page 365
C......Page 367
G......Page 368
I......Page 369
P......Page 370
T......Page 371
W......Page 373
Supportive Literature......Page 374
B......Page 378
E......Page 379
H......Page 380
L......Page 381
P......Page 382
S......Page 383
T......Page 384
X......Page 385