The Thyroid Sourcebook (5th Edition) (Sourcebooks)

Cover Page......Page 1
Title Page......Page 4
ISBN 0071597255......Page 5
Contents......Page 8
Acknowledgments......Page 12
How The Thyroid Sourcebook Came to Be......Page 14
The Challenges of Being a Thyroid Patient Today......Page 16
The Alternative Thyroid E-Health Movement......Page 17
A Shrinking Pool of Thyroid Doctors......Page 19
My Goals for You......Page 20
1 Meet Your Thyroid Gland A Beautiful Butterfly......Page 24
How Your Thyroid Works......Page 25
Be Informed: Know the Facts About T4/T3......Page 27
The Role of the Pituitary Gland and Thyroid-Stimulating Hormone......Page 29
The Role of Calcitonin......Page 30
A Few Words About the Parathyroid Glands......Page 31
Hypothyroidism......Page 32
Goiter......Page 33
Thyroid Disease and New Life......Page 34
Complementary Therapies......Page 35
2 Slowing Down Hypothyroidism......Page 36
Depression and Psychiatric Misdiagnosis......Page 37
Digestive Changes and Weight Gain......Page 38
Fingernails......Page 39
Milky Discharge from Breasts......Page 40
Skin Changes......Page 41
Diagnosing Hypothyroidism......Page 42
The TSH Test......Page 43
Common Causes of Hypothyroidism......Page 44
Hashimoto’s Thyroiditis......Page 46
Less Common Causes of Hypothyroidism......Page 49
Feeling Hypothyroid When Your Tests Are Normal......Page 50
The Truth About Hidden Hypothyroidism......Page 51
Signs of Thyrotoxicosis......Page 56
Behavioral and Emotional Changes......Page 57
Enlarged Thyroid Gland......Page 59
Hair Changes......Page 60
Heart Palpitations......Page 61
Low Blood Sugar......Page 62
Sexual Function and Libido......Page 63
Weight Loss......Page 64
“Thyroid Storm”......Page 65
How Graves’ Disease Works......Page 66
Diagnosing Graves’ Disease......Page 67
Treating Graves’ Disease......Page 68
Spontaneous Remission of Graves’ Disease......Page 72
Be Informed: Hypothyroidism Following Graves’ Disease Treatment......Page 73
Autonomous Toxic Nodules......Page 74
Misuse of Thyroid Hormone......Page 75
Diagnosing Thyrotoxicosis and/or Hyperthyroidism......Page 76
Treating Thyrotoxicosis Not Caused by Graves’ Disease......Page 77
More About Beta-Blockers......Page 78
Subacute Viral Thyroiditis: Pain in the Neck!......Page 80
Silent Thyroiditis......Page 82
Postpartum Thyroiditis......Page 83
Acute Suppurative Thyroiditis......Page 84
Riedel’s Thyroiditis......Page 85
5 Thyroid Nodules Lumps in the Thyroid Gland......Page 86
Finding a Thyroid Nodule......Page 87
Ultrasound: Sizing up the Situation......Page 89
Fine Needle Aspiration Biopsy: The Gold Standard......Page 91
Types of Thyroid Nodules......Page 93
Benign Thyroid Nodules......Page 94
Be Informed: The Myth of the Benign Multinodular Goiter......Page 96
Be Informed: Out-of-Date Approaches for Shrinking Nodules......Page 97
Indeterminate or Suspicious Thyroid Nodules......Page 98
Who Should Be Screened for Thyroid Nodules?......Page 100
Were You Exposed to Radiation?......Page 101
What Causes Thyroid Cancer?......Page 104
Inherited Thyroid Cancer......Page 105
Signs of Thyroid Cancer......Page 106
Follicular Thyroid Cancer......Page 108
Uncommon Types of Thyroid Cancer......Page 109
Papillary Stages......Page 110
Differentiated Versus Undifferentiated......Page 111
Typical Treatment Plans......Page 112
What You Should Know About Thyroidectomy......Page 113
Be Informed: Which Type of Thyroidectomy?......Page 114
Thyroglobulin Testing......Page 117
Thyroid Hormone Suppression Therapy......Page 118
Treating Recurrence......Page 119
Thyroid Eye Disease......Page 120
Smoking and Thyroid Eye Disease......Page 121
The Symptoms of Thyroid Eye Disease......Page 122
Treating Thyroid Eye Disease......Page 124
Depression or Anxiety: Could It Be My Thyroid?......Page 125
Unipolar Depression and Hypothyroidism......Page 126
Symptoms of Unipolar Depression......Page 127
Anxiety, Panic Disorder, and Thyroid Disease......Page 128
Heart Disease and Thyroid Disease: A Troublesome Duo......Page 129
Heart Complications from Hypothyroidism......Page 131
Heart Complications from Thyrotoxicosis......Page 133
Be Informed: Misinformation About Fatigue and Hypothyroidism......Page 135
Sleep Deprivation......Page 136
Sleep Disorders......Page 137
Burnout or Hypothyroidism?......Page 138
Thyroid Disease and Osteoporosis......Page 139
Treating Hypothyroidism in Persons over Sixty......Page 141
The Autoimmune Disease Collection Package......Page 143
8 Thyroid Disease and New Life Fertility, Pregnancy, Postpartum, and Neonatal Issues......Page 144
Thyroid Disease and Fertility......Page 145
If You Have Had Radioactive Iodine Therapy......Page 146
Morning Sickness and Thyroid Hormone Replacement......Page 147
Pregnancy and Preexisting Thyroid Disease......Page 148
Gestational Thyroid Disease......Page 149
Gestational Hypothyroidism......Page 150
Gestational Thyrotoxicosis......Page 151
Gestational Hyperthyroidism......Page 152
After the Baby Is Born......Page 153
Postpartum Thyroiditis......Page 154
Postpartum Thyroiditis, Blues, or Postpartum Depression?......Page 155
Thyroid Disease in Newborns and Infants......Page 156
Hypothyroidism......Page 157
Pediatric Thyroid Disease......Page 159
9 Hot Stuff A Beginner’s Guide to Radioactive Iodine......Page 160
What Is Radioactive Iodine?......Page 161
RAI Uptake Tests......Page 162
Radioactive Scans and Imaging......Page 163
RAI Whole Body Scans: For Thyroid Cancer Only......Page 164
Radioactive Iodine Treatment......Page 166
RAI Ablation Treatment for Graves’ Disease......Page 167
RAI Treatment for Thyroid Cancer......Page 169
What Are the Side Effects?......Page 171
Getting Clearance......Page 172
Be Informed: Misconceptions About Radioactive Iodine......Page 173
10 Helping the Medicine Go Down Thyroid Hormone Replacement and Other Medications......Page 176
Synthetic Versus “Natural” Thyroid Hormone: A Reality Check......Page 177
Be Informed: Synthetic T4......Page 178
More About Dried Animal Thyroid Hormone......Page 179
Unknown......Page 0
Be Informed: The Truth About “Natural” Thyroid Hormone......Page 180
T4: Brand Names Versus Generics......Page 181
Dosing T4: One Size Does Not Fit All......Page 182
Storage and Heat Sensitivity......Page 183
How to Take Your T4......Page 184
Problems in Taking T4: Other Drugs/ Supplements That Interfere......Page 185
When You Must Take T3......Page 187
People with Thyroid Cancer Preparing for RAI Therapy or Scans......Page 188
T3 for Severe Hypothyroidism......Page 189
Combination Therapy: Why Do Doctors Prescribe It?......Page 190
Diet and Iodine......Page 192
Iodine Deficiency and the Thyroid......Page 193
Be Informed: The Myth About Herbal Supplements......Page 195
The Low-Iodine Diet......Page 196
Low-Iodine Restrictions......Page 197
Inaccurate or Unproven Low-Iodine Diets......Page 198
How Long to Follow a Low-Iodine Diet......Page 199
The Glycemic Index......Page 201
Increasing Fiber......Page 202
Making Sense of Weight-Loss Diets......Page 204
Thyroid Disease and Obesity......Page 206
Biological Causes of Obesity......Page 208
Becoming Active......Page 210
Stretching......Page 211
Qigong......Page 213
Stay Socially Connected......Page 214
Eliminate Energy Drains......Page 216
Counseling and Talk Therapy......Page 218
Feel-Good Therapies That Work!......Page 220
Massage......Page 221
Meditation......Page 223
Be Informed: Complementary and Alternative Therapies......Page 224
Navigating Academic Journal Articles: The Problem......Page 226
Guidelines for Searching the Medical Literature......Page 227
Critical Thinking Skills: How to Apply Them......Page 228
What Is Health Narrative?......Page 230
What Does Peer-Reviewed Literature Mean?......Page 231
What Is Misinformation?......Page 232
Appendix B Legitimate Thyroid Resources for Patients......Page 234
Information on Other Conditions or Complementary Therapies......Page 239
antithyroid medication......Page 240
congestive heart failure......Page 241
follicular thyroid cancer......Page 242
Hashimoto’s thyroiditis......Page 243
iodine de. ciency......Page 244
nodules......Page 245
propylthiouracil (PTU)......Page 246
T4......Page 247
thyroid hormone......Page 248
thyrotoxic goiter......Page 249
whole body scan (WBS)......Page 250
Bibliography......Page 252
Index (with page links)......Page 258
About the Author......Page 272