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Thyroid For Dummies

Thyroid For Dummies


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About the Book

Includes information on the latest thyroid treatments Understand and manage your thyroid condition Don't get pushed around by the little gland in your neck. Whether you suffer from an underactive or overactive thyroid, nodules, or a goitre, Thyroid For Dummies has all the jargon-free information you need to get to grips with the problem and expert advice on how to get your condition under control. Discover how to * Tell if you have a thyroid problem * Understand the treatments on offer * Deal with your condition day-to-day * Get the right diet and exercise * Manage thyroid conditions in children and older people

Table of Contents:
Introduction 1 About This Book 2 Conventions Used in This Book 2 What You Don’t Have to Read 2 Assumptions 3 How This Book Is Organised 3 Part I: Understanding Your Thyroid 3 Part II: Treating Thyroid Problems 3 Part III: Managing Your Thyroid 3 Part IV: Considering Special Aspects of Thyroid Health 4 Part V: The Part of Tens 4 Part VI: Appendices 4 Icons Used in This Book 4 Where to Go from Here 5 Part I: Understanding the Thyroid 7 Chapter 1: Bigging It Up: The Huge Role of a Little Gland 9 Discovering the Extent of the Problem 10 Identifying an Unhappy Thyroid 11 Recognising Who’s at Risk 11 Realising the Importance of a Healthy Thyroid 12 Treating What Ails You 12 Understanding the Consequences of Delaying Treatment 14 Giving Your Thyroid a Hand: Healthy Lifestyle Choices 14 Paying Special Attention: Pregnant Women, Children, and Older People 15 Staying Informed 16 Chapter 2: Feeling Fragile: The Emotional Effects of Thyroid Problems 17 Exploring How an Underactive Thyroid Slows Your Thoughts 18 Seeing How an Overactive Thyroid Can Trigger Anxiety 19 Fighting Depression 20 Finding out if your thyroid is causing depression 21 Using thyroid hormone to treat depression 22 Chapter 3: Discovering How Your Thyroid Works 25 Locating the Thyroid 26 Producing Thyroid Hormones 28 Identifying the importance of iodine 29 Regulating thyroid hormones 29 Moving thyroid hormones around 30 Understanding the Function of Thyroid Hormones 31 General functions 32 Specific functions 33 Chapter 4: Testing Your Thyroid 37 Checking Blood Levels of Thyroid Hormones 38 Total thyroxine 38 Resin T3 uptake 40 Free thyroxine index 40 Free thyroxine (FT4) 41 Free triiodothyronine (FT3) 42 Thyroid-stimulating hormone (TSH) 42 Taking Non-Hormonal Blood Tests 43 Thyroid autoantibodies 44 Serum thyroglobulin 45 Determining the Size, Shape, and Content of Your Thyroid 46 Radioactive iodine uptake and scan 46 Thyroid ultrasound 48 Fine needle aspiration biopsy (FNAB) 49 Part II: Treating Thyroid Problems 51 Chapter 5: Dealing with an Underactive Thyroid 53 Living with Autoimmune Thyroiditis 54 The extent of the problem 54 Symptoms of chronic thyroiditis 55 Approach to treatment 55 Identifying Hypothyroidism 56 Signs and symptoms of hypothyroidism 56 Confusing conditions 57 Pinpointing the Causes of Hypothyroidism 58 Removal of the thyroid 58 Absence of brain hormones 58 Foods that cause hypothyroidism 59 Drugs that cause hypothyroidism 59 Coexisting autoimmune diseases 60 Diagnosing Severe Hypothyroidism 61 Treating Hypothyroidism 61 Taking the right hormones 61 Getting the right amount 63 Testing hormone levels 64 Chapter 6: Taming an Overactive Thyroid 65 Picturing Hyperthyroidism 66 Listing the Signs and Symptoms of Hyperthyroidism 66 The body generally 67 The thyroid 67 The skin and hair 67 The heart 68 The nervous system and muscles 68 The reproductive system 68 The stomach and intestines 68 The urinary system 68 The eyes 69 Confirming a Diagnosis of Hyperthyroidism 69 Determining Whether Graves’ Disease Is the Culprit 70 Causes of Graves’ disease 70 Signs and symptoms specific to Graves’ disease 71 Recognising Other Causes of Hyperthyroidism 73 Choosing the Best Treatment for Graves’ Disease 74 Thyroid surgery 75 Radioactive iodine treatment 76 Antithyroid pills 77 Other helpful medications 79 Treating Other Causes of Hyperthyroidism 79 Surviving Thyroid Storm 80 Chapter 7: Getting the Low-Down on Thyroid Nodules 81 Discovering a Thyroid Nodule 82 Evaluating Cancer Risks 83 Securing a Diagnosis 83 The fine needle aspiration cytology 84 The thyroid ultrasound scan 85 Treating Cancerous Nodules 86 Dealing with Nodules That Are Non-Cancerous 86 Hot nodules 87 Benign cysts 87 Warm or cold nodules 87 Ignoring Small Nodules 87 Chapter 8: Coping with Thyroid Cancer 89 Determining What Causes Thyroid Cancer 90 Identifying the Types of Thyroid Cancer 91 Papillary thyroid cancer 92 Follicular thyroid cancer 93 Medullary thyroid cancer 93 Undifferentiated (anaplastic) thyroid cancer 95 Staging Thyroid Cancer 96 Treating Thyroid Cancer 97 Papillary thyroid cancer 98 Follicular thyroid cancer 99 Medullary thyroid cancer 99 Undifferentiated (anaplastic) thyroid cancer 100 Following Up Cancer Treatment 100 Chapter 9: Learning about Multinodular Goitres 101 Exploring How a Multinodular Goitre Grows Up 101 Choosing to Treat It or Ignore It 103 Making a Diagnosis 104 Treating a Multinodular Goitre 105 Part III: Managing Your Thyroid 107 Chapter 10: Taking Care with Drugs That Affect Your Thyroid 109 Revealing the Drug–Food–Thyroid Connection 109 Identifying the Effects of Specific Substances 112 Initiating or aggravating hypothyroidism 113 Creating false test results 117 Causing an increase in thyroid activity 118 Preventing Harmful Drug Interactions 119 Discovering Whether You’re at Risk 119 Chapter 11: Spotting Thyroid Infections and Inflammation 123 Putting a Face on Subacute Thyroiditis 123 Causes and effects 124 Laboratory findings 125 Treatment options 126 Coping with Postpartum and Silent Thyroiditis 127 Understanding the disease 127 Interpreting lab results 128 Getting treatment 128 Identifying Acute Thyroiditis 129 Describing the disease 129 Confirming the diagnosis with lab tests 130 Treating acute thyroiditis 130 Diagnosing a Rare Form of Thyroiditis 131 Chapter 12: Overcoming Iodine Deficiency Disease 133 Realising the Vastness of the Problem 134 Facing the Consequences of Iodine Lack 135 Pregnancy 135 Infancy 136 Childhood 136 Adulthood 136 Endemic Cretinism 137 Looking at the geographic distribution 138 Contributing factors 139 Goitre: The body’s defence 140 Neurologic cretinism 141 Myxoedematous cretinism 141 Managing the Problem of Iodine Deficiency 142 A sprinkle of salt 143 An injection of oil 144 A slice of bread or cup of water 145 Drawbacks of Iodisation 145 Chapter 13: Going In: Surgery on the Thyroid Gland 147 Deciding When Surgery Is Necessary 147 Talking Things Over 149 Preparing for Surgery 149 What Happens During Surgery 150 Surgical obstacles 151 Extent of surgery 152 Considering a New Approach 154 Possible Complications 155 Recuperating After the Operation 155 Chapter 14: Exciting New Approaches in Thyroid Treatment 157 Preventing Ill Effects of Large Doses of Iodine 157 Finding Out More about Hypothyroidism 158 Treating (or not treating) subclinical hypothyroidism 158 Finding the right dose of hormone 159 Determining the prevalence of hypothyroidism 160 Linking heart disease and hypothyroidism 160 Dealing with Hyperthyroidism 161 Measuring calcium levels 162 Controlling weight gain 162 Revolutionising thyroid surgery 163 Gathering clues to hyperthyroid eye disease 163 Treating Goitres and Nodules 164 Performing surgery after ethanol injections 164 Shrinking goitres 164 Developing New Approaches in Thyroid Cancer 165 Understanding the impact of radioiodine exposure 165 Blocking oestrogen slows tumour growth 166 Predicting thyroid cancer 166 Detecting residual thyroid cancer 166 Following up thyroid cancer treatment 167 Knowing what to expect from medullary thyroid cancer 168 Using recombinant TSH to treat thyroid cancer 169 Testing calcium levels after cancer surgery 170 Tackling Iodine Deficiency Disease 170 Recognising the importance of selenium 170 Using iodised oil for goitres 171 Increasing the intelligence of babies born to hypothyroid mothers 171 Chapter 15: Living with Thyroid Problems: Diet and Exercise 173 Guaranteeing Your Best Nutrition 173 Maintaining a Healthy Weight 174 Calculating your body mass index 175 Measuring your waist size 176 Losing excess weight 177 Selecting a variety of foods 177 Choosing your fats wisely 182 Checking out your cholesterol 182 Moderating your sugar intake 184 Sifting the salt 184 Drinking alcohol in moderation 185 Going Organic 186 Thinking about food safety 186 Clarifying the Thyroid–Weight Connection 187 Does my metabolism slow when I lose weight? 187 If I’m treated for hyperthyroidism, am I doomed to gain weight? 187 Considering Iodine in Your Diet 189 Getting enough iodine in a vegetarian diet 189 Exercising for Your Thyroid 190 Recognising the natural consequences of ageing 190 Working out with hypothyroidism 191 Exercising with hyperthyroidism 192 Meeting your minimal exercise needs 193 Introducing Leptin: The New Hormone on the Block 194 Understanding the functions of leptin 194 Interacting with thyroid hormone 195 Chapter 16: Helping Yourself: Herbs and Homeopathy 197 Finding a Reputable Practitioner 198 Digging into Medicinal Herbs 199 Bladderwrack 199 Bugleweed 200 Korean ginseng 200 Motherwort 200 Oats 201 Siberian ginseng 201 Turmeric 201 Valerian 201 Understanding Homeopathy 202 Discovering homeopathic remedies 202 Taking a remedy 203 Arsenicum album 203 Iodum 204 Belladonna 204 Natrum Mur 204 Part IV: Special Considerations in Thyroid Health 205 Chapter 17: Examining the Genetic Link to Thyroid Disease 207 Genetics for Beginners 207 A monk and his pea plants 208 Talk the talk 209 The great divide 209 Genes, chromosomes, and the traits they create 210 The secret lives of genes 211 Shall I form a liver or a brain? 213 The Origins of Genetic Thyroid Diseases 214 Inheriting a disease through a single gene 214 Inheriting a disease through multiple genes 216 Inheriting a chromosome abnormality 217 The Future of Managing Hereditary Thyroid Disease 218 Genetic engineering 218 The ethics of germline gene therapy 219 Chapter 18: Controlling Thyroid Disease during Pregnancy 221 Looking at Normal Thyroid during Pregnancy 222 Pregnancy and Hypothyroidism 223 Decreased fertility 223 Iodine deficiency 224 Autoimmune hypothyroidism 224 Hyperthyroidism in Pregnancy 225 Postpartum Graves’ disease 229 Gestational transient thyrotoxicosis 229 Hydatidiform mole and choriocarcinoma 231 Finding New Thyroid Nodules during Pregnancy 231 Chapter 19: Developing Thyroid Conditions in Childhood 233 Understanding the Onset of Thyroid Function 233 Screening the Newborn 235 Coping with Hypothyroidism in Children 236 Transient congenital hypothyroidism 237 Congenital hypothyroidism 237 Acquired hypothyroidism 239 Dealing with Hyperthyroidism in Children 241 Signs and symptoms 241 Laboratory confirmation 243 Treatment 243 Diagnosing Goitres in Children 245 Linking Nodules and Cancer in Children 245 Chapter 20: Maturing: Thyroid Disease in Later Life 247 Assessing the Extent of the Problem 248 Understanding Sources of Confusion in Diagnosis 249 Acknowledging other diseases 249 Taking medications 250 Discovering Hypothyroidism in Older People 250 Deciphering signs and symptoms 251 Getting laboratory confirmation 252 Trying thyroid hormone for subclinical patients 252 Taking treatment slowly 253 Managing Hyperthyroidism in Older People 253 Sorting through confusing signs and symptoms 254 Securing a diagnosis 255 Checking Out Thyroid Nodules in Older People 256 Part V: The Part of Tens 257 Chapter 21: Ten Myths about Thyroid Health 259 I’m Hypothyroid, So I Can’t Lose Weight 259 I’m Hyperthyroid, So I Can’t Gain Weight 260 Breastfeeding and Antithyroid Pills Don’t Mix 261 Brand Name Thyroid Hormone Pills Are Best 261 I Have to Take Thyroid Medication for Life 262 Natural Thyroid Hormones Are Better Than Synthetic Hormones 263 Thyroid Disease Is Catching 264 Iodine Deficiency Is a Medical Problem 264 The Higher My Autoantibody Levels, the Worse My Thyroid Disease 265 Clinical Symptoms Are More Reliable Than Blood Tests 266 Chapter 22: Ten Ways to Maximise Thyroid Health 269 Screening at Appropriate Intervals 270 Checking Thyroid Function As Your Body Changes 270 Performing a ‘Neck Check’ 271 Getting Enough Iodine to Satisfy Your Thyroid 272 Stopping Thyroid Medication, If Possible 272 Using Both Types of Thyroid Hormone 272 Preventing the Regrowth of Thyroid Cancer 273 Anticipating Drug Interactions 274 Protecting Your Thyroid from Radiation 275 Keeping Up-to-Date with Thyroid Discoveries 275 Part VI: Appendixes 277 Appendix A: Glossary of Key Terms 279 Appendix B: Sources of More Information 283 Index 285  

About the Author :
Alan L. Rubin, MD has over thirty years' experience treating thyroid conditions and is the co-author of Diabetes For Dummies. Dr. Sarah Brewer is the co-author of Arthritis For Dummies, a health writer and broadcaster, and a former Health Journalist of the Year.


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Product Details
  • ISBN-13: 9781119997764
  • Publisher: John Wiley & Sons Inc
  • Publisher Imprint: Standards Information Network
  • Language: English
  • ISBN-10: 1119997763
  • Publisher Date: 15 Feb 2011
  • Binding: Digital (delivered electronically)
  • No of Pages: 320


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