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Hyperthyroidism Treatment

 

Conventional treatment of hyperthyroidism depends on the cause.  Iodine in high doses can be used if the cause is thyroid storm or pre-surgical suppression.  Anti-thyroid drugs, such as propylthiouracil and methimazole, impair production of hormones by the thyroid gland and are commonly used in cases of Grave's disease, congenital hyperthyroidism, and pituitary tumor.  Radioactive ablation is a treatment option that uses radioactive iodine and destroys the thyroid. Radioactive ablation is the most recommended choice of treatment in the US.  The last option for treatment is surgical removal. [4]

 

Alternative treatments of hyperthyroidism are also aimed at decreasing the serum levels of thyroid hormones, either by interrupting the synthesis, or by decreasing the overall activity of the hormones.  Treatment also focuses on repairing and supporting the body during the hyperthyroid condition.  Hyperthyroidism typically causes an overall increase in metabolism, and with that, an increased use of nutrients.  It is also well understood that the generation of free radicals is increased in hyperthyroidism.  Therefore, it is essential to support the health of the body in a variety ways, while also dealing with the root of the disease.

 

 

Supplements helpful for Hyperthyroidism

 

Iodine

Supplementation with iodine in high doses can suppress the production of thyroid hormones.  Although, it has been effective at relieving the symptoms of hyperthyroidism and has been shown to block the conversion of T4 to T3, the active form of the hormone. Iodine therapy is one that should only be used short term.  After time, it can actually increase the amount of hormones being produced.  In a clinical trial, a saturated solution of potassium iodide (SSKI) given for 10 days blocked conversion of T4 to T3 and reduced serum levels of thyroid hormones. [5]

 

Melatonin

Melatonin is a substance secreted by the pineal gland in the brain.  It plays a role in sleep patterns and the circadian rhythms of the body.  Melatonin is also a potent antioxidant and an effective free radical scavenger in hyperthyroidism.  It has been shown to suppress T4 production by the thyroid gland. [6]  Supplementation with melatonin is also beneficial for insomnia, which is a common symptom of hyperthyroidism.

 

L-carnitine

Carnitine is an amino acid that plays a pivotal role in the production of energy inside the cell.  It is also thought to be an antagonist of the thyroid hormone action in the body, and may actually inhibit thyroid hormone entry into the liver, brain, and fibroblast cells.  In one study, supplementation with L-carnitine for 6 months was shown to reverse and prevent symptoms of hyperthyroidism.  Carnitine also had beneficial effects on bone metabolism. [7]

 

Niacin

Niacin (Vitamin B3, nicotinic acid) was shown in a clinical trial to decrease the concentration of serum thyroid hormones in individuals who were euthyroid (persons exhibiting normal levels). [8]  Because no adverse effects of supplementation were observed, niacin may be an adjunctive therapy for hyperthyroidism.  Niacin does, however, cause flushing of the skin at high doses.  It may be wise to use niacinamide, another form of niacin, because it does not cause flushing.

 

Vitamin A

Vitamin A and beta-carotene levels in the blood of patients with hyperthyroidism are often decreased and supplementing with large amounts of this particular vitamin actually inhibits thyroid function.  The supplementation of Vitamin A also ameliorates the symptoms of Grave's disease. [9]  Vitamin A is a potent antioxidant, which thwarts the oxidative stress that is increased in those with hyperthyroidism. [10, 11]

 

Vitamin C

Vitamin C is a potent anti-oxidant.  It has been shown in experimental studies to be decreased in individuals with excess thyroid hormone activity.  Anti-thyroid drugs also cause a decrease in serum Vitamin C. [12]  Hyperthyroidism causes an increase in oxidative stress and higher levels of anti-oxidants like Vitamin C are needed.  Vitamin C does not directly treat the disease, but may be used to treat the accompanying symptoms.  In certain clinical trials, the oxidative stress markers significantly declined in patients with hyperthyroidism after Vitamin C treatments were used over a month's time.  Conversely, the participant's serum anti-oxidant markers increased.[ 13]
 

Vitamin E

Vitamin E is an anti-oxidant.  It also functions to stabilize cell membranes.  It can act as a free radical quencher and decrease the damage caused by oxidative stressors in hyperthyroid patients. [14]

 

Botanical therapies

Lycopus ssp, Lithospermum officinale, and Melissa officinalis have all been proven to treat hyperthyroidism.  The mechanism of action in these botanicals, is the blocking of TSH receptors on the thyroid cells.  This blockage interferes with the internal signal needed to produce more thyroid hormone  Lycopus also blocks conversion of T4 to T3 in the peripheral tissues.  These three herbs have had repeated success in treating Grave's disease as well, because of interruption of the Grave's specific thyroid stimulating immunoglobulin (the autoimmune component).  In fact, one study found that freeze dried extracts of the three herbs inhibited binding of TSH to thyroid receptors by weakly binding themselves.  The study also showed the decreased activity of the thyroid stimulating immunoglobulin that is responsible for the increase in thyroid hormone production in Graves' disease patients. [15]


 

Learn More About Hyperthyroidism

Hyperthyroidism Treatment Introduction
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