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Dr K K Aggarwal

All about Hypothyroidism

By Dr K K Aggarwal
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  • An underactive thyroid gland or hypothyroidism is a new epidemic of the society.
  • Hypothyroidism causes weight gain, loss of energy, cold intolerance and menstrual irregularities in women.
  • All people who are 50+ should have their thyroid profile done as screening test for thyroid deficiency.
  • Tests to detect hypothyroidism are TSH and T4. TSH (thyroid-stimulating hormone) is the most important and sensitive test for hypothyroidism. An abnormally high TSH means hypothyroidism.
  • In younger people, thyroid deficiency should be investigated for in the presence of infertility, menstrual irregularity, pregnancy, weight gain.
  • Thyroid deficiency is treated by thyroxine or synthetic T4 hormone replacement.
  • Patients who develop hyperthyroid symptoms at any time during thyroxine supplementation should have their TSH tested. If TSH is low, then T4 dose needs to be reduced.
  • Even mild thyroid deficiency during pregnancy can affect the growth or fetus. Therefore, thyroid supplementation dose is much higher in pregnancy than in non-pregnancy.
  • In the elderly, thyroid supplementation is always started in low dose than in adults.
  • If left untreated, thyroid deficiency can result in osteoporosis and atrial fibrillation. Osteoporosis may lead to recurrent fractures and atrial fibrillation with stroke.
  • Iodized salt is used to prevent thyroid deficiency.
  • Non-iodized salt is only used in two conditions, firstly in patient with thyroid inflammation and secondly while doing Jalneti in naturopathy and yoga related nasal wash technique.

About thyroid gland

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , | | Comments Off on About thyroid gland

  1. Low functioning thyroid is a new epidemic of the society affecting more than 3% of people. If thyroid function is low, it causes weight gain, loss of energy, cold intolerance and menstrual irregularities in women.
  2. All people who are aged 50 and above should have their thyroid profile (TSH test) done to look for thyroid deficiency.
  3. In younger people, or in cases of infertility, menstrual irregularity, pregnancy, weight gain, one should check for thyroid deficiency.
  4. Iodized salt should be used to prevent thyroid deficiency.
  5. Non–iodized salt is only used in two conditions: firstly in patient with thyroid inflammation and secondly, while doing Jalneti in naturopathy, a yoga–related nasal wash technique.
  6. Even mild thyroid deficiency in pregnancy can affect the growth of fetus; hence, dose requirement of thyroid medicine is much higher in pregnancy than in non–pregnancy.
  7. In the elderly, the dose of thyroid medicine to be started is always low as compared to one in the adults.
  8. If thyroid deficiency is untreated, osteoporosis (thickening of bone) and/or atrial fibrillation (irregular and fast heart rate) may result. Osteoporosis can cause recurrent fractures and atrial fibrillation may cause brain paralysis.
  9. In Allopathic medicine, thyroid deficiency is treated by synthetic T4 hormone replacement. In TFSP, thyroid extracts are available, which contain both T4 and T3 potential drugs.
  10. In Ayurveda, thyroid stimulant drugs are available but they are effective only if some amount of thyroid gland is available.
  11. As per Ayurveda, eating soya and drinking water from copper vessel is good for thyroid.