Clinical Nutrition- Final Exam- Nutrition for Thyroid, Adrenal and Endocrine Disorders

What should be assessed in your patient you suspect has thyroid dysfunction

Thyroid panel

RULE OUT CELIAC DISEASE

Iron status

Intake of vitamin D, iodine, zinc, iron and selenium

History of stressors, autoantibodies, and infection

What are the recommendations for patients with hypothyroidism

Prevent weight change

Supplement as needed

Anti-inflammatory diet

Elimination diet for possible food sensitivity

What micronutrients should you assess in someone for thyroid dysfunction

Vitamin D, iodine, zinc, iron, and selenium

What are some nutritional suggestions to help in managing an imbalance in thyroid function

Fasting or carb restrictive diets

Goitrogens

Iodine

Iron

Selenium and zinc

Copper

Magnesium

Vitamin D

What are goitrogens

Proteins the can interfere with thyroid hormone production by limiting uptake of iodine

Broccoli, cauliflower, cabbage, radish, cassava, SOY IS A BIG ONE

What is important with iodine

Do not supplant as hashimotos patient

Iron is required for what with the thyroid

Thyroid peroxidase

Selenium and zinc are required for what with the thyroid

Deiodinase activity (conversion from T4 to T3)

Copper is required for what with the thyroid

Thyroxine synthesis

Magnesium diminished intake is related to

Associated with higher rates of hashimotos

Decreased Vit d is associated with

Hashimotos

Supplements decrease anti thyroid antibodies