Thanks
Dietitian
You may also want to visit a clinical dietitian because it may be useful to check if your wife has nutrient deficiencies as these can exacerbate hypothyroid symptoms and potentially affect antibody levels. Assessing iodine status is important with a urine iodine test as low iodine levels can affect thyroid function and low iodine levels have been reported in all states of Australia over the last 10 years. Also, low iron, low selenium (check serum selenium), low zinc (check with plasma zinc) and low vit D can all affect thyroid function. Correcting mineral deficiencies can also lower antibody levels and negate/reduce the dose of thyroxine medication. Furthermore, some patients with thyroid disorders also present with bowel problems, coeliac disease or gluten intolerance so it is important you also rule this out as gluten may also be affecting antibody levels/thyroid function.
You must be a HealthShare member to report this post.
to your account or now (it's free).Thanks
General Surgeon
It would be good for you to visit an Endocrinologist in the first place. My recommendation would be Prof. Ken Ho in Eastwood. This would be your first port of call. Patients with Hashimoto's thyroiditis need to be closely monitored not only due to antibody/hormonal levels but due to increased risk of thyroid lymphoma. This condition is often overlooked. As a surgeon I often see patients that come to me referred for Total thyroidectomy with massive glands with several years of treatment. Consider surgery if multiple nodules or increasing size of the gland, particularly if there is a requirement for thyroxine.
You must be a HealthShare member to report this post.
to your account or now (it's free).