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Case Discussion on Role of Micronutrients in Thyroid

वक्ता: Suhasini Mudraganam

Chief Nutritionist, Truweight, Hyderabad

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विवरण

Micronutrients play a crucial role in thyroid function, supporting its hormonal regulation and overall health. Iodine, an essential micronutrient, is a key component of thyroid hormones, thyroxine (T4) and triiodothyronine (T3). Deficiency can lead to thyroid dysfunction and goiter. Selenium aids in the conversion of T4 to active T3 and protects the thyroid gland from oxidative stress. Zinc is necessary for thyroid hormone production and proper immune function. Iron is vital for thyroid peroxidase, an enzyme required for thyroid hormone synthesis. Adequate intake of these micronutrients through a balanced diet is essential for maintaining optimal thyroid function and preventing related disorders.

सारांश

  • The thyroid gland significantly impacts nearly every cell in the body. Micronutrient status affects thyroid function at three key stages: hormone synthesis, conversion to its active form, and cellular sensitivity to the active hormone. Deficiencies in micronutrients can compromise development, disease prevention, and overall health.
  • Key micronutrients required for thyroid hormone synthesis include tyrosine, iodine, iron, zinc, magnesium, selenium, vitamins A, B2, B3, B6, C, D, and E. Selenium and zinc are critical for converting T4 (thyroxine) to the active T3 form. Vitamin A, zinc, and exercise are essential for improving cellular sensitivity to thyroid hormone.
  • Clinical indicators of micronutrient deficiencies associated with thyroid dysfunction include hair thinning, eyebrow thinning, pale facial complexion, delayed tendon reflexes, brittle nails, cold extremities, and dry skin. Detailed lifestyle assessments should be conducted to identify contributing factors.
  • Lab tests to assess micronutrient levels associated with thyroid function include ferritin, total iron-binding capacity (TIBC), magnesium, zinc, selenium, and vitamins A, D, and E. A complete thyroid profile, including TSH, T3, T4, and vitamin D3 levels, is also essential.
  • Treatment plans involve dietary changes using food sources rich in deficient micronutrients, supplementation when necessary, and strategies to improve nutrient absorption (e.g., combining iron-rich foods with vitamin C). Physical activity, exercise, and stress management techniques are also crucial components.
  • Supplements may be required to address micronutrient deficiencies. This is especially true when hormone levels are greatly affected or when deficiencies cannot be improved through dietary means. Monitoring micronutrient and thyroid function tests every 3-6 months is vital to assess the effectiveness of interventions.
  • Complete vegetarian diets need to be supplemented with selenium, zinc and balancing the vegetarian meals is important to make sure there is enough protein, good sources of zinc, and selenium.

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