Tag: Thyroid

Thyroid Issues

Thyroid Diet Issues are discussed in this Today’s Dietitian article.

 

Here is an fascinating exchange in a practice group:

From: NEdpg@yahoogroups.com [mailto:NEdpg@yahoogroups.com]

Sent: Saturday, December 2, 2017 11:55 AM

To: NEdpg@yahoogroups.com

Subject: [NEdpg] Re: Hashimoto’s thyroid

Hi Whitney. Look up the landmark 2009 study by Alessio Fasano, MD, where he suggested that three things must be present for an autoimmune condition to develop: a genetic predisposition, a trigger, and a leaky gut. He further suggested that gluten directly triggers the release of zonulin, the molecule that breaks down the tight junctions (or the glue) that hold our intestinal lining together, causing a leaky gut. And a leaky gut then creates the opportunity for the “trigger” to enter the bloodstream facilitating the development of autoimmune disease. Gluten not only causes inflammation, an altered microbiome, and a leaky gut but it also may be directly triggering autoimmunity in the body through molecular mimicry. For those with an autoimmune disease, when you remove gluten from the diet, it removes this trigger, reduces and can also eliminate inflammation and heal the gut (provided there are no other triggers for the patient). I’ve seen this happen many times with my autoimmune patients. Removing gluten has been very helpful in managing their autoimmune disease…antibodies come down to normal or near normal and they feel much better.

Kim McConnell, MS, RDN, LDN

 

PubMed offers this article on Zonulin and tight junctions.

Autoimmune Thyroid Disease–Report Suggests Nearly 30% also Have B12 Deficiency

write about thyroid

Elsevier
The American Journal of the Medical Sciences
Volume 332, Issue 3, September 2006, Pages 119-122
The American Journal of the Medical Sciences
Articles
Prevalence and Evaluation of B12 Deficiency in Patients with Autoimmune Thyroid Disease
Author links open overlay panelRosaneNess-AbramofMDDan A.NabriskiMDMenachem S.ShapiroMDLouisShenkmanMDLotanShiloMDEliahuWeissMScTamarReshefMScLewis E.BravermanMD

ABSTRACT
Background

Patients with autoimmune thyroid disease (AITD) have a higher prevalence of pernicious anemia compared with the general population. Clinical signs of B12 deficiency may be subtle and missed, particularly in patients with known autoimmune disease. We assessed the prevalence of vitamin B12 deficiency in patients with AITD and whether their evaluation may be simplified by measuring fasting gastrin levels.

Methods

Serum B12 levels was measured in 115 patients with AITD (7 men and 108 women), with a mean age of 47 ± 15 years. In patients with low serum B12 levels (≤133 pmol/L), fasting serum gastrin and parietal cell antibodies (PCA) were measured.

Results

Thirty-two patients (28%) with AITD had low B12 levels. Fasting serum gastrin was measured in 26 and was higher than normal in 8 patients. PCA were also measured in 27 patients with B12 deficiency and were positive in 8 patients. Five patients with high gastrin levels underwent gastroscopy with biopsy, and atrophic gastritis was diagnosed in all. The prevalence of pernicious anemia as assessed by high serum gastrin levels in patients with low B12 was 31%.

Conclusions

Patients with AITD have a high prevalence of B12 deficiency and particularly of pernicious anemia. The evaluation of B12 deficiency can be simplified by measuring fasting serum gastrin and, if elevated, referring the patient for gastroscopy.

Source

Balancing Calcium and Phosphorus in the Diet, and the Importance of Measuring Parathyroid Hormone (PTH) | Chris Masterjohn, PhD

In this episode, I answer a listener’s question about whether I am worried about my phosphorus intake and whether a high phosphorus intake is ok as long as it is balanced by calcium. I describe the biochemistry and physiology of the system that regulates calcium and phosphorus, their distribution in foods, how to determine the […]

Source: Mastering Nutrition 9: Balancing Calcium and Phosphorus in the Diet, and the Importance of Measuring Parathyroid Hormone (PTH) | Chris Masterjohn, PhD