THE GUIDE TO THYROID DISEASE Dear Reader, Chances are, you picked up this book because you or someone you care about has a thyroid condition. Or perhaps you’re starting to suspect that you might have one. Maybe you can’t understand why you can’t ditch the weight despite your most noble efforts. Or maybe you’re feeling inexplicably fatigued, depressed, or irritable. In any case, this book is written for you—anyone who is trying to better understand the thyroid, how it functions when you’re healthy, and what goes wrong when it becomes diseased. It’s hard to imagine that a tiny gland nestled in your neck can have such power over the way you feel, how much you weigh, and even the texture of your skin and hair. But that’s what the thyroid gland is— an anatomical powerhouse with enormous influence over your health and well- being. We know it’s not easy to live with a thyroid condition. Dr. Friedman has treated hundreds of patients with all sorts of thyroid disease and lived with Hashimoto’s himself for several years. But we also know that having thyroid disease is not the end of the world. By the time you finish this book, we think you’ll agree. Sincerely, Welcome to the Series! Series! These handy, accessible books give you all you need to tackle a difficult project, gain a new hobby, comprehend a fascinating topic, prepare for an exam, or even brush up on something you learned back in school but have since forgotten. You can choose to read an Everything® book from cover to cover or just pick out the information you want from our four useful boxes: equestions, e-facts, e- alerts, and essentials. We give you everything you need to know on the subject but throw in a lot of fun stuff along the way, too. We now have more than 400 Everything® books in print, spanning such wide- ranging categories as weddings, pregnancy, cooking, music instruction, foreign language, crafts, pets, New Age, and so much more. When you’re done reading them all, you can finally say you know Everything®! PUBLISHER Karen Cooper DIRECTOR OF ACQUISITIONS AND INNOVATION Paula Munier MANAGING EDITOR, EVERYTHING® series Lisa Laing COPY CHIEF CASEY Ebert ASSISTANT PRODUCTION EDITOR Melanie Cordova ACQUISITIONS EDITOR Kate Powers ASSOCIATE DEVELOPMENT EDITOR Hillary Thompson EDITORIAL ASSISTANT Ross Weisman EVERYTHING® SERIES COVER DESIGNER Erin Alexander LAYOUT DESIGNERS Erin Dawson, Michelle Roy Kelly, Elisabeth Lariviere, Denise Wallace Visit the entire Everything® series at www.everything.com THE GUIDE TO THYROID DISEASE From potential causes to treatment options, all you need to know to manage your condition and improve your life Theodore C. Friedman, MD, PhD, and Winnie Yu Scherer To Bill Glavin and John Keats— for the early vote of confidence. —W. Y. To my wonderful wife, Danielle, and my great kids, Nora, Caleb, and Gideon. —T. F. Contents Introduction 01 All about Your Thyroid A Busy Gland How the Thyroid Works The Role of Iodine Thyroid Hormone What Are the Parathyroid Glands? Do a Self-Check 02 The Unhealthy Thyroid When the Thyroid Gets Sick Factors That Increase Risk Things That Can Go Wrong A Great Imitator Thyroid Disease and the Rest of Your Body 03 Choosing a Thyroid Doctor From Primary Care to Endocrinology What to Expect from a Good Doctor Specialists You Might Need You’re the Boss The Doctor-Patient Relationship Be a Good Patient 04 Hypothyroidism What Is Hypothyroidism? What Hypothyroidism Looks Like Making the Diagnosis Blood Tests Normal Versus Abnormal Test Results Putting It All Together The Diagnosis Debate The Importance of Treatment The Importance of a Correct Diagnosis 05 Treating Hypothyroidism Drug Options Is Natural Better? Taking Drugs Correctly Watch What You Eat Be Wary of Drug Combinations Side Effects and Complications Common Myths 06 Hashimoto’s Thyroiditis About Autoimmune Diseases The Details of Hashimoto’s Diagnosis and Treatment Complications Others Forms of Thyroiditis 07 Hyperthyroidism What Is Hyperthyroidism? What Hyperthyroidism Looks Like Making the Diagnosis Blood Tests Radioactive Iodine Uptake (RAIU) and Scan Putting It Together Challenges in Diagnosis The Importance of Treatment 08 Treating Hyperthyroidism Treatment Options Radioactive Iodine (RAI) Antithyroid Drugs Take Drugs Safely Surgery Other Drugs Achieving Remission 09 Graves’ Disease What Is Graves’ Disease? Causes and Symptoms Diagnosis and Treatment Thyroid Eye Disease Skin Problems Other Autoimmune Conditions 10 Goiters and Nodules What Is a Goiter? Evaluating Goiters Treatment for Goiters Thyroid Nodules Evaluating Nodules Treatment for Nodules 11 Thyroid Cancer What Is Thyroid Cancer? Detecting Thyroid Cancer Types of Thyroid Cancer Treatment for Thyroid Cancer Staging Your Cancer Monitoring and Follow-Up 12 Thyroid Disease and the Endocrine System The Endocrine System Hypopituitarism Diagnosis and Treatment of Hypopituitarism The Adrenal Gland Connection Details of Adrenal Insufficiency Thyroid and Menstruation 13 Imitators of Thyroid Disease Depression Diabetes and Insulin Resistance Polycystic Ovarian Syndrome (PCOS) Chronic Fatigue Immune Deficiency Syndrome (CFIDS) Fibromyalgia Lupus Cushing’s Syndrome Panic Disorder Sleep Apnea Menopause Growth Hormone (GH) Deficiency 14 Pregnancy and Your Thyroid The Thyroid in Pregnancy When You’re Trying to Conceive Thyroid Disease During Pregnancy Hypothyroidism Hyperthyroidism Other Thyroid Problems Postpartum Thyroid Troubles 15 Thyroid Disease and Children Challenges in Children Congenital Hypothyroidism Thyroglossal Duct Cysts Acquired Hypothyroidism Hyperthyroidism Thyroiditis Goiters and Nodules Thyroid Cancer in Kids Meeting the Challenges 16 Thyroid Disease and Aging The Thyroid and the Elderly Hypothyroidism Hyperthyroidism Risks of Thyroid Disease in the Elderly Treatment Concerns for Older Adults The Thyroid and Mental Health 17 How the Environment Affects the Thyroid Household Products Drinking Water A Special Note on Cigarette Smoking Other Airborne Pollutants Bath and Beauty Products 18 Complications of Thyroid Disease Diseases of the Heart High Cholesterol High Blood Pressure Heart Failure Atrial Fibrillation Stroke Osteoporosis Obesity
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