Thyroid Health Flashcards

1
Q

How can the thyroid gland be described?

A

It is the epicenter of the body:
It regulates heart rate, blood pressure, body temperature
It impacts weight, fertility, menstruation, skin tone, energy levels, sleep, memory, digestion
It impacts nearly every other body organ

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2
Q

What are thyroid cells designed for?

A

To absorb iodine to make hormones

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3
Q

What are the thyroid hormones?

A

T4, T3, TSH

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4
Q

What T4 hormone?

A

It is produced by the thyroid and is inactive, as well a the most common hormone

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5
Q

What is T3 hormone?

A

It is produced by the thyroid gland and is the active form of thyroid hormone

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6
Q

What is TSH?

A

It is produced by the pituitary gland and it’s levels run opposite to thyroid hormone levels (low level TSH=high thyroid function)
It maintains daily rhythm, so levels differ depending on the time of day

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7
Q

Thyroid testing should include which hormones?

A

TSH, Free T3, Free T4, Reverse T3, Total T4, Total T3, Free thyroxine index, T3 Uptake

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8
Q

What are different forms of thyroid malfunction?

A

Hypothyroidism, subclinical hypothyroidism, hyperthyroidism, goiter

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9
Q

What is hypothyroidism?

A

Low thyroid hormones in the blood & typically high TSH

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10
Q

What is subclinical hypothyroidism?

A

Elevated TSH, but normal hormone levels with similar symptoms to hypothyroidism

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11
Q

What is hyperthyroidism?

A

High thyroid hormones in the blood and body doesn’t respond to signals to decrease production
Also, TSH is typically low

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12
Q

What is goiter?

A

Swelling of thyroid and often normal thyroid function
The swelling may be due to iodine deficiency, Hashimoto’s, or graves’ disease

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13
Q

How can a health coach supple a client with thyroid health?

A

Encouraging them to get medical evaluation and treatment
Exploring possible root causes
Empowering & supporting them with dietary & lifestyle choices
Providing a safe space for emotions
Continuing to consult with doctors

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14
Q

What is HPT and HPA?

A

-Hypothalamus-pituitary-thyroid axis & hypothalamic-pituitary-axis
-Because they are intimately connected, stress affects the HPA it also affects the thyroid
-The HPT is also connected to the hypothalamic-pituitary-gonadal axis

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15
Q

What are 5 common effects of thyroid dysfunction of the reproductive system?

A

Irregular periods
Infertility
Pregnancy complications
Miscarriage
Postpartum thyroiditis

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16
Q

Are women more likely to develop thyroid disease?

A

Yes, 5 to 8 times more likely

17
Q

What are three contributing factors of thyroid dysfunction?

A

Birth control pill use, menstruation, pregnancy

18
Q

What are some results of birth control pill use on the thyroid?

A

Depletes the body of crucial nutrients required for thyroid function
Estrogen dominance

19
Q

What are some results of menstruation and thyroid dysfunction?

A

Constant hormone fluctuations can predispose women to imbalance (estrogen dominance which can contribute to autoimmune thyroid disease

20
Q

What are the results of pregnancy with thyroid dysfunction?

A

Decreases a woman’s immune system
Puts a huge demand on thyroid
Antibodies can attack mother and baby contributing to autoimmune thyroid disease

21
Q

Are men susceptible to thyroid conditions?

A

Yes, such a low sex drive, premature ejaculation, or delayed ejaculation

22
Q

How do environmental toxins interfere with the thyroid?

A

The thyroid is very sensitive to toxins, particularly with those that interfere with iodine bioavailability. Because of more prevalence of these toxins, thyroid disease is becoming more prevalent.

23
Q

What are 8 environmental toxins that can disrupt the thyroid?

A

BPA & phthalates, dioxins, flame retardants, PCBs, Perchlorate, radiation, soy isoflavones, triclosan

24
Q

What is BPA & phthalates?

A

Chemicals used to soften plastics (water bottles, plastic food containers)
Xenoestrogens that cause estrogen dominance

25
What are dioxins?
Found in chlorine bleach including paper products, female products Disrupts HPT axis Exposure can also be 90% through foods, mainly meat, dairy, fish
26
What are flame retardants?
Used in upholstered furniture and some electronics Can have an estrogenic effect and disrupts HPT axis
27
What are PCBs?
Banned in 1979, but may still be in older buildings Can change the thyroid itself, making it less responsive to TSH Increase the amount of iodine lost through digestive tract Makes T4 break down faster so it’s less available in the body
28
What is perchlorate?
Chemical found in rocket fuel, bleach, explosives, airbags, fertilizers Known pollutants in groundwater and drinking water Blocks thyroid from taking up iodine Can lead to hypothyroidism
29
What is radiation?
Damages DNA cells as well as thyroid when received to the head/neck area
30
What are soy isoflavones?
Acts like xenoestrogens which block or overstimulate estrogen receptors Interferes with thyroid peroxidase (TPO) which is needed for thyroid hormone
31
What is triclosan?
Common antibacterial agent in soaps, lotions, and creams Disrupts both thyroid hormones and estrogen
32
How can clients be supported with thyroid health?
Addressing underlying gut and menstrual health concerns Healthy eating Mitigating effects of stress Limiting exposure to chemicals and environmental toxins Including adequate iodine in diet
33
What are 5 interventions to improve thyroid health?
Detoxification Eating a diet that supports the thyroid Improving gut function Improving menstrual health and estrogen dominance Stress management