Thyroid Health: Comprehensive Dietary Guidelines

Evidence-Based Nutrition Recommendations for Thyroid Disorders

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Proper nutrition plays a crucial role in managing thyroid disorders. This guide outlines evidence-based dietary recommendations for various thyroid conditions.

Key Nutrients for Thyroid Health

Iodine

  • Recommended intake: 150 mcg/day for adults
  • Sources:
    • Iodized salt
    • Seaweed
    • Fish and seafood
    • Eggs

Selenium

  • Recommended intake: 55 mcg/day
  • Sources:
    • Brazil nuts
    • Fish
    • Sunflower seeds
    • Whole grains

Foods to Limit or Avoid

Goitrogenic Foods

Consume moderately and preferably cooked:

  • Cruciferous vegetables (broccoli, cabbage)
  • Soy products
  • Millet
  • Pine nuts

Timing Considerations

  • Take thyroid medications on an empty stomach
  • Wait 4 hours before consuming:
    • Iron supplements
    • Calcium supplements
    • High-fiber foods

Meal Planning Tips

  1. Maintain consistent meal times
  2. Include protein with each meal
  3. Focus on whole, unprocessed foods
  4. Stay hydrated with water

Special Considerations

Hypothyroidism

  • Avoid excessive amounts of processed foods
  • Monitor calorie intake
  • Include anti-inflammatory foods

Hyperthyroidism

  • Increase caloric intake as needed
  • Ensure adequate protein consumption
  • Focus on nutrient-dense foods

Monitoring and Adjustments

  • Keep a food diary
  • Work with healthcare provider
  • Adjust diet based on thyroid levels
  • Regular nutrient level testing

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