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Suggest Ideal Diet And Lifestyle Changes When Suffering From Graves Disease

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Posted on Sat, 27 Jun 2015
Question: I have been treated for Graves Disease 4 times over the last 25 years. My longest euthyroid state without medication lasted 9 years. I was last diagnosed with Graves in Sept of 2014 and have been on Tapazole 5mg per day since then. TSH, T4 and T3 currently in normal range. What can I do from the perspective of diet, supplements and lifestyle to help me get off the medication and not have more recurrences? I eat a healthy Mediterranean organic low salt diet.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Life style and diet changes alone wont prevent relapse

Detailed Answer:
Hello and Welcome

I appreciate your concern

Methimazole is an anti thyroid medication used in patients with Graves Disease. It can be continued if there is good response with no relapse or recurrence. Radiation treatment of the thyroid is preferred by many especially in patients in whom anti thyroid medication aren't effective. Radio active iodine treatment would lead to the gland being under active and thus requiring thyroxine to be taken life long. Surgical option is resorted to in candidates who aren't deemed fit for radio iodine treatment or if there is a suspicion of malignancy. For controlled disease, such as in your case surgery is not considered as the first two options are much safer and more effective. I am afraid these are the options you have available at the moment. Lifestyle changes alone haven't been shown to have contributed towards patient being relapse free in the absence of either anti thyroid or radioiodine treatment. Active grave's eye disease has to be screened for and you should consult an ophthalmologist in that regard. Try to avoid smoking. Selenium supplementation can be beneficial as it protects cells from oxidative damage. The Mediterranean organic low salt diet is a good initiative and would also help in the overall management.


Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Muhammad Sareer Khalil (16 hours later)
Thank you for your advice.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (15 minutes later)
Brief Answer:
Welcome

Detailed Answer:
Hello again.

You are most welcome.

Dr. M.S. Khalil
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Ideal Diet And Lifestyle Changes When Suffering From Graves Disease

Brief Answer: Life style and diet changes alone wont prevent relapse Detailed Answer: Hello and Welcome I appreciate your concern Methimazole is an anti thyroid medication used in patients with Graves Disease. It can be continued if there is good response with no relapse or recurrence. Radiation treatment of the thyroid is preferred by many especially in patients in whom anti thyroid medication aren't effective. Radio active iodine treatment would lead to the gland being under active and thus requiring thyroxine to be taken life long. Surgical option is resorted to in candidates who aren't deemed fit for radio iodine treatment or if there is a suspicion of malignancy. For controlled disease, such as in your case surgery is not considered as the first two options are much safer and more effective. I am afraid these are the options you have available at the moment. Lifestyle changes alone haven't been shown to have contributed towards patient being relapse free in the absence of either anti thyroid or radioiodine treatment. Active grave's eye disease has to be screened for and you should consult an ophthalmologist in that regard. Try to avoid smoking. Selenium supplementation can be beneficial as it protects cells from oxidative damage. The Mediterranean organic low salt diet is a good initiative and would also help in the overall management. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil