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UNBALANCED



        THYROID



        A common condition

        commonly overlooked










                               by Svetlana Kogan, M.D.





                               Prevention is a foundation of Holistic Medicine, which I practice. When I think of a disease that could easily be
                               prevented if screened for early—thyroid immediately comes to mind. In fact, almost 10% of the population is
                               estimated to have some degree of thyroid imbalance, but only 1% is officially diagnosed. This means that 9 out
                               of 10 people with early thyroid disease will likely not get the preventive help they need.

        I think of the thyroid gland as a mirror of our personal lifestyle. As our      Another consideration: Is there some sort of nutritional deficiency
        environment changes, so does the thyroid. Its function is designed to   or a presence of food sensitivity, which could potentially compromise
        be activated or suppressed in response to the daily stressors and   functioning of the thyroid gland? Getting checked for food sensitivities
        metabolic demands we face.                                  or Celiac might get us some answers. The most common deficiencies
           Patients with an imbalanced thyroid gland present with variety of   identified in newly diagnosed thyroid patients are Vitamin A, Vitamin D,
        complaints. Some of them are:                               Selenium, Vitamin E, Vitamin K, Iron, Zinc, and B12. If any such deficiency
        •  Mental or physical fatigue                               is identified—prompt supplementation may lead to correction of the
                                                                    imbalance.
        •  Unintentional weight gain or loss
                                                                       I must mention a common dietary question I hear from patients:
        •  Insulin Resistance or Metabolic Syndrome
                                                                    how does iodine fit into the picture of healthy thyroid? In truth, there is
        •  High Cholesterol despite best dietary efforts
                                                                    no straightforward answer to this question. It seems like iodine defi-
        •  Depression                                               ciency as well as the excess of iodine in the diet or supplementation,
        •  Infertility                                              can cause disturbances with thyroid. I typically recommend that the
        When holistic doctors consider a thyroid etiology for the patient’s   salt the patient consumes for cooking should be iodized, and I do not
        presenting symptoms—they usually consider what kind of past or   recommend taking any iodine containing supplements which have
        current stressors surround their patient. It is a well-known fact that   more than 150 micrograms of iodine (a recommended daily value,
        stress suppresses thyroid function at multiple levels and should be   RDA). Food intake via seafood products is always more natural in my
        considered right away. It should come as no surprise that if we con-  humble opinion than pushing high doses of supplements.
        sider the Ayurvedic (ancient Indian) view of the body chakras, thyroid      The takeaway message of this article is this: if you feel that your
        anatomical position and functioning appear to relate to blockages   symptoms could be resulting from thyroid imbalance—get it checked
        in the Throat Chakra. It takes an experienced and a unique skill set   out and consider how managing your stress, diet and lifestyle can
        to treat thyroid by fusing the best of Western and Eastern healing   help you heal this common condition.
        modalities.                                                    Lifestyle  interventions,  however  small,  always  improve  thyroid
           In addition to stress, we should always consider what environmental   function, and this is most likely thanks to the mitigation of an inflam-
        triggers could the patient potentially have been exposed to? Could   matory state, which either directly or indirectly instigated thyroid
        an infection or some sort of inflammation create a compromised   dysfunction in the first place.
        milieu for the functioning of the thyroid gland? Therefore, identification
        and treatment of any such underlying infection or inflammation is of   Dr. Kogan is a Concierge Holistic Internal Medicine doctor in Naples.
        utmost importance.                                          Her website is CustomLongevity.com.

        32    Life in Naples December 2022
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