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What to do for thyroid nodules

Thyroid nodules are incredibly common.  We see many patients (particularly women) with this complaint at our clinics.  In fact research has shown that by the age of 60, more than 50% of the population has at least one thyroid nodule.  Luckily most thyroid nodules are not cancerous; only approximately 5 to 10% are.

Thyroid nodules can be solid or fluid inside; sometimes they produce thyroid hormone and sometimes they don’t.  It is important to find out as much information about the nodules as possible, as this determines their treatment.  If you’ve been diagnosed with thyroid nodules, your doctor may offer a range of treatments: surgery, radioactive iodine treatment, or no treatment at all.  Often thyroid nodules are left alone and the patient is advised to have them monitored regularly.  Is this really the best option?  Should you just do nothing and let them get worse, or hope they’ll go away?  We think not.

There are several reasons why thyroid nodules may develop; addressing these factors can help in their natural treatment.

Thyroid nodules can vary in size from a few millimeters to several centimeters.  The thyroid gland can contain one nodule or several.  Sometimes a thyroid nodule can be visible just by looking at your neck; often thyroid nodules are present deep within the thyroid, therefore can only be seen on ultrasound.

Diagnosis of thyroid nodules

When a thyroid nodule is detected, it is important to find out if it is cancerous, or if it is producing thyroid hormones.  A thyroid ultrasound is always performed, in order to see the size and structural composition of the nodule, and to find out if other nodules are present within the gland.  It is also important to have a blood test, to determine if the levels of thyroid hormones are normal.   Often hormone levels are normal.  Sometimes a blood test will show hyperthyroidism because the nodules are producing excess quantities of hormones.

A thyroid nuclear uptake scan is used to determine if the nodules are “hot” or “cold”.  The term hot means the nodules are producing hormones, and this often results in hyperthyroidism (an over active thyroid gland).  Cold nodules are nodules that aren’t producing hormones; they might be composed of fluid (cysts), solid material or rarely, they may be cancerous.  Luckily in the vast majority of cases thyroid cancer has an excellent prognosis and it very rarely spreads to other parts of the body.

 

Why do nodules form on the thyroid gland?

There are several factors that increase the risk of thyroid nodules:

  • Deficiency of the minerals iodine and selenium.  It is quite difficult to obtain adequate quantities of these minerals through diet, and consequently many people are deficient.  Your doctor can order a urine test to check for iodine deficiency.  We commonly order this test for our patients and it’s rare to find a person who isn’t deficient.  The level of selenium in the soil of most parts of the world is quite low; consequently very few foods are a good source of selenium.  Brazil nuts provide selenium, however we commonly see patients who regularly consume Brazil nuts, yet their health improves substantially once they take a selenium supplement.
  • Vitamin D insufficiency increases the risk of nodules, polyps and fibroids in many areas of the body.  Vitamin D controls the way in which cells grow and divide.  Therefore not having enough vitamin D in your body is a risk factor for cancerous and non-cancerous growths on your body.  You make vitamin D when you expose your skin to sunshine, but many people are not able to be outside frequently enough to produce sufficient vitamin D, plus vitamin D gets manufactured in your kidneys and liver, and if the health of these organs is compromised, this also affects production. It may be advantageous to take a Vitamin D supplement.
  • Exposure to ionizing neck radiation is a risk factor for thyroid nodules and thyroid cancer.  Such exposure can be incurred through dental X rays and chest X rays.  We are all exposed to an increasing level of radiation through modern appliance, mobile phones, wireless internet and aircraft.  This is probably one factor responsible for the increasing global incidence of thyroid disorders.  It is interesting to note that iodine deficient individuals are particularly sensitive to the harmful effects of radiation on the thyroid gland.
  • Research has shown that some pesticides promote the formation of thyroid nodules.

My recommendations for thyroid nodules

  • Thyroid Health capsules, which provide effective levels of all the nutrients most important for the thyroid gland: selenium, iodine, vitamin D and zinc.
  • Regular consumption of seafood and the inclusion of seaweed in the diet.  This provides additional iodine.
  • Regular consumption of raw nuts and seeds, for the minerals and essential fatty acids they contain.  Other sources of beneficial fats for the thyroid gland are avocados, chia seeds, extra virgin olive oil, macadamia nut oil, avocado oil and coconut oil.
  • The avoidance of mucus producing foods such as margarine, hydrogenated vegetable oil, dairy products, deep fried foods and processed foods.
  • Minimize sugar in the diet, as it promotes inflammation and weakens immune function.
  • Natural progesterone cream.  Many women are progesterone deficient and this can worsen a thyroid problem.

In many instances, following these guidelines can lead to shrinkage of thyroid nodules, and sometimes they can slowly break down and dissolve.  This may take a few years, and depends on how large the nodules are and how many of them are present within the gland.  There is a great deal more information about all thyroid conditions in our book Your Thyroid Problems Solved.

The above statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease.

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17 comments

  1. I have a toxic nodule on right side my doctor suggested me 2 options surgery and radioactive iodine.can my toxic nodule can cure without these two options.can u suggest me.

    • Hi Rani,

      We recommend you seek a second opinion from another healthcare professional.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  2. Hello, I was diagnosed with thyroid nodule & since its painless I didnt notice it until I have difficulties to breath..within 3weeks, i have ultrasound and it show that my thyroid nodule are “2.8cm X 3.3cm X 4.0cm” in size. They take the “liquid” in my nodule for a test..i was happy thinking that its already gone, but now after 2 weeks its re-appear again. I’m scared that it will grow rapidly again since i can feel “it’s” presence now. I hope someone can advice me with which diet or food should i take or avoid since my blood test is normal. Thank you. I just do really wish that it can disappear without any surgery. Thank you again.

    • Hi Awanie,

      Fluid filled cysts can regrow. It is important to avoid dairy products and sugar. Iodine, selenium and vitamin D all help. They are found in Thyroid Health capsules.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

  3. hi im diagnosed with a thyroid nodule with cystic degeneration. my thyroid blood results where normal. the doctor is suggesting a surgery… but I’m not willing to take the surgery. is there any other ways to cure the problem.
    pls

    • Hi Sarah,

      We recommend you follow the treatment plan in the above article.
      There is excellent information in Dr Cabot’s book ‘Your Thyroid Problems Solved’.

      Kind Regards,
      Jessah Robinson
      Nutrition Consultant for Liverdoctor.com

    • Hi Sarah, This is Sonia from Malaysia. There is non-invasive treatment for benign thyroid nodule call ” High Intensity focused ultrasound” available in HK . No skin penetration and extremely low risk. There are video on Youtube but in Cantonese language you not able to understand. One session of treatment for foreigner like us cost USD 8000 to USD 9000 ( Private insurance company not cover due to this method still not approve by FDA ) You may need to go for 2 sessions if nodule is bigger. I had booked air ticket and accommodation to travel on next week to assess eligibility for this treatment . Unfortunately, I have choking and phlegm issue which stop me from travel. I have to undergo hemithyroidectomy ( left side ) at local hospital . For right side with smaller nodule without symptoms , I will reserve for this treatment in future. I hope miracle happen my phlegm and choking disappear within this week . In HK and Singapore , there is radio frequency ablation slightly cheaper in HK but Singapore more expensive . Penetration by fine needle minimal invasive. You may search these 2 types of treatment from your country and nearby country . Good luck

  4. Hi! During my ct scan last year found nodules in my thyroid glands. Went for ultrasound scan in jan 2 weeks ago when i noticed the lump was noticeable and increased in size. Pls advise the dosage of vitamin D for daily consumtion. Thank you .

  5. I went to have my thyroid checked last September 2016 and it had a Nodule on it. It was 2.0 they said come back in a year and I did now the nacho grew to 2.3 but they said the fibroid is fine it’s just that it’s a nodule on it so they didn’t diagnose whether I was hyper or non-hyper so I don’t know what to do now I’m not scared I just don’t want it to continue to grow and wait a whole year like they are saying and then something really be wrong what do I do

    • Hi Stacey,

      We recommend you see your healthcare practitioner and get your urinary iodine levels checked.
      Dr Cabot has written an excellent book called: ‘Your Thyroid Problems Solved’.
      Please follow the tips in the above article.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  6. I don’t think iodine should be recommended if the nodules atre hyperactive. Hyperactivity means you should avoid iodine, so I have been advised by my endo.

    • Hi Sarah,

      Yes, we don’t recommend iodine be taken by those with hyperthyroidism unless urinary iodine levels have been checked first.

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  7. Hello, In June 2013 I started to have kind of PND but just during the night. My GP took hormones test and everything was OK. In October the same year I started to feel tired, my heart racing, losing weight. My GP took hormones test and I was diagnose with Graves. I was treated for one year 2013-2014, I am doing great, but the PND was still there and I can see that sometimes when I wake up I can have less saliva or more saliva. Then Finally I got an ultrasound by ENT in 2016 and they found 2 nodules on my thyroid gland, 2cm left, 1,5 right, both benign. MY ENT explained me that During the night The thyroid gland cause a little bit of pressure more than normal, according to my sleeping position, and that’s why I have accumulation of saliva when I wake up. My ENT told me to learn to live with it, I wonder if your recommendations will help with my thyroid nodes, at least shrinking them. Thanks so much.

    • Hi Lili,

      Long term deficiency of vitamin D, iodine and selenium promotes the development of thyroid nodules, therefore supplementing with these nutrients is important. These are all available in our Thyroid Health supplements. We recommend you take Thyroid Health 1 cap daily with food.
      This is available here: https://shop.liverdoctor.com

      Kind Regards,
      Jessah Robinson
      Nutritional Consultant for Liverdoctor.com

  8. Hello my name is Sossi Missakian I’m from Lebanon-Beirut. Recently I have a nodule 3cm on the right side of thyroid I go to my doctor it’s okay I would like to know what should I eat healthy food when I have a nodule in thyroid…. Thank you!!!

    • Dear Sossi,

      There are diet recommendations in the above article.
      For further info you should read our book ‘Your Thyroid Problems Solved’.
      This can be purchased from http://www.liverdoctor.com.

      Kind Regards,
      Jessah Robinson
      Sales & Nutrition Consultant

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