Hashimotos Thyroiditis

Sign/Symptoms
Cholestasis Increased Cholesterol Raised Constipation Heart or Pulse Rate Raised (Tachycardia) Mind: Anxiety Weight Gain (Body Mass Index Raised) Weight Loss (Body Mass Index Decreased)

Drugs

Our Records are Incomplete for Drugs

Treatments
Medical Procedure Thryoid Hormone Replacement Vitamins Selenium Supplementation No Recommendation Very Low Evidence Minerals Selenium Supplementation No Recommendation Very Low Evidence Alternative Medicine Citicoline (LoE: 2) Medical Therapy Thryoid Hormone Replacement Weakly in Favour Low Evidence Thryoid Hormone Replacement Weakly in Favour Low Evidence

Attributes

Our Records are Incomplete for Condition Attributes

Further Tests
Alpha-1 Antitrypsin (AAT) Concentration Alpha-1 Antintrypsin (AAT) (Increased) Calcitonin (Thyrocalcitonin) Concentration Calcitonin (CT) (Increased) Neutrophil Absolute Count Segmented Neutrophils (Increased) Protein Electrophoresis (Blood, Serum Protein) Alpha-1-Globulin (Blood, Serum) (Increased) Alpha-2-Globulin (Blood, Serum) (Increased) Thyroid Stimulating Horomone (TSH) Concentration Thyroid Stimulating Horomone (TSH) (Increased) Thyroxine (Free T4) Concentration Thyroxine Index (Free T4) (Increased) Thyroxine (Total T4) Concentration Thyroxine (Total T4) (Increased) Thyroxine (Total T4) (Increased) Triiodothyronine (Free T3) Concentration Triiodothyronine (Free T3) (Increased) Triiodothyronine (Total T3) Concentration Triiodothyronine (Total T3) (Increased) Triiodothyronine (Total T3) (Increased) Urine Amylase Excretion Rate Urine Amylase (Decreased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Selenium Supplement [3, 4, 5, 6, 7, 8, 9, 10, 11, 12]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present. IMPORTANT: Selenium is toxic in high doses. Massive overdoses can cause kidney failure, breathing difficulty and death. Selenium should only be taken at healthy levels which the body is able to tolerate.

Recommendation: No recommendation (Available evidene does not support claims that selenium helps to prevent or treat any thyroid conditions)

Grade of Evidence: very low quality of evidence

Black Walnut (Juglans Nigra):

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (Available evidence does not support claims that Black Walnut helps to treat hashimotos thyroiditis)

Grade of Evidence: low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments

1. http://www.merck.com/mmpe/sec12/ch152/ch152d.html?qt=hashimotos%20thyroiditis&alt=sh#sec12-ch152-ch152d-237

2. http://www.ncbi.nlm.nih.gov/pubmed/11932302?dopt=Abstract

3. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/selenium?sitearea=ETO

5. http://www.cancer.gov/Templates/doc.aspx?viewid=ED8AD8E8-6AE5-458D-8091-393F4CB73F0D

6. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-selenium.html

7. http://www.ncbi.nlm.nih.gov/pubmed/9290116

8. http://www.ncbi.nlm.nih.gov/pubmed/9829869

9. http://www.ncbi.nlm.nih.gov/pubmed/10335455

10. http://www.ncbi.nlm.nih.gov/pubmed/2136228

11. http://www.springerlink.com/content/v0r644v4ju5153k2/

12. http://jnci.oxfordjournals.org/cgi/content/full/101/5/283

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