Condition

Hyperthyroidism

Hyperthyroidism is overactivity of the thyroid gland, producing excess thyroid hormone and an accelerated metabolism.

Overview

Aetiology

Overactive thyroid function can be the result of several key disease processes. It can be the result of autoimmune conditions (Grave’s disease), pituitary tumors, or viral infection.

Most hyperthyroidism causes are primary conditions with the exception of iatrogenic causes or pregnancy.

Other causes include:

  • Stress
  • Smoking
  • Iodine supplementation

Presentation

Symptoms

Hyperthyroidism speeds up the body’s metabolism, producing weight loss despite increased appetite, heat intolerance, sweating, palpitations and a rapid heartbeat, tremor, anxiety, irritability, and difficulty sleeping. There may also be frequent bowel movements and, in Graves’ disease, eye changes such as bulging (exophthalmos) and a visibly enlarged thyroid (goitre).

Diagnostics

Thyroid Scanning

A radioactive dye is swallowed and the thyroid is scanned. This can be used to assess thyroid activity after the uptake of radioactive dye. The darker the scan the more metabolic activity that is taking place.

Assessment

Differential Diagnosis

  • Graves Disease
  • Toxic multinodular goitre
  • Toxic adenoma
  • Thyroiditis
  • Anxiety disorder

Herbs for Hyperthyroidism

  • Lycopus spp.
  • Scutellaria baicalensis

Common Drug Therapies for Hyperthyroidism

  • Goitrogens

  • Iodine & radioactive iodine

    • High doses depress TRH and TSH release.
  • Carbimazole

  • Propylthiouracil

The Herbs

Materia Medica (1)

Herbs traditionally or clinically used for hyperthyroidism.

Melissa

Melissa officinalis

Lamiaceae
NervineCarminativeAntispasmodicAntiviral +7

Supplementation

Supplementation (2)

Supplements, nutrients and compounds used for hyperthyroidism.

Caution

Iodine

Mineral

Iodine is the essential trace mineral from which thyroid hormone is built — the leading preventable cause of hypothyroidism worldwide when deficient, and a genuine cause of thyroid dysfunction when taken in excess.

MineralNutrientTrace-MineralThyroid
Caution

Selenium

Mineral

Selenium is an essential trace mineral incorporated into selenoproteins including the glutathione peroxidases and the deiodinases that activate thyroid hormone — which is why it dominates the supplement conversation in Hashimoto's thyroiditis.

MineralNutrientTrace-MineralAntioxidant