Expert Advice

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Nutrition
Dietary Strategies to Nourishing Your Body

Acella Pharmaceuticals is partnering with Nicole German Morgan, RDN, LD, CLT, to bring greater awareness to the importance of thyroid care and education. This post is sponsored by Acella Pharmaceuticals.

Disclaimer: The information provided is for educational purposes only and does not substitute professional medical advice. Consult a medical professional or healthcare provider before beginning any exercise, fitness, diet, or nutrition routine. Acella Pharmaceuticals does not endorse, promote, or sponsor any products or brands mentioned in this article. The views expressed here are those of the author.

When planning a diet or what to eat, we often focus on foods to avoid. Some people may choose to avoid gluten or dairy, for example. However, for hypothyroidism, focusing on foods that nourish the body and provide a wide variety of nutritional value is also important. So, which foods are the most nutrient-rich?

Nutrient-Rich Foods

Sweet Potatoes

Sweet potatoes make the top of the list for a carbohydrate choice as they are a carbohydrate digested more slowly. This means that sweet potatoes have a lower glycemic index and do not raise blood glucose as quickly or as high as some other sources of carbohydrates.1 They also contain prebiotics to help the body grow healthy gut bacteria and are rich in vitamin A.2

Mushrooms

Mushrooms are unique for their natural vitamin D content. Vitamin D is important for the health of the immune system and autoimmunity.3 In addition, mushrooms contain high levels of antioxidants to support a healthy inflammatory response in the body.4

Pumpkin Seeds

Pumpkin seeds are an excellent food as they are rich in many vitamins and minerals. The seeds contain zinc and selenium, are rich in magnesium and iron, are an excellent source of vitamin E, and are a good source of thiamine (vitamin B1).5 For those who may have difficulty digesting seeds, you can opt for sprouted pumpkin seeds, which are easier to digest.

Salmon & Sardines

If you haven’t tried sardines in a while, there are many new and creative ways to eat this nutrientpacked fish. Sardines are full of omega-3 fatty acids that can help support a healthy inflammatory response.6 Salmon is another healthy fatty fish option, but sardines are inexpensive, easy, and provide an alternative. In addition to healthy fats, sardines are an excellent source of calcium, which is helpful if you are consuming less dairy in your diet.6 An added bonus is that sardines are exposed to less mercury than other types of fish and are an excellent source of selenium.6,7

Balance and Variety

These are just a few examples of nutrient-rich foods. A key for hypothyroidism is to strive for balance across all food groups and macronutrients. Above, we have discussed protein, fiber, and fat sources, a carbohydrate source, and more so that you can see that a wide variety of whole foods offer nutritional value.

Identifying Nutrient Deficiencies

If you cannot eat a diet rich in vitamins and minerals, supplementation may be an option. But how do you check for a nutrient deficiency? Unfortunately, only a few vitamin and mineral levels can be tested in the blood, such as vitamin D, folate, B12, selenium, and iron (or ferritin). Other markers, such as magnesium, are not as reliable for testing in the blood. Your doctor can test a few of these nutrients, and then you can work with a registered dietitian to determine if you have nutrient deficiencies in your diet. Alternatively, apps and online food calculators can show you the amounts of every vitamin and mineral you eat daily. Two apps that I recommend to my clients are MyFitnessPal and Cronometer. Once you are able to determine gaps in your diet, you can add nourishing foods back into your diet to create a well-rounded eating plan.

MyFitnessPalTM is a registered trademark of My Fitness Pal, Inc.
CronometerTM is a registered trademark of Cronometer Software, Inc.

REFERENCES: 1. Dutta, Srijita. Sweet Potatoes for Diabetes Mellitus: A Systematic Review. Pharmacophore. 2015;6. https:// citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=349dc895e53f5d77d7351780128d2e63301b071f. 2. Farhangi MA, Keshavarz SA, Eshraghian M, Ostadrahimi A, Saboor-Yaraghi AA. The Effect of Vitamin A Supplementation on Thyroid Function in Premenopausal Women. Journal of the American College of Nutrition. 2012;31(4):268-274. doi:10.1080/07315724.2012.10720431. 3. Ao T, Kikuta J, Ishii M. The Effects of Vitamin D on Immune System and Inflammatory Diseases. Biomolecules. 2021;11(11):1624. doi:10.3390/biom11111624. 4. Cheung LM, Cheung PCK, Ooi VEC. Antioxidant activity and total phenolics of edible mushroom extracts. Food Chemistry. 2003;81(2):249-255. doi:10.1016/S0308-8146(02)00419-3. 5. Syed QA, Akram M, Shukat R. Nutritional and Therapeutic Importance of the Pumpkin Seeds. Biomedical Journal of Scientific & Technical Research. 2019;21:3586. doi:10.26717/BJSTR.2019.21.003586. 6. Santos HO, May TL, Bueno AA. Eating more sardines instead of fish oil supplementation: Beyond omega-3 polyunsaturated fatty acids, a matrix of nutrients with cardiovascular benefits. Front Nutr. 2023;10. doi:10.3389/fnut.2023.1107475. 7. FoodData Central. Accessed March 18, 2024. https://fdc.nal.usda.gov/fdc-app.html#/food-details/175139/nutrients

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Note that DTE products, including NP Thyroid®, have not been reviewed by the FDA for safety or efficacy.

IMPORTANT RISK INFORMATION, INCLUDING BOXED WARNING & INDICATIONS
Important Risk Information

Drugs with thyroid hormone activity, alone or together with other therapeutic agents, have been used for the treatment of obesity. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.
  • NP Thyroid® is contraindicated in patients with uncorrected adrenal insufficiency, untreated thyrotoxicosis, and hypersensitivity to any component of the product.
  • In the elderly and in patients with cardiovascular disease, NP Thyroid® should be used with greater caution than younger patients or those without cardiovascular disease.
  • Use of NP Thyroid® in patients with diabetes mellitus or adrenal cortical insufficiency may worsen the intensity of their symptoms.
  • The therapy of myxedema coma requires simultaneous administration of glucocorticoids.
  • Concomitant use of NP Thyroid® with oral anticoagulants alters the sensitivity of oral anticoagulants. Prothrombin time should be closely monitored in thyroid-treated patients on oral anticoagulants.
  • In infants, excessive doses of NP Thyroid® may produce craniosynostosis.
  • Partial loss of hair may be experienced by children in the first few months of therapy but is usually transient.
  • Adverse reactions associated with NP Thyroid® therapy are primarily those of hyperthyroidism due to therapeutic overdosage.
  • Many drugs and some laboratory tests may alter the therapeutic response to NP Thyroid ®. In addition, thyroid hormones and thyroid status have varied effects on the pharmacokinetics and actions of other drugs. Administer at least 4 hours before or after drugs that are known to interfere with absorption. Evaluate the need for dose adjustments when regularly administering within one hour of certain foods that may affect absorption.
  • NP Thyroid® should not be discontinued during pregnancy, and hypothyroidism diagnosed during pregnancy should be promptly treated.

Indications

NP Thyroid® (thyroid tablets, USP) is a prescription medicine that is used to treat a condition called hypothyroidism from any cause, except for cases of temporary hypothyroidism, which is usually associated with an inflammation of the thyroid (thyroiditis). It is meant to replace or supplement a hormone that is usually made by your thyroid gland.

NP Thyroid® is also used in the treatment and prevention of normal functioning thyroid goiters, such as thyroid nodules, Hashimoto’s thyroiditis, multinodular goiter, and in the management of thyroid cancer.
Revised 10/2023

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