For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Nutritional considerations for those with thyroid dysfunction
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In print
Nutrition
Nutritional considerations for those with thyroid dysfunction
Wednesday 29 March 2023, 12:30 AM

Fish provides several nutrients that can help with thyroid function and/or may be deficient in those with thyroid dysfunction [Image: Travis Yewell on Unsplash]
Dietitian Clarice Hebblethwaite reviews the most common thyroid disorders, then discusses nutritional factors that influence thyroid function
Key points, In those with a thyroid disorder, it would be worthwhile testing iodine, iron, selenium, and vitamins D and B12, and supplementing as necessary.
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Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
- Danailova Y, Velikova T, Nikolaev G, et al. Nutritional management of thyroiditis of Hashimoto. Int J Mol Sci 2022;23(9):5144.
- Mikulska AA, Karaźniewicz-Łada M, Filipowicz D, et al. Metabolic characteristics of Hashimoto’s thyroiditis patients and the role of microelements and diet in the disease management-An overview. Int J Mol Sci 2022;23(12):6580.
- Rayman MP. Multiple nutritional factors and thyroid disease, with particular reference to autoimmune thyroid disease. Proc Nutr Soc 2019;78(1):34–44.