Does Hashimoto's thyroiditis need to be treated?

Written by Li Hui Zhi

Endocrinology

Updated on September 02, 2024

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Hashimoto's thyroiditis is an autoimmune disease. Whether it requires treatment mainly depends on whether thyroid function is normal. If the thyroid function is normal in Hashimoto's thyroiditis, treatment is not needed; only regular monitoring of thyroid function is necessary. If Hashimoto's thyroiditis is accompanied by reduced thyroid function, then thyroid hormone replacement therapy is needed. If there is a history of Hashimoto's thyroiditis, it is essential to regularly monitor thyroid function and, under the guidance of a doctor, determine whether medication is necessary.

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Written by Chen Xie

Endocrinology

55sec

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Does Hashimoto's thyroiditis cause fever?

Hashimoto's thyroiditis belongs to autoimmune thyroiditis, where the body's own antibodies destroy the thyroid follicular cells, leading to apoptosis of thyroid cells. As the disease progresses, it may lead to hypothyroidism. Generally, Hashimoto's thyroiditis does not cause fever. If a patient with Hashimoto's thyroiditis experiences a fever, it is necessary to exclude other infectious diseases. If a patient with Hashimoto's thyroiditis has a fever, especially if there is significant tenderness in the thyroid area, it is necessary to exclude the possibility of concomitant subacute thyroiditis. If Hashimoto's thyroiditis is accompanied by subacute thyroiditis, small doses of hormones can be used for treatment. (Please use medication under the guidance of a doctor.)

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Written by Chen Xie

Endocrinology

47sec

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Does Hashimoto's thyroiditis cause weight loss?

Hashimoto's thyroiditis is an autoimmune thyroiditis where autoantibodies within the body cause the destruction of thyroid follicular cells, leading to thyroid cell failure. During the course of Hashimoto's thyroiditis, hyperthyroidism may occur. Due to the destruction of thyroid follicles by autoantibodies, a significant release of thyroid hormones into the blood occurs, resulting in a hyperthyroid state. Therefore, symptoms such as weight loss, heat intolerance, and excessive sweating which are typical of hyperthyroidism may also appear in Hashimoto's thyroiditis. However, as the disease progresses, the condition gradually leads to decreased thyroid function.

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Written by Chen Xie

Endocrinology

1min 19sec

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Can Hashimoto's thyroiditis patients eat iodized salt?

Hashimoto's thyroiditis is an autoimmune thyroid disease, which can manifest in three thyroid function states: hyperthyroidism, euthyroidism, and hypothyroidism. The dietary requirements for iodized salt vary depending on the thyroid state. When Hashimoto's thyroiditis coexists with hyperthyroidism, an iodine-restricted diet is necessary. When thyroid function is normal in Hashimoto's thyroiditis, iodine intake should still be limited, as excessive iodine can cause a thyroiditis that changes from euthyroid to dysfunctional. Therefore, iodized salt can be consumed, but the intake of iodine-rich foods such as kelp, seaweed, and seafood should be restricted. When Hashimoto's thyroiditis coincides with hypothyroidism, iodized salt can be consumed without specific restrictions; both iodized and non-iodized salt are acceptable. This is because, at this stage, thyroid function primarily requires hormone replacement therapy, so the consumption of iodized salt has no effect.

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Written by Li Hui Zhi

Endocrinology

40sec

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Can Hashimoto's thyroiditis heal itself?

Hashimoto's thyroiditis is an autoimmune disease that varies in severity. If a patient merely has elevated antibodies but normal thyroid function, there is no need for treatment; regular thyroid function monitoring is sufficient. If a patient has Hashimoto's thyroiditis combined with reduced thyroid function, they should visit an endocrinology specialist and timely supplement thyroid hormones. Therefore, it cannot be categorically stated whether it can be cured or not; it depends on the severity of the condition. Some patients, if their thyroid function is normal, need only monitor their thyroid function.

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Written by Chen Xie

Endocrinology

1min 13sec

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What kind of salt should be consumed for Hashimoto's thyroiditis?

Hashimoto's thyroiditis is a type of autoimmune thyroiditis that can manifest as hyperthyroidism, hypothyroidism, or normal thyroid function during its progression. Therefore, there are different requirements for the type of salt to consume depending on the state of thyroid function. When Hashimoto's thyroiditis presents with hyperthyroidism, it is recommended to consume non-iodized salt. When thyroid function is normal in Hashimoto's thyroiditis, iodized salt can be consumed. When Hashimoto's thyroiditis is accompanied by hypothyroidism, there is no specific requirement for consuming iodized or non-iodized salt. Because at this stage, the thyroid has largely lost its ability to synthesize thyroid hormones, and treatment involves replacing them with levothyroxine to maintain thyroid function. Therefore, the intake of iodine does not matter, and one can freely choose to consume iodized or non-iodized salt. Thus, the choice of salt in Hashimoto's thyroiditis should be based on thyroid function testing.