[건강톡톡] Hyperthyroidism is good for losing weight, but should it be treated?

Hyperthyroidism is a condition in which the thyroid gland produces symptoms of thyroid poisoning due to abnormal secretion of thyroid hormones. When thyroid hormone is secreted more than normal, the body consumes energy faster and many functions are hyperactive. Therefore, in most cases, it results in weight loss. No matter how good it is to lose weight, if hyperthyroidism is not treated, it can lead to serious complications such as heart disease, so it is important to get tested if a disease is suspected. Hidak experts explained in detail regarding hyperthyroidism.

Q. I’ve been feeling very tired lately and my body has a lot of heat. Is there something wrong with the thyroid gland?
Although hyperthyroidism is more common in women, it is also more common in men. Symptoms such as fatigue, heat, and cold sweat are relatively common symptoms when hyperthyroidism occurs. Also, hair loss or hyperhidrosis may accompany, so it is recommended to visit a hospital for examination.
– Hidak Endocrinology Consulting Doctor Lee Wan-gu (Mununsaem Internal Medicine Clinic)

Q. Can I have a blood test if I suspect hyperthyroidism?
Hyperthyroidism is not a disease that can be diagnosed with blood tests alone. A thyroid scan using radioactive isotopes and an iodine uptake rate test can make an accurate diagnosis.
– Hidak Endocrinology Consulting Doctor Lee Wan-gu (Mununsaem Internal Medicine Clinic)

Q. It is good to lose weight due to hyperthyroidism. Do I really need treatment?
Although there are some patients who do not take hyperthyroidism seriously, it is important to keep in mind that it is a disease that can cause serious side effects if not treated in a timely manner. Some people know that hyperthyroidism is a disease to the extent of losing weight or losing weight, and some people do not want to receive treatment for the purpose of weight loss.

However, as the treatment is delayed, the muscles weaken, and in severe cases, paralysis of the lower limbs may occur, making it impossible to walk. Above all, if the heart muscle is damaged, arrhythmias such as atrial fibrillation, cardiomyopathy, etc. may occur and eventually progress to heart failure. Of course, even if this condition is reached, it will improve to some extent if you take the medicine properly, but usually the sequelae will remain for life, so treatment should be started early before this happens.
– Hidak Endocrinology Consulting Doctor Lee Wan-gu (Mununsaem Internal Medicine Clinic)

Q. Can it be cured with medication? Should I have surgery?
It is true that hyperthyroidism is an autoimmune disease that is difficult to cure. The duration of drug treatment is long and there is a high possibility of recurrence even following treatment is finished. However, compared to other autoimmune diseases, it is well controlled if you take the medicine properly. Therefore, even if the treatment seems to be delayed, it is recommended to receive medication.
– Hidak Endocrinology Consulting Doctor Lee Wan-gu (Mununsaem Internal Medicine Clinic)

Q. How should I take thyroid medication?
Thyroid medications are less absorbed when taken with meals. Therefore, it is recommended to take it at a certain time in the morning with a meal and at least 2 hours apart. If you are sensitive to the dosage of the drug, it is often tested and it is helpful to adjust the dosage.
– Hidak Surgical Consultant Dr. Kwon Su-beom (Beautiful Hyanggiyu Surgery Clinic)

Q. Are there any foods that are good for hyperthyroidism?
In the case of hyperthyroidism, it is recommended to avoid foods high in iodine at the beginning of drug treatment. Iodine is found in large amounts in seaweed, seafood, and eggs. In addition, since hyperthyroidism is a kind of wasting disease, it is necessary to consume sufficient calories and protein to maintain an appropriate weight. In case of severe diarrhea, drink plenty of fluids to prevent dehydration.
– Hidak Nutrition Consultation Yoon Seong-won (nutritionist)

* This article has been reconstructed from a Hidak expert’s answer.

Help = Hidak Consulting Doctor Lee Wan-gu (Endocrinology Internal Medicine Specialist at Marunsaem Internal Medicine Clinic), Hidak Consulting Doctor Kwon Su-beom (Surgeon at Beautiful Hyanggiyu Surgery Clinic), Hidak Nutrition Counselor Yoon Seong-won (nutritionist)

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