Thyroid Disease

Common Questions & Answers
Hypothyroidism symptoms include slow heart rate, fatigue, weight gain, cold sensitivity, dry skin and hair, low mood, constipation, and heavy menstruation. Hyperthyroidism can cause rapid heart rate, sleep issues, weight loss, heat sensitivity, clammy skin, anxiety, and irregular periods.
Autoimmunity is a common cause of thyroid disease. Thyroid damage during radiation therapy or surgery, certain cancer medications that affect the immune system, and iodine deficiency can also affect thyroid function.
Some types, like subacute thyroiditis, can fully heal. However, other thyroid diseases or treatments can result in a lifelong need for synthetic thyroid hormone. Speak to a doctor about the outlook for your type of thyroid disease.
Doctors diagnose thyroid disease through blood tests measuring thyroid hormone levels and imaging scans to check for nodules. A thyroid uptake and scan can differentiate between causes of hyperthyroidism and identify nodules that are producing too much thyroid hormone.
It’s best to avoid foods with excess iodine, such as seaweed soup. Ask a healthcare professional about the best diet for your type of thyroid disease.

Anna L. Goldman, MD
Medical Reviewer
Anna L. Goldman, MD, is a board-certified endocrinologist. She teaches first year medical students at Harvard Medical School and practices general endocrinology in Boston.
Dr. Goldman attended college at Wesleyan University and then completed her residency at Icahn School of Medicine at Mount Sinai Hospital in New York City, where she was also a chief resident. She moved to Boston to do her fellowship in endocrinology at Brigham and Women's Hospital. She joined the faculty after graduation and served as the associate program director for the fellowship program for a number of years.

Sandy Bassin, MD
Medical Reviewer
Sandy Bassin, MD, is an endocrinology fellow at Mount Sinai in New York City. She is passionate about incorporating lifestyle medicine and plant-based nutrition into endocrinology, particularly for diabetes and obesity management.
She trained at the Geisel School of Medicine at Dartmouth, where she taught culinary medicine classes to patients and medical trainees. She continued her training at the Robert Wood Johnson Medical School.
Dr. Bassin has published reviews of nutrition education in medical training and physical activity in type 2 diabetes in Nutrition Reviews, Endocrine Practice, and the American Journal of Lifestyle Medicine. She has been featured on the Physician to Physician Plant-Based Nutrition podcast and given many presentations on lifestyle interventions in endocrine disorders.
She stays active through yoga and gardening, and loves to cook and be outdoors.

Kacy Church, MD
Medical Reviewer
Dr. Church always knew that she wanted to pursue endocrinology because the specialty allows for healthy change through patient empowerment. She completed her fellowship in endocrinology, diabetes, and metabolism in 2017 at Stanford University in California.
She loves running, dancing, and watching her sons play sports.

Edmund Tsui, MD
Medical Reviewer
Edmund Tsui, MD, is an assistant professor of ophthalmology at the Jules Stein Eye Institute in the David Geffen School of Medicine at UCLA.
He earned his medical degree from Dartmouth. He completed an ophthalmology residency at the NYU Grossman School of Medicine, where he was chief resident, followed by a fellowship in uveitis and ocular inflammatory disease at the Francis I. Proctor Foundation for Research in Ophthalmology at the University of California in San Francisco.
Dr. Tsui is committed to advancing the field of ophthalmology. His research focuses on utilizing state-of-the-art ophthalmic imaging technology to improve the diagnosis and monitoring of uveitis. He is a co-investigator in several multicenter clinical trials investigating therapeutics for uveitis. He is the author of over 80 peer-reviewed publications and has given talks at national and international conferences.
Along with his clinical and research responsibilities, Tsui teaches medical students and residents. He is on the Association for Research in Vision and Ophthalmology's professional development and education committee, as well as the advocacy and outreach committee, which seeks to increase funding and awareness of vision research. He also serves on the editorial board of Ophthalmology and the executive committee of the American Uveitis Society.

Ghazala O'Keefe, MD
Medical Reviewer
She is the lead editor of the EyeWiki uveitis section. She is a member of the executive committee of the American Uveitis Society and was inducted into the International Uveitis Study Group. She has served as the director of the Southeastern Vitreoretinal Seminar since 2019.
- Thyroid Disease. Cleveland Clinic. March 25, 2024.
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