Myths About Diet and Your Thyroid

The thyroid is a small, butterfly-shaped gland in the front of your neck. It’s a misunderstood part of the endocrine system often blamed for weight gain.

“There are many misconceptions about the thyroid, specifically around diet,” says Northwestern Medicine Endocrinologist Ayla Bakar, MD. “The bottom line is everything is fine in moderation, and food will not affect thyroid function for the most part.”

Dr. Bakar busts common myths about thyroid function and diet.

Food will not affect thyroid function for the most part.

— Ayla Bakar, MD

Myth No. 1: You can’t eat cruciferous vegetables if you have a thyroid disorder.

Cruciferous vegetables, which include broccoli, cauliflower, Brussels sprouts and kale, have been thought to interfere with how your thyroid uses iodine. Iodine plays a role in hormone production in the thyroid gland. The truth is, you can — and should — eat these veggies.

“Cruciferous vegetables are part of a healthy and balanced diet, and I encourage patients with thyroid disorders to continue eating them in moderation,” says Dr. Bakar. “You would have to consume an excessive and unrealistic amount of these vegetables for them to interfere with iodine and thus hormone production in the thyroid.”

Myth No. 2: You should take iodine supplements if you have an underactive thyroid (hypothyroidism).

You do not need to supplement iodine if you live in the United States or other first world countries where iodine is added to many foods, including table salt. While iodine deficiency is one cause of hypothyroidism, if you are not iodine-deficient, there is no need to take iodine supplements, commonly seen as kelp supplements.

“Iodine supplements are a fallacy,” says Dr. Bakar. “In fact, they can start negatively affecting thyroid function if you take them without the guidance of a physician.”

Myth No. 3: A gluten-free diet can help with Hashimoto’s thyroiditis — or cure it.

Hashimoto’s thyroiditis is the most common cause of hypothyroidism. A gluten-free diet cannot reverse Hashimoto’s.

“There is a lot of inaccurate information out there about a gluten-free diet and Hashimoto’s,” says Dr. Bakar. “I believe this stems from the fact that both Hashimoto’s and celiac disease, where gluten intolerance is the primary symptom, are both autoimmune disorders.”

Celiac disease can coexist with Hashimoto’s. In this case, patients would need to adhere to a gluten-free diet to manage their celiac disease, not Hashimoto’s.

Myth No. 4: My weight gain is from hypothyroidism.

There may be weight gain associated with an underactive thyroid, but it’s typically only 5 to 7 pounds.

“Significant weight gain beyond this has nothing to do with thyroid function,” says Dr. Bakar. “To avoid weight gain, I tell patients with hypothyroidism to monitor their portion sizes and calories, and to avoid empty calories from, say, sugary beverages. ”

Myth No. 5: People with thyroid disorders need to be on special diets.

“Like everyone else, people with thyroid disorders need to eat a healthy, well-balanced diet,” reiterates Dr. Bakar. “Diet will not make your thyroid disorder go away and will not cause thyroid disorders.”

Foods to eat and avoid

Certain foods may help improve hyperthyroidism symptoms. However, some foods may worsen symptoms or interfere with medications.

Hyperthyroidism, a type of thyrotoxicosis, is a condition in which the thyroid gland produces too much thyroid hormone. Some people refer to this condition as an overactive thyroid. The most common cause of hyperthyroidism is an autoimmune condition called Graves’ disease.

The symptoms of an overactive thyroid include unintentional weight loss, anxiety, sweating, frequent bowel movements, difficulty sleeping, and muscle weakness. Hyperthyroidism is much more common in women than in men.

In this article, we discuss how diet affects hyperthyroidism and provide lists of foods to eat and avoid.

Eating certain foods will not cure hyperthyroidism, but some nutrients and minerals play a role in managing the underlying condition. Diet can affect both the production of thyroid hormones and how the thyroid functions.

The following nutrients and chemicals are among those that can affect hyperthyroidism:

• Iodine, which the thyroid gland uses to produce thyroid hormone. Too much iodine in the diet can increase the production of thyroid hormone.
• Calcium and vitamin D are vital because hyperthyroidism can cause problems with bone mineral density.
• Foods and drinks containing caffeine can worsen the symptoms of hyperthyroidism.

Below, we discuss some of the nutrients that can affect thyroid function and note which foods contain them.

The following foods can have benefits for people with an overactive thyroid:

Low iodine foods

If a person is planning to receive radioactive iodine treatment for hyperthyroidism, their doctor may ask them to follow a low iodine diet. A low-iodine diet is a diet with less than 50 micrograms (mcg) of iodine per day.’

Foods and drinks that are low in iodine include:

• noniodized salt
• egg whites
• fresh or frozen vegetables
• herbs and spices
• vegetable oils
• sugar, honey, or maple syrup (up to 2 tbsp.)
• jams or jellies
• unsalted nuts and nut butter
• lemonade
• beer and wine
• moderate portions of beef, chicken, turkey, veal, and lamb
• fruit and fruit juices

The American Thyroid Association offers tips on how to follow a low iodine diet.

Cruciferous vegetables

Some cruciferous vegetables contain compounds that decrease thyroid hormone production and may reduce iodine uptake by the thyroid. Both of these effects may be beneficial for a person with hyperthyroidism.

These cruciferous vegetables include:

• Brussels sprouts and cabbage
• collard greens, mustard greens, and turnip roots and greens
• kale and arugula
• radishes and rutabagas
• bok choy
• cauliflower
• broccoli and broccoli rabe

Foods containing selenium

Selenium is a micronutrient that the body requires for the metabolism of thyroid hormones. Research suggests that selenium can help improve some of the symptoms of autoimmune thyroid disease, such as thyroid eye disease.

Among people using anti-thyroid medications, those who take selenium supplements may achieve normal thyroid levels more quickly than those who do not.

Foods rich in selenium include:

• Brazil nuts
• fortified pasta and cereals
• rice
• egg whites
• baked beans
• oatmeal
• spinach

Other selenium-rich foods, including tuna, halibut, shrimp, ham, egg yolks, and cottage cheese are also high in iodine which may affect iodine therapy. Eat fortified pasta and cereals, and rice made without ingredients that contain a lot of iodine. Eat limited amounts of beef, chicken, and turkey.

Foods containing iron

Iron is a nutrient that is important for normal bodily processes, including thyroid health. Iron helps the red blood cells carry oxygen to other cells in the body.

Researchers have linked low levels of iron to hyperthyroidism.

People can maintain an adequate intake of iron by including these foods in their diet:

• fortified cereals
• raisins
• dark chocolate
• beef, chicken, turkey, and pork
• spinach

Some iron-rich foods are also high in iodine, which may affect iodine therapy. Make sure your total iodine intake is less than 50 mcg per day:

• oysters and fish
• white beans, kidney beans, and black beans
• lentils
• sardines
• chickpeas
• canned beef, chicken or turkey
• cured pork products (bacon, sausages, or hot dogs)

Look for fortified cereals made without ingredients that contain a lot of iodine.

Foods containing calcium and vitamin D

There is an association between longstanding hyperthyroidism and decreased bone mineral density, which can lead to osteoporosis.

Calcium and vitamin D are both nutrients that are important for bone health.

Foods rich in calcium include:

• milk (no more than once a day)
• broccoli
• fortified orange juice
• kale
• bok choy

Many people with hyperthyroidism have vitamin D deficiency. The primary source of vitamin D is the sun hitting the skin so that the body can make its own. However, due to concerns about sun exposure and increased risk of skin cancer, many people actively limit their time in the sun or use sunscreen.

Not many foods are good sources of vitamin D, but the following foods contain some of this vitamin:

• salmon and tuna
• milk and some fortified dairy products (check the labels)
• fortified cereals

These foods are also high in iodine, which may affect iodine therapy, so you may have to limit these foods or make sure your total iodine intake is less than 50 mcg. Look for fortified pasta and cereals, and rice made without ingredients that contain a lot of iodine.

Spices

Studies have linked certain spices, including turmeric and green chilis, to a reduced frequency of thyroid disease, including hyperthyroidism.

Turmeric also has anti-inflammatory properties.

People can use different spices, such as turmeric, to add flavor to their food.

Below, we look at the foods that can be harmful to people with hyperthyroidism if they eat them in large quantities:

Iodine-rich foods

Too much iodine can make hyperthyroidism worse by leading the thyroid gland to produce too much thyroid hormone.

A person with hyperthyroidism should avoid eating excessive amounts of iodine-rich foods, such as:

• iodized salt
• fish and shellfish
• seaweed or kelp
• dairy products
• iodine supplements
• food products containing red dye
• egg yolks
• blackstrap molasses
• carrageenan, which is an additive
• baked goods with iodate dough conditioners

Soy

Animal studies have shown that soy ingestion can interfere with radioactive iodine uptake for the treatment of hyperthyroidism.

Sources of soy include:

• soy milk
• soy sauce
• tofu
• edamame beans
• soybean oil

Gluten

Research suggests that autoimmune thyroid disease, including Graves’ disease, is more common among people who have celiac disease than among those who do not.

The reason for this is not apparent, but genetics may play a role. Having celiac disease can also make a person more likely to develop other autoimmune disorders.

Celiac disease causes damage to the small intestine as a result of the ingestion of gluten. Gluten is a protein in wheat, barley, oats, and rye.

People with celiac disease need to follow a gluten free diet. Some research suggests that following a gluten-free diet may facilitate better absorption of thyroid medications by the intestine and decrease inflammation.

Caffeine

Caffeine can worsen some symptoms of hyperthyroidism, including palpitations, tremors, anxiety, and insomnia.

Where possible, a person with hyperthyroidism should try to avoid foods and drinks containing caffeine. These include:

• regular coffee
• black tea
• chocolate
• regular soda
• energy drinks

Hyperthyroidism is a condition in which the thyroid gland is overactive and produces excess thyroid hormone. People should follow their treatment plan and any dietary recommendations from their doctor.

Changing the diet might improve symptoms of hyperthyroidism. Certain nutrients may help support healthy thyroid function or decrease hyperthyroidism symptoms.

A doctor or dietitian will be able to provide more information about dietary changes for hyperthyroidism.

Thyroid Diet

It’s New Year’s Eve and despite the hardships we’ve had to face over the past few months, there seems to be light at the end of the tunnel. Now more than ever, people are looking for ways to improve their health, and people with thyroid disease are no exception.

Patients often ask about the “thyroid diet”: dietary changes they can make, supplements they can take, or toxins they can avoid to treat or reverse their thyroid disease.

How can I improve my symptoms of hypothyroidism apart from conventional medical therapy?

How can I lower my thyroid autoantibody titers?

How much of this food or supplement would be too much for my thyroid?

To tell the truth, there is a lot of information that can seem convincing. However, the evidence as a basis for clinical recommendations is generally of low quality and therefore not ideal. Here we discuss the most popular nutritional topics related to thyroid disorders.

Iodine

The production of thyroid hormones requires an adequate level of circulating iodine supplied from food or supplements. A lack of iodine puts a person at risk of developing or exacerbating hypothyroidism. The Institute of Medicine of the National Academies recommends that adults take 150 micrograms of iodine per day, while pregnant and lactating women are recommended higher doses (220 micrograms/day and 290 micrograms/day, respectively).

Common dietary sources of iodine include iodized salt, seafood (including seaweed and fish), and some breads and grains. It is important to note that sea salt, despite its name, does not contain iodine in nature.

The US does not require iodine to be listed on food packaging, so dietary sources can be difficult to identify. And while iodine levels can be measured in a person’s urine or blood, it’s not particularly informative because levels only reflect iodine levels in the last few days. Luckily, most of the United States has enough iodine.

Some people with dietary restrictions may be at risk for low iodine. Recommendations for dietary iodine supplementation at 150 mcg/day are particularly relevant for women planning pregnancy; already pregnant or women in the postpartum period and lactating, when the need for iodine is greater.

Tablets labeled “Iodine for Thyroid Health” are commonly available without a prescription and can contain several hundred times the recommended daily amount of iodine in just one dose.

Other products labeled “thyroid support” contain spirulina or algae, which naturally contain iodine, but in varying amounts that could potentially be excessive.

Taking too much iodine can cause shutdowns in the thyroid gland as a result of excess iodine (iodine-induced hypothyroidism) or the production of excess thyroid hormones (iodine-induced hyperthyroidism).

There is also evidence that chronic excess of iodine can cause autoimmune thyroiditis because iodinated thyroglobulin is immunogenic. For these reasons, the American Endocrinological Association recommends avoiding supplements containing >500 micrograms of iodine per day. Goitrogenic substances include substances that reduce the amount of available iodine in the thyroid gland and substances that inhibit any other components of normal thyroid hormone production. The most common examples of goitrogens in the diet are cruciferous vegetables and soy products.

Cruciferous vegetables

Cruciferous vegetables are vegetables of the genus Brassica and include broccoli, cabbage, Brussels sprouts, kale, turnips, cauliflower, greens, and bok choy. They are rich in glucosinolates and other substances that interfere with various steps in the synthesis of thyroid hormones. Eating cruciferous vegetables in healthy amounts certainly has its benefits, but too much or too much of them all the time can lead to or worsen hypothyroidism.

So how much is too much? Data on the amount of cruciferous vegetables required to adversely affect thyroid function is extremely limited.

In a study in “euthyroid” volunteers who took commercial cabbage juice twice daily for 7 days, the mean 6-hour thyroid intake of radioactive iodine decreased by 2.52% from baseline, but serum functional thyroid tests have not changed.

This report describes a case of extreme myxedema (coma) in an 88-year-old Chinese woman who consumed 1.0-1.5 kg of raw bok choy daily for several months in an attempt to improve her diabetes control.

However, a recent randomized clinical trial of “euthyroid” participants who took a broccoli sprout drink for 12 weeks showed no change in their serum thyroid function tests, thyroglobulin levels, or thyroid autoimmune status compared to those in the placebo group.

So how do you answer patients’ questions about whether cruciferous vegetables should be avoided? We tell patients with euthyroidism and hypothyroidism that while earlier evidence suggests that frequent consumption of large amounts of cruciferous vegetables can reduce thyroid hormone production, more recent clinical studies confirm that there is absolutely no need to completely eliminate these healthy foods.

Common sense is important in this topic. We recommend a well-balanced diet that includes reasonable amounts of cruciferous vegetables. The problem is, there is little evidence of what is “smart” about cruciferous vegetable consumption and thyroid health.

Soy

Dietary soy products, including soy milk, tofu, soy sauce, tempeh, and miso, contain isoflavones, polyphenolic compounds that are also classified as phytoestrogens due to their estrogen-like action. Because isoflavones can inhibit the action of thyroid peroxidase, which is essential for the synthesis of thyroid hormones, it has been suggested that dietary soy intake may increase the risk of hypothyroidism. Similarly, patients treated for hypothyroidism who consume large amounts of soy may require a higher dose of hormone replacement therapy for thyroid disease.

But what does the bulk of the scientific evidence show? In euthyroid people living in iodine-rich areas, consumption of normal amounts of soy is likely to have very little adverse effect on serum thyroid function. High soy intake in both euthyroid and subclinical hypothyroid individuals was correlated with only modest increases in serum thyroid-stimulating hormone (TSH) levels; there were no changes in the level of free thyroid hormones.

An exception is soy-based infant formula, which is the basis of nutrition for newborns with congenital hypothyroidism. An increase in the dose of levothyroxine may be required to adequately meet their thyroid hormone requirements.

We generally advise our adult patients that a normal amount of soy is generally safe. There is no reason to avoid soy altogether if a hypothyroid patient is being treated with thyroid hormone replacement drugs.

Trace minerals

Selenium

Selenium is a micronutrient important for thyroid hormone metabolism. In the US, the recommended daily allowance for selenium in men and non-pregnant, non-lactating women is 55 mcg.

The richest dietary sources of selenium are seafood and organ meats. Typical sources in the US diet are bread, grains, meat, poultry, fish, and eggs.

The Tolerable Upper Intake Level for selenium is 400 mcg/day. Although selenium toxicity is not commonly encountered in clinical practice, symptoms of overconsumption include nausea; discoloration, brittleness and loss of nails; hair loss; fatigue; irritability; and bad breath (often described as “garlic breath”).

Most of the data on selenium and thyroid disease relate to chronic autoimmune thyroiditis. Some studies have shown that selenium supplementation for autoimmune thyroid disease may be beneficial, as low levels are associated with an increased risk of developing goiter and thyroid nodules.

However, although selenium supplementation may reduce serum thyroid autoantibody titers in the short term, it remains unclear whether this reduction in antibody levels correlates with long-term maintenance of normal thyroid function or with a reduction in adverse obstetric outcomes in pregnant women with positive serum thyroid antibodies .

We generally do not recommend that our patients take selenium supplements for the sole purpose of improving thyroid dysfunction or autoimmunity.

However, one exception is patients with mild Graves’ ophthalmopathy. In this group of patients, selenium supplementation may improve quality of life and the course of eye disease. The European Thyroid Association/European Group on Graves’ Orbitopathy recommends selenium at a dose of 200 mg per day for 6 months in these patients.

Zinc, copper and magnesium

Unfortunately, the role of zinc, copper and magnesium in the synthesis and metabolism of thyroid hormones is less well defined. Their serum levels are inconsistently related to free or total thyroid hormone levels. But a meta-analysis has shown an association between selenium, copper, and magnesium levels with thyroid cancer risk. Given the evidence available, we recommend that these micronutrient supplements be used solely for the purpose of improving thyroid function.

Fluoride

Fluoride found in the environment or in drinking water artificially enriched with it (to prevent caries). It is also present in foods such as tea, processed foods, dental products, nutritional supplements, and foods treated with fluorine-containing pesticides.

Animal studies dating back to the 1970s have described a decrease in serum thyroid hormone levels due to exposure to fluoride, although no clear mechanism has been established.

Human studies on the relationship between fluoride exposure and hypothyroidism have shown conflicting results. A recent population-based study described a mild increase in serum TSH levels in iodine-deficient adults with higher urinary fluoride levels.

In the absence of rigorous clinical studies, it remains unclear whether these results are clinically relevant? Based on the available observational data, it is difficult to determine how much exposure to fluoride can adversely affect thyroid health.

Other dietary advice

Interventions such as gluten-free diets are popular in the functional medicine community; sugar free diets and probiotics to improve thyroid health and treat Leaky Gut Syndrome, a theory that leaky gut leads to various diseases. Do we have data to support these recommendations?

Gluten-free diet

Good evidence supports a link between celiac disease (gluten intolerance) and autoimmune thyroid disease. This is to be expected given the known increased risk of developing another autoimmune disorder when a person has already been diagnosed with one.

A meta-analysis of nearly 95,000 patients showed a three-fold increase in thyroid disease (particularly Hashimoto’s thyroiditis) among patients with celiac disease compared with non-celiac controls.

Thus, some scientists have suggested screening patients with autoimmune thyroid disease for celiac disease and vice versa, a reasonable consideration, especially when symptoms suggest another disease.

Of course, this makes us wonder:

What is the effect of a gluten-free diet on thyroid autoimmunity, risk factors for thyroid dysfunction?

Can cutting out gluten reduce the risk of developing Hashimoto’s thyroiditis in people with celiac disease?

There are few limited studies on this topic.

One small study in participants with Hashimoto’s thyroiditis who followed a gluten-free diet for 6 months showed a decrease in serum thyroid antibody titers, but no change in serum TSH levels or thyroid hormones.

In contrast, another study of patients with celiac disease showed no effect of a gluten-free diet on serum thyroid function tests, serum thyroid antibodies, or thyroid ultrasound results after 1 year of dieting.

It is difficult to counsel patients based on these small observational studies with inconsistent results.

There is currently no evidence of whether a gluten-free diet in the absence of celiac disease plays a role in the health of patients with or without established thyroid disease.

Other diet

Unfortunately, there are no clear data on whether Leaky Gut Syndrome, a sugar-free diet, or the use of probiotics affects the thyroid gland.

Examining differences in food intake patterns between patients with and without Hashimoto’s thyroiditis, researchers found that patients with Hashimoto’s thyroiditis tend to eat more animal fats and processed meats, while patients without thyroiditis tend to eat more red meat, whole grains and vegetable oils. The clinical relevance of self-reported dietary trends among these groups remains unclear. Further research is needed to find out if there is a link between this diet and thyroid autoimmunity.

Coffee, tea, and alcohol do not appear to affect the risk of thyroid cancer, although coffee reduces the absorption of oral levothyroxine in people being treated for hypothyroidism.

The potential benefits of vitamin D as a preventive or therapeutic agent for various thyroid disorders remain unclear.

Conclusion

So what is left for us? We must speak frankly with our patients, recognizing that the relationship between thyroid disease, diet, and nutritional supplements is complex. Of course, much remains to be understood through ongoing research.

In the meantime, the following recommendations are safe and supported by good evidence:

-150 micrograms of iodine per day for those with dietary restrictions or those who are planning a pregnancy, currently pregnant or breastfeeding;

-do not avoid cruciferous vegetables or soy for adults when consumed in reasonable amounts;

-and consult your doctor about a thyroid disorder that may benefit from selenium.

It is appropriate to advise patients that other widely advertised thyroid treatments have less evidence, with very limited and conflicting evidence.

Angela M. Leung, MD, MS, endocrinologist at UCLA Health and VA Greater Los Angeles Healthcare System, and assistant professor of endocrinology, diabetes, and metabolism at UCLA’s David Geffen School of Medicine.

She speaks on the topics of iodine nutrition, environmental thyroid toxicants, thyroid nodules, and thyroid cancer and is a member of the Medscape Endocrinology Advisory Board.

Gonzalo J. Acosta, MD, is an Endocrinology Fellow at UCLA Health and the VA Greater Los Angeles Healthcare System.

Original source:

https://www.medscape.com/viewarticle/943151?src=mkm_210117_mscpmrk_Endo_Thyroid_%20ATA&uac=144068HR&impID=2980704&faf=1 9000 3

Translated by a general practitioner: Ekimov I.V.

which foods can harm and which can benefit?

Reading time: 4 minPublished: 06/30/2020 Updated: 06/30/2020

According to the World Health Organization (WHO), more than 700 thousand cases of thyroid damage are registered annually, and another 1.5 billion people in the risk area. All diseases of this organ can be conditionally divided into 3 groups:

1. Hypothyroidism – reduced production of thyroid hormones
2. Thyrotoxicosis – increased production of hormones
3. Visible enlargement of the thyroid gland, the appearance of the so-called “goiter”, most often associated with iodine deficiency in the body

The most common disorder is hypothyroidism. According to statistics, women are more prone to this condition than men. To treat the disease, in addition to medication, a diet is prescribed, and it is also recommended to adhere to a healthy lifestyle. This is the only way to stabilize the hormonal background and thereby improve the course and prognosis of the disease.

Contents

1. Thyroid Health Diet
2. Thyroid Healthy Foods
3. When a Gluten-Free Diet Is Necessary
4. Organization of Treatment in Foreign Clinics

Thyroid Health Diet 9 0229

Although diet cannot cure an existing disease , it plays a significant role in maintaining health. First of all, it is necessary to eat foods containing iodine, selenium and zinc.

• Iodine is essential for the production of thyroid hormones. Since it is not produced by the body, it must be obtained from the diet. These are dairy products, iodized table salt, seafood.
• Selenium is also an important element in the production of hormones and is found in the tissues of the thyroid gland. It also has antioxidant activity. The trace element is found in tuna, poultry meat, Brazil nuts, eggs, oatmeal.
• Zinc has a beneficial effect on the synthesis of hormones in the body. Foods with optimal zinc content are beef, chicken, oysters, legumes, pumpkin seeds.

Foods that can harm the thyroid gland

Some substances in food can interfere with normal thyroid function. They are called goitrogens or goitrogens because they inhibit the synthesis of thyroid hormone. These substances are found in green cruciferous vegetables: in broccoli, Brussels sprouts and cauliflower. This does not mean that they must be abandoned, on the contrary, in addition to potentially harmful substances, vegetables contain many vitamins that positively affect the functioning of the body. A balanced diet should be followed, in which different foods are consumed in limited quantities.

People with a thyroid disorder should avoid processed foods that are high in calories and offer little nutritional benefit. Examples of processed foods: fast food, convenience foods, confectionery. Soy derivatives also have a negative effect on the functioning of the thyroid gland.

It is also necessary to carefully monitor the amount of food eaten, since a violation of the synthesis of hormones can lead to weight gain.

When a gluten-free diet is needed

If an autoimmune process is the basis of the thyroid gland disease and the body recognizes “its own” as “foreign” by attacking the tissue of the organ, then products containing gluten are contraindicated for consumption. They can contribute to the development of other autoimmune diseases, such as celiac disease, which causes chronic inflammation and damage to the intestinal wall.

Compliance with the necessary diet, along with drug treatment, will effectively cope with the disease and minimize the occurrence of complications.

Organization of treatment in foreign clinics

Since 2003, the specialized tour operator “Treatment Abroad” has been organizing trips for diagnosis and treatment abroad, including for thyroid diseases. We employ certified medical specialists with knowledge of a foreign language. Thanks to constant contact with foreign clinics, we are well versed in the available methods of treatment and conduct correspondence consultations with foreign professors, individually selecting the best therapy options for the patient.

If you want to get an unbiased expert opinion on the possibilities of treatment of your disease abroad, please contact us by phone 8 800 200 49 17 (free line) or leave a request on the website. The initial consultation with a doctor and the analysis of medical documents are free of charge and subject to medical secrecy.

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