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A subject that comes up a lot with thyroid, and that's goiter and the patients wise, my patients are always wondering, is their goiter going to go away? That seems to be the main issue. And so goiters a little tricky to understand in many ways, in other ways it's not. So goiters, first thing is people have historically thought that goiter came from a lack of iodine and in this country, and in other countries at a time before we had iodized salt, that was true. You would get a goiter. A lot of times people would take iodine it would go away, but that's not the case anymore. I mean, if you eat in restaurants, if you eat any type of fast foods, if you're not using Himalayan pink salt, or all that type of stuff, all the salt is iodized today. In first world countries,

and even second world countries, and some third world countries now, goiter is not caused by iodine. But let's say it was, let's say you were in one of these third world countries out in the middle of nowhere, and you're not getting enough iodine. What would happen is you need iodine to make thyroid hormone. And I'm going to tell you a little bit more in as to why this is not really pertinent, but I want you to understand goiter all the way and where all the stuff came from. "They told me I got to take iodine." So basically iodine helps you to make thyroid hormone. Iodine for those of you haven't seen any of these before, T4 is your main hormone that is made in your thyroid. The T stands for thyroxine, the 4 stands for four molecules of iodine.

And there's a whole process that puts those two things together. And part of that process is an enzyme that pulls iodine out of your bloodstream and it sticks it together that thyroxine and now you have thyroid hormone. When you do not have enough iodine, you're not going to make enough thyroid hormone. And then that tells your brain in your bloodstream, there's not enough thyroid hormone. So there's this part of your brain, it's called a hypothalamus. Basically what you need to know is this thing's checking everything in your bloodstream all the time. And if there's not enough of it, it tells the part of your body that needs to make whatever's not enough to make it in this particular case. It tells your pituitary gland to tell your thyroid to make hormone.

And it does it through this chemical called thyroid stimulating hormones and it stimulates your thyroid, and it makes thyroid hormone. And as it starts making the thyroid hormone, then there should be a feedback loop that says it's enough. But if you don't have enough iodine, you can't supply it. That TSH keeps going and going and going, because it's not getting enough iodine to make it. The feedback mechanism keeps telling you I don't have enough thyroid, enough iodine, enough T4 in my system, enough thyroid hormone. And so it's actually the thyroid stimulating hormone that causes you to enlarge your thyroid into a goiter and if it's iodine, okay, for those of you who are all the iodine fans out there, and you have a goiter and you think that's the case, if it's iodine, then you'll at this point, have hypo thyroid symptoms.

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Martin P. Rutherford, DC

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