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Last Updated: Oct 23, 2019
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Hypothyroidism : What you should know?

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Dr. Aarti KulkarniAyurvedic Doctor • 15 Years Exp.MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
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Hypothyroidism has become a common ailment among people in India nowadays. Women are major victims of Hypothyroidism, as pregnancy and menopause put them at higher risk. Lack of nutrition, lack of exercise and stress play a huge role in Thyroid disorders especially hypothyroidism. 

1. What is Thyroid Gland?
1. The Thyroid Gland is a butterfly-shaped gland which is situated below your Adam's apple.
2. Thyroid Gland secrets several hormones, collectively called as Thyroid hormones. 
3. The main hormones are T4 (Thyroxine) and T3 (Tri-iodothyronine). Anterior Pituitary gland secrets TSH (Thyroid Stimulating Hormone) to stimulate Thyroid Gland to produce T4 and T3.
4. T4 is considered as precursor of T3. Many enzymes, Iodine, Tyrosine, Amino Acids, Vitamins and Minerals are essential for conversion of T4 into T3.

2. What are the functions of Thyroid hormone?
1. To act as catalyst for maintenance of metabolism
2. Regulation of proteins, carbohydrates, fat, calcium and phosphorus metabolism
3. Acceleration of energy production 
4. Necessary for normal growth and maturation
5. To help foetal development and development in first few months after birth

3. What is Hypothyroidism (Underactive Thyroid)?
1. Hypothyroidism is one of the most common disorders of endocrine glands
2. It occurs due to hypo functioning of Thyroid Gland resulting into deficiency of Thyroid hormones and increase in TSH

4. What are causes of Hypothyroidism?
1. Iodine Deficiency 
2. Hashimoto's Thyroiditis 
3. Damage to Pituitary Gland 
4. Congenital Thyroid defects
5. Stress 
6. Pregnancy 

5. What are signs and symptoms?
1. Weight gain
2. Swelling all over body 
3. Constipation 
4. Hair loss 
5. Fatigue 
6. Dry skin 
7. Feeling cold 
8. Irregular menses 
9. Heavy Menstrual bleeding 
10. Impaired fertility
11. Shortness of breath 
12. Hoarse voice 
13. Poor memory 
14. Lack of concentration 
15. Mood swings
16. Carpal Tunnel syndrome 

6. What are management strategies?

Nutrition
1. Thyroid Gland gets its support from nutrients like Amino acids, Iodine, unprocessed carbohydrates and vitamin B, C and E. 
2. Improve intake of Iodine. Some Iodine rich foods are carrot, milk, banana, strawberry, whole grains, etc.
3. Improve intake of proteins; Good sources of protein are egg, milk, cereals and pulses, etc.
4. To improve intake of vitamin B, C and E, have green leafy vegetables, Amla, Guava, Citrus fruits, sprouts, etc.
5. Hypothyroidism causes low vitamin D levels. So, vitamin D supplements can help in this condition. Walking in morning sunlight for 10-15 minutes is good source of vitamin D.
6. Avoid raw Gobi and peanuts.
7. Avoid biscuits, cakes, alcohol and chocolates.

Exercise
1. As hypothyroidism puts you at risk of increasing triglycerides, exercise is a must.
2. Cycling and swimming are good options for cardiovascular exercise.
3. Tadasana, Sarvangasana, Halasana, Matsyasana, Ushtrasana, Bhujangasana, Dhanurasana, Suryanamaskara: These poses are beneficial in prevention and management of hypothyroidism.
4. Yogasana and Pranayam learned from an experienced teacher are always helpful.
5. Eating Right, Avoiding stress, working out properly and sleeping peacefully are the basis to maintain thyroid hormones at a normal level. 

What are the Ayurvedic Aspects?
1. Although hypothyroidism is not described in classical Ayurvedic text, based on its clinical presentations, its pathogenesis can be understood
2. According to pathogenesis, Hypothyroidism occurs because of the predominance of vitiated Vata and Kapha dosha. Therefore Panchakarma especially Vaman or Virechan according to Prakruti and Basti are necessary to relieve the disease completely and to avoid further progression and complications of disease
3. "Prevention is better than cure". By following healthy regimen like DINACHARYA, RUTUCHARYA (seasonal regimen), hypothyroidism can be prevented?
4. Proper diet and lifestyle ensure proper digestion. Proper digestion can be created by intake of Digestive spices like cinnamon, cardamom, turmeric, ginger, fennel etc
5. Herbs like Guduchi, Licorice, Asparagus are good for inflammatory and autoimmune Thyroid disease
6. Herbs like Ashwagandha, Punarnava, Gokshur, Guggul, Kanchanar, Brahmi etc are good for proper functioning of Thyroid Gland
7. Ayurvedic treatment tries to heal the root Imbalance in hypothyroidism rather than treating symptoms. If you wish to discuss about any specific problem, you can consult an ayurveda.

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