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How to Shrink a Goiter Naturally

author avatar Dr. Eric Berg 06/01/2024

Most cases of a swollen thyroid gland, also known as thyroid goiter, are caused by iodine deficiency linked to poor dietary habits, alcohol consumption, or smoking. 


Discover how to shrink a goiter naturally and restore thyroid hormone balance fast. 


Woman with goiter

What is a goiter?


A goiter refers to an enlarged thyroid gland, a small organ located in the front of the neck, right below the Adam’s apple. 


The thyroid gland is primarily regulated by thyroid stimulating hormone (TSH), released from the pituitary gland, which sits at the base of the brain.  


TSH stimulates the release of the thyroid hormones thyroxine (T4) and triiodothyronine (T3). These hormones play a critical role in metabolism, growth, development, temperature regulation, and other essential physiological processes.


Lack of adequate thyroid hormone levels can trigger increased TSH release, stimulating the thyroid to work harder. This can lead to the growth of thyroid tissue and the formation of thyroid nodules, a primary cause of goiter. 


While goiter may be caused by pituitary gland or thyroid cancer, the vast majority of cases are linked to nutrient deficiencies and can be managed by making beneficial dietary and lifestyle changes.   


Watch the video below to learn more about common causes of a goiter. 

What Causes a Goiter? Iodine Deficiency & Thyroid Nodules

Causes of a goiter 


About 90 percent of all goiter cases are linked to iodine deficiency


Iodine is crucial for thyroid hormone production, and a lack of this trace mineral can lead to hypothyroidism, also referred to as an underactive thyroid gland.


Hypothyroidism stimulates increased TSH release to compensate for underactive thyroid function. However, inadequate iodine stores impair the thyroid gland's ability to produce thyroid hormones, creating a vicious cycle of TSH release and thyroid tissue growth. 


While goiter is primarily linked to hypothyroidism, it can also be caused by hyperthyroidism, characterized by overactive thyroid gland function. 


Graves' disease and other autoimmune disorders can overstimulate thyroid function by releasing antibodies that mimic the action of TSH, increasing the risk of a goiter.


Radiation exposure, thyroid inflammation, and certain thyroid disorders, such as Hashimoto's thyroiditis and viral thyroiditis, can impact thyroid hormone production and lead to thyroid tissue enlargement.  


Man with goiter

Symptoms of a goiter 


Symptoms of goiter can vary depending on the severity of the thyroid disease and the underlying cause of thyroid enlargement.  


Common goiter symptoms may include:

  • Visible swelling of the front of the neck 

  • Neck pressure or discomfort 

  • Difficulty breathing and swallowing 

  • Hoarse voice 


If goiter is linked to hypothyroidism, it often is accompanied by symptoms including fatigue, weight gain, cold intolerance, hair loss, and constipation. 


In contrast, hyperthyroidism-related goiter can include symptoms such as unexplained weight loss, palpitations, heat intolerance, sweating, nervousness, tremors, and diarrhea.


Man drinking and smoking

Who’s at risk for a goiter? 


Research published in StatPearls reports that inadequate iodine intake is a leading risk factor for goiter. This leaves individuals who don’t consume iodized salt or iodine-rich foods at risk of developing an enlarged thyroid gland.   


Smoking and excessive alcohol consumption have been linked to impaired thyroid function and can contribute to iodine depletion and goiter.   


“Pregnancy and breastfeeding are periods of heightened iodine requirements to support both maternal and fetal needs. This explains why pregnant and breastfeeding mothers commonly develop thyroid issues and goiter,” says Dr. Berg.   


Individuals who regularly consume bread and other baked products may be exposed to bromine, an iodine-depleting compound often used as a dough stabilizer. 


According to a study published in Nutrients, bromine intake can negatively affect thyroid health and may be associated with an increased risk of thyroid disorders and thyroid cancer.      


In addition, it’s believed that there is a link between gluten and thyroid gland function. 


Gluten, a protein found in various grains, can damage and inflame the small intestine, leading to poor absorption of iodine and other essential nutrients necessary for thyroid function. 


Individuals with celiac disease, gluten sensitivity, or inflammatory bowel disease may be especially susceptible to goiter due to an increased risk of iodine malabsorption.     


Iodine-rich foods

How to shrink a goiter naturally  


Many cases of goiter are linked to a poor diet, smoking, and alcohol consumption. Making beneficial dietary and lifestyle changes can play a crucial role in restoring a healthy thyroid gland and shrinking goiters naturally.     


Here are four natural remedies for goiter. 

 

1. Increase iodine intake 

Consuming plenty of iodine can be an effective strategy to promote thyroid health and manage goiter.


Here are some of the best dietary sources of iodine:

  • Seaweed and kelp

  • Seafood, including fish, shrimp, crabs, oysters, and lobster 

  • Dairy products such as butter, yogurt, and cheese

  • Eggs

  • Iodized table salt 


Seaweed and kelp are among the best iodine sources. Research published in Hormone Research in Paediatrics found that seaweed supplements effectively improve thyroid function in individuals with hypothyroidism and goiter.


2. Follow a nutritious low-carb diet 

Following a low-carbohydrate diet, particularly when combined with nutrient-dense whole foods, adequate protein intake, and healthy fats, can be an excellent strategy to improve goiter.


A nutritious low-carb diet such as Healthy Keto® can promote thyroid health by preventing blood sugar imbalances and lowering inflammation.  


Carbs and sugars are rapidly digested, leading to rapid spikes in blood sugar and insulin levels. Elevated insulin levels promote low-grade inflammation, which is implicated in thyroid gland disorders and thyroid hormone imbalances associated with goiter. 


In addition, a high-fat ketogenic diet promotes a healthy liver. The liver plays a crucial role in thyroid function as it’s the main side of thyroid hormone conversion, where inactive T4 is converted into bioactive T3.  


There has been an ongoing debate about whether keto is safe for thyroid function


However, evidence published in Nutrients found no adverse effects of carbohydrate restriction on thyroid function. In fact, the authors summarized that a low-carb diet appears to reduce thyroid cancer risk and promotes significant weight loss in individuals with hypothyroidism. 


Intermittent fasting concept

3. Practice intermittent fasting 

Practicing intermittent fasting in combination with Healthy Keto can amplify the health benefits of a low-carb diet for thyroid health.


Excess weight can contribute to thyroid hormone imbalances and thyroid issues. Time-restricted eating has been found to be highly effective in promoting a healthy body weight, which is vital to maintaining normal thyroid function. 


A study published in Frontiers of Endocrinology investigated the link between body weight and thyroid disorders and concluded, ”People with central obesity have a 1.6 times higher risk of developing goiter and thyroid nodules.”


In addition, fasting triggers autophagy, a cellular repair mechanism that helps remove damaged components within cells, including those in the thyroid. This process can support overall thyroid health and functionality, potentially improving goiter symptoms.   


4. Take a trace mineral complex 

Taking a trace mineral complex can play a critical role in preventing and managing goiter. 


Trace minerals, including selenium, zinc, and iron, are crucial for optimal iodine absorption and utilization. Deficiencies in these essential minerals can lead to low iodine stores despite adequate dietary intake, increasing the risk of thyroid issues.


Selenium is particularly vital for thyroid hormone balance as it’s needed to convert T4 into T3. This promotes normal blood concentrations of T3, preventing excessive release of TSH, which is responsible for thyroid gland enlargement.  


In addition, trace minerals promote balanced immune responses. This helps lower the risk of thyroid-related autoimmune disorders, including Grave’s disease and Hashimoto's thyroiditis, which are associated with goiter formation.  


Thyroid exam

When to see a doctor


Although the majority of enlarged thyroid cases aren’t medical emergencies, goiter can be related to thyroid or pituitary cancer. It’s crucial to consult a healthcare provider if you experience any symptoms of goiter or are concerned about your thyroid health. 


Leaving thyroid issues untreated can have serious long-term health effects, including metabolic issues, hormonal imbalances, poor mental health, and fertility problems


Thyroid function is typically assessed using a combination of physical examination, imaging tests, and blood tests to evaluate TSH, T3, and T3 levels. 


Conventional goiter treatment includes iodine supplementation, thyroid medication, or radioactive iodine therapy, which involves administering a radioactive form of iodine to the thyroid gland to destroy thyroid cells and shrink goiter.


Thyroid gland illustration

Key takeaways


Have you been diagnosed with an enlarged thyroid and are wondering how to shrink a goiter naturally?


Most cases of goiter are caused by iodine deficiency, and taking a high-quality kelp or seaweed supplement can help restore iodine levels.


In addition, promoting optimal trace mineral stores, limiting carbohydrates, and practicing intermittent fasting are excellent strategies to promote thyroid health and lower the risk of an enlarged thyroid gland.  



FAQ


1. How can I shrink a goiter naturally? 

Many instances of goiter are linked to insufficient iodine intake. Incorporating plenty of iodine-rich foods and taking a kelp supplement can replenish iodine and help shrink a goiter naturally. 

Furthermore, maintaining optimal levels of trace minerals and following a low-carb ketogenic diet in combination with intermittent fasting can be an effective approach to support thyroid function and reduce the risk of developing an enlarged thyroid gland.

2. What foods can shrink a goiter?

Iodine-rich foods such as fish, shrimp, crabs, oysters, lobster, butter, yogurt, eggs, and iodized table salt help maintain optimal iodine stores essential for thyroid health. 


In addition, bladderwrack seaweed and kelp are some of the best iodine sources that have been used for centuries to manage and prevent goiter and other thyroid-related issues. 


3. Can a goiter go back to normal?

Yes, an enlarged thyroid gland can return to its normal size if underlying causes, such as iodine deficiency or thyroid hormone imbalances, are addressed and managed. 


4. What is the leading cause of a goiter?

Iodine deficiency is responsible for around 90 percent of all goiter cases. 


Lack of iodine leads to decreased thyroid hormone production. This triggers the thyroid gland to enlarge to increase hormone synthesis, resulting in a visible swelling in the neck area.



Sources


  1. https://www.ncbi.nlm.nih.gov/books/NBK562161/ 

  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352877/ 

  3. https://karger.com/hrp/article/95/6/546/828530/History-of-the-Thyroid 

  4. https://www.mdpi.com/2072-6643/16/3/347 

  5. https://www.frontiersin.org/journals/endocrinology/articles

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