Natural treatments for hyperthyroidism

DEFINITION: Treatment for excessive amounts of thyroid hormone released by the thyroid gland.

PRINCIPAL PROPOSED NATURAL TREATMENTS: None

OTHER PROPOSED NATURAL TREATMENTS: Bugleweed, L-carnitine, glucomannan, motherwort, royal jelly

HERBS AND SUPPLEMENTS TO AVOID: Ashwagandha, bladderwrack, kelp, celery extracts, stinging nettle (Urtica dioica), caffeinated green tea, Chinese or Korean ginseng, grapefruit juice

Introduction

Hyperthyroidism is a condition in which the thyroid gland releases excessive amounts of thyroid hormone. Symptoms include weight loss, fatigue, fast heart rate, heart palpitations, intolerance to heat, insomnia, anxiety, frequent bowel movements, scant menstruation, bone thinning, hair loss, changes in the appearance of the eye (bulging or staring), and goiter (visible enlargement of the neck caused by a swollen thyroid gland).

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The most common form of hyperthyroidism is Graves’ disease. In this condition, the body manufactures antibodies that have the unintended effect of stimulating the thyroid gland. (In another condition, Hashimoto’s thyroiditis, the body produces antibodies that decrease thyroid output.) Additionally, benign tumors of the thyroid can secrete excessive thyroid hormone on their own (cancerous tumors seldom do). Viral infection of the thyroid (subacute thyroiditis) causes short-lived hyperthyroidism followed by a more prolonged period of hypothyroidism.

Medical treatment of hyperthyroidism is highly effective. In most cases of ongoing hyperthyroidism, radioactive iodine is used to destroy thyroid tissue. This approach is both safe and effective because almost all the iodine in the body ends up in the thyroid; the radioactive treatment, therefore, does not damage any other tissues. Other approaches to hyperthyroidism include drugs to block the effects of high thyroid hormone or to slow thyroid hormone production and, in relatively rare cases, surgery.

Proposed Natural Treatments

Physician supervision is necessary to determine why the thyroid is overactive to design a specific treatment plan. None of the treatments discussed in this section get to the root of the problem, nor have they been proven effective. Self-treatment of hyperthyroidism is not recommended.

Test-tube and animal studies suggest that the herb bugleweed may reduce thyroid hormone by decreasing levels of TSH (the hormone that stimulates the thyroid gland) and by impairing thyroid hormone synthesis. In addition, bugleweed may block the action of thyroid-stimulating antibodies found in Graves’ disease.

The supplement L-carnitine has shown promise for treating a special form of hyperthyroidism that may occur during the treatment of benign goiter. People with benign goiter often take thyroid hormone pills as treatment. Sometimes, successful treatment of this condition requires taking slightly more thyroid hormone than the body needs, resulting in symptoms of mild hyperthyroidism. A double-blind, placebo-controlled trial found evidence that the use of the supplement L-carnitine could alleviate many of these symptoms. This six-month study evaluated the effects of L-carnitine in fifty women who were taking thyroid hormone for benign goiter. The results showed that a dose of two or four grams (g) of carnitine daily protected participants’ bones and reduced other symptoms of hyperthyroidism. Carnitine is thought to affect thyroid hormone by blocking its action in cells. A preliminary trial found some evidence that when the supplement glucomannan is added to standard treatment, normal thyroid hormone levels are restored more rapidly.

For many people, the most problematic symptom of hyperthyroidism is a rapid or irregular heartbeat. In cases of temporary high thyroid hormone levels (as in the form of a viral infection), conventional treatment may involve simply protecting the heart. Germany’s Commission E (the herbal regulating body in that country) has authorized the use of the herb motherwort as part of an overall treatment plan for an overactive thyroid (hyperthyroidism). Motherwort is said to calm the heart; however, little meaningful evidence indicates that it is effective for the heart-related symptoms of hyperthyroidism (or any other heart-related symptoms). Royal jelly has been proposed for use in Graves’ disease, but there is little meaningful evidence that it is effective. Some animal studies have found royal jelly useful, but overall, its use in humans is mixed. Some individuals recommend using cupping—the application of warm cups to the skin where they create suction. This method of treatment has not been proven.

Individuals with hyperthyroidism often have a vitamin B12 deficiency. Using supplements or adjusting the diet to increase vitamin B12 levels only improves the symptoms that result from the deficiency. No vitamin can cure hyperthyroidism. Similarly, Graves’ disease often causes thyroid eye disease, which is associated with a selenium deficiency. Increasing selenium intake can help reduce eye bulging and other symptoms that result from a selenium deficiency.

Herbs and Supplements to Avoid

According to one study in animals, the herb ashwagandha may raise thyroid hormone levels. For this reason, it should not be used by people with hyperthyroidism. Taking excessive kelp, bladderwrack, or other forms of seaweed can cause hyperthyroidism by overloading the body with iodine. Other supplements that should be avoided include celery extracts, stinging nettle (Urtica dioica), certain caffeinated teas, ginseng, and grapefruit juice.

Additionally, a diet low in iodine is beneficial for most individuals with hyperthyroidism. The American Thyroid Association encourages individuals to avoid iodized salt, seafood, dairy, excessive poultry or beef, excessive grain products like bread and pasta, and egg yolks.

Bibliography

Azezli, A. D., T. Bayraktaroglu, and Y. Orhan. “The Use of Konjac Glucomannan to Lower Serum Thyroid Hormones in Hyperthyroidism.” Journal of the American College of Nutrition, vol. 26, 2007, pp. 663-68.

Alhilo, Iman, et al. “Hyperthyroidism Treatment by Alternative Therapies Based on Cupping and Dietary-herbal Supplementation: A Case Report.” Drug Metabolism and Personalized Therapy, vol. 10, no. 1515, 12 Aug. 2021, doi:10.1515/dmdi-2021-0132.

Benvenga, S., et al. “Usefulness of L-carnitine, a Naturally Occurring Peripheral Antagonist of Thyroid Hormone Action, in Iatrogenic Hyperthyroidism.” Journal of Clinical Endocrinology and Metabolism, vol. 86, 2001, pp. 3579-94.

Erem, C., et al. “The Effects of Royal Jelly on Autoimmunity in Graves’ Disease.” Endocrine, vol. 30, 2006, pp. 175-183.

He, Qiongyao, et al. “New Therapeutic Horizon of Graves' Hyperthyroidism: Treatment Regimens Based on Immunology and Ingredients From Traditional Chinese Medicine.” Frontiers in Pharmacology, vol. 13, Apr. 2022, doi:10.3389/fphar.2022.862831.

Kaplan, Daniel, and Chrysoula Dosiou. “Two Cases of Graves’ Hyperthyroidism Treated With Homeopathic Remedies Containing Herbal Extracts from Lycopus spp. and Melissa officinalis.” Journal of the Endocrine Society, vol. 5, May 2021, doi:10.1210/jendso/bvab048.1984.

Lee, Sun Y., and Elizabeth N. Pearce. “Hyperthyroidism: A Review.” JAMA, vol. 330, no. 15, 2023, pp. 1472-83. doi:10.1001/jama.2023.19052.

Millar, Helen. "8 Herbs That May Improve Thyroid Health." Medical News Today, 17 Feb. 2023, www.medicalnewstoday.com/articles/herbs-that-imporove-thyroid-health. Accessed 20 Sept. 2024.

Seymen, C. M., et al. "Royal Jelly Increased Map-2 Expression in Hippocampal Neurons of Hypothyroid Rats: An Immunohistochemical Study." Biotechnic and Histochemistry, vol. 95, no. 1, 2019, pp. 46–54. doi.org/10.1080/10520295.2019.1632486.