Condition Strategy

Thyroid Dysfunction

Maintain optimal thyroid function and prevent progression of subclinical disease

Evidence Level B

Evidence and Risk Labels

Evidence A/B/C reflects research maturity, and risk levels reflect monitoring needs. These labels support comparison, not diagnosis or treatment decisions.

See full scoring guide

Guidance Summary

Thyroid function is sensitive to selenium, iodine, and zinc status. Selenium supplementation reduces thyroid antibody levels in Hashimoto's thyroiditis. Subclinical hypothyroidism often requires monitoring rather than immediate treatment.

Top Interventions

  • selenium supplementation for autoimmune thyroiditis
  • iodine adequacy
  • zinc optimization
  • thyroid hormone replacement when indicated

Monitoring Priorities

  • TSH
  • free T4 and T3
  • thyroid antibodies (TPO, TGAb)
  • selenium and zinc serum levels

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