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In older patients with goiter due to iodine deficiency there is a risk of provoking hyperthyroidism by increasing iodine intake: During chronic maximal stimulation, thyroid follicles can become independent of TSH stimulation (“autonomic tissue”). If the iodine supply is increased, thyroid hormone production increases while TSH secretion decreases due to feedback inhibition.
Purine (cell nuclei)-rich foods should be avoided, e. g. , organ meats. Milk, dairy products, and eggs are low in purines and are recommended. Coffee and tea are permitted since the methylxanthine caffeine does not enter purine metabolism. Uricostatics decrease urate production. |
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