Thyroid For Dummies

358 Pages · 2013 · 5.06 MB · English

  • Thyroid For Dummies

    Thyroid For Dummies, 2nd Edition

    by Alan L. Rubin, MD

    Thyroid For Dummies, 2nd Edition®

    Published by

    Wiley Publishing, Inc.

    111 River St.

    Hoboken, NJ 07030-5774


    Copyright © 2006 by Wiley Publishing, Inc., Indianapolis, Indiana

    Published simultaneously in Canada

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    Library of Congress Control Number: 2006920628

    ISBN-13: 978-0-471-78755-6

    ISBN-10: 0-471-78755-8

    Manufactured in the United States of America

    10 9 8 7 6 5 4


    About the Author

    Alan L. Rubin, MD, is one of the nation’s foremost experts on the thyroid gland in health and

    disease. He is a member of the Endocrine Society and has been in private practice specializing in

    thyroid disease and diabetes for over 28 years. Dr. Rubin was Assistant Clinical Professor of

    Medicine at UC Medical Center in San Francisco for 20 years. He has spoken about the thyroid to

    professional medical audiences and nonmedical audiences around the world. He is a consultant to

    many pharmaceutical companies and companies that make thyroid products.

    Dr. Rubin has written extensively on the thyroid gland as well as diabetes mellitus. As a result, he

    has been on numerous radio and television programs talking about the cause, the prevention, and

    the treatment of conditions of the thyroid. He is also the best-selling author of Diabetes For

    Dummies and Diabetes Cookbook For Dummies, both now in second editions and translated into

    multiple languages including Chinese, Spanish, French, and Russian. His latest book is High

    Blood Pressure For Dummies.


    The second edition of this book is again dedicated to my wife, Enid. She smilingly let me do my

    work, sometimes into the wee hours of the morning, and missed many an opportunity to go out to

    dinner or a movie so that I could produce this book for you. If you have a fraction of the support in

    your life that she has given me, you are a lucky person, indeed.

    Author’s Acknowledgments

    The great publisher and midwife, Kathy Nebenhaus, deserves enormous appreciation for helping

    me to deliver yet another bright-eyed baby. Her optimism and her enthusiasm actually made this

    book possible. Acquisitions editor Michael Lewis played a huge role in ironing out the inevitable

    problems that arise when book publishing and medicine meet.

    My editor, Michael Baker, did a magnificent job turning my sometimes incomprehensible prose

    into words that you can understand. He also conducted a whole orchestra of other editors who

    contributed to the book, including Melissa Wiley. My thanks to Dr. Kathleen Bethin for the

    technical editing of the book.

    Librarian Karen O’Grady at St. Francis Memorial Hospital was tremendously helpful in providing

    the articles and books upon which the information in this book is based.

    My teachers are too numerous to mention, but one person deserves special attention. Dr. Francis

    Greenspan at the University of California Medical Center gave me the sound foundation in thyroid

    function and disease upon which this book is based.

    Finally, there are my patients over the last 28 years, the people whose trials and tribulations

    caused me to seek the knowledge that you will find in this book. This book is written on the

    shoulders of thousands of men and women who made the discoveries, tried the medications, and

    held the committee meetings. Their accomplishments cannot possibly be given adequate acclaim.

    We owe them big time.

    Publisher’s Acknowledgments

    We’re proud of this book; please send us your comments through our Dummies online registration

    form located at www.dummies.com/register/.

    Some of the people who helped bring this book to market include the following:

    Acquisitions, Editorial, and Media Development

    Project Editor: Mike Baker

    (Previous Edition: Joan Friedman)

    Acquisitions Editor: Michael Lewis

    Copy Editor: Melissa Wiley

    Editorial Program Coordinator: Hanna K. Scott

    Technical Editor: Kathleen Bethin, MD

    Editorial Manager: Christine Meloy Beck

    Editorial Assistants: Erin Calligan, David Lutton

    Cartoons: Rich Tennant (www.the5thwave.com)

    Composition Services

    Project Coordinator: Adrienne Martinez

    Layout and Graphics: Carl Byers, Andrea Dahl, Stephanie Jumper, Barbara Moore, Heather


    Special Art: Kathryn Born

    Proofreaders: Laura Albert, Leeann Harney, Jessica Kramer, Aptara

    Indexer: Aptara Publishing and Editorial for Consumer Dummies

    Diane Graves Steele, Vice President and Publisher, Consumer Dummies

    Joyce Pepple, Acquisitions Director, Consumer Dummies

    Kristin A. Cocks, Product Development Director, Consumer Dummies

    Michael Spring, Vice President and Publisher, Travel

    Kelly Regan, Editorial Director, Travel

    Publishing for Technology Dummies

    Andy Cummings, Vice President and Publisher, Dummies Technology/General User

    Composition Services

    Gerry Fahey, Vice President of Production Services

    Debbie Stailey, Director of Composition Services Contents



    About This Book

    Conventions Used in This Book


    How This Book Is Organized

    Icons Used in This Book

    Where to Go from Here

    Part I : Examining the Thyroid

    Chapter 1: The Big Role of a Little Gland

    Discovering the Extent of the Problem

    Identifying an Unhappy Thyroid

    Recognizing Who’s at Risk

    Realizing the Importance of a Healthy Thyroid

    Treating What Ails You

    Examining Additional Contributors to Thyroid Ailments

    Realizing the Consequences of Delaying Treatment

    Paying Attention to Special Groups and Considerations

    Keeping the Rest of Your Body Healthy

    Staying Informed

    Chapter 2: How the Thyroid Works

    Picturing Your Thyroid

    Examining the Production of Thyroid Hormones

    Understanding the Function of Thyroid Hormones

    Chapter 3: Finding a Thyroid Doctor

    Asking the Right Questions

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