Seaweed and your thyroid
For years, I’ve received requests to write about thyroid disease and menopause. And for years, I’ve swept the topic under the table; that is, until now. However, in light of recent news, I’d like to approach it in a slightly different way. I hope that the following is helpful.
Symptoms of menopause and an underactive thyroid (inability to produce enough thyroid hormone to run the metabolism) can be very similar. In fact, hypothyroidism is 10 times more common in women than in men, and experts say that as many as 10% of all women have some sort of thyroid deficiency. Additionally, risk increases exponentially as we age. Moreover, symptoms like fatigue, depression, weight gain and sexual dysfunction can all be signs of an underactive thyroid and not menopause. More troubling are data from the American Association of Clinical Endocrinologists demonstrating that only one in four women who discussed menopausal symptoms with their practitioners were also tested for thyroid disease.
But what about thyroid cancer? Is there a link to hypothyroidism? And what’s the latest news in that area?
Thyroid cancer is currently one of the fastest growing cancers in the world, and is 2.9 times more likely to occur in women than in men. In fact, last year, doctors from Dana Farber Cancer Institute in Boston reported that for every four patients they were seeing with thyroid cancer, three were women.
Researchers have hypothesized (but have not concluded) that the interaction of the environment, reproductive and menstrual factors account for the disparity in cancer rates between women and men. And just last week, Japanese researchers reported that study findings show that postmenopausal women who consume seawood daily have 3.8 times greater risk for thyroid cancer compared to women who ate it 2 days a week or less. The reason for this may be due to the level of iodine in the seaweed, which has been shown to impair thyroid function and has been specifically linked to the most common type of thyroid cancer — papillary carcinoma.
Importantly, in most cases, thyroid cancer has no early signs or symptoms, and as the cancer grows, it may be diagnosed by a painless lump on the neck, hoarseness, swollen lymph nodes or difficulty swallowing. But take note: while hypothyroidism may increase the risk for heart disease, it has not been linked to a higher risk of thyroid cancer.
It’s all very confusing but the main take-away points are that if you are experiencing menopausal symptoms, be sure that your practitioner tests your thyroid to rule out any sort of thyroid condition. Moreover, if you notice a nodule in your neck, contact a health professional to rule out cancer. Most importantly, 95% of thyroid masses are benign. But you may want to keep iodine intake moderate just to be safe.
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Cancer…it’s still personal
Two years ago, I wrote a post about breast cancer and the fact that it was personal. Very personal. I want to share a portion of that post today and also add a few thoughts. The reason? It’s personal. Again.
Location: Department Store dressing room stall. Circa: late 1960s, early 1970s.
The characters: Me and my mom.
Scene: She is covering herself as she removes her shirt. I notice the scars. Lots of scars….to the side of one breast. I meet her eyes and she meets mine. Then I learn what the term ‘ breast cancer’ means.
My mother was diagnosed with breast cancer when she was 30. Thirty. Even today, less than half of women under the age of 40 are likely to develop breast cancer and the majority of cases are diagnosed after the age of 50. So, imagine the shock. What’s more, imagine the time. 1960… when breast cancer awareness wasn’t at the fore and people didn’t discuss it, when breasts and surrounding muscle were literally hacked off rather than carefully removing the tumor with clean margins, when many men left their wives after they became disfigured.
My dad didn’t leave. And my brother learned about it through a ‘friend’ in school who was teasing him.
I’ve spoken to my mother about her cancer, about the fear of it returning, and about how she feels about not being able to wear sleeveless tops or strengthen/firm those muscles even though she has exercised regularly her entire life. How she felt when my brother came home from school and asked her about it. How she feels now when a friend is diagnosed with cancer. Her answer is always pretty much the same.
But cancer can return. And even though this time it’s not in her breast, it looks like she’s may go down that road…again. And my heart is breaking. Because the fear in the tone of her voice says more than any words can.
She is afraid.
I don’t blame her. I would be afraid too.
Only this time? She’s 80, not 30 and although she’s tough as nails and very, very active, cancer has an insidious nature, sometimes too insidious. And even though in my heart of hearts I believe that she will be fine, I still feel awful about it.
In the past two years, I’ve had two friends who’ve been diagnosed with breast cancer, not for the first but second time. Recently, another close friend developed a very rare form of cancer and despite its severity, emerged in one piece and better than ever. Others in my life are four-, five-time survivors. Hell, even my dad has had bladder cancer since the early 90s. People survive. People move on with their lives. And yet sometimes, we lose people that we love.
Although it may be too early for a Mother’s Day post, it’s never too late to let someone know how you feel about them.
So Mom?
Thank you. The relationship has been a difficult one for most of our lives, threatened by personality and character and actions and words. Often, this road has not been an easy one. But you brought me into this life and I want you to know that despite all, the forks we’ve taken to get to this place have converged and our road is paved with mutual love and respect. I. Love. You. That is all.
And the cancer, I am not certain of the outcome this time. But I am certain of one thing: a mother’s love, and my mother’s love, is one of the most important gifts.
This one’s close to the bone. It’s close to my heart. It’s personal.
Read MoreWednesday Bubble: Don’t Pause!
Hey, stop the presses! There’s a brand new, one-size-fits-all solution to menopause – Don’t – as in, Don’t Pause. Billed as a breakthrough advancement in treating early menopause symptoms (according to the press release), Don’t Pause contains a proprietary mixture of pomegranate extract, green tea, chromium and selenium especially geared towards helping you ‘grow young responsibly.’
Um, okay. So what does that mean? It appears to mean that this wonder formulation will not only halt symptoms of menopause but also improve youthfulness and sexuality, reduce the risk of cancer, osteoarthritis, heart disease and epilepsy and enhance the effects of exercise on weight distribution. Wow! All that in a single pill. Have I mentioned that it’s also Hallal and Kosher?
There is one bit of messaging surrounding this wonder product that I believe is responsible and right on: the time to start addressing menopausal symptoms is before they start. That means you – 30 some year-olds and 40 some year-olds – there is no time like the present to build bone and preserve bone health, get into shape and start managing your weight, eat healthy, address stress and build those support networks. These are the type of steps that can go a long way to addressing menopause symptoms and also to take poetic license, truly help you grow older responsibly.
Don’t pause? What do you think?
Read MoreDanger! Danger! HRT prescribing lagging behind recommendations
[youtube=http://www.youtube.com/watch?v=RG0ochx16Dg]
Here’s a disturbing piece of news:
Stanford University School of Medicine researchers are reporting that when it comes to prescribing practices, physicians across the country continue to lag behind recommendations from FDA and other organizations cautioning that hormone replacement therapy (HRT) should be used at the lowest dose and shortest period of time possible or only as a last resort. This, despite accruing evidence warning of the dangers of hormone therapy.
While use of hormonal therapy has gradually declined ,some 6 million women continue to place themselves at risk annually. This risk appears to be somewhat exacerbated by the fact that that their doctors, especially ob/gyns, have not changed their prescribing habits very much. Indeed, less than a third of hormone therapy users surveyed in the IMS National Disease and Therapeutic index (which formed the basis for this latest bit of information) were given prescriptions for lower-dose hormone pills, vaginal suppositories or patches. Especially at risk are women old than 60 years in whom the risk/benefit of HRT is very unbalanced, more than a third of whom continue to use hormonal therapy to address symptoms. Thankfully, however, women younger than 50 and up to age 59 appear to be paying attention to the headlines and giving up hormones altogether.
Although the reasons that doctors aren’t paying attention are unclear, the researchers suggest that perhaps clinical practice has not caught up with data or that older women in particular, are satisfied with symptom control and don’t want to rock the boat. Or perhaps many women in this age group remain unaware of the increased risk of heart disease and breast cancer (among others) associated with menopausal hormonal therapy. Regardless, the message isn’t getting through.
How do you change prescribing habits when there’s a breakdown in communications or when study investigators suggest that “it takes a huge event to change clinical practice?” A huge event? I don’t know about you but I think that increases in heart disease and cancer risks are pretty big events. Ladies – it’s time to take this matter into your own hands. Speak up. Work with your doctor, discuss the treatment strategy he or she is recommending and especially when it comes to HRT, ask the hard questions.
Right now, like Robot from ‘Lost in Space,’ I don’t think that we can accept any other course of action other than to take action.
Read MoreHealth Rx: The Buddy System. A guest post by Sheryl Kraft
Last year, I was asked to sit on an Advisory Board for the Council for Responsible Nutrition’s Life…Supplemented Campaign. What I found (or should I say “who”) were several like-minded souls who not only embraced their health and wellness, but also recognized that relationships and support are an integral part of both. If we lose our ‘sistahs,’ we lose a huge part of our hearts and our souls, not to mention our health. Research supports this contention, which is why I’ve written about relationships and support networks several times on Flashfree.
Sheryl Kraft is not only a fellow Board member but also writes about all matters of midlife. In the blogger world, she is the cheese to my macaroni, so to speak. I am grateful for her voice and her wisdom, and mostly for sharing this post on Flashfree. Thanks Sheryl!
Sporadically throughout my life, I’ve been without lots of things: sleep, money, the right dress, electricity, the perfect pair of shoes, an inspired idea. You get the picture.
But there’s one thing that’s been a consistent comfort; one thing I’ve never been without. And I am always so very grateful for that one thing.
That one thing? It’s FRIENDS.
Friends are essential for a happy life. For me, they keep me afloat when I feel myself going under; they’re my first line of defense when I’m down or troubled. There is something about the solidity of friendship that feels thrilling and comforting all at once. Some people might say: if you have a husband, a boyfriend, a partner that you enjoy a good relationship with, why do you still need friends?
To that, I say: it’s different. Friendships, at their best, are uncomplicated and sustaining; reasonable and free of emotional hurdles. They’re an invisible force that holds your hand securely and keeps you in a safe place.
The importance of friends and social networks is finally being acknowledged. Indeed, friendship has a profound effect on your physical and psychological health. Friends can be a powerful weapon in keeping your immune system functioning at its peak; study after study bears this out.
Need proof?
Strong social networks go a long way: During a 10-year study period, older people with a large network of friends were 22 percent less likely to die than those with fewer friends.
Friends are important for your head: Harvard researchers found that having strong friendships is a champion of brain health as we age.
Close friends and cancer: A 2006 study of 3,000 nurses with breast cancer found that women without close friends were four times more likely to die of the disease than women with 10 or more friends.
Low social interaction was compared with other well-known health risk factors by scientists at Bringham Young University . Here’s what they found:
- Equivalent to smoking 15 cigarettes a day
- Equivalent to being an alcoholic
- More harmful than not exercising
- Twice as harmful as obesity
Losing a friend can have a powerful impact on health, too. Whether it is through death or disagreement, the pain and mourning packs a punch on immunity. Stress, sadness, loneliness, grief – they all follow loss. And what follows such intense emotions is a downward dive in your overall health. Stress hormones are released, causing a spike in blood pressure, heart rate and blood sugar levels. And if stress hangs on for the long-term, other health problems crop up: depression, anxiety, obesity, and more.
Over the years, I’ve lost friends. I’m sure you have, too. It’s inevitable they will come and go. Lucky is the woman who is able to keep their childhood friends well into adulthood.
My two best friends both died within a year of one another; both of breast cancer. With each loss, a piece of myself was torn from me. With each loss, sadness and a huge empty space followed me wherever I went. I felt exposed and raw, yet strangely alone in my grief.
As with everything else, resiliency eventually surfaces and I moved on. I nurtured my other friendships, cherishing them even more than before. But I can’t help but wonder what life would be like if those two friends were still here.
Keep your friends close. Take pleasure in the benefits you gain from one another.
Your health depends on it.
About the author… Sheryl Kraft is a health writer and essayist. Her work has appeared in JAMA, AARP the Magazine, Prevention Magazine, weightwatchers.com, and more. Her blog, MidlifeMatters appears on the website www.healthywomen.org, which was named the top women’s health website by Good Housekeeping magazine. In addition, Sheryl is the health & wellness editor at www.EndlessBeauty.com.









