Naturopathic 'remedy' aggravates the thyroid

A patient tries to manage his hypothyroidism with iodine

Jim, a previously healthy 73-year-old, presents with increasing fatigue despite sleeping well and resting regularly.

test tube

He used to cycle about one hour a day, but for the past few months his exercise tolerance has reduced. He has no history of cardiac disease.

Jim has always been slim and maintains a weight of 52kg, with a BMI of 20 kg/m2; there has been no change in weight since his last visit.

Jim has no other symptoms and denies weight gain, feeling cold, constipation or hair loss, which are