Can People with Goiter Eat Cabbage and Chili Peppers?

People with thyroid enlargement should avoid eating cabbage and chili peppers?

Today I heard that people with thyroid enlargement should avoid eating high-fat foods and spicy peppers.
Could you please clarify this for me? Thank you!

Piao Fu Bing Ka Fei, 20~29 year old female. Ask Date: 2003/09/27

Dr. Wu Jingtang reply Breast and Thyroid

Hello! Thyroid diseases generally include hyperthyroidism, hypothyroidism, and even normal-functioning thyroid nodules.
Hyperthyroidism and thyroid nodules can lead to a condition known as thyroid storm.
Typically, hyperthyroidism is treated with antithyroid medications, while hypothyroidism or thyroid nodules are often managed with thyroid hormone replacement therapy.

Regarding dietary recommendations, it is generally advised that patients with hyperthyroidism consume more fresh vegetables and fruits, and supplement with B vitamins, as well as vitamins A, C, and calcium.
Some experts suggest increasing the intake of cruciferous vegetables (such as cabbage, broccoli, bok choy, radishes, kale, rapeseed, lettuce, and white radishes) because they contain compounds that can inhibit thyroid function.
Foods containing caffeine (such as coffee, strong tea, cola, and cocoa) are also recommended to be avoided.
In cases of hypothyroidism, where metabolism is slowed, patients may experience weight gain and constipation, so it is important to pay attention to dietary fiber and fluid intake.
Currently, Taiwan is not in an iodine-deficient environment; however, for patients with nodular goiter, it is still advisable to avoid high-iodine foods such as kelp, nori, and hair seaweed.
Of course, the aforementioned cruciferous vegetables that inhibit thyroid function should also be considered for avoidance.

Wishing you good health,
Dr.
Wu Ching-Tang, Department of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/09/27

More Info

When it comes to dietary considerations for individuals with goiter, particularly those with hypothyroidism or other thyroid-related conditions, there are certain foods that may warrant caution. Goiter is an enlargement of the thyroid gland, which can be caused by various factors, including iodine deficiency, autoimmune diseases, and certain dietary components.

Cabbage, along with other cruciferous vegetables such as broccoli, kale, and Brussels sprouts, contains substances known as goitrogens. Goitrogens can interfere with thyroid hormone production by inhibiting the uptake of iodine, which is essential for the synthesis of thyroid hormones. However, the impact of goitrogens on thyroid function is generally minimal for most people, especially if they consume these foods in moderation and have an adequate intake of iodine. Cooking these vegetables can significantly reduce their goitrogenic properties, making them safer for consumption.

Chili peppers, on the other hand, do not contain goitrogens and are not known to adversely affect thyroid function. In fact, they can be a part of a healthy diet, providing various vitamins, minerals, and antioxidants. However, individuals with goiter or thyroid issues should be mindful of their overall diet and any potential gastrointestinal discomfort that spicy foods may cause, as some people may experience digestive issues when consuming high amounts of spicy foods.

For individuals with goiter, it is essential to focus on a balanced diet that includes adequate iodine, which can be obtained from iodized salt, seafood, dairy products, and certain grains. It is also advisable to limit the intake of raw cruciferous vegetables if there is a concern about thyroid function, but cooking these vegetables can mitigate their goitrogenic effects.

In summary, while cabbage should be consumed with caution, particularly in its raw form, chili peppers are generally safe for individuals with goiter. It is always best to consult with a healthcare provider or a registered dietitian for personalized dietary advice, especially for those with thyroid conditions. They can provide guidance based on individual health status, dietary preferences, and nutritional needs.

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