Thyroid Biopsy Concerns: Should I Stop Supplements Like Fish Oil? - Breast and Thyroid

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Thyroid biopsy-related issues?


I would like to ask the doctor: I have been asked to undergo a thyroid biopsy, but since I regularly take fish oil, they requested that I return for the procedure in two weeks.
Do I need to stop taking my usual supplements, B and C vitamins and collagen, during this time?

Huang, 20~29 year old female. Ask Date: 2023/03/09

Dr. Yuan Tianmin reply Breast and Thyroid


These two supplements have little correlation with the thyroid.

Reply Date: 2023/03/09

More Info


When preparing for a thyroid biopsy, it's essential to consider the potential impact of any supplements you are taking, including fish oil, vitamin B, vitamin C, and collagen. While there is no universal guideline that mandates stopping all supplements before a biopsy, certain considerations can help you make an informed decision.

Fish Oil and Its Effects:
Fish oil is rich in omega-3 fatty acids, which are known for their anti-inflammatory properties and potential cardiovascular benefits. However, one of the primary concerns with fish oil, especially in the context of surgical procedures or biopsies, is its blood-thinning effect. Omega-3 fatty acids can inhibit platelet aggregation, which may increase the risk of bleeding during and after the procedure. Therefore, it is generally recommended to discontinue fish oil supplements at least one week before any surgical procedure, including a biopsy, to minimize this risk.

Vitamins B and C:
Vitamins B and C are water-soluble vitamins that play crucial roles in various bodily functions, including immune support and energy metabolism. They are generally considered safe to continue taking before a biopsy. However, high doses of vitamin C can have a mild blood-thinning effect, so if you are taking it in excessive amounts, it might be prudent to discuss this with your healthcare provider.

Collagen Supplements:
Collagen supplements are typically derived from animal sources and are used to support skin, joint, and overall connective tissue health. There is no significant evidence suggesting that collagen supplements pose a risk in the context of a biopsy. Therefore, unless advised otherwise by your healthcare provider, you can likely continue taking collagen.

General Recommendations:
1. Consult Your Healthcare Provider: Before making any changes to your supplement regimen, it is crucial to discuss your specific situation with your healthcare provider. They can provide personalized advice based on your health history and the specifics of your upcoming biopsy.

2. Timing of Discontinuation: If advised to stop fish oil, aim to do so at least one week prior to your biopsy. This timeframe allows your body to clear the omega-3 fatty acids from your system, reducing the risk of bleeding.

3. Monitor for Symptoms: If you experience any unusual symptoms after stopping or continuing supplements, such as excessive bruising or bleeding, contact your healthcare provider immediately.

4. Focus on Nutrition: In the days leading up to your biopsy, focus on maintaining a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. This approach will support your overall health and recovery.

In summary, while it is generally advisable to stop fish oil supplements before a thyroid biopsy due to their blood-thinning properties, vitamins B and C, as well as collagen, can typically be continued. Always prioritize communication with your healthcare provider to ensure the best outcomes for your health and the procedure.

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