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Table 17-2Natural goitrogens associated with Multinodular Goiter

GoitrogensAgentAction
Millet, soy beansFlavonoidsImpairs thyroperoxidase
Cassava, sweet potato, sorghumCyanogenic glucosides metabolized to thiocyanatesInhibits iodine thyroidal uptake
Babassu coconutFlavoniodsInhibits thyroperoxidase
Cruciferous vegetables: Cabbage, cauliflower, Broccoli, turnipsGlucosinolatesImpairs iodine thyroidal uptake
Seaweed (kelp)Iodine excessInhibits release of thyroidal Hormones
Malnutrition, Iron deficiencyVitamin A deficiency
Iron deficiency
Increases TSH stimulation
Reduces heme-dependent thyroperoxidase thyroidal activity
SeleniumSelenium deficiencyAccumulates peroxidase and cause deiodinase deficiency; impairs thyroid hormone synthesis

Modified and adapted from Medeiros-Neto & Knobel, ref. 53

From: Multinodular Goiter

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