Jay is a 28-year-old accountant and recreational soccer player. He was referred

Question

Jay is a 28-year-old accountant and recreational soccer player. He was referred to you by his physician because he has developed a goiter. In your initial phone conversation with Jay, he admits that his busy schedule has led him to eat solely fast food and canned or prepackaged products. He eats very few fruits and vegetables, does not have a sweet tooth, but does love salt and adds it to all his meals. He is frustrated by this recent diagnosis, and is unsure how changing his diet will help improve his condition.
Is it possible that Jay’s goiter was caused by his diet? If yes, an excess or deficiency of which mineral could have been the culprit?
What suggestions would you give to Jay to improve his condition?

Explanation / Answer

From the given information, we may infer that Jay's goitre was caused due to dysfunction of thyroid gland due to excess of iodine intake through salts added to all meals. Excess or deficiency of iodine results into dysfunctioning of thyroid gland. Suggestions: take salt in limit (as a very low amount of iodine is enough to prevent goitre), consumption of vegetables and fruits to enhance functioning of system and improve condition of Jay.

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