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What is Graves Disease? Living With an Unpredictable Autoimmune Disease.

Graves’ Disease stands as a testament to the intricate dance between the immune system and the thyroid gland. This autoimmune disorder, characterized by an overactive thyroid, poses both physical and emotional challenges for those affected. In autoimmune diseases, the immune system mistakenly identifies the body’s tissues as foreign invaders, triggering an inflammatory response. Factors such as genetic predisposition, environmental triggers like infections or stress, and hormonal fluctuations can exacerbate this misguided immune response, leading to chronic inflammation in autoimmune conditions. In this article, we will embark on a journey through the origins, symptoms, diagnosis, and treatment landscape of Graves’ Disease.

Understanding Graves’ Disease
Graves’ Disease arises when the immune system mistakenly attacks the thyroid gland, leading to an excessive production of thyroid hormones. This disruption in the delicate balance of thyroid function sets the stage for a myriad of symptoms that can impact nearly every aspect of daily life. An overactive thyroid increases a persons metabolism, basically speeding up many processes within the body. This disease can often be unpredictable, and thus frustrating to those who have it. It can affect people in very different ways, and this makes it harder to study and predict outcomes.

Symptoms and Their Impact
Hyperthyroidism, the hallmark of Graves’ Disease, manifests in symptoms such as (but not limited to):

  • unexplained weight loss
  • rapid or irregular heartbeat
  • heart palpitations
  • tremors / jitters
  • anxiety
  • insomnia or sleep disturbances
  • irritability
  • frequent bowel movements (including loose stool or diarrhea)
  • weight loss
  • increased appetite
  • sensitivity to heat or heat intolerance
  • sweating excessively
  • changes in menstrual period
  • hair loss
  • fatigue
  • tiredness
  • lethargy
  • headache
  • muscle pain
  • muscle weakness
  • bone loss
  • osteoporosis
  • eye symptoms (pain, swelling, bulging, and more)

The condition can also extend its reach to the eyes, causing exophthalmos (bulging eyes) and vision disturbances, adding an extra layer of complexity to its presentation. About 50% of people diagnosed with Graves will go on to develop Thyroid Eye Disease, also known as Graves Opthalmopathy or Graves Orbitopathy. Symptoms include but are not limited to; eye pain, double vision, blurred or blurry vision, eye swelling, eye itching, eye irritation, increased lactation or teary / tearing eyes, eye bulging (exopthalmos or proptosis) in which the eye ball is protruding from the orbit, in one or both eyes, headaches, and more.

Diagnosis and Testing
Accurate diagnosis is crucial for effective management. Blood tests measuring thyroid hormone levels and the presence of specific antibodies, combined with imaging techniques such as ultrasound and scintigraphy, help paint a comprehensive picture of the thyroid’s health. Labs ordered include TSH, free T4, free T3, thyroid antibodies (thyroid-stimulating immunoglobulin (TSI) assay and the TSH receptor-binding inhibitor immunoglobulin (TBII) assay).

Treatment Options
Graves’ Disease offers a spectrum of treatment options, each tailored to the individual’s unique circumstances. Medications, such as antithyroid drugs and beta-blockers, aim to regulate thyroid function, lower antibodies, and manage symptoms. These medications need to be closely monitored as they can suppress the thyroid and cause one to swing back and forth between hypothyroidism (sluggish thyroid) and hyperthyroid.

Diet, nutrients, vitamins, minerals, supplements, and herbs can aid in supporting those with Graves disease from a more holistic and root-cause approach. Some particularly useful minerals to support Graves are selenium, vitamin d, zinc, iron, B-12, vitamin c, magnesium, which some helpful herbs include turmeric and lemon balm.

Radioactive iodine therapy provides a targeted approach (although it is not recommended if having eye symptoms, as it could make it worse), while surgical intervention by removal of the whole thyroid or part of the thyroid may be considered in certain cases.

Lifestyle Management
Beyond medical interventions, lifestyle plays a pivotal role in managing Graves’ Disease. Dietary considerations, including careful iodine regulation, and stress management strategies contribute to overall well-being. Light exercise, strength training, yoga can be helpful. Avoid anything that triggers inflammation, as that can add stress on your body. Environmental factors like infections and stress, along with genetic predisposition, can trigger inflammation in autoimmune diseases by prompting an aberrant immune response against the body’s own tissues. Dietary choices, exposure to certain toxins, and hormonal fluctuations further contribute to the inflammatory cascade in autoimmune conditions. Cultivating a supportive environment, both emotionally and physically, becomes crucial in navigating the challenges posed by the condition. Addressing mental health is so important, as it can take a huge toll emotionally. It is especially crucial in those who suffer from physical changes in their body as well changes in their appearance. CHECK IN WITH YOUR LOVED ONES! Read more about the effect of Graves on mental health here.

Living with Graves’ Disease
Living with Graves’ Disease is a journey that requires ongoing vigilance. Long-term implications involve regular monitoring of thyroid function and proactive management to address potential complications. Support networks, including patient groups and open communication with healthcare providers, offer invaluable resources for individuals navigating this complex terrain. Get curious. Ask questions. Educate yourself and be your own health advocate. Take care of your mind, body, and soul. Listen to your body, and nourish your soul.

TAKE YOUR POWER BACK! You can do this!!
Read about the 12 ways you take your power back here.

Graves’ Disease demands a holistic understanding and approach. By unraveling its mysteries, we empower both those directly affected and their support networks to face the challenges posed by this autoimmune disorder. Through knowledge, compassion, and a proactive stance, individuals with Graves’ Disease can embark on a path towards effective management and improved quality of life.

If you are interested in 1:1 support from someone who has been in your shoes and can relate on a personal level, click here to book a free discovery call with me to see how we can work together to support your Graves with a root-cause focused, holistic functional health approach, as well as mindfulness practice. 🙂

We are in this together,

I’m rooting for you,

Elena

This is not medical advice. For informational purposes only.