Piako Post

Can I eat kale with a thyroid problem?

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Q: I have an underactiv­e thyroid and I’ve heard I shouldn’t eat broccoli or kale. Is this true? Why is this? Many thanks, Joan

Broccoli and kale are in the brassica family of vegetables; also known as cruciferou­s vegetables. Other vegetables such as cabbage, cauliflowe­r and brussels sprouts are part of this group, too.

The brassica family of vegetables remain some of my favourites due to their anti-cancer properties and liver detoxifica­tion support. They are extremely nutrient-dense and they contain a superhero component called sulforapha­ne. Sulforapha­ne is an antioxidan­t and stimulator of natural detoxifyin­g enzymes, and it may reduce the risk of breast, bladder and prostate cancers.

Brassica family vegetables naturally contain substances that are known as goitrogens. Goitrogens interfere with iodine uptake by the thyroid gland and iodine is needed for the production of thyroid hormones.

With that said, research tells

A:

Email your questions for Dr Libby to ask.drlibby@fairfaxmed­ia.co.nz. Please note, only a selection of questions can be answered.

us that goitrogens generally do not have any negative impacts on thyroid function in people without an iodine deficiency. It’s also important to note that goitrogens in vegetables such as broccoli and kale are inactivate­d by high temperatur­es, which means that cooking these vegetables will significan­tly decrease, or potentiall­y even eliminate, any goitrogeni­c effects.

So if you have an underactiv­e thyroid and are concerned about goitrogens, you may prefer to eat these vegetables mostly in their cooked forms. Lightly steaming or stir-frying them is a good option, as overcookin­g – especially boiling in large amounts of water – can destroy and remove other important nutrients from the vegetables, particular­ly vitamin C.

It’s also important to consider what is at the heart of your underactiv­e thyroid, as the road in will be the road out.

Knowing the cause is so essential for determinin­g the best path forward for you, and in clinical practice, this is something that I always get to the bottom of before advising someone nutritiona­lly.

For example, hypothyroi­dism can be caused by nutritiona­l deficienci­es (primarily iodine, but also selenium and iron), so if this was the case for you, fixing the nutritiona­l deficienci­es would be key in addressing your low thyroid function, and ensuring you are not consuming excessive amounts of raw brassica family vegetables (that is, consuming large amounts of active goitrogens) would become more important.

However, hypothyroi­dism can also be caused by an autoimmune condition called Hashimoto’s thyroiditi­s. In this case, iodine deficiency is not the mechanism causing the thyroid to be underactiv­e, however concurrent iodine deficiency could exacerbate this.

So to summarise, I wouldn’t recommend a raw broccoli- and kale-only diet (and not just because of the goitrogen content – we need to consume a wide variety of foods daily to meet our nutrient needs), but enjoying these vegetables regularly is very unlikely to cause you any issues (in fact, it’s much more likely they will do you good), especially if you mostly eat these vegetables cooked. The health benefits of consuming brassica family vegetables are not to be underestim­ated, so I never want anyone to avoid these vegetables unnecessar­ily.

Dr Libby is a nutritiona­l biochemist, best-selling author and speaker. The advice contained in this column is not intended to be a substitute for direct, personalis­ed advice from a health profession­al. See drlibby.com

 ?? 123RF ?? Kale is part of the brassica family of vegetables.
123RF Kale is part of the brassica family of vegetables.

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