Treatment FAQ

what can take instead of rai treatment

by Elvie Daugherty Published 2 years ago Updated 2 years ago
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Usually with a handy substance like baking soda, hydrogen peroxide, ionized water, or natural juices that are cheap and readily available. Natural cures are rare, and tend to be promised, rather than delivered. Usually by book sellers that also make millions (and millions)of dollars.

Full Answer

What should I consider before having radioactive iodine treatment (RAI)?

Ten things to consider before having radioactive iodine treatment (RAI) 1 It’s permanent; once you take the iodine capsule there is no changing your mind. 2 Since the science is inexact there are two ways of approaching the treatment. 3 Treatment can cause thyroid storm as the dying gland "dumps"... 4 For up to 4-8 weeks after dosage,...

Should I get RAI in addition to thyroidectomy?

Before you get RAI in addition to thyroidectomy, these two factors should be considered: #1. Thyroid cancer has a low risk of recurrence after thyroidectomy. Even without RAI the risk is of thyroid cancer recurrence is very low (5), so adding on the RAI may not further reduce that risk in every patient.

Why is Rai used to treat thyroid cancer?

In addition, it is possible that thyroid cancer cells may exist outside of the thyroid gland during the operation (from metastatic disease). Because of these two main reasons, RAI is often used as an additional therapy combined with thyroidectomy to completely eliminate thyroid gland tissue in the body.

What is Rai and how does it work?

RAI works because it takes advantage of certain aspects of normal physiology. You probably already know that iodine (not the radiated version) is required for optimal thyroid hormone production. Each thyroid hormone has a specific amount of iodide in it (2, 3 or 4 moieties depending on the type of thyroid hormone).

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Is there an alternative to radioactive iodine?

These alternative therapies include two major categories: redifferentiation therapy and recent molecular target therapy. Several clinical trials have investigated these therapies. They demonstrated potential effects of the therapies, although the results have been somewhat limited so far.

Is Rai treatment necessary?

RAI treatment is primarily beneficial only when the patient has undergone a total thyroidectomy (complete removal of the thyroid gland) in the surgery for their papillary thyroid cancer.

Can you refuse radioactive iodine treatment?

When patients refuse RAI therapy, the harm associated with no treatment (as in thyroid cancer) also must be weighed and communicated to the patients. In many cases of GD, for example, the use of antithyroid medications or surgical subtotal thyroidectomy may provide appropriate therapy without the use of RAI.

Is Rai necessary after thyroidectomy?

In the current American Thyroid Association (ATA) Guidelines, radioactive iodine (RAI) is not routinely recommended after thyroidectomy for the low risk patients, but it is considered for ATA intermediate and high risk patients.

Which is better thyroid surgery or radioactive iodine?

Surgery for hyperthyroidism was associated with a lower risk of all-cause and cardiovascular death as compared to radioactive iodine therapy during long-term follow-up, particularly in men.

Is radioactive iodine always necessary?

No. It's only used for patients with certain types of differentiated thyroid carcinomas — specifically, papillary and follicular thyroid cancer. But not even all differentiated carcinomas have the ability to take up iodine. Undifferentiated or medullary thyroid carcinomas will not benefit from iodine therapy.

Does radioactive iodine shorten your life?

Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery. Quality of life is worse at 6-10 years after radioactive iodine therapy of Graves' disease compared with treatment with antithyroid drugs or surgery.

Can Rai cause other cancers?

Patients treated with radioactive iodine also have an increased risk of acute lymphocytic leukemia (ALL), stomach cancer, and salivary gland cancer.

Can thyroid grow back after radioactive iodine treatment?

Once hypothyroidism has been achieved, it is usually irreversible with the patient requiring lifelong thyroid replacement. Early recurrences are reported in 20–54% of cases within 3–6 months, which can be due to inadequate RAI treatment or early Marine Lenhart syndrome.

What happens if radioactive iodine does not work?

Thyroid cancer that no longer responds to radioactive iodine may become sensitive after starting anti-cancer drugs.

Should I avoid iodine after thyroidectomy?

Giving radioactive iodine within 3 months after thyroidectomy results in better responses than delaying therapy beyond 3 months after surgery. Patients diagnosed with thyroid cancer usually have an excellent prognosis. This is due to effective therapies, including surgery and, when needed, radioactive iodine therapy.

What are the long term side effects of radioactive iodine?

Possible long term side effectsAbility to have children (fertility) Some women may have irregular periods after radioactive iodine treatment. ... Inflammation of the salivary glands (where spit is made) ... Tiredness. ... Dry or watery eyes. ... Lower levels of blood cells. ... Lung problems. ... Second cancers.

Need a list of brand name foods for Iodine free diet

Before I starve or make a mistake, I would love to know if anyone has any brand recommends for Peanut Butter, Creamer, Chips, or snacks? Thank you!!!!! Sign up to continue reading

Dizziness after thyroidectomy

I just had a thyroidectomy one week ago and I am still feeling dizzy. I had a bad reaction to the anesthesia and I'm wondering if that had anything to do with it. It gets a little better everyday, but I'm curious if other people had this experience? How long did it last? Sign up to continue reading

Numbness & Tingling after Thyroidectomy..help!

I had a total thyroidectomy last week. My recovery is going well, however, I'm having tingling in my fingers & hands. My surgeon has me taking 500mg calcium with vit.D along with Tums for my parathyroids (they were left intact during the surgery, but my doctor put me on the calcium as a precaution).

Pediatric Thyroid Disease

Learning why your child’s thyroid may not function correctly is a great first step in helping them understand their treatment process. When the thyroid gland doesn’t work properly, it can lead to conditions such as hypothyroidism or hyperthyroidism.

RAI and the Thyroid Gland

The thyroid gland manages how the body regulates energy and is particularly important for children as they play, learn, and develop. If your child has been diagnosed with thyroid disease, their physician may recommend radioactive iodine therapy. The thyroid gland is the only tissue in the body that absorbs iodine.

Communicating with Your Child

It is normal for children and adults alike to be nervous about receiving radiation. Undergoing RAI treatment can add stress to a patient’s care process. Patients may fear the concept of being “radioactive” or having to isolate themselves from others.

What is Radioactive Iodine Treatment?

The cells in the thyroid gland absorb iodine and use it to create hormones. This means doctors can use radioactive iodine to observe and treat the thyroid gland. There are two types of radioactive iodine: I-123 and I-131 .

Before Receiving RAI

Prior to receiving either form of RAI, your child must complete the following steps:

After RAI: Side Effects, Isolation, and Medication

Your child may experience some acute and longer-lasting side effects from the I-131:

Why is radio iodine so effective?

One of the reasons that radio-iodine treatment is so effective is because the thyroid readily takes up iodine, which is used in thyroid hormone production. To ensure that the treatment is maximised you will be asked to avoid any foods and medicines ...

What are the three types of radiation?

Nuclear Medicine concerns three types of radiation: Alpha particles, which are made up of two protons and two neutrons (the material that makes up the nucleus of any atom), Beta, which is either an electron or a positron (smaller particles that form part of an atom) and Gamma, which is basically an energy wave.

How long does it take to stop taking anti-thyroid medication?

This is usually prescribed in the beginning, for all patients, and approximately half of all patients are successfully treated with this method and can cease taking the medication after six months.

Why can't you get pregnant after radiotherapy?

Patients are advised not to become pregnant for 6 months following radio-iodine treatment. This is because the radiation that is used could potentially affect the DNA in human cells.

What is RAI in TSH?

In particular, the widely-used TSH test is influenced by TSH receptor antibodies, causing falsely decreased levels. RAI, aka spent nuclear fuel (“nuclear waste”, in other words) is absorbed by other organs and can cause cell death or DNA mutations. RAI is absorbed, in smaller amounts, by other organs besides the thyroid, including breast tissue, ...

How long after RAI can I take levothyroxine?

Within one year after RAI, most patients are on a dose of replacement hormone equivalent to 0.1mg levothyroxine; 5-6 years post RAI, most patients are on 0.175 mg levothyroxine because of the progression to autoimmune thyroid failure. Increased risk of developing fibromyalgia like symptoms.

How long after rai can I get pregnant?

RAI is known to affect the ovaries, which is why patients are recommended to avoid becoming pregnany for at least 6 months after RAI. The 6 months recommendation was increased to at least one year in early 2002.

Does RAI kill thyroid?

As modern science explores the human genome, a cure for GD could be found, but after RAI kills the thyroid, it wouldn’t work. Current research is directed at modulating the cytokines, immune system chemicals released during the immune response and necessary for autoantibody production.

What is the most common use of RAI?

Perhaps one of the most common uses of RAI is as a therapy to treat hyperthyroidism. As we discussed, RAI results in complete and irreversible damage to the thyroid gland. Because of this, you should consider all available options and therapies available to you before you undergo this procedure.

How does RAI work?

RAI works because it takes advantage of certain aspects of normal physiology. You probably already know that iodine (not the radiated version) is required for optimal thyroid hormone production. Each thyroid hormone has a specific amount of iodide in it (2, 3 or 4 moieties depending on the type of thyroid hormone).

What is the goal of RAI?

Remember that the goal of RAI is to completely destroy your thyroid gland . This destruction of thyroid gland tissue will permanently alter thyroid hormone status in your body. After the procedure, you will be reliant upon thyroid medication for the rest of your life.

What is RAI surgery?

RAI is a procedure in which radioactive iodine is given with the intent to destroy thyroid gland tissue. There are side effects associated with this procedure (discussed below). Around 50% of patients with thyroid cancer get both thyroidectomy and RAI (6). This leaves another 50% who only get thyroidectomy.

What is the treatment for thyroid cancer?

The baseline treatment recommended for thyroid cancer is thyroidectomy or complete thyroid removal. This procedure allows for nearly the complete ...

Is RAI a definitive treatment?

It's definitive because after the procedure your thyroid gland will no longer function optimally and your hyperthyroidism will have been treated .

Is rai a barbaric treatment?

As you might suspect, destroying your gland with radioactive iodine is associated with some side effects and is not without risk (but more on that later). It may sound like a barbaric treatment, but it has been around since ...

What is the best medicine for thyroid?

#3. Iodine . Another incredibly useful tool for treating the thyroid gland is the use of iodine.

What is the first supplement that contains crushed up portions of the thyroid gland?

Thyroid Glandulars. The first on the list is something referred to as Thyroid Glandulars. Thyroid glandulars are over the counter supplements which literally contain crushed up portions of entire (or portions) of animal thyroid glands.

Can you use essential oils with adrenal glandulars?

While it may be possible to use some therapies such as adrenal glandulars or adrenal glandulars by themselves, I don' t think you should take this approach with essential oils. It would be far better to use them WITH adrenal glandulars or WITH thyroid glandulars.

Can you be on thyroid medication for life?

If you are someone with REALLY advanced Hashimoto's thyroiditis, or someone who has had their thyroid completely destroyed with RAI, or even someone who has had their thyroid completely removed surgically then you will need to be on thyroid medication for the rest of your life.

Can essential oils help with thyroid?

Essential Oils. Another potential option is the use of essential oils to naturally treat your thyroid. I've never been a huge fan of essential oils in the setting of reversing thyroid disease (I just think there are better options available) but recently I've started to shift my thinking on them.

Is NDT more natural than levothyroxine?

So you are getting all of the benefits of thyroid glandulars PLUS the added bonus of T4 and T3 PLUS the added bonus that NDT is more natural in its origins than levothyroxine/Synthroid. This makes NDT very appealing for many patients.

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