Save My Thyroid: Healing Tips for Hyperthyroidism and Hashimoto's

A Deep Dive on Iodine, Thyroid Nodules, and Goiters with Dr. Angela Mazza

Dr. Eric Osansky DC, IFMCP Season 1 Episode 256

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In this episode, Dr. Eric Osansky welcomes back Dr. Angela Mazza, a triple board-certified endocrinologist specializing in thyroid health, metabolic medicine, and integrative endocrine care. The discussion centers around two topics Dr. Mazza has recently published journal articles on: iodine and thyroid nodules. Together, they explore why iodine remains one of the most controversial nutrients in thyroid medicine and why individualized care is critical when determining whether supplementation is appropriate. 

Dr. Mazza explains the delicate balance of iodine intake, discussing why both deficiency and excess can create thyroid problems. She also shares her approach to iodine testing, addresses common misconceptions about iodine supplementation, and discusses special considerations for Hashimoto’s thyroiditis, Graves’ disease, pregnancy, and breastfeeding. The conversation then shifts into thyroid nodules, where Dr. Mazza explains the most common causes of nodule formation, the role of inflammation, estrogen, insulin resistance, environmental toxins, and genetics, along with how toxic nodules differ from non-functioning nodules. 

The episode wraps up with an in-depth discussion on goiters, radiofrequency ablation (RFA), thyroid cancer, and modern alternatives to surgery. Dr. Mazza also explains how she evaluates thyroid nodules using ultrasound and shares her perspective on personalized treatment approaches. If you want a clearer, more balanced understanding of iodine, thyroid nodules, and goiters, you’ll get a lot out of this episode. 

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