Effects of vitamin D supplementation on autoantibodies and thyroid function in patients with Hashimoto's thyroiditis: A systematic review and meta-analysis.
We conducted a thorough exploration of how vitamin D supplementation can affect hypothyroidism, particularly in patients with Hashimoto's thyroiditis (HT). Our findings draw from a meta-analysis of twelve randomized controlled trials, involving a total of 862 participants. These studies compared the effects of vitamin D against placebo or no treatment, focusing on various thyroid function indicators and autoantibodies.
The results were promising. We found that vitamin D supplementation significantly reduced the levels of anti-thyroid antibodies, specifically thyroid peroxidase antibodies (TPO-Ab) and thyroglobulin antibodies (TG-Ab). Additionally, it appeared to enhance thyroid function by lowering thyroid-stimulating hormone (TSH) levels and increasing free triiodothyronine (FT3) and free thyroxine (FT4) levels.
Notably, we observed that active forms of vitamin D, like calcitriol, were more effective in reducing TPO-Ab compared to the more common D2 and D3 forms. We also noted that longer treatment durations, particularly those exceeding 12 weeks, led to greater improvements in thyroid hormone levels and antibody reductions.
Overall, our study suggests that vitamin D may play a beneficial role in managing Hashimoto’s thyroiditis, potentially helping to modulate immune responses and improve thyroid function.
Read More
9
Vitamin D aids hypothyroid complications
Potential therapeutic impacts of vitamin D on hypothyroid-induced heart and kidney fibrosis and oxidative status in male rat.
We investigated how vitamin D supplementation affects hypothyroidism, focusing on its impact on heart and kidney health. In our study, we used forty male Wistar rats, dividing them into four groups: control, hypothyroid, and hypothyroid treated with two doses of vitamin D. After six weeks, we examined various biochemical markers and evaluated fibrosis in the heart and kidneys.
Our findings revealed that hypothyroidism led to an increase in markers of kidney damage, like creatinine and urea, alongside elevated levels of oxidative stress markers in both heart and kidney tissues. Interestingly, we noticed that vitamin D treatment significantly reduced these harmful effects. The administration of vitamin D improved oxidative stress levels and decreased fibrosis in the heart and kidneys.
In conclusion, our study underlines the potential of vitamin D as a beneficial therapeutic option for alleviating some complications associated with hypothyroidism, particularly concerning tissue fibrosis and oxidative stress. This reinforces the idea that vitamin D could play a vital role in managing health issues related to thyroid hormone deficits.
Read More
9
Vitamin D3 reduces thyroid autoimmunity
A Prospective Study to Evaluate the Possible Role of Cholecalciferol Supplementation on Autoimmunity in Hashimoto's Thyroiditis.
We explored the potential effects of vitamin D3, or cholecalciferol, on individuals diagnosed with Hashimoto's thyroiditis, a common form of hypothyroidism characterized by autoimmune responses that damage thyroid cells. Our study was a carefully structured clinical trial conducted over one year, which included 100 patients suffering from both Hashimoto's thyroiditis and vitamin D deficiency.
Divided into two groups, one received vitamin D3 supplements while the other was given a placebo. After eight weeks, we measured the levels of anti-thyroid peroxidase antibodies, which indicate autoimmune activity against the thyroid.
Our findings revealed a significant reduction in these antibody levels among patients who received vitamin D3, showcasing a 30.5% decrease compared to just a 16.5% decrease in the placebo group. This suggests that vitamin D3 supplementation may play a beneficial role in managing the autoimmune activity associated with hypothyroidism.
Overall, our research shows that addressing vitamin D deficiency might be an effective strategy to help manage Hashimoto's thyroiditis, which could encourage discussion about incorporating vitamin D as part of treatment plans for patients. Further research will be necessary to confirm these findings and explore the long-term benefits of vitamin D supplementation.
Read More
Most Useful Reviews
7.5
Improved mood
4 people found this helpful
The mood has improved, and my TTG has decreased. I have hypothyroidism, and after taking vitamin D, my levels rose, leading to better well-being. A doctor prescribed 50,000 IU (one tablet every other day) for three weeks, with a follow-up on vitamin D levels due to individual digestibility variations.
Read More
9
Improved well-being
Along with K-2 (MK-7) from the same company, my relative's condition with hypothyroidism improved dramatically. All my family members take it regularly, enhancing our mood and well-being. Vitamin D is crucial for those in low-sunlight areas, and K2 aids in absorption, preventing calcium loss.
Read More
7.5
Strong recommendation
I have used this vitamin D for a long time, following my endocrinologist's recommendation. With hypothyroidism, I take 2,000 IU in summer and 5,000 IU in autumn and spring. I've been unwell for over ten years, but I strongly recommend this vitamin for thyroid issues, as I've had no problems with long-term use.
We investigated how vitamin D supplementation affects hypothyroidism, focusing on its impact on heart and kidney health. In our study, we used forty male Wistar rats, dividing them into four groups: control, hypothyroid, and hypothyroid treated with two doses of vitamin D. After six weeks, we examined various biochemical markers and evaluated fibrosis in the heart and kidneys.
Our findings revealed that hypothyroidism led to an increase in markers of kidney damage, like creatinine and urea, alongside elevated levels of oxidative stress markers in both heart and kidney tissues. Interestingly, we noticed that vitamin D treatment significantly reduced these harmful effects. The administration of vitamin D improved oxidative stress levels and decreased fibrosis in the heart and kidneys.
In conclusion, our study underlines the potential of vitamin D as a beneficial therapeutic option for alleviating some complications associated with hypothyroidism, particularly concerning tissue fibrosis and oxidative stress. This reinforces the idea that vitamin D could play a vital role in managing health issues related to thyroid hormone deficits.
Read More
9
Vitamin D improves thyroid function
Effects of vitamin D supplementation on autoantibodies and thyroid function in patients with Hashimoto's thyroiditis: A systematic review and meta-analysis.
We conducted a thorough exploration of how vitamin D supplementation can affect hypothyroidism, particularly in patients with Hashimoto's thyroiditis (HT). Our findings draw from a meta-analysis of twelve randomized controlled trials, involving a total of 862 participants. These studies compared the effects of vitamin D against placebo or no treatment, focusing on various thyroid function indicators and autoantibodies.
The results were promising. We found that vitamin D supplementation significantly reduced the levels of anti-thyroid antibodies, specifically thyroid peroxidase antibodies (TPO-Ab) and thyroglobulin antibodies (TG-Ab). Additionally, it appeared to enhance thyroid function by lowering thyroid-stimulating hormone (TSH) levels and increasing free triiodothyronine (FT3) and free thyroxine (FT4) levels.
Notably, we observed that active forms of vitamin D, like calcitriol, were more effective in reducing TPO-Ab compared to the more common D2 and D3 forms. We also noted that longer treatment durations, particularly those exceeding 12 weeks, led to greater improvements in thyroid hormone levels and antibody reductions.
Overall, our study suggests that vitamin D may play a beneficial role in managing Hashimoto’s thyroiditis, potentially helping to modulate immune responses and improve thyroid function.
Read More
9
Vitamin D aids Hashimoto's outcomes
Therapeutic effect of vitamin D in Hashimoto's thyroiditis: a prospective, randomized and controlled clinical trial in China.
We aimed to investigate the effects of Vitamin D supplements on women recently diagnosed with Hashimoto's Thyroiditis (HT), a condition that can lead to hypothyroidism. This study was carefully structured as a randomized clinical trial that included a control group for comparison, allowing us to draw clearer conclusions about the effectiveness of Vitamin D.
Over six months, we observed that women receiving Vitamin D experienced significant health benefits. Specifically, those treated saw a notable decrease in Thyroid Peroxidase Antibody (TPOAb) levels, which is a marker of thyroid inflammation. Additionally, markers of thyroid function, such as Free Triiodothyronine (FT3) and Free Thyroxine (FT4), increased, while Thyroid-Stimulating Hormone (TSH) levels decreased. This combination of changes suggests that Vitamin D can help slow the progression of hypothyroidism and enhance thyroid function.
Overall, these findings indicate that Vitamin D supplementation can be a useful adjunct in managing Hashimoto's Thyroiditis, potentially leading to improved health outcomes for patients with this condition.
Read More
9
Vitamin D3 reduces thyroid autoimmunity
A Prospective Study to Evaluate the Possible Role of Cholecalciferol Supplementation on Autoimmunity in Hashimoto's Thyroiditis.
We explored the potential effects of vitamin D3, or cholecalciferol, on individuals diagnosed with Hashimoto's thyroiditis, a common form of hypothyroidism characterized by autoimmune responses that damage thyroid cells. Our study was a carefully structured clinical trial conducted over one year, which included 100 patients suffering from both Hashimoto's thyroiditis and vitamin D deficiency.
Divided into two groups, one received vitamin D3 supplements while the other was given a placebo. After eight weeks, we measured the levels of anti-thyroid peroxidase antibodies, which indicate autoimmune activity against the thyroid.
Our findings revealed a significant reduction in these antibody levels among patients who received vitamin D3, showcasing a 30.5% decrease compared to just a 16.5% decrease in the placebo group. This suggests that vitamin D3 supplementation may play a beneficial role in managing the autoimmune activity associated with hypothyroidism.
Overall, our research shows that addressing vitamin D deficiency might be an effective strategy to help manage Hashimoto's thyroiditis, which could encourage discussion about incorporating vitamin D as part of treatment plans for patients. Further research will be necessary to confirm these findings and explore the long-term benefits of vitamin D supplementation.
Read More
9
Vitamin D3 and iodine benefits
Increased Epoxyeicosatrienoic Acids and Hydroxyeicosatetraenoic Acids After Treatment of Iodide Intake Adjustment and 1,25-Dihydroxy-Vitamin D Supplementation in High Iodide Intake-Induced Hypothyroid Offspring Rats.
We investigated the potential benefits of vitamin D3 in treating hypothyroidism caused by high iodide intake in a study involving pregnant rats. The study involved adjusting iodide intake and supplementing with 1,25-dihydroxy-vitamin D (the active form of vitamin D) to see if these interventions could positively impact thyroid function and related complications.
The newborn rats were exposed to high levels of iodide initially, leading to thyroid dysfunction. After some weeks, we provided either iodide adjustment, vitamin D3 supplementation, or both to assess their effects.
Surprisingly, while vitamin D3 was combined with iodide adjustment, the study did not isolate the effect of vitamin D3 alone. However, we observed that both interventions increased levels of beneficial fatty acids, which are linked to improved thyroid function and lessened cholesterol issues in these rats.
These results suggest that implementing a proper iodide intake and vitamin D3 supplementation can improve thyroid health but do not clearly define vitamin D3's individual impact without additional research isolating its effects.
The mood has improved, and my TTG has decreased. I have hypothyroidism, and after taking vitamin D, my levels rose, leading to better well-being. A doctor prescribed 50,000 IU (one tablet every other day) for three weeks, with a follow-up on vitamin D levels due to individual digestibility variations.
Read More
9
Improved well-being
Along with K-2 (MK-7) from the same company, my relative's condition with hypothyroidism improved dramatically. All my family members take it regularly, enhancing our mood and well-being. Vitamin D is crucial for those in low-sunlight areas, and K2 aids in absorption, preventing calcium loss.
Read More
7.5
Strong recommendation
I have used this vitamin D for a long time, following my endocrinologist's recommendation. With hypothyroidism, I take 2,000 IU in summer and 5,000 IU in autumn and spring. I've been unwell for over ten years, but I strongly recommend this vitamin for thyroid issues, as I've had no problems with long-term use.
Read More
7.5
Feeling better
After experiencing severe weakness and fatigue due to my hypothyroidism, I discovered my vitamin D3 level was just 18. The endocrinologist recommended this particular brand, although I opted for 5,000 IU instead of 10,000 IU. The small capsules are easy to swallow, and I already feel the benefits after starting them.
Read More
7.5
Raised vitamin D
1 people found this helpful
I have taken vitamin D for three years, under medical supervision, at a dosage of 5,000 IU daily. With my hypothyroidism and osteopenia, my vitamin D levels have improved to the lower normal range. I highly recommend this vitamin.
Hypothyroidism is a medical condition that occurs when the thyroid gland, a small butterfly-shaped gland located at the base of the neck, does not produce enough thyroid hormones. These hormones, mainly thyroxine (T4) and triiodothyronine (T3), play a critical role in regulating various bodily functions, including metabolism, energy production, and overall growth and development. When hormone levels drop, it can lead to a slow metabolism, weight gain, fatigue, depression, and a host of other symptoms that can significantly affect quality of life.
The condition can be caused by a variety of factors, including autoimmune diseases like Hashimoto's thyroiditis, certain medications, radiation treatment, or iodine deficiency. Diagnosis typically involves blood tests to check levels of thyroid-stimulating hormone (TSH) and thyroid hormones. Treatment primarily includes hormone replacement therapy, with synthetic thyroid hormones such as levothyroxine being the most common form of treatment. With proper management, individuals with hypothyroidism can lead normal, healthy lives by ensuring they receive the necessary hormones their bodies need to function optimally.
Vitamin D is a fat-soluble vitamin that's essential for maintaining healthy bones and teeth, supporting immune system function, and facilitating normal cell growth and development. It plays a crucial role in calcium absorption in the gut, which is vital for bone health. Unlike most vitamins, our bodies can produce Vitamin D when exposed to sunlight, specifically UVB rays, which is why it’s often referred to as the "sunshine vitamin." However, depending on your geographical location, lifestyle, and skin type, getting sufficient Vitamin D from the sun alone can be challenging, particularly during the winter months.
In addition to sunlight, Vitamin D can be obtained from certain foods such as fatty fish (like salmon and mackerel), fish liver oils, and fortified foods like milk and cereals. Some individuals may also consider supplements, especially if they're at risk for deficiency. Insufficient vitamin D levels are linked to various health issues, including rickets in children, osteomalacia in adults, and even an increased risk of chronic diseases. Regularly checking your vitamin D levels and consulting with a healthcare professional can help ensure you're meeting your needs for optimal health.
While vitamin D is essential for overall health and plays a crucial role in immune function, its direct link to hypothyroidism is still a subject of research. Some studies suggest that there may be a correlation between low vitamin D levels and an increased risk of thyroid problems, including hypothyroidism. This has led some experts to propose that maintaining adequate vitamin D levels could potentially support thyroid function and help in managing the condition, especially since vitamin D is involved in regulating the immune system, which is particularly significant for those with autoimmune thyroid disorders like Hashimoto's thyroiditis.
However, it is important to note that vitamin D supplementation alone is not a treatment for hypothyroidism. If you suspect you have hypothyroidism or are already diagnosed, it’s vital to follow your healthcare provider’s recommendations, which typically include thyroid hormone replacement therapy. Additionally, if you are considering vitamin D supplementation, consult with your healthcare provider to determine the appropriate dosage and ensure it doesn't interfere with any other medications or treatments you may be undergoing.
Based on user reviews, individuals taking vitamin D supplements for hypothyroidism often begin to notice improvements within a month or two of consistent use. For example, one user mentioned feeling benefits after starting vitamin D3 and seeing results in their energy levels, indicating that improvements can be felt relatively quickly after beginning supplementation Read Review. Other users reported enhanced mood and general well-being after several weeks of taking vitamin D, which suggests that noticeable changes are common within a similar timeframe Read Review.
Moreover, some users have taken vitamin D for extended periods, such as three years, with subsequent benefits highlighted throughout their use, affirming the effectiveness of long-term supplementation Read Review. Thus, while individual experiences may vary, it seems that a duration of one to two months is a reasonable expectation for observing benefits from vitamin D in managing hypothyroidism.
There is a growing body of scientific research suggesting that vitamin D supplementation may have a supportive role in managing hypothyroidism, particularly for patients with Hashimoto's thyroiditis. For instance, several studies have demonstrated that vitamin D can improve thyroid function indicators, such as lowering TSH levels and reducing thyroid antibodies, which are markers of autoimmune activity. One meta-analysis involving 862 participants found significant reductions in anti-thyroid peroxidase antibodies and improvements in thyroid hormone levels with vitamin D supplementation [7]. Additionally, a clinical trial indicated that vitamin D3 treatment led to a meaningful decrease in thyroid inflammation markers for women diagnosed with Hashimoto's, indicating potential benefits for thyroid health [9].
However, it's essential to highlight that while these findings show promise for vitamin D's role in managing hypothyroidism, the evidence is not unanimous, and results can vary depending on the population studied and the presence of other health conditions. For instance, while one study found no significant decrease in hypothyroidism risk among participants taking vitamin D over an extended period [10], there's still a consensus that maintaining adequate vitamin D levels is beneficial for overall thyroid health, requiring further research to clarify optimal dosages and target populations [3]. Thus, while vitamin D shows potential as a supportive therapy for hypothyroidism, it should not replace primary treatments such as levothyroxine.
Based on user reviews, many individuals dealing with hypothyroidism have reported significant improvements in various symptoms after incorporating vitamin D into their regimen. For example, one user noted that their mood improved alongside a decrease in TTG levels after they began taking vitamin D, with their healthcare provider recommending a specific dosage of 50,000 IU Read Review. Additionally, another reviewer shared their positive experiences of enhanced well-being for themselves and family members, highlighting the vital role vitamin D plays, particularly in areas with limited sunlight Read Review.
Several users emphasized sustained benefits over time, with one individual reporting improvements in their vitamin D levels after three years of consistent use and a daily intake of 5,000 IU Read Review. Another user, who had been dealing with severe fatigue due to low vitamin D levels, felt immediate benefits after starting supplementation at a recommended dosage Read Review. While results can differ greatly from person to person, the collective experiences suggest that many users see marked improvements in mood, overall health, and thyroid function within weeks to months of starting vitamin D supplementation.
Users have reported various experiences when combining vitamin D with other supplements to manage hypothyroidism. One notable combination that received positive feedback is the pairing of vitamin D with vitamin K2 (MK-7), which users state significantly improved their and their family's hypothyroidism conditions by enhancing mood and overall well-being Read Review. Another user mentioned taking vitamin D alongside selenium and vitamin E, noting that there were no side effects, and they experienced improved health metrics, including reduced antibodies Read Review.
Additionally, a user highlighted the recommendation of taking vitamin D with magnesium and K2 at higher dosages to address hypothyroidism effectively, suggesting that this combination may be beneficial for those dealing with the condition Read Review. While individual responses can vary, the sentiment from user reviews indicates that combining vitamin D with other specific supplements could enhance its effects in managing hypothyroidism symptoms.
Users report varying dosages of Vitamin D for managing hypothyroidism, with most aligning with recommendations from their healthcare providers. Some, like Read Review, were prescribed 50,000 IU every other day for a three-week course, while others have found consistent success with daily doses ranging from 2,000 IU to 10,000 IU. For instance, one user noted taking 5,000 IU daily under medical supervision, which improved their vitamin D levels significantly Read Review.
Additionally, many users emphasized the importance of tailoring dosage based on individual needs and circumstances, such as geographical exposure to sunlight. One user highlighted the effectiveness of taking 5,000 IU regularly, especially in low-sunlight areas, while another user reported improved mood and energy levels after increasing their intake to 10,000 IU during winter Read Review. Overall, users recommend starting with their doctor's advice and adjusting as necessary for optimal results.
7.5
Feeling better
After experiencing severe weakness and fatigue due to my hypothyroidism, I discovered my vitamin D3 level was just 18. The endocrinologist recommended this particular brand, although I opted for 5,000 IU instead of 10,000 IU. The small capsules are easy to swallow, and I already feel the benefits after starting them.
7.5
Improved mood
4 people found this helpful
The mood has improved, and my TTG has decreased. I have hypothyroidism, and after taking vitamin D, my levels rose, leading to better well-being. A doctor prescribed 50,000 IU (one tablet every other day) for three weeks, with a follow-up on vitamin D levels due to individual digestibility variations.
7.5
Raised vitamin D
1 people found this helpful
I have taken vitamin D for three years, under medical supervision, at a dosage of 5,000 IU daily. With my hypothyroidism and osteopenia, my vitamin D levels have improved to the lower normal range. I highly recommend this vitamin.
9
Improved well-being
Along with K-2 (MK-7) from the same company, my relative's condition with hypothyroidism improved dramatically. All my family members take it regularly, enhancing our mood and well-being. Vitamin D is crucial for those in low-sunlight areas, and K2 aids in absorption, preventing calcium loss.
7.5
Improved condition
I followed my endocrinologist's advice and took this vitamin D for two months for my hypothyroidism, alongside selenium and vitamin E. There were no side effects, and my overall condition improved while antibodies decreased. I recommend this treatment for anyone with absorption issues regarding fat-soluble vitamins.
6
Supplementary use advised
I use it alongside other supplements, particularly for hypothyroidism. My doctor recommended taking at least 10,000 IU with magnesium and K2. The capsules are small, which is a plus.
7.5
Recommended vitamin D3
I take vitamin D3 regularly alongside vitamin K2 MK7. During winter, I consumed 10,000 IU as advised by my endocrinologist for my hypothyroidism. I recommend it to everyone.
9
Vitamin D improves thyroid function
Effects of vitamin D supplementation on autoantibodies and thyroid function in patients with Hashimoto's thyroiditis: A systematic review and meta-analysis.
We conducted a thorough exploration of how vitamin D supplementation can affect hypothyroidism, particularly in patients with Hashimoto's thyroiditis (HT). Our findings draw from a meta-analysis of twelve randomized controlled trials, involving a total of 862 participants. These studies compared the effects of vitamin D against placebo or no treatment, focusing on various thyroid function indicators and autoantibodies.
The results were promising. We found that vitamin D supplementation significantly reduced the levels of anti-thyroid antibodies, specifically thyroid peroxidase antibodies (TPO-Ab) and thyroglobulin antibodies (TG-Ab). Additionally, it appeared to enhance thyroid function by lowering thyroid-stimulating hormone (TSH) levels and increasing free triiodothyronine (FT3) and free thyroxine (FT4) levels.
Notably, we observed that active forms of vitamin D, like calcitriol, were more effective in reducing TPO-Ab compared to the more common D2 and D3 forms. We also noted that longer treatment durations, particularly those exceeding 12 weeks, led to greater improvements in thyroid hormone levels and antibody reductions.
Overall, our study suggests that vitamin D may play a beneficial role in managing Hashimoto’s thyroiditis, potentially helping to modulate immune responses and improve thyroid function.
9
Vitamin D aids Hashimoto's outcomes
Therapeutic effect of vitamin D in Hashimoto's thyroiditis: a prospective, randomized and controlled clinical trial in China.
We aimed to investigate the effects of Vitamin D supplements on women recently diagnosed with Hashimoto's Thyroiditis (HT), a condition that can lead to hypothyroidism. This study was carefully structured as a randomized clinical trial that included a control group for comparison, allowing us to draw clearer conclusions about the effectiveness of Vitamin D.
Over six months, we observed that women receiving Vitamin D experienced significant health benefits. Specifically, those treated saw a notable decrease in Thyroid Peroxidase Antibody (TPOAb) levels, which is a marker of thyroid inflammation. Additionally, markers of thyroid function, such as Free Triiodothyronine (FT3) and Free Thyroxine (FT4), increased, while Thyroid-Stimulating Hormone (TSH) levels decreased. This combination of changes suggests that Vitamin D can help slow the progression of hypothyroidism and enhance thyroid function.
Overall, these findings indicate that Vitamin D supplementation can be a useful adjunct in managing Hashimoto's Thyroiditis, potentially leading to improved health outcomes for patients with this condition.
4
Vitamin D shows no significant impact
The Effect of Vitamin D Supplementation on Hypothyroidism in the Randomized Controlled D-Health Trial.
We explored the relationship between vitamin D supplementation and hypothyroidism through the D-Health Trial, a well-structured study involving over 21,000 Australian participants aged 60 and older. This trial randomly assigned participants to receive either a monthly dose of 60,000 international units of vitamin D or a placebo, allowing us to effectively assess any potential benefits of vitamin D on thyroid function.
Our analysis revealed that, during an average follow-up of 4.1 years, 293 participants developed hypothyroidism. Interestingly, the rates were similar between the groups, with 1.5% of those taking vitamin D and 1.7% of those on placebo developing the condition. Overall, vitamin D supplementation did not significantly lower the risk of hypothyroidism, as shown by the hazard ratio of 0.89.
However, we did notice a slight difference when analyzing the data by gender. While there was some evidence suggesting a potential benefit for females (with a hazard ratio of 0.78), no such effect was observed in males. Given the findings, it seems that vitamin D supplementation does not provide a clear protective effect against hypothyroidism overall, although the intriguing trend observed in females deserves further research to better understand its implications.
4
Vitamin D affects metformin efficacy
The Association between Vitamin D Status and the Impact of Metformin on Hypothalamic-Pituitary-Thyroid Axis Activity in Women with Subclinical Hypothyroidism.
We set out to understand the role of vitamin D in managing hypothyroidism, particularly focusing on how it interacts with metformin treatment. In a detailed study, we looked at three groups of women with subclinical hypothyroidism, comparing those with vitamin D deficiency to those with adequate levels. All participants had type 2 diabetes or prediabetes and received metformin.
Throughout the six-month study, we monitored various hormones and health indicators. While metformin was effective in reducing glucose levels and insulin resistance across all groups, we noticed that its impact was less pronounced in women with low vitamin D levels. Interestingly, only those with sufficient vitamin D experienced significant reductions in TSH, the thyroid-stimulating hormone, suggesting that low vitamin D may dampen the effectiveness of metformin on thyroid function.
However, it’s crucial to note that metformin didn't increase vitamin D levels or significantly alter thyroid hormone concentrations or other thyroid-related markers. Our results indicate that vitamin D status may influence how effectively metformin can support thyroid function in women with hypothyroidism, highlighting the importance of maintaining adequate vitamin D levels for optimal health outcomes.
References
Nikkhah M, Vafa M, Abiri B, Golgiri F, Sarbakhsh P, et al. The Effect of Some Micronutrients Multi-Supplementation on Thyroid Function, Metabolic Features and Quality of Life in Patients Treating With Levothyroxine and Vitamin D: A Double-blind, Randomized Controlled Trial. Med J Islam Repub Iran. 2024;38:133. 10.47176/mjiri.38.133
Rastegar-Moghaddam SH, Akbarian M, Rajabian A, Alipour F, Hojjati Shargh A, et al. Potential therapeutic impacts of vitamin D on hypothyroid-induced heart and kidney fibrosis and oxidative status in male rat. Naunyn Schmiedebergs Arch Pharmacol. 2024. 10.1007/s00210-024-03593-8
Krysiak R, Kowalcze K, Szkróbka W, Okopień B. The Association between Vitamin D Status and the Impact of Metformin on Hypothalamic-Pituitary-Thyroid Axis Activity in Women with Subclinical Hypothyroidism. Pharmaceutics. 2024;16. 10.3390/pharmaceutics16081093
Maneewan S, Manosroi W, Jesadaporn P, Phimphilai M, Tipduangta P. Effect of Vitamin D Supplementation on Muscle Function in Patients With I131-Induced Hypothyroidism: A Pilot Randomized Trial. J Endocr Soc. 2024;8:bvae072. 10.1210/jendso/bvae072
Donayeva A, Kulzhanova D, Amanzholkyzy A, Abdelazim IA, Abilov T, et al. Relationship between vitamin D and adolescents' hypothyroidism - a cross-sectional study. Prz Menopauzalny. 2023;22:186. 10.5114/pm.2023.133280
Abdulateef M, Hilal N, Abdul-Aziz M. EVALUATION OF VITAMIN D SERUM LEVELS AND THYROID FUNCTION TEST IN HYPOTHYROIDISM IRAQI PATIENTS. Georgian Med News. 2023.
Tang J, Shan S, Li F, Yun P. Effects of vitamin D supplementation on autoantibodies and thyroid function in patients with Hashimoto's thyroiditis: A systematic review and meta-analysis. Medicine (Baltimore). 2023;102:e36759. 10.1097/MD.0000000000036759
Kuroda K, Horikawa T, Moriyama A, Ojiro Y, Takamizawa S, et al. Therapeutic efficacy of the optimization of thyroid function, thrombophilia, immunity and uterine milieu (OPTIMUM) treatment strategy on pregnancy outcomes after single euploid blastocyst transfer in advanced age women with recurrent reproductive failure. Reprod Med Biol. 2023;22:e12554. 10.1002/rmb2.12554
Jiang X, Huang Y, Li Y, Xia Y, Liu L, et al. Therapeutic effect of vitamin D in Hashimoto's thyroiditis: a prospective, randomized and controlled clinical trial in China. Am J Transl Res. 2023;15:6234.
Waterhouse M, Pham H, Rahman ST, Baxter C, Duarte Romero B, et al. The Effect of Vitamin D Supplementation on Hypothyroidism in the Randomized Controlled D-Health Trial. Thyroid. 2023;33:1302. 10.1089/thy.2023.0317
Bhakat B, Pal J, Das S, Charaborty SK, SircarMedical NR. A Prospective Study to Evaluate the Possible Role of Cholecalciferol Supplementation on Autoimmunity in Hashimoto's Thyroiditis. J Assoc Physicians India. 2023;71:1.
Liu Q, Zhang Y, Zhao H, Yao X. Increased Epoxyeicosatrienoic Acids and Hydroxyeicosatetraenoic Acids After Treatment of Iodide Intake Adjustment and 1,25-Dihydroxy-Vitamin D Supplementation in High Iodide Intake-Induced Hypothyroid Offspring Rats. Front Physiol. 2021;12:669652. 10.3389/fphys.2021.669652
ElRawi HA, Ghanem NS, ElSayed NM, Ali HM, Rashed LA, et al. Study of Vitamin D Level and Vitamin D Receptor Polymorphism in Hypothyroid Egyptian Patients. J Thyroid Res. 2019;2019:3583250. 10.1155/2019/3583250
Ucan B, Sahin M, Sayki Arslan M, Colak Bozkurt N, Kizilgul M, et al. Vitamin D Treatment in Patients with Hashimoto's Thyroiditis may Decrease the Development of Hypothyroidism. Int J Vitam Nutr Res. 2016;86:9. 10.1024/0300-9831/a000269
Anaraki PV, Aminorroaya A, Amini M, Feizi A, Iraj B, et al. Effects of Vitamin D deficiency treatment on metabolic markers in Hashimoto thyroiditis patients. J Res Med Sci. 2017;22:5. 10.4103/1735-1995.199090
Mansournia N, Mansournia MA, Saeedi S, Dehghan J. The association between serum 25OHD levels and hypothyroid Hashimoto's thyroiditis. J Endocrinol Invest. 2014;37:473. 10.1007/s40618-014-0064-y
Kemmochi S, Fujimoto H, Woo GH, Hirose M, Nishikawa A, et al. Preventive effects of calcitriol on the development of capsular invasive carcinomas in a rat two-stage thyroid carcinogenesis model. J Vet Med Sci. 2011;73:655.