text: Hello,\n\nShe should go see a medical doctor first!! Her MD will run tests to find our WHY she has the goitre and will be able to advise her about surgery, medications, dietary and lifestyle changes.\n\nIf the MD is not helpful, she should DEFINITELY consult a **registered dietician** (NOT a 'nutritionist' or a non-accredited 'diet specialist').\n\nFor your information:\n\nOur thyroid uses Iodine to create important hormones (T3, T4). She needs to be very careful about her Iodine intake (ie iodized salt, seafood). Since her thyroid is enlarged, it may be like a giant sponge for Iodine and this can be **dangerous** if her Iodine intake is increased too quickly.\n\nNext, she would be very wise to limit her intake of soy and cruciferous vegetables (broccoli, cabbage, kale, kohlrabi, Brussels sprouts, etc). Scientific studies have demonstrated that these foods interfere with Iodine uptake by the thyroid. For the same reason, avoiding products with 'rapeseed' is important too. It is very, very difficult to find any foods or oils that contain rapeseed now so this shouldn't be a major concern.\n\nALSO, she should ** NOT become pregnant**; it puts a major stress on her body AND her children will have major birth defects (known as cretinism).\n\nHope this helps!\n:)