2011;31(1):133-40. doi:10.1016/j.iac.2010.09.013, Bordoni A, Denesi F, Dardevet D, et al. We avoid using tertiary references. Another theory is that infection by a virus or bacterium triggers the response. WebHashimoto's thyroiditis. Childs C, et al. 57:12,2497-2525. doi: 10408398.2014.967385. But the thyroids relationship to your metabolism is complicated. Everyone should continue to practice the recommended hand hygiene and social distancing recommendations to avoid COVID-19 infection. Because the immune response following COVID-19 vaccination may differ in people who are moderately or severely immunocompromised, specific guidance has been developed. Low cortisol levels (adrenal insufficiency). But doctors often dont check blood for the telltale antibodies because all hypothyroidism is treated the same way. The impact of everyday stressors on the immune system and health. include protected health information. Autoimmune diseases happen when the immune system makes antibodies that attack healthy tissues. People can be immunocompromised either due to a medical condition or from receipt of immunosuppressive medications or treatments. Hyperthyrotoxicosis has also been reported in COVID-19 patients. A rare side effect of these antithyroid medications is a condition called agranulocytosis (occurring in 0.2-0.5% of people taking the medication), in which the number of the immune cells that fight infection decrease. The immune system wrongly enlists disease-fighting agents that damage cells and lead to cell death. WebZinc Zinc is an essential mineral that is important for overall health and well-being, and it has also been found to decrease antibody levels in those with autoimmune disorders like Hashimotos. Your body must convert T4 to T3 (triodothyroinine) to maintain your metabolism, and regulate your body temperature, heart and other vital organs. An endocrinologist shares five surprising facts about this autoimmune condition, which can strike at any age, but is most often found in your 40s, 50s or 60s. It is the most common cause of hypothyroidism (underactive thyroid). Rothmund-Thomson syndrome is a very rare autosomal recessive genetic disorder. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Cleveland Clinic is a non-profit academic medical center. But at the end of the day, if your thyroid is underactive, its usually Hashimotos thyroiditis, she says. Celiac disease, which can lead to iron deficiency. (2019). It does this by producing white blood cells and antibodies that attack infectious organisms. Check out COVID-19 Vaccines for Children and Teensfor more information on vaccination information for children. Centers for Disease Control and Prevention. The National Sleep Foundation. Contact your healthcare provider and start treatment within the first few days of symptoms. Having had a solid organ or blood stem cell transplant, which includes bone marrow transplants, can make you more likely to get very sick from COVID-19. Risk factors include prior autoimmune diseases or a family history of thyroid Below, we answer questions about the difference between people with autoimmune disorders and those who are immunocompromised. Hypothyroidism is when the thyroid gland does not make enough thyroid hormone. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. (2019). You may opt-out of email communications at any time by clicking on This is not as easy a task as one might think. Other people have to use certain types of medicines for a long time, like corticosteroids, that weaken their immune system. Goldman L, et al., eds. Having chronic kidney disease of any stage can make you more likely to get very sick from COVID-19. Our website services, content, and products are for informational purposes only. 2005-2023 Healthline Media a Red Ventures Company. Long-term most acute thyroid dysfunction resolves once the patient has cleared the COVID-19 infection. I'm staying on my biologic. What Are the Symptoms of Antiphospholipid Syndrome? Delays of six months or even longer do not appear to negatively affect the course of thyroid cancer in patients. From there, Jaimie moved to Johannesburg, where she reported for the Sunday Times of London, Newsweek and Independent News & Media the largest local newspaper group in the country. Effectiveness of face mask or respirator use in indoor public settings for prevention of SARS-CoV-2 infection. There are a variety of supplements and herbal products that claim to support or improve the immune system. information and will only use or disclose that information as set forth in our notice of Germs: Understand and protect against bacteria, viruses and infection, Harvard Medical School. I worry for my sister, who has ulcerative colitis, and others who are immunocompromised in some way. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Probiotics and Immune Health. But the CDC also notes that people with a "weakened immune system" are among those "most at risk.". The adverse effects of psychological stress on immunoregulatory balance: applications to human inflammatory diseases. If you currently smoke, quit. The study specifically looked at all patients who had pre-existing hypothyroidism and were taking thyroid hormone medication before their COVID-19 infection. She is the author of "The Thyroid Diet Revolution.". Learn more about immunoglobulins including how they help your body fight infections and the tests doctors use to measure your immunoglobulin levels. The thyroid is a small butterfly-shape gland located at the base of your neck that has a huge job. Talk with your healthcare provider about wearing a mask in a medium COVID-19 Community Level. While the causes aren't fully understood, experts now believe that a mix of genetic and environmental factors influence lupus. For example, some studies link alcohol addiction with suppressed immune systems. The impact of nutrition on COVID-19 susceptibility and long-term consequences. The next relevant question is whether COVID-19 infection has any effect on the thyroid gland. This may include getting vaccinated and forming healthy lifestyle habits. Everyone should continue to practice the recommended hand hygiene and social distancing recommendations to avoid COVID-19 infection, https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fhigh-risk-complications.html, https://www.thyroid.org/professionals/ata-publications/, https://www.thyroid.org/thyroid-information/, https://www.cdc.gov/coronavirus/2019-ncov/index.html, https://home.liebertpub.com/lpages/-coronavirus-science-backed-research/250/, Clinical Thyroidology for the Public (CTFP). An update on Addison's disease. December 6 - In a Virtual Town Hall with "Rushed to the ER:" Life with Immunocompromise. That's why it's important to take your medicine, even if some drugs slow down your immune system. Could it be Hashimotos thyroiditis? I was kept overnightthat's the difference between a 'healthy' person getting stomach flu, and me," Hayden wrote. I'm grateful that retailers, including my local grocers, are working to protect their most vulnerable customers. "What's really important is that people who are immunocompromised should avoid going out, they should avoid crowds. Do autoimmune conditions cause a weakened immune system? When treatment of hyperthyroidism is necessary, different routes for giving methimazole may be used. (2021). They can be eaten in moderation. "We want to make sure that we're building in the things that are fun in our lives and leaning on the people we know make us happy. Cleveland Clinic 1995-2023. Treatments for many types of cancer can weaken your bodys ability to fight off disease. Both typical subacute thyroiditis and atypical subacute thyroiditis have been reported in COVID-19 patients. Some natural sources for zinc include oysters, cashews, and pumpkin seeds. Autoimmune conditions occur when the body's immune system attacks healthy tissue, causing dysfunction and damagein these The most important way to keep the immune system strong and balanced is to maintain a healthy lifestyle overall. American Thyroid Association. Outdoor transmission of SARS-CoV-2 and other respiratory viruses: A systematic review. If a fever or other symptoms of an infection start while taking methimazole, it is best to contact your endocrinologist or other provider to determine how best to be evaluated. Some things that can weaken your immune system include: According to the CDC, if you have a weakened immune system, youre at higher risk of having severe outcomes or experiencing death due to illness. Thank you for taking the time to confirm your preferences. Chronic liver disease can include alcohol-related liver disease, non-alcoholic fatty liver disease, autoimmune hepatitis, and cirrhosis (or scarring of the liver). Stress can cause hormones to become imbalanced, thus causing a reaction in the immune system that leads to increased antibody production. When you control your disease, you're less likely to get really sick. American Thyroid Association. Autoimmune thyroid disorders can cause hyperthyroidism or hypothyroidism. Download, edit and save, and share your plan with your family, friends, and healthcare provider. Home COVID-19 Resources COVID-19 Vaccine: Frequently Asked Questions. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window). This is especially important if you are older or have severe health conditions or more than one health condition, including those on this list. In addition, some herbs and supplements may interfere with the medical management of your condition as well as your thyroid function. She's not alone. Last updated on July 16, 2018. Hashimotos is an autoimmune condition that can strike at any age, but is most often diagnosed between ages 40 and 60, says endocrinologist Mary Vouyiouklis-Kellis, MD. Having neurological conditions, such as dementia, can make you more likely to get very sick from COVID-19. Several case reports and case series have also shown that COVID-19 can cause subacute thyroiditis. If you have a medical condition, learn more about Actions You Can Take. Because some people are unable to convert T4 to T3, doctors may prescribe a combination of T4 and T3. Autoimmune disorders occur when your bodys immune response targets itself, attacking its own cells and tissues. Accessed Sept. 28, 2021. So knowing whether or not you have Hashimotos may be a moot point unless youre a woman trying to conceive. What are signs that youre immunocompromised? Both Sheldon and Newman stressed that patients being treated for chronic illnesses need to stay on their medication and call their health care provider to find out if their treatment could suppress their immune system. https://www.thyroid.org/hypothyroidism/. It is an autoimmune disease. If they are out they should keep their distance from others and not shake hands, but the main advice would be to stay home as much as you can," advised Newman, who added that folks should keep their house clean and limit exposure to people who have been out and about. In the case of Hashimotos thyroiditis, your immune system attacks your thyroid, which can cause inflammation and lead to an underactive thyroid gland. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. https://www.thyroid.org/goiter/. The U.S. Centers for Disease Control (CDC) advises that people who are immunocompromised are at higher-risk of severe illness from COVID-19. Having chronic liver diseasecan make you more likelyto get very sick from COVID-19. It is important to protect yourself and others by taking COVID-19 prevention actions: Please contact your state, tribal, local, or territorial health department for more information on COVID-19 vaccination in your area. We recommend taking them with water only.. If your dose is too high, symptoms can swing the other way into hyperthyroidism, causing insomnia, anxiety, weight loss and heat intolerance. Jaimies work has appeared in a wide variety of publications including The Washington Post, The Boston Globe, Newsweek, Business Insider, New York Magazine, Marie Claire, Glamour and O, The Oprah Magazine. But your doctor must check blood levels periodically to make sure thyroid stimulating hormone (TSH) levels stay within mid-normal range (the goal: < 2.5). Avoiding refined sugar will be helpful, as eating sugar can often contribute to fatigue, says Dr. Kellis. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Hypothyroidism is when the thyroid gland does not make enough thyroid hormone. Do-Eun Lee, MD, has been practicing medicine for more than 20 years, and specializes in diabetes, thyroid issues and general endocrinology. Di Pasquale M, et al. (2015). It's safe to say that including foods that contain healthy bacteria, such as yogurt with live cultures and fermented foods like kombucha and kimchi (Korean pickled vegetables) may be helpful for the immune system. The placement of a naso-gastric tube or a Dobhoff tube allows the same methimazole pill to be delivered to the gut (digestive system) in a patient who is unable to swallow. This content does not have an English version. Common vaccines include: If youre immunocompromised, its a good idea to talk with a doctor to determine if a vaccine is safe for you. 2018;9(6):7204-7218. doi:10.18632/oncotarget.23208, Seldin MF. If youve recently received an organ or stem cell transplant, you are also considered immunocompromised. APS is an autoimmune disorder that makes your blood clot easily. Some common thyroid diseases, including Hashimoto's thyroiditis, the most common cause of hypothyroidism, and Graves'disease, a common cause of hyperthyroidism, are autoimmune diseases. Turns out I had acute gastroenteritis (bad stomach flu), leukopenia (my white blood cells plummeted), and my potassium levels dropped. Some things that may help you improve your immunity if youre immunocompromised include: Consult with a doctor to determine which steps you can safely take to potentially improve your immunity. Is it safe to delay thyroid surgery because of the COVID 19 pandemic. "Patients need to stay on these immunosuppressing medications," said Connie Newman, M.D., an adjunct professor of medicine in endocrinology, diabetes and metabolism at the NYU School of Medicine, and a member of HealthyWomen's Women's Health Advisory Council. Family history plays a big role.. Your diet can provide you with the nutrients needed to build immune cells and proteins, and your diet can also expose you to harmful chemicals that damage your immune system. Because we are learning more about COVID-19 every day, this list, A person with a condition that is not listed may still be at greater risk of getting very sick from COVID-19 than other people who do not have the condition. Seiler A, et al. Graves disease is the most common kind of autoimmune hyperthyroidism. 2014 Feb;2(2):14. doi: 10.3978/j.issn.2305-5839.2014.01.05. Hashimotos carries a slightly higher risk of miscarriage, so youll need the blood test for thyroid antibodies, says Dr. Kellis. Prevention & control general public. Sometimes, when youre first diagnosed with Hashimotos, you can still produce some thyroid hormone, she notes. These people are at greater risk for severe outcomes and death from diseases and other health threats. WebHashimotos Thyroiditis (Autoimmune Thyroid Disease) A decrease in the thyroid glands hormone production leads to a condition called hypothyroidism; the most common cause for this is an autoimmune condition called Hashimotos Thyroiditis, in which the immune system attacks and damages the thyroid gland. As long as youre being treated and followed by a doctor, and getting your blood levels checked, theres no reason to modify your diet, she says. Journal of Clinical Endocrinology & Metabolism. What are examples of autoimmune disorders? Those with celiac diseaseor who have had gastric bypass surgerymust be carefully monitored because they may not absorb thyroid medication properly, and their levels can fluctuate. Weyand C, et al. (2019). In reviewing this database, there have been approximately 114 publications that are in some way related to the thyroid and COVID-19. J Immunol Res. 26th ed. A persons risk of severe illness from COVID-19 increases as the number of underlying medical conditions they have increases. Hypothyroidism is treatable with medicine. People who are immunocompromised or are taking medicines that weaken their immune system may not be protected even if they are up to date on their vaccines. A review of micronutrients and the immune system working in harmony to reduce the risk of infection. 2015;2015:401630. doi: 10.1155/2015/401630, Vetvicka V. and Vetvickova J.Immune-enhancing effects of Maitake (Grifola frondosa) and Shiitake (Lentinuledodes) extracts. A third COVID-19 vaccine dose is recommended in some immunocompromised people who got the Pfizer or Moderna vaccine. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. What to know. 2021; doi:10.1210/clinem/dgaa945. The thyroid produces hormones that help regulate many functions in the body. Newman added that it's not clear if a short course of steroids will affect the immune system. Hashimotos disease: The most common cause of hypothyroidism in the United States, Hashimotos disease, can lead to high cholesterol, heart problems, and pregnancy complications. Chen L, Deng H, Cui H, et al. American Thyroid Association. Its estimated that between 15-30% of hospitalized COVID-19 patients will have detectable new-onset thyroid dysfunction. A blood test reveals your thyroid is underactive. Radioactive iodine (RAI) therapy is often used for thyroid cancer patients after having surgery and typically involves several visits to a doctor or healthcare facilities. Therefore, the short delays expected from waiting until the current COVID-19 pandemic is over are unlikely to lower the effectiveness of the RAI treatment. Front Immunol. Luca F, et al. RAI is often used to eliminate any remaining normal (non-cancerous) thyroid tissue or to decrease the chance of recurrence even when all thyroid cancer appears to have been surgically removed. In: Williams Textbook of Endocrinology. Karshikoff B, et al. The syndrome, also known as euthyroid sick syndrome or low T3 syndrome, can occur during any acute illness. It's no secret that sleep deprivation can take a toll on a person's health, including how well the immune system works. Youre tired all the time. An unprecedented number of medical journal articles have been published related to COVID-19 with more than 86,883 publications in less than one year on the subject. 2023 Dotdash Media, Inc. All rights reserved, Mary Shomon is a writer and hormonal health and thyroid advocate. This content does not have an Arabic version. Liu J, et al. These include: Mayo Clinic does not endorse companies or products. Developed and hosted by the NIH, the site is one of the most comprehensive collections of COVID-19 literature available. Call your healthcare provider if you have any concerns about your medical conditions or if you get sick and think that you may have COVID-19. All Rights Reserved. Antibodies produced by the immune system attack the thyroid gland, slowly destroying the cells that produce thyroid hormone. Critical Reviews in Food Science and Nutrition. health information, we will treat all of that information as protected health Can High Blood Pressure Make You Feel Tired? What causes the immune system to attack thyroid cells is not clear. Hashimoto's thyroiditis: An update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation. Thyroid function tests. People who are immunocompromised or are taking medicines that weaken their immune system may not be protected even if they are up to date on their vaccines. If a person with a thyroid condition contracts COVID-19, do they have worse outcomes? Some people who are immunocompromised (have a weakened immune system) are more likely to get sick with COVID-19 or be sick for a longer period. (2021). Cronograma de vacunas contra la Covid-19 para adultos, Covid Vaccine Schedule for Children & Teens, Cronograma de la vacuna para la Covid para nios y adultos. These treatments are frequently being rescheduled during the current COVID-19 pandemic, causing worry about these delays for patients scheduled to receive RAI. Aging of the immune system. A single copy of these materials may be reprinted for noncommercial personal use only. People with healthy immune systems can help protect immunocompromised people by making choices that reduce the chances of passing on illnesses to others. (2021). With autoimmune diseases, the body's immune system attacks its own healthy tissue, and treatment often involves medications that effectively knock-out the immune system. When this happens, the body may produce an autoimmune response, attacking healthy cells in the body. In the case of an autoimmune disease, the immune system mistakenly attacks otherwise healthy tissues. Vaccines are designed to help prevent you from getting certain diseases or reduce your chance of experiencing serious complications. (2021). Immunocompromised people have a weaker immune system and have a harder time fighting infections. To read more about people who are at higher risk: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecific-groups%2Fhigh-risk-complications.html. (n.d.). Having mood disorders, including depression, and schizophrenia spectrum disorders can make you more likelyto get very sick from COVID-19. As a result, some vaccines may be less effective for those who are immunocompromised. Still other health conditions may weaken the immune systems. There is a problem with (2020). Some common thyroid diseases, including Hashimoto's thyroiditis, the most common cause of hypothyroidism, and Graves' disease, a common cause of hyperthyroidism, are autoimmune diseases. All rights reserved. The immune system creates antibodies that attack thyroid cells as if they were bacteria, viruses or some other foreign body. I'm washing my hands around the clock. If these occur, patients are often told to stop the methimazole and go to a laboratory to have blood testing done. Under-treated hypothyroidism and vitamin B12 deficiency are linked with an increased risk of stroke, even in young people, because vitamin B12 deficiency can increase homocysteine levels, which are a well-established risk factor for ischemic stroke. This includes many. Thyroid autoimmune conditions can cause either: It's thought that heredity may play a role in autoimmune diseases. Most thyroid nodules are benign (not cancerous), but some nodules of a certain size that also have suspicious features on ultrasound may be advised to undergo a biopsy. I'm getting plenty of rest. Some people are at increased risk of getting very sick or dying from COVID-19 because of where they live or work, or because they cant get health care. Immunol Allergy Clin North Am. I recently spoke with Lisa Kennedy Sheldon, Ph.D., chief clinical officer at the Oncology Nursing Society, and an oncology nurse practitioner, about the link between cancer treatments and immunosuppression. This is true even if there is spread of the thyroid cancer to local lymph nodes in the neck. Hashimotos prompts your body to create antibodies that attack and inflame the thyroid. (2020). Accessed Sept. 28, 2021. The most common cause of hypothyroidism is an autoimmune disease called Hashimoto's disease. Because of the current COVID-19 pandemic, many surgeries that were scheduled for thyroid cancer have had to be delayed, raising concerns about receiving timely care for thyroid cancer. Discuss steps you can take to manage your health and risks. WebAre people with autoimmune thyroid disease, such as Hashimotos thyroiditis or Graves disease, at more risk for acquiring COVID-19 or having a more serious COVID-19 infection? This information is intended for a general audience. This is an attempt to make some clinically relevant observations from this information. 14th ed. There are almost 100 recognized autoimmune disorders. According to Jenna Mammen, MD, PhD, an endocrinologist at Johns Hopkins University, there has been a lot of confusion, especially online, over Hashimotos in particular. Harpaz R, et al. The National Sleep Foundation recommends that most adults under age 65 get between seven and nine hours of good quality sleep each night. Follow your current treatment plan (e.g.. Some people are immunocompromised or have a weakened immune system because of a medical condition or a treatment for a condition. Hashimoto's disease is an autoimmune disorder affecting the thyroid gland. The pathogenesis of neonatal autoimmune and autoinflammatory diseases: a comprehensive review. WebIs Hashimoto's an autoimmune condition? "When I think of myself getting COVID-19, I fear the worst. They may need to adjust your dosage. http://www.thyroid.org/thyroid-hormone-treatment/ Accessed Oct. 19, 2021. For this reason, if you're under ongoing tension, at work or in your relationshipsit may be advisable to find healthy ways to manage it. Centers for Disease Control and Prevention (CDC). Saving Lives, Protecting People, Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the, The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. You cant stand the cold. 2018;9:2187. doi:10.3389/fimmu.2018.02187. Autoimmune thyroid disorders can cause hyperthyroidism or hypothyroidism. Autoimmunity Reviews. Hyperthyroidism is when the thyroid gland makes too much thyroid hormone. People who are immunosuppressed (or immunocompromised) have immune systems that are highly susceptible to infectious diseases, including COVID-19, the respiratory illness caused by coronavirus. J Autoimmun. | MD Anderson , People with Certain Medical Conditions | CDC , What Does It Mean to Be Immunocompromised | Penn Medicine , Long Covid Ended My Time as a C-Suite Executive, but Im Not Giving Up on Life. It is an autoimmune disease. How Much Sleep Do Adults Really Need?. Hashimotos is an autoimmune condition that can strike at any age, but is most often diagnosed between ages 40 and 60, says endocrinologist Mary Vouyiouklis-Kellis, MD. Hashimoto's disease is an autoimmune disorder. In cancer patients, being immunocompromised usually relates to the impairment of white blood cells, whether in number or function. Hypothyroidism and thyroiditis. Hashimotos can coexist with primary immunodeficiency diseases (PIDs) or secondary Other hormones and proteins also come into play. So, let's make sure that we're not just talking about a prescription or a test or nasal swab, that we're also talking about healthy behaviors.". Some have been shown in studies to alter the immune system, but none have been found to actually improve or boost immunity in ways that prevent illness or infection. "Certain types of chemotherapy, not all types, can decrease the immune system, making you more immunodeficient," explained Sheldon. "Fear the Worst:" Immunocompromise During a Pandemic, "I'm staying at home. What are common symptoms of autoimmune disease? Hashimotos can often be associated with some weight gain its mostly salt and water weight, which is why you look puffy, she says. (2021). Children with underlying medical conditions are at increased risk for getting very sick compared to children without underlying medical conditions. The onset of disease may be related to: The following factors are associated with an increased risk of Hashimoto's disease: Thyroid hormones are essential for the healthy function of many body systems. Healthcare professionals should see Underlying Medical Conditions Associated with Higher Risk for Severe COVID-19for more detailed information. Such long-term uses can lead to secondary or acquired immunodeficiency. Hashimoto's disease, or Hashimoto's thyroiditis, is an autoimmune disease that damages the thyroid gland. Cookies used to make website functionality more relevant to you. These cookies may also be used for advertising purposes by these third parties. Thank you, {{form.email}}, for signing up. This year, January also happens to mark the one-year anniversary of COVID-19s emergence in China. Parker E, et al. Steer clear of products made from trans fats, including certain kinds of margarine. This less common variant of subacute thyroiditis does not cause pain in the thyroid, usually occurs following pregnancy, and is thought to be an autoimmune thyroiditis.