**10. Patient education**

#### **10.1 Diet**

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) stated that Graves' Disease can cause sensitivity to iodine. The symptoms of Graves' Disease may be worsening when consuming foods rich in iodine such as kelp and dulse or iodine supplements. The NIDDK warns to consult the physician before taking a multivitamin supplement or cough medicine, as these can contain iodine.

## **10.2 Exercise**

Exercising can enhance the improvement in some symptoms during treatment. It controls the metabolism as there is a tendency to gain weight when the hyperthyroidism is corrected. Brittle bones also can occur with Graves' Disease, and weightbearing exercises can help maintain bone density.

#### **10.3 Stress reduction**

It may be helpful, as stress may trigger or worsen Graves' Disease. Yoga, meditation, relaxation technique such as Listening to music, taking a warm bath or walking can help to reduce the stress and plan to follow in daily routine.

#### **10.4 Optimal levels of iodine and selenium**

Optimal iodine and selenium intake has been found to attenuate the toxic effects that heavy metals and perchlorate can have on the thyroid.

### **10.5 Avoid stimulants**

Avoid consuming coffee, tea and quit the habit of smoking and alcohol as it worsens the symptoms of Graves' Disease.

#### **10.6 Wear sunglasses**

Eyes are more vulnerable to ultraviolet rays and more sensitive to bright light when eyes protrude. Wearing sunglasses that wrap around the sides of head will also lessen the irritation of eyes from the wind.

## **10.7 Elevate the head end**

Keep the head higher than the body lessens fluid accumulation in the head and may relieve the pressure on the eyes.

### **10.8 Cold compresses**

Apply cold compress to the eyes to keep the eyes moisture which may soothe eyes.
