Pregnancy . The reason isn’t clear, but sometimes, inflammation of the thyroid occurs after pregnancy. This is called postpartum thyroiditis. Women with this condition usually have a severe increase in thyroid hormone levels followed by a sharp drop in thyroid hormone production. Most women with postpartum thyroiditis will regain their normal thyroid function.

“For women who may become pregnant, during pregnancy, or lactating, the American Thyroid Association recommends taking a daily supplement containing 150 mcg of iodine,”8 says Elizabeth Pearce, MD, MSc, professor of medicine at Boston University School of Medicine in Massachusetts, and the ATA also recommends against taking added selenium during pregnancy given some concern that there is an increased risk of developing gestational diabetes.
Megan Casper, RDN, a dietitian based in New York City and the founder of Nourished Bite, points out that iodine deficiency is the leading cause of hypothyroidism worldwide. This mineral can’t be made by the body, so dietary sources like iodized salt, dairy products, seafood, seaweed, and fortified cereals are important. “Iodine is an essential nutrient in the body, and thyroid hormones are composed of iodine,” explains Rizzo. “Those lacking thyroid hormones may also be lacking iodine.”

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