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Goitrogenic drugs and chemicals
Chemicals that have been shown to have goitrogenic effects include:
- Sulfadimethoxine, propylthiouracil, potassium perchlorate, and iopanoic acid.
- Some oxazolidines such as goitrin.
- Thiocyanate overload in Central Africa, especially if also in conjunction with selenium deficiency. Reliance on cassava as a carbohydrate provides a source of thiocyanate in some areas.
- Ions such as thiocyanate and perchlorate decrease iodide uptake by competitive inhibition and, as a consequence of reduced thyroxine and triiodothyronine secretion by the gland, cause, at low doses, an increased release of thyrotropin (by reduced negative feedback), which then stimulates the gland.
- Amiodarone inhibits peripheral conversion of thyroxine to triiodothyronine; also interferes with thyroid hormone action.
- Lithium inhibits thyroid hormone release.
- Phenobarbitone, phenytoin, carbamazepine, rifampin induce metabolic degradation of triiodothyronine (T3) and thyroxine (T4).
- Cassava and Cabbage both due to the foods containing thiocyanate
- Soybeans (and soybean products such as tofu, soybean oil, soy flour, soy lecithin)
- Pine nuts
- Flax seed, flax seed contains cyanide which transforms into thiocyanate inside the body leading to hypothyroid syndrome.
- Bamboo shoots
- Sweet Potatoes
- Vegetables in the genus Brassica 
Despite being generally a stimulant, caffeine acts on thyroid function as a suppressant. Indeed some studies on rats suggest that excess caffeine in conjunction with a lack of iodine may promote the formation of thyroid cancers.
Foods stimulating thyroid tissue
- Takizawa T, Imai T, Ueda M, Onodera H, Hirose M (2006). "Comparison of enhancing effects of different goitrogen treatments in combination with beta-estradiol-3-benzoate for establishing a rat two-stage thyroid carcinogenesis model to detect modifying effects of estrogenic compounds". Cancer Sci. 97 (1): 25–31. doi:10.1111/j.1349-7006.2005.00132.x. PMID 16367917.
- Verhoeven DT, Verhagen H, Goldbohm RA, van den Brandt PA, van Poppel G (February 1997). "A review of mechanisms underlying anticarcinogenicity by brassica vegetables". Chem. Biol. Interact. 103 (2): 79–129. doi:10.1016/S0009-2797(96)03745-3. PMID 9055870.
- Vanderpas J (2006). "Nutritional epidemiology and thyroid hormone metabolism". Annu. Rev. Nutr. 26: 293–322. doi:10.1146/annurev.nutr.26.010506.103810. PMID 16704348.
- Akindahunsi AA, Grissom FE, Adewusi SR, Afolabi OA, Torimiro SE, Oke OL (1998). "Parameters of thyroid function in the endemic goitre of Akungba and Oke-Agbe villages of Akoko area of southwestern Nigeria". African journal of medicine and medical sciences 27 (3-4): 239–42. PMID 10497657.
- Doerge DR, Sheehan DM (June 2002). "Goitrogenic and estrogenic activity of soy isoflavones". Environ. Health Perspect. 110 Suppl 3: 349–53. PMC 1241182. PMID 12060828.
- Mitchell, Richard Sheppard; Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson. Robbins Basic Pathology. Philadelphia: Saunders. ISBN 1-4160-2973-7. 8th edition.
- National Toxicology, Program (2001). "Toxicology and carcinogenesis studies of coconut oil acid diethanolamine condensate (CAS No. 68603-42-9) in F344/N rats and B6C3F1 mice (dermal studies)". National Toxicology Program technical report series 479: 5–226. PMID 12571684.
- Son HY, Nishikawa A, Kanki K, et al. (2003). "Synergistic interaction between excess caffeine and deficient iodine on the promotion of thyroid carcinogenesis in rats pretreated with N-bis(2-hydroxypropyl)nitrosamine". Cancer Sci. 94 (4): 334–7. doi:10.1111/j.1349-7006.2003.tb01442.x. PMID 12824900.