Reading Food Labels for a Low Iodine Diet

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Patient & Family Guide Reading Food Labels for a Low Iodine Diet 2019 www.nshealth.ca

Reading Food Labels for a Low Iodine Diet Getting ready for your radioiodine scan or treatment You will soon have a radioiodine scan or treatment. To get ready, it is important to follow a low iodine diet so that your thyroid cells will not have much iodine in them. Then, when you are given iodine for your radioiodine scan or treatment, it will go straight to your thyroid cells. Iodine is not always listed on food labels. Knowing which foods have iodine in them and how to read food labels to find sources of iodine can help you to follow a low iodine diet. How is a radioiodine scan done? You will be given an iodine pill. The iodine will go straight to your thyroid cells, so your doctor can clearly see them. How is radioiodine treatment done? You will be given a larger dose of iodine than you would have for a scan. The iodine will go straight to your thyroid cells and destroy them, including those with cancer. 1

How do I read a food label? Ingredients are listed in order from the largest amount to the smallest amount. Example 1: Example 2: Cracker Low iodine cracker Ingredients: unbleached enriched flour, soybeans*, whey (from milk)*, sugar, sunflower oil, salt*, yeast 2 Ingredients: unbleached wheat flour, safflower oil, raw sugar, brown rice syrup, baking soda Ingredients marked with a * have iodine. Avoiding ingredients that have iodine is the best way to follow a low iodine diet. NOTE: Sodium (salt) can naturally be in food. Check the ingredient list and avoid added salt, as most salts have iodine added (iodized salt).

What foods and ingredients should I avoid? Read food labels carefully. The following ingredients have iodine and should be avoided: Iodized salt and sea salt: flavoured seasoning salts and salted, brined, or cured foods. If the label only lists salt as an ingredient, it is best to avoid it, as it may be iodized. Eggs: whole eggs and egg yolks. Dairy products: milk, cream, butter, cheese, milk protein, whey, casein and caseinates. Soy: soybeans, soya, miso, soya sauce, tofu and edamame. Soybean oil and soy lecithin are OK. Sea products: fish, shellfish, seaweed, kelp, nori, alginate, algae, agar, algin (found in some medicines), carrageenan and fish oil. Iodine: potassium iodate and calcium iodate. Red No. 3 (red dye/food colouring): FD&C Red No. 3, erythrosine. Sodium is safe in most forms. For example: sodium bicarbonate (baking soda, baking powder), sodium benzoate and monosodium glutamate (MSG). 3

My dietitian: Phone: Where can I learn more? Thyroid Cancer Canada www.thyroidcancercanada.org/en/treatments/ radioactive-iodine-treatment Thyroid Foundation of Canada https://thyroid.ca/resource-material/articles/e-4-n ThyCa: Thyroid Cancer Survivors Association, Inc. http://thyca.org/pap-fol/lowiodinediet What are your questions? Please ask. We are here to help you. 4

Questions for my health care provider:

Looking for more health information? Find this pamphlet and all our patient resources here: http://library.nshealth.ca/patientguides Contact your local public library for books, videos, magazines, and other resources. For more information, go to http://library.novascotia.ca Connect with a registered nurse in Nova Scotia any time: call 811 or visit https://811.novascotia.ca Learn about other programs and services in your community: call 211 or visit http://ns.211.ca Nova Scotia Health Authority promotes a smoke-free, vape-free, and scent-free environment. Please do not use perfumed products. Thank you! www.nshealth.ca Prepared by: Department of Metabolism and Endocrinology Designed by: NSHA Library Services The information in this brochure is for informational and educational purposes only. The information is not intended to be and does not constitute health care or medical advice. If you have any questions, please ask your health care provider. LC85-1955 March 2019 Nova Scotia Health Authority The information in this pamphlet is to be updated every 3 years or as needed.