Congenital iodine deficiency syndrome degree of iodine deficiency was milder and manifested primarily as thyroid enlargement rather than severe mental and physical impairment. In Switzerland, for example, where soil does not contain a large amount of iodine, cases of congenital iodine deficiency syndrome were very abundant and even considered genetically caused. As the variety of food sources dramatically increased in Europe and North America and the populations became less completely dependent on locally grown food, the prevalence of endemic goitre diminished. The early 20th century saw the discovery of the relationships of neurological impairment with hypothyroidism due to iodine deficiency. Both have been largely
Trace metal vegetables are sources. Taken in excessive amounts, trace elements can cause problems. For example fluorine is required for the formation of bones and enamel on teeth. However, when taken in an excessive amount can cause a disease called "Fluorosis', in which bone deformations and yellowing of teeth are seen. Fluorine can occur naturally in some areas in ground water. Trace metals include iron that can help to prevent anemia, and zinc that is a cofactor in over 100 enzyme reactions. Trace metal Trace metals are the metals subset of trace elements; that is, metals normally present in small but measurable