Goitre related to hypermetabolism, (increased metabolism), excessive thyroid hormone, an increase in oxygen consumption, metabolic changes in protein metabolism, immunologic stimulation of diffuse goitre, and ocular changes (exophthalmos). Hypothyroid individuals may have weight gain despite poor appetite, cold intolerance, constipation and lethargy. However, these symptoms are often non-specific and make diagnosis difficult. A goitre may be classified either as nodular or diffuse. Nodular goitres are either of one nodule (uninodular) or of multiple nodules (multinodular). Worldwide, the most common cause for goitre is iodine deficiency, usually seen in countries that do not use iodized salt. Selenium deficiency is also considered a
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