Thyroid appearance of cells is viewed to determine whether they resemble normal or cancerous cells. There can be many nodules, which is termed a multinodular goitre, and this can sometimes be a toxic multinodular goitre. An enlarged thyroid gland is called a goitre. Goitres are present in some form in about 5% of people, and are the result of a large number of causes, including iodine deficiency, autoimmune disease (both Grave's disease and Hashimoto's thyroiditis), infection, inflammation, and infltrative disease such as sarcoidosis and amyloidosis. Sometimes no cause can be found, a state called "simple goitre". Some forms of goitre are
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