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Smoking

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Smoking has long been a known risk factor for the thyroid eye disease Graves’ ophthalmology (see Chapter 8). However, its role in Graves’ disease has been less clear. Nevertheless, the evidence is beginning to stack up. In the 1998 Japanese study mentioned above, smoking was found to be an independent risk factor for women developing Graves’. This finding was echoed in a Danish study, published in the journal Thyroid in January 2002, in which 45 per cent of women diagnosed with Graves’ disease were current or former smokers, compared with 28 per cent of those with toxic nodular goitre and 23 per cent of those with autoimmune hypothyroidism.

The Healthy Thyroid: What you can do to prevent and alleviate thyroid imbalance

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