Efficacy of Ginger Supplementation in Relieving Persistent Hypothyroid Symptoms in Patients with Controlled Primary Hypothyroidism: A Pilot Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Open accessAbstract
Primary hypothyroidism is a common disease. Some patients have persistent symptoms despite normal serum thyroid-stimulating hormone (TSH) levels. Ginger is reported to be beneficial in relieving similar symptoms. Our aim was to evaluate the efficacy of ginger supplementation in relieving persistent symptoms in these patients. In this randomized, double-blind, placebo-controlled clinical trial, 60 hypothyroid patients aged 20–60 years with normal serum TSH concentrations were randomly allocated to two equal parallel study groups of ginger (500 mg twice a day) or placebo for 30 days. Hypothyroid symptoms were evaluated as the primary outcome using the Thyroid Symptom Rating Questionnaire (ThySRQ) before and after the intervention. Anthropometric measures and laboratory indices including TSH, triglyceride (TG), total cholesterol (TChol), and fasting blood sugar (FBS) were considered as secondary outcomes. A significant lower mean total ThySRQ score (8.63 ± 5.47 vs. 15.76 ± 6.09, P < 0.001 ) was observed in the ginger group compared to the control group. Ginger led to significant improvements in the mean scores of the weight gain, cold intolerance, constipation, dry skin, appetite, memory loss, concentration disturbance, and feeling giddy or dizzy domains ( P < 0.001 ). However, no significant improvements were observed in hair loss, nail fragility, hearing, hoarseness, speech, and depression or feeling down ( P > 0.05 ). Ginger supplementation also led to a significant decrease in body weight, body mass index, waist circumference, serum TSH, FBS, TG, and TChol levels compared to the placebo. In summary according to preliminary results of this study, ginger supplementation can help relieve persistent hypothyroid symptoms. Also, it may have beneficial effects in terms of weight reduction and regulation of the FBS and lipid profile in hypothyroid patients.
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A recent trial showed that ginger supplementation significantly relieved constipation in patients with hypothyroidism.
“a recent trial showed that ginger supplementation significantly relieved constipation in patients with hypothyroidism [31].”
Previous studies have reported that ginger supplementation can improve constipation without causing diarrhea.
“Consistent with our findings, previous studies have reported that ginger supplementation can improve constipation without causing diarrhea [31, 32].”
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Cites
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“,e pathophysiology of persistent hypothyroid symptoms despite adequate hormone replacement therapy is not well understood [11, 12], and no definitive treatment is available [13, 14].”
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“,e most common symptoms and signs of hypothyroidism include fatigue, voice changes, cold intolerance, weight gain, constipation, dry skin, malaise, menstrual irregularities, decreased resting metabolism, dyslipidemia, and insulin resistance [6, 7].”
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Foshati, S., Poursadeghfard, M., Heidari, Z., & Amani, R. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04227-x · Cited by 11 · see citing works
“Consistent with our findings, previous studies have reported that ginger supplementation can improve constipation without causing diarrhea [31, 32].”
BackgroundResult
- Authors
- Ashraf, H., Heydari, M., Shams, M., Zarshenas, M. M., Tavakoli, A., & Sayadi, M.
- Affiliations
- Shiraz University (IR)
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Shams, Mesbah
- Tavakoli, Ali
- ORCID
- Venue
- Evidence-Based Complementary and Alternative Medicine
- Publisher
- Wiley
- Published
- 2022-01-20
- Volume
- 2022
- Pages
- 1-10
- ISSN
- 1741-427X (ISSN-L)
- 1741-4288
- PMC
- PMC8794674
- OpenAlex
- W4205885649
- Cited by
- 13
- References
- 11
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 5
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Evidence-based Complementary and Alternative Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Shiraz University of Medical Sciences (97–17708)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Ginger and Zingiberaceae research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ginseng Biological Effects and Applications
- Keywords
- ginger supplementation, primary hypothyroidism, thyroid-stimulating hormone, weight gain, lipid profile, fasting blood glucose, cold sensitivity, complementary therapy
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