Handy One-Page LID Summary—Tear-Out Copy For the detailed Free Low-Iodine Cookbook with hundreds of delicious recipes, visit www.thyca.org. Key Points This is a Low-Iodine Diet (“LID”), not a “No-Iodine Diet” or an “Iodine-Free Diet.” The American Thyroid Association suggests a goal of under 50 micrograms (mcg) of iodine per day. The diet is for a short time period, usually for the 2 weeks (14 days) before a radioactive iodine scan or treatment and 1-3 days after the scan or treatment. Avoid foods and beverages that are high in iodine (>20 mcg/serving). Eat any foods and beverages low in iodine (< 5 mcg/serving). Limit the quantity of foods moderate in iodine (5-20 mcg/serving). Foods to AVOID Foods to ENJOY • Iodized salt, sea salt, and any foods containing iodized • Fruit, fresh, frozen, or jarred, salt-free and without red salt or sea salt food dye; canned in limited quantities; fruit juices • Seafood and sea products (fish, shellfish, seaweed, • Vegetables: ideally raw or frozen without salt, except seaweed tablets, calcium carbonate from oyster shells, soybeans carrageenan, agar-agar, alginate, arame, dulse, • Beans: unsalted canned, or cooked from the dry state furikake, hiziki, kelp, kombu, nori, wakame, and other • Unsalted nuts and unsalted nut butters sea-based foods or ingredients) • Egg whites • Dairy products of any kind (milk, cheese, yogurt, • Fresh meats (uncured; no added salt or brine butter, ice cream, lactose, whey, casein, etc.) solutions) up to 6 ounces a day • Egg yolks, whole eggs, or foods containing them • The insides of white and sweet potatoes (no skins) • Bread and bakery products containing iodine/iodate • Low-iodine homemade (and some commercial) baked dough conditioners or high-iodine ingredients such as goods dairy, eggs, salt • Grain and cereal products up to 4 servings per day, • Red Dye #3 (erythrosine or E127 in the EU/UK) provided they have no high-iodine ingredients • Maraschino cherries (due to the red dye) • LID-safe pasta (remember to avoid egg noodles) • Fruit cocktail (due to the Maraschino cherries) • Sugar, jelly, jam, honey, maple syrup, molasses (not • Chocolate that contains dairy blackstrap), agave nectar—avoid red food dyes • Blackstrap molasses (other types are OK) • Black pepper, fresh or dried herbs and spices • Soybeans and soybean products such as tofu, • Vinegars free of salt and red dye TSP/TVP, soy milk, soy sauce, soy flour; except soy • Lemon, lime, and other citrus (for their juice & zest) oil and soy lecithin, which are OK. • All vegetable oils, including soy oil • Rhubarb • Vegetable shortening (i.e., the white solid variety) • Potato skins • Sodas (except with Red Dye #3, erythrosine, or E127), • Vitamins and food supplements that contain iodine cola, diet cola, non-instant coffee & tea, beer, If you are taking medication or supplements alcoholic beverages (except cooking wine), lemonade containing iodine, check with your doctor. • Cocoa powder and some non-dairy dark chocolates **Remember to check the ingredient list on all packaged foods** Easy Snacks for Home, Work, or Travel Easy Quick Meals • Fresh fruit or fruit juice • Fresh raw vegetables • Freshly cooked oatmeal • Salad topped with grilled • Raisins and other dried • Salt-free applesauce with toppings (cinnamon, chicken, beef or pork, oil fruits • Popcorn with non- honey, salt-free & vinegar dressing. • Unsalted nuts and nut iodized/non-sea salt applesauce, maple syrup, • “PB&J” with LID-safe butters • Unsalted matzo and other unsalted nuts, fruit) peanut butter, jelly, and • Homemade low-iodine unsalted crackers • Fresh meat with salt-free matzo or fresh bread or muffins • LID-safe soda pop or vegetables, fresh fruit, baked LID-safe bread • No-salt tortilla chips lemonade and baked white or sweet • Baked apples for dessert potato (no skin) (can be microwaved) Our thanks to ThyCa’s medical advisors and conference speakers for the information and input. Disclaimer: This information is intended for educational purposes only. It is not intended, nor should it be interpreted, as medical advice or directions of any kind. Any person viewing this information is strongly advised to consult their own medical doctor(s) for all matters involving their health and medical care. ©2020 ThyCa: Thyroid Cancer Survivors’ Association, Inc.SM www.thyca.org Dedication For thyroid cancer patients and their caregivers. We truly hope this helps ease the thyroid cancer journey for you. Acknowledgments • To the wonderful people who contributed delicious recipes and helpful tips. • To the many medical professionals who contributed information and expertise for the Low-Iodine Diet guidelines. • To the proofreaders and designers who spent countless hours to make this cookbook possible. • To our donors, whose generous financial support makes possible the printing and free distribution of this cookbook. Notes and Favorite Recipes: www.thyca.org ThyCa: Thyroid Cancer Survivors’ Association, Inc.SM Phone Toll Free 1-877-588-7904 • Fax: 1-630-604-6078 E-mail: [email protected] th ©2020, 9 Edition ThyCa: Thyroid Cancer Survivors’ Association, Inc.SM www.thyca.org Page i Thyroid cancer? ThyCa can help! We are an internationally recognized, medically advised organization providing free support services to people with thyroid cancer: For patients and caregivers — We offer information and understanding to patients and their families when they need it most. For the public — We promote awareness for early detection, and provide outreach and education year-round. We sponsor Thyroid Cancer Awareness Month each September. For professionals — We provide free handbooks, patient brochures and wallet cards, free downloadable Low-Iodine Cookbook for patients with differentiated thyroid cancer, and other materials to give to patients. Plus research funding, with grant recipients selected by an expert panel of the American Thyroid Association. Free Services & Resources: Award-winning web site • Person-to-person support • Local support groups • E-mail support groups • Awareness brochures • Regional workshops • Annual International Conference • Videos and Webinars • Materials in multiple languages • Online bulletin • Handbooks • Downloadable Low-Iodine Cookbook with delicious recipes • and more… Thank You — ThyCa’s free support services and publications are made possible by the generous donations from our members and individual contributors, and by unrestricted educational grants from Bayer HealthCare, Eisai, Exelixis, Inc., Interpace Diagnostics, Sanofi Genzyme, Shire, and Veracyte. To make a donation, please contact us or use the tear-out donation sheet on the last page of the cookbook. Please contact us for more information and free materials: ThyCa: Thyroid Cancer Survivors’ Association, Inc. Website: www.thyca.org Email: [email protected] Toll-free 877-588-7904 • Fax 630-604-6078 P.O. Box 1102, Olney, MD 20830-1102 ThyCa: Thyroid Cancer Survivors’ Association, Inc.SM is an international nonprofit 501(c)(3) organization of thyroid cancer survivors, family members, and health care professionals founded in 1995, advised by distinguished thyroid cancer specialists, and dedicated to support, education, communication, awareness for early detection, and thyroid cancer research fundraising and research grants. th ©2020, 9 Edition ThyCa: Thyroid Cancer Survivors’ Association, Inc.SM www.thyca.org Page ii Introduction Welcome to ThyCa’s Low-Iodine Cookbook. The Low-Iodine Quick Guide, which begins on page 1, is the best place to get started. It focuses on educating you about the diet. Please take the time to read the Quick Guide. It will help the recipes themselves make more sense. If you have any questions, you can always write to [email protected] or call our Toll Free Number at +1-877-588-7904. Handy One-Page LID Summary: At the front of the book, right after the cover page, is a color version of the Handy One-Page LID Summary for you to tear out and put on your refrigerator or in any convenient location for you. You may even want to take it to the grocery store with you. Don’t worry— there is another copy in black and white at the end of the Quick Guide. Cookbook layout: As you can see from the Table of Contents, the recipes are organized by category. For even more information and detail about the recipes, please refer to Appendix D: the Index of Recipes, on page A-4. The Index contains a key noting which recipes have international flavor, are vegetarian/vegan-friendly, are kid-friendly, or are relatively simple to prepare. You can use the key to help guide you to the recipes that may be most useful for you. Please note that some of the recipes have been modified slightly from their original language to fit in the available space, to add LID-safe substitutions or modifications, or to improve readability. Their substance, however, remains the same. A note about allergens: This cookbook does not note allergens such as wheat, dairy, soy, eggs, gluten, etc. Some major allergens are not a part of this diet (e.g., no dairy, no soy other than soy oil and soy lecithin, no egg yolks, no shellfish, etc.). If you have specific allergies to ingredients that are allowed on the LID, please make appropriate LID-friendly substitutions. Adapt your own recipes: The recipes in this cookbook are all LID-safe, but you can often eat your usual favorites by making some simple substitutions. Throughout the book, you will see examples of these adaptations (e.g., egg whites in place of whole eggs, non-iodized/non-sea salt in place of table salt, etc.) The Quick Guide explains which foods are safe and which you should avoid—make use of those lists to adapt your own recipes. You will also find a couple of helpful tips on how to make LID-safe substitutions in the cookbook in framed text boxes. Other dietary restrictions: If you follow other dietary guidelines, simply adapt the recipes to suit your needs. For example: cut down on the salt if you need to, substitute artificial sweeteners as needed, etc.