Oprah Winfrey’s recent thyroid problems made headlines and brought a silent disease into the spotlight. But how she said she took control of her troubles has been widely questioned. According to the talk-show celebrity, a little vacation and some nutritional changes led her to overcome the weight gain, fatigue and discomfort often associated with thyroid disease. While some experts believe that good nutrition and stress management can help people with a malfunctioning thyroid, finding balance through rest and diet change alone is generally not a quick fix. Even after medical treatment, thyroid problems can be a struggle for life for many people. In honor of Thyroid Awareness Month, here are a few things you need to know.