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Hypothyroidism - How Your Thyroid Can Make You Sick, Tired and Overweight?

Posted Sep 16 2008 11:57pm 16 Comments

Are you one of the 30 million women and 15 million men who have a chronic medical problem that is both under-diagnosed and under-treated?

Are you suffering from vague symptoms that you think are normal parts of life, such as fatigue, feeling sluggish in the morning, and having trouble with your memory, concentration, or focus?

Do you have dry skin or fluid retention?

Is your sex drive not what it used to be?

Are your hands and feet cold all the time?

Is your hair thinning, your voice a little hoarse, your fingernails a little thick?

Is your cholesterol high?

Do you have trouble losing weight or have you gained weight recently?

Are you suffering from depression or anxiety?

Do you have really bad PMS or trouble getting pregnant?

Do you have muscle cramps and muscle pain or weakness?

Most of these symptoms aren’t severe enough to send you to the emergency room, but they do significantly affect your quality of life.

And most of us accept them as a normal part of our lives without really questioning them.

If you do go to see your doctor, he or she probably shrugs it off.

Yes, doctors are experts in acute illness. But they often fail miserably when it comes to addressing subtle changes in your body that affect the quality of your life.

According to conventional medicine, low sex drive is not necessarily a disease. Neither is a little dry skin or constipation or being tired most of the day.

But for you, those problems are significant.

So what causes them?

Often, they’re caused by a condition that goes undiagnosed in half of the 45 million people who have it.

==> It’s called hypothyroidism.

When you have hypothyroidism your overall metabolic gas pedal slows down because the master gland that controls it, your thyroid gland, is not functioning at full speed.

If your thyroid slows down, every other organ and system in your body slows down, including your brain, heart, gut, and muscles.

The thyroid hormone is like a master switch that turns on the genes that keep every cell running.

This is one of those gray areas in medicine, but doctors tend to think in black and white -- you have it or you don’t, sort of like being pregnant.

Well, you can’t just be a little bit pregnant, but you can be just a little bit hypothyroid.

And it can have a dramatic effect on the quality of your life.

Yet most doctors don’t view it that way.

This problem is further compounded by the conventional belief that you can diagnose hypothyroidism only through one blood test, called TSH, and that you only qualify for treatment if your blood level is over 5.0.

Unfortunately, this view ignores a whole group of people who have what we call subclinical hypothyroidism. It is called that because doctors have a hard time diagnosing it.

Subclinical hypothyroidism may trigger many low-grade symptoms, such as fatigue, trouble losing weight, mild depression, constipation, and more. Yet it causes just slight changes in your blood tests.

In fact, it often only shows up in tests that most doctors never perform.

==> Low Thyroid function may seem subtle, but it can have serious consequences.

You see, it doesn’t just make you a little tired -- it can lead to more serious problems, including heart attacks and diabetes.

I see this all the time in my medical practice: Patients come in with vague complaints that alone may not seem too significant.

But when you put them all together, they tell an important story.

I remember the story of one patient who was 73 years old. This woman came to see me because she had been to her doctor with complaints of fatigue, sluggishness, poor memory, slight depression, dry skin, constipation, and mild fluid retention.

Her doctor’s response?

“Well, what do you expect? You’re 73, and this is what 73 is supposed to feel like.”

But I just don’t believe that is true.

I believe that most of the symptoms of aging that we see are really symptoms of abnormal aging or dysfunction that is related to imbalances in our core body systems.

I have to be a medical detective to find clues where no one else is looking and put together a story about why a person is suffering. This gets them the answers and tools they need to get well.

In this case, we tested my patient for a number of things and found that she had a sluggish thyroid. She did not quite meet all the criteria of conventional medicine for hypothyroidism, but she had an autoimmune reaction that caused her thyroid to function poorly.

By simply replacing her missing thyroid hormone, supporting her nutrition, and implementing some simple lifestyle changes, she went from feeling old to feeling alert, energetic, and youthful -- and all of her other symptoms cleared up.

I had another patient who was a 28-year-old woman who was chronically constipated. She thought it was normal to go to the bathroom every three or four days.

She also felt quite tired in the mornings and had trouble getting going. She needed coffee every morning. And at night she had trouble staying up and being with her friends and being an active 28-year-old woman.

She thought that this was just sort of a constitutional problem and that she was stuck living like that. No one had diagnosed her sluggish thyroid.

But as soon as we supported her nutrition and eliminated her food allergens (particularly gluten), which create inflammation and interfere with thyroid function, she felt better.

Her constipation resolved, she was energetic in the morning, did not need her coffee, and was able to stay up until 11:00 or 12:00 at night without any fatigue or limitations.

This problem affects men and women of all ages.

And it is very common because of all the stressors in our environment, including toxins such as heavy metals and pesticides, nutritional deficiencies, and chronic stress, all of which interfere with our thyroid function.

It’s critical to understand that your thyroid is not just linked to energy and other symptoms that I described here.

It is the master metabolism hormone that controls the function and activity of almost every organ and cell in your body -- so when it is sluggish or slow, everything slows down.

==> There is good news.

There are clear ways to diagnose the problem as well as to treat it, with a comprehensive functional medicine approach that uses the concepts of UltraWellness.

The first step is to find out if you have any of the chronic symptoms of hypothyroidism or any of the diseases associated with hypothyroidism. Ask yourself if you have any of the following symptoms:

  • sluggishness in the morning
  • poor concentration and memory
  • low-grade depression
  • dry skin
  • hoarse voice
  • thinning hair
  • coarse hair
  • being very sensitive to cold and having cold hands and feet
  • low body temperature
  • muscle pain
  • weakness or cramps
  • low sex drive
  • fluid retention
  • high cholesterol

After I have asked my patients about all these symptoms, I do a physical examination for clues to a low-functioning thyroid.

I check for a low body temperature. Anything lower than 97.6 degrees F may be a sign of hypothyroidism.

I might also find fluid retention, a thick tongue, swollen feet, swollen eyelids, an enlarged thyroid gland, excessive earwax, a dry mouth, coarse skin, low blood pressure, or decreased ankle reflexes. I might even find that the outer third of the eyebrows is gone.

These are all physical signs that can be put together along with other symptoms to form a story of what is causing the problem.

Once I have done that, I perform specific blood tests that give me a full picture of thyroid problems.

Then I design a nutritional, lifestyle, and supplement regimen and hormone replacement plan as needed to help people regain their health.

That’s all for today.

In my next blog, I will discuss the major preventable -- and mostly hidden -- factors that slow your thyroid down. And I’ll tell you more about the special tests I use to diagnose thyroid problems, as well as how to specifically treat low thyroid function.

Now I’d like to hear from you…

Do you suffer from any of the signs and symptoms mentioned here?

Have you been told you have low thyroid function?

How has your doctor responded to your concerns?

Please let me know your thoughts by leaving a comment.

To your good health,
Mark Hyman, M.D.

Comments (16)
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Fio
Hi I have very itchy skin mostly on my arms but can be on my back and legs and sometimes chest. It is very sensitive to temperature especially heat and also is very sensitive to touch at times, a slight rub can cause my skin to go into overdrive where it starts itching. I have had several blood tests over the past 10 years and have been told my thyroid is borderline low. Recently they said my iron was low and have put me on iron tablets and folic acid for 1 month, this has not really helped my skin. I am tired alot but then the itching often keeps me awake. I have suffered from low grade depression for many years now and my sex drive is often non exsistent. I do get some days where my skin is ok almost like the problem has been turned off then it comes again. Could my thyroid levels be causing this?

Oh my goodness, Fio...your symptoms mirrors mine.

I have very itching back, arms, legs and sometimes my chest, but only with the slightest rub.  I have moderate depression which I'm on medication for.  I too am tired a lot...I normally take naps.  My sex drive is low to non existent.  I'm so tired of feeling like this.  I am overweight (I keep gaining and losing) and all my doctor tells me is I need to lose weight (which I'm aware of).  Anyway, I'm going out of my mind.  Also, my tongue is thick...I end up biting it at night (my tongue hurts in the morning) and it's hard to see the back of my throat

Hi my name is Amy. I have been diagnosed with hypothyroidism. My family doctor failed to diagmose this disease. I also have hep c and it was that doctor who actually took the time to listen to my symptoms. She tested me and said it was the worse case she had ever seen and said she was surprised I could even get out of bed. So I went to my family provider with this information. HE put me on levothroid. He started out on 25 mg once a day. That was not enough I had to get more blood work then he upped my doseage to 50mg. I went back to him this medicine doesnt seem to be working I tell him. So he feels my thyroid says its swollen and orders me to stop taking the meds for 6WEEKS! So he can do some three panel test on me. not sure the name of that. So here its been 6 wks and my life is mserable. After the test I will probably have to start taking the meds again and go threw all the hormonal changes all over again. I feel this disease has taken over my life. I have an 11 month old baby who I can barely even pick up from being so weak. Then the doctor started giving me narcotics for all the pain I have. NEVER ACCEPT THEM! Now I also have a narcotic addiction and it all started from hypothyroidism. It is nothing to mess around with. My life was great before I got this disease. It was genetic for me my mom and her whole family have it. Sometimes my thyroid swells so much I cant even swallow. Im so very depressed and my boyfriend is getting upset that I wont have sex with him. My ankles swell at least once a week. Im always cold. Or my face will feel like its on fire but my hands and feet are clammy and freezing. I just hope my doctor will maybe take the time to care about his patients and not just shove narcotics in their faces. Get a new doctor you say? I would but I am poor and its the only doc accepting my medicade in my town. I have no liscence or car and am lucky to even find a ride to his office. So I just wrote this to get it off my chest and maybe help someone along the process. thanx for reading     amyjobob80@yahoo.com
I have been to my doctor about every 6 months for severe fatigue, I fall asleep driving, in the office and talking to people, extreme itching mostly on arms, chest and back, and I'm very sensitive to temperature extremes, especially cold, I'm alway freezing cold! They have done blood tests and they always come back normal. So I go home and suck it up and try to deal with it. I can't do it anymore! I need answers but where do I go? I have scratch marks all over me and feel like my skin is stuck in random places by tiny needles. I also have night sweats and have a REALLY hard time getting up in the morning. I'm always looking for a way to get just 30 minutes more of sleep, or a nap. Sleeping does not rejuvenate me, it makes me feel even more sluggish.....HELP

Hi,

I have suffered many years from what I say is hypothyroidism.  After about the age of 17 I gained 15lbs in one month.  Since then I have slowly gained weight and now I am 44 years old and have gained about 35lbs despite eating and exercising.  I have thyroid nodules and goiter.  I can't get the doctors to give me any medicine.....I guess they are going to wait until I am 200lbs.....sometimes I hate going to the doctors and have begun to hate them because of they don't listen to the way I feel.  They claim I am pretending to make up the symptoms I have.....but you know what the scale doesnt lie!!!! HELP!!!!

Hello ,

I have been dealing with weight gain now for 6 years now and I have really bad dry skin my hair is always dry my feet and hands get so cold sometimes I feel like I can not get warm enough but it onlt last for about 20 mins then it goes away and it comes back my bowels are awful I go like maybe 1 time a week I can not get pg for nothing because my cycles are really crazy I have milk glands in my breast that never last from my last pg 6 years ago I was wondering if this had anything to do with hypothyroidism.O yeah i always feel tiered I mean I can sleep like 15 hrs and I wake up and I am still ready to go back to sleep I have no energy but I still make myself get up and motivated PLEASE HELP

Mark Hyman MD,

 You said that you are a medical detective, so to speak. You said, "Yes, doctors are experts in acute illness. But they often fail miserably when it comes to addressing subtle changes in your body that affect the quality of your life."

I have suffered for over 5 years with chronic pain near my left ovary and lower back and with many tests and scans the doctors still to this day all have no idea what it could be.  I live on Ibuprofen. They claim that my ovarian cysts could not be causing the kind of pain I go through with this. And they seem unintersted in finding out why I am still hurting.

So boy did I agree with what you wrote here!

I have suffered so long with this chronic pain that they think my immune system is down because I at 32 years old I developed the shingles on my side near my hip bone right above where my pain is in my left ovary. I was only 32! The shingles pain went straight to those nerves in my ovary area so of course the pain was magnified during this time.

 Two weeks after the shingles cleared up I developed some kind of a cold and have lots of drainage and runny congested sinuses.

Then about a month later my left lymph node under my left ear has become very swollen and tender and my ear is totally stopped up. This has been going on for about four days now.

Im thinking, whats next? I seriously feel like my body is attacking me. I miss my life and my daughters birthday is coming up next week and Im so depressed because I will either miss it or be in pain the whole time.

So where exactly do I find these "medical detectives" cause Im in serious need of one, or Im afraid I may become severely depressed.

Thank you if you read this. Most doctors dont listen to my complaints.

Bree

I am a 24 year old female, 5'6", and for the last 7 years I have weighed between 160-170lbs despite diet and exercise.  I have been to the doctor countless times complaining of fatigue and constant sleeping. Every time I complain of this I get blood drawn, and every time, all the tests performed come back negative. I have also been on numerous antidepressants for mild depression and for the fatigue and sleepiness. I have also always thought that I had a weak immune system. I get sick much more frequently than anyone else I know- to the point where it's a joke among my friends and family. My hands and feet are almost always icey. What lead me to this website was that recently I have been getting pills stuck in my throat. Right now something large has been stuck for about 12 hours, and I read that it could be from a swollen thyroid. Over the last 2 years, for just a day or 2 at a time, pills would get stuck in my throat, but only briefly. Over the last 6 months, they started to get stuck for several hours, and this occurred more frequently. The next time I see my doctor I am going to tell him about this article and that although my test result is negative, I might still have a thyroid problem.

I have been experiencing the symptoms of hypothyroidism for years. Sever symptoms and every one in the book. Yet my blood work comes back negative for any abnormalities. WEIRD I mean my hair falls out, I am miserable in the cold and so on and so on. I thought I was going insane. I am so thankful fo this article because I don't feel like I am losing it now. I know what is wrong with me and I am not going to stop seeking help until I get it now! Thank you Dr Hyman!

Hey. I have been diagnosed with hypothyroidism. It has consumed my life. I can deal with everything, except my severe , severe fatigue. It has mostly affected my schooling. Luckily I work 3-11, so sleeping in is an option. Whenever I try getting up in the morning though, i am always way too exhausted. Like, other people don't understand, but I literally CANNOT get out of bed. I just do not have the energy. If i push myself enough to, I am still miserable all day because I'm so tired. I wanted to ask you if you knew of any good Dr's in the Virginia hampton roads areas, or could reccommend how to find one. I want one that is familiar like yourself, and good at treating hypothyroidism. My current Dr. just keeps giving me diff. dosages, when I told her what dose I was on when I was feeling good, while in the mean time I am miserable. I stopped taking all medication so that I can start from square one. Weirdly, I feel way less tired after stopping all medication. Do you have any explanation for that? Please email me back if you read this post. cdb204@email.vccs.edu

 

thanks

 

crystal baker

typo...cdb2047@email.vccs.edu

Dr. Hyman,  

I have a 13 year old daughter whose recent blood tests showed a low reverse T3 level of 178.  The doctor is recommending she be put on Armour, (I do not yet know the dosage) and I am hesitant.  She is about 40 pounds overweight, tired all the time and has no interest in being active.  Conversely,my blood tests showed a high reverse T3 level of 398 and I just picked up a scrip for Liothyronine 10 mcg.  I also recently started Dr. Wilson's Adrenal Fatigue supplements.  I have an appt to consult the the compounding pharm next week and ask a long list of questions.  In the meantime I am looking or more info/input regarding both my daughter's and my diagnosis.  Are both of these conditions considered Hypothyroidism?  Are many teens on Armour and is it for life?  Are there any other, more natural ways of improving these conditions?  Any info you could offer would be much appreciated.  Thanks so much.  Nicole   reeves_team@cox.net

Dr. Hyman, i have no medical insurance to have my thyroid tested.  I am 59. sluggish in the morn and 30 lbs overweight.  I had hypo and hyper in the past thru life and 3 children. Had a thyroglossal cyst removed about 10 years ago.  cholesterol is perfect.  sleeping has been a problem for 15 years i am on ambien and trazadone for that- taken at night but when gone what will i do with out medical insurance and no job to purchase these?  can you recommend any herbals? avalon.

I am a 48 year old woman who was told by the doctor that my thyroid is enlarged on both side (the right side larger the left and that I have multiple cysts).  I can barley get up in the morning, I am very sluggishness and always tired.  I often forget what I’m doing and have to stop and wonder what was I going to do or what was I doing.  I have suffered with depression, dry skin, coarse hair, cramps, very low sex drive, much fluid retention and no matter what I can’t seem to loose weight.  The doctor said he’s not going to do anything and to come back in a year.  Well, a year has past and it’s time for me to see him again.  What do I, what shall I say to him.  He wanted me to loose weight, but no matter how I’ve tried I can’t seem too.  My mother suffered from hyperthyroidism which made her loose weight among other things.  My sister has had radiation and her daughter had her thyroid removed due to cancer. Please help!!!!!!
I was diagnosed with hypothyroidism 3 months ago, and im on levothyroxine 50mg my doctor says its contolled now, but i still have lots of symptoms. My hands get very red and they feel hot. My left hand burns and so does my left foot. My right hand falls asleep at night. Why is that?
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