I am at a loss for words on this one....I can relate to all of it. I have been to specialists and doctors and have had blood drawn so many times, but I  am never in that range to do anything about it. The only symptoms that I do not have are the coarse hair and the thinning hair. I lose hair, but I have so much it doesn't make a difference. I am about 70 pounds overweight and I can't seem to get it off. I have a family history of heart disease and other related illnesses and I am afraid that the doctors are not listening to me to get this corrected in time. Any thoughts on what I should do? 

I am a 47 year old female and I have had hypothyroidism for over 10 years. My medication started at .25 and is up to 200 mcg of Synthroid. I suffer from many of the symptoms you mentioned in your blog. My cholesterol was borderline and suddenly dropped to 184 recently without any change in my diet. Recently my fingernails started splitting down the middle and on top of that I was just diagnosed with rosacea. Today I am having a stress test because there was an irregularity on an EKG my doctor performed in the office. The MOST frustrating symptom of my thyroid condition is the weight. It has been the same for a year and no matter what I do, the scale will not budge. I am nearly 200 pounds and I have been desperately trying to lose weight. My doctors are totally puzzled. I have brought in food lists and told them I exercise 3 - 5 times for 30 minutes on a treadmill and they have no answers. There is absolutely no explanation as to why I cannot lose weight and the stress this has caused is more than anyone can imagine. Add the rest of the things going on and I am a mess. When I asked the dermatologist that I went to for my nails and rosacea about a possible vitamin deficiency he just told me no, someone must be trying to sell you something. My primary doctor told me to exercise 2 hours every day to increase my metabolism but that is just not possible. When I discussed my weight with my endocrinologist he just told me to look on the bright, "you are not gaining weight". I feel like I am falling apart at 47 years old and I hate feeling this way. I have so many people counting on me and I am normally a positive, upbeat person but this is surely taking its toll on me. I am looking for a miracle.

Thank you for this timely article. I had my thyroid removed several years ago due to a suspicious nodule. It turned out not to be cancerous but now I am living with the consequences of no thyroid.  Ihave had fluid retention, constipation and dry skin for quite some time. The problem as I see it, is that the "normal" range of TSH is pretty broad and I know where I feel best. I track my numbers and my doctor is willing to work with me to reach a level where I feel good.  I did well on synthroid for a time then despite my numbers being good, I felt hypothyroid.  My doctor added T3 and I felt better but the numbers really went off the charts then. Despite reduing my dosage of synthroid, my TSH kept dropping instead of increasing.  I switched to Armour Thyroid and again, did well on that for a time.  Now I am symptomatic again - feeling hypothyroid although the numbers indicate hyperthyroid.  Now we have made the switch back to Synthroid to see what happens. I feel like an experiment!  Any suggestions?

Well, well ... the last bloodtest that I had, said that I no longer have a thyroid problem, after being on medication for nearly 18 years.  But the problem is that I still feel the same, nearly all the symtoms mention in the blog still apply to how I feel.

Now I understand a bit more, but I would really like to know were to go from here.

I'am looking forward to the next blog. because I'am tired of feeling like this, and every one says that its just in my mind.

Thank you 

I went undiagnosed for over 20 YEARS! I told any doctor that would listen to me all of the symptoms you mentioned. It now seems so obvious to me down to the missing 1/3 of my eyebrow. For years, doctors would test my T3 and T4 and tell me they are a little off. But it wasn't until one doctor did a full blood panel and found that my TSH was 238. (Normal range is below 3) She said, "How do you get out of bed in the morning?" I said, I thought everyone was supposed to feel this way... The medical establishment should be ashamed of themselves. I am now working out 5 days per week, on Levoxyl .125 and still the weight does not come off. Dr. Hyman, what nutritional supplements can you suggest? Would a Vegetarian diet be something that could help? I am trying to eliminate white foods and sugar from my diet. You mentioned a gluten free diet for one of your patients, is that something that most Hypothyroid patients would benefit from?

I have many of the symptoms stated in the blog...my TSH test are always within range, just barely, but in the lower range. My doctor seems satisfied that I'm in range and unwilling to take it any further. I tried to make an appointment with an endocrinologist but you have to have a referral from your primary physician. What should I do...switch doctors? How do I know an other doctor I choose will be any better than what I have now? I wish Dr Hyman was in my area!!!

I am a little confused. I have several of the symptoms. Memory and concentration, dry skin, sensitivity to cold ( my hands ar alway cold) and my normal body temp is in the mid 97's. I had a cat scan unrelated to my thyroid and it showed a spot on my thyroid so i went to an endocronolgist and had a series of tests run and they indicated my thyroid was okay. The T tests were in range and the spot was a small cyst.

Reading your blog seemed to indicate i definitly have symptoms related to this issue so i am confused

About two years ago I was diagnosed with this disease. My doctor prescribed synthroid for it. I am on a very strong dose as he had to keep adjusting it (after more blood tests).

I cannot tell you the difference it has made in my life. I was tired, overweight, my skin was extremely dry, my hair was thinning.  Now, I have the energy I used to have, I am not cold all the time, I am losing weight and I feel much more alive.  I hope everyone who has these symptoms asks their doctor to test them for this as it really will change the quality of your life.

Thank you for this information Dr, Hyman.  I have dealt with 80% of the symptoms that you describe for the past few years.  I have had numerous thyroid tests and was told that my thyroid is fine.  I have been under extreme stress for a while too.  I was trying to get pregnant over the past 4 years and have had five miscarraiges.  My OB and a fertility specialist tested my thyroid each time and said it was fine.  They said that the miscarriages were due to my age, which was 39 when I started to try and get pregnant.  My other symptoms were attributed to stress according to the doctors.  I am very anxious to read your next blog post.  Thanks again for validating my thoughts.

Carol

I was diagnosed with this 2 years ago.  After several doctors and test, I was prescribed levothyroxine.  It is definitely no fun.

In reading your blog, I was both relieved and disappointed.  Relieved because as least I know my symptoms are not just in my head and disappointed because I still feel like I have few options for relief.  I've complained of mostly all those symptoms for years now with no relief.  My general practioner was the only one that thought perhaps I had an issue with my thyroid since my levels fluctuated quite a bit. However, when I went to a specialist, I was dismissed as not having any issues.  My symptoms were so bad they started to affect my work life.  I was sent to another specialist, a neurologist this time.  I went through extensive testing for MS.  My testing was inconclusive and I continued to suffer from my symptoms.  Since my symptoms were not all that "severe", no treatment was given.

Now I just wonder what my next step is?  I would love to find a doctor in my area that has your same thinking and philosophy.

Thank you for at least letting me know that I am not just making these symptoms up in my head.

Well after just reading your article am sitting here in tears and feel like this is all what I have been trying to tell my doctor. I have hypothyroidism and have been on synthroid 125 mcg's, but keep going to my doctor and telling him I still feel awful and feel like I am going to lose my mind, get so upset I start crying while seeing him and he gives me and antidepressant, when I refuse to take it he gets angry with me. I finally demanded another blood test and my blood levels were 3.5, he said he wants them around 0.15. So he increased my synthroid to 150 mcg's and it has been over a month. I am still feeling all the same ways. The fatigue is so overwhelming, dry everything, weight gain and inability to lose weight, puffy face, hands, feet, etc. , depressed, hurt all over so bad I can't even begin to explain but my bones and joints hurt so bad feel like it is debilitating me, also having a hard time with things healing. All how I feel makes me more depressed and feel so hopeless, I am only 44. I want to give up, noone believes me. Please help me. Lisa

I am 29 years old. After  I had my son 3 years ago I never went back to normal. My menstrual cycle is off, I have headaches, ringing in my ears, fatigue, poor concentration, I can't sleep through the night....and the list goes on. After 13 doctors, one decided to do an MRI on my neck(I had one done on my head that came back clear). They found a nodule, then I had to have an uptake scan, by taking a radioactive iodine pill then have pics taken of the thyroid, then off to ENT #2, who decided to do a biopsy. That came back that I have Hashimoto's Thyroiditis...oh by the way ALL of the boodwork I had done was "normal." So it was now time for the endocrinologist, who put me on 25mcg of synthroid. I have to say my headaches stopped within 5 days, and have not come back, but every other symptom is there...including the ever popular weight loss issue. It SUCKS b/c people think you're nuts, and after a while you start to believe maybe it's all in your head. This one doc I went to(I think it was #10) refered me to a psychologist!! LOL! I laughed my way right out of the office.  For people who are so educated they sometimes say really stupid things! I'm still on a quest to find a good doctor here in NJ. The one I have now, just shrugs me off when I tell him whats going on, he sends me for more blood work, it comes back ok, and I leave the office with no answers as usual. If anyone out there knows of a good doc in NJ let me know!! Good Luck to all.

  I have been on 125 mcg synthroid for at least 10 yrs. My Doctor monitors me with blood test TSH. I still feel sluggish and can not lose weight.I eat healthy. I  just started taking tr phenteramine 37.5 1/2 tablet daily to help me jump start this weight problem. Do you think this will help me. I have 15-20 lbs to lose.Im 47. 5 feet and weight 145.

Iwas diagnosed as being hypothyroidic and it took about 2 years for the doctors to finally get my dosis of Levothyroxine right.  I had gained over 50lbs which I now have lost through changing my whole way of eating and thinking about food.  I have tried various algae supplements and other foods to boost my metabolism.  I have lost this weight over now 3 years, slowly but surely,  eating the right things has become now a way of life and not just "dieting" which doesn´t work.  It´s eating for life!  I would like to stress however that I have had all the side effects listed, now I can say since I have the medication right, my weight is lowering and these side effects have diminished greatly although I still have some sequels,being cold all the time and very tired more than normal has never gone away.  I must take extra care to not overtire, just a bit of stress sends me to the overtired range.  Sleeping at night nowadays seems to be a difficult thing and it seems my metabolism just picks up and I go to bed freezing and wake up all sweated out in the middle of the night.  A little crazy, but with hypothyroidism, my life will never be what it was, but it at least is now becoming bearable.

To those of you who can´t lose weight easily, in europe we have places called Nature House, great people, great dietary supplements ( all natural of course!") and a real nutritionist specialist who  weekly guides you.  In the states I really think a good nutricionist is needed who supports hypothyroid patients because our weight problem is for life and because of the depression and anxiety caused it´s many times even more difficult to lose weight, with the right people and attitude it CAN BE DONE.  Look around and find someone who helps.

 This report is wild.  I was experiencing 7 of the symptoms listed above.  In expressing my issues to my regular doctor I was told to decrease my stress and increase my workouts.  I did both.  Finally I went to a holistic doc who gave me an iodine patch test as well as some muscle testing and determined that I had a slow thyroid.  I brought that info back to my doc who gave me the usual blood tests and determined that my thyroid is fine.  After months of research I was convinced that I had a thyroid problem (this runs in our family)  I insisted on seeing a specialist who decided that based on blood tests his only concern was with my cholesterol.  He suggested that I loose 20lbs and take lipitor.  I lost the 20lbs and REFUSED the lipitor.  The doc was really mad at me.  He said that my life would be much easier if I just took the pills, but if I wanted to be my own internet doc then so be it.  I too was furious and told him how upset I was that a specialist would suggest putting a bandage on the problem rather than working on the route cause...   I'm a 39 year old woman who's cholesterol is approx 235.  I am so sick of the attitude from all conventional docs when you give them insight into your issues.  All anyone wants to do is write a prescription and send you on your way.   I hate to say this, but in my experience woman get even less respect as most docs attribute their symptoms to hormone fluctuation.  

Dear Dr Hyman
I have been diagnosed with Hashimoto disease ( which is an autoimmune disorder).
My doctor(endocrinologist) has not put me on any medication as he says that we need
shall wait for the thyroid antibodies to destroy the thyroid and then i shall
be put on medication.

I have some of the symptons in yr list.-weight gain -(which i cannot lose even though i am trying i seem to gain instead) fatigue, depressed, memory loss,
difficult to concentrate and less energy

I am 50 years old and I am sure I should be following some sort of
direction with regards to Hashimoto - be it nutrition, herbal or conventional
medication.
I cant wait fr yr next blog!
Thank youo

With the exception of being overweight, I have every one of the symptoms listed indicating hypothyroidism. I have seen three primary care physicians, one specialist, and am now working with a naturopath, but none of them are listening to what I think is going on with me. They look at me, see that I am not overweight, my blood tests are not off the charts indicating low thyroid function, and discount all of my symptoms. I have even taken this list to them and physically checked off my symptoms. When I think of the time, money, and most of all, the experience of sub-optimal health, involved with not getting the care that I need, I really wish that I wouldn't have been deterred by cost and had made an appointment to see Dr. Hyman a long time ago. I am completely frustrated with the seeming inability of my physicians' ability to think and consider an educated patient's point of view!

I am a 51 year old female who realized there must be something wrong when I followed a very strict diet and did two hour gym workouts every other day without losing one pound for a month. In addition I had the following symptoms; constipation, extreme morning fatigue (as well as fatigue throughout the day), huge bags under my eyes, thinning nails and hair. I went to a GP and she found my TSH level to be 5.5. She sent me a letter and said she would wait six months and check it again. Things GOT WORSE and I was so tired I could not even function. Thanks to ALOT OF READING I found that many medical professionals think anything above 3.0 can be a problem. Anything over 3.0 can cause symptoms in some adults (everyone is different). I was put on Synthroid and immediately saw a difference. (I was not peeling myself off the mattress in the morning). However, eventually I started to get extreme panic attacks so that I could not breathe. When I stopped the Synthroid, they stopped. I went to an Endocrinologist who told me it was all in my head and that my TSH level was never that high anyway. More READING and I found that Armour Thyroid can be a better alternative because it is natural (made from desicated pigs liver), has T4 and T3 in it and was used for over 50 years with no problem. Pharmaceutical reps and pressure is what keeps doctors seeing Synthroid as the one and only solution to Hypothroidism...even Endocrinologists. After the Armour Thyroid I feel much better and the panic attacks have stopped. I still have constipation, more fatigue than I had before the Hypothyroidism, bags under my eyes and thin nails and hair. Losing weight is possible but more difficult than it ever was. The doctor says even on medication it is just something I have to live with and part of the Hypothyroidism. ISN't THERE ANYTHING THAT CAN HELP? HOW DO YOU EFFECTIVELY TREAT THIS PROBLEM?

P.S. My dog and my daughter have also developed Hypothyroidism! It makes me wonder about environmental factors. What could have caused this besides genetics? My daughter is adopted (not my blood) and obviously my dog is not related.

I am a 57-year young female who was diagnosed with Hashimoto Thyroidism 32 years ago.  I was put on Synthroid .025mg.  Over the years I have constantly asked the doctor(s) if my body have not become so accustomed to this dosage that it doesn't work anymore and they continue to say that the dosage is doing well.  I have all the symptoms you have mentioned except I think for depression; and, I have lost almost all my hair.  I have wanted to find someone to help me - are you that one?

Hi Dr Hyman,

I just received the 5 Forces of Wellness and am very excited to get on the road to healing. My situaton is a little different in that I've have been diagnosed with mild hyperthyroid (my tests always come back on the high side of normal), I have been under the care of an endocrinologist for about 8 years as I have very large benign thyroid nodules on both sides of my thyroid.  But I seem to have several of the symptoms of hypothyroid...sluggishness in the morning, poor concentration and memory, low grade depression, dry skin, thinning hair (when I lose weight, it comes out almost by the handfuls), muscle pain, weakness or cramps, low sex drive, fluid retiontion. The Dr. has never suggested that I may have hypothyroid. She just keeps advising that I should have my thyroid taken out and I would prefer not to do that. Any suggestions would be appreciated. Thanks so much.

Ido have cold feet sluggish, foggy brain, dry nails.  TSH tested low meaning thryroid is actually working better than most.  so what do I do?  And yes, i tested positive for gluten sensitivty.  and yes, bloating, water retention, fat on hips and belly which i assumed was peri menopause related.  what do i do now?  dr. sees no issue.  do i take thyroid supplements?

Please continue your discussion and include advice on how to manage hypothyrodism. I have it, am on medication, and still feel crummy (I see I'm not alone). Any suggestions would be invaluable!! Thanks!

Can this be part of the link to my debilitating migraines??  Well, we'll find out!  I had ALL of the symptoms you list, except the hair loss.  My DO did a blood test and it turns out that I'm producing anit-thyroglobulin and it was off the charts. (157) My T3, free was 2.4; T3-total 1.08; T-4 Free 1.15; T4 total 8.2.  I don't know what these numbers means, but they subscribed a compound of T3/T4 (10/20) and iodine supplements.  It's been almost 3 weeks and I don't feel any different.  Perhaps the dosage is too weak... Or does it take longer to get balanced?

I am also confused about the drugs used to control it... I see that "synthroid" and some other brand name is being used (from other posts), but I'm getting a compounded T3/T4... what's the difference?

They also did an IGA(?) test for allergies and I was not allergic to gluten, but slightly allergic to egg yolk.  They had me do a 2 week detox with some nasty flax-based shake in the am and NO dairy or gluten. I felt so much less bloated during that time, but not significantly "better."  Still suffered the migraines and fatigue. I know it's all intertwined and everyone is different, but perhaps I should go back to cutting out the gluten and dairy from my diet too? 

What kind of a doctor do I go to in order to check my thyroid?  My regular doctor says I am borderline, so I don't need to do anything.  I have most of the symptons.

I read the information about hypothyroidism and found it informative. I've passed it on to people I know who have this condition. I actually have just the opposite, hyperthyroidism. Is there anything you can tell me to help me with my condition. There is tons of information regarding hypo, but very, very little about hyper.  Thanks.

My wife has almost everyone of the symptoms listed in this blog. She's been diagnosed as hypothyroid for 17 years now and I really don't notice that the synthroid is doing her any good at all yet her doctor 'confirms' that her dosage of synthroid is proper. My wife won't consult another doctor to verify that the first one is right, preferring to muddle through life being less than 100% health-wise.

Oh my god!  I've been on thyroid med for 12 years!  I developed seizure disorder 5 years ago at the age of 43!!!  The OUTER THIRD of my eyebrows is missing!!!  No doctor has ever noticed or mentioned the eyebrow thing.  What do I do next?

For years I have been extremely mentally tired.  I wake up tired and need to nap within a couple of hours.  Although that's rarely an option.  I am overweight by 60 pounds.    I have terrible leg cramps, the worst ones being in the upper inner thigh area.  I have been taking high absorption magnesium for a month now and that has helped the leg cramps.  I have constant pressure on my bladder and use the bathroom frequently.  A thimble full of urine is all I can hold.  The magnesium seems too have helped that too somewhat.  I have so much fluid in my legs that I have a hard time bending my knees.  My socks always leave a ring on my legs.  My hair is getting very thin on the top in the front.   I am depressed in general but definetly about the hair loss.  My hands and feet are cold however, I feel like a furnace.  I dread summertime and can't deal with the heat.  The sex drive is gone!  I have dry skin but do not have high cholesterol that I know of.  My nails seem to be changing as well as toe nails. I recently had the THS test and of course it always comes back fine.  I experience symptoms of both hypo and hyper.  All my symptoms include anxiety, healthy appetite, intolerance to heat, fatigue and depression, thinning hair, hoarse voice (sometimes), fluid retention (bad), cold hands & feet, no sex drive, dry skin, thickening nails (mostly toe nails).  Not sure if I have hypo or hyper???  I

Dr. Hyman,

 I was recently diagnosed with Grave's Disease.  For those who do not know, it is an autoimmune disorder associated with hyperthyroidism.  My doctors immediate response was radioactive iodine to kill the thyroid.  This would leave leave me severely hypo for the rest of my life.  I refused and have begun a prescription for Tapazole and continue beta blockers to control my heart rate.  I feel awful most of the time.  Please offer further information on hyperthyroidism and treatment options.  Also I tested with antibodies for hyper and hypo thyroidism.  Does anybody know what this means?   

I have gone thru hell and back with my thyroid.  It didn't start until about a year after the birth of my 3rd child so about  18 years ago.  I started gaining weight, looked bloated, was depressed, had no sex drive and was tired all the time.  I attributed it to having little time to take care of myself with running after 3 kids.  When I finally decided to go to the doctor, he told me it was because i was lazy and ate too much and I believed him.  Again I went back when my ankles were very swollen and i was worried.  To appease me he put me on 25mg of synthroid and said see me in a year.  Needless to say it didn't do much good.  Finally a few years ago I found another doctor who has done me a great deal of help.  She tests me all the time and has me on 125 mg. of synthroid and I feel like a million bucks.  I have to say my self-esteem really suffered all those years being told it was just me and me knowing something just wasn't right with my body.  I hope if anyone feels like this to go right out and try to find another doctor.  In between the 2 doctors I had gone to a thyroid specialist who pretty much told me there doesn't seem to be anything wrong - i left and never went back - specialist or no specialist!

I have nearly every symptom except that I have high blood pressure.  My doctor checked my TSH which was normal.  Sometimes I get so cold in the middle of the night that it feels like I am freezing from the inside out....it wakes me up and I can't get warm no matter how many blankets I have.....weird

Ten years ago I went from being extremely fit and active person to being hospitalised for two weeks and not even being able to understand what people were saying to me. I had all the other symptoms skin splitting and bleeding, hair loss, memory loss( not remembering peoples names to not being able to recognise letters or numbers on a page)- generally the extreme end of thryoidism. Ive been on antidepressants and thryoid medication since and have put on 35 kgs of weight since then. I feel as though my body is immune to losing weight despite exercise and healthy eating plans. Funnily enough when I developed this condition I discovered my Aunty also has hypothyroidism. Just recently one of my sisters has been diagnosed with hypo as has my mother who are both slim and 'healthy' individuals.  This condition appears more common than I previously imagined.

After I gave birth I was diagnoses with hypothyroidism and took synthroid for 10 years. It never did anything for me so I just stopped taking it. My doctor recently took blood and said everything is fine. HA! What do doctors know. I am now 50 years old and don't know how it feels to wake up refreshed in the morning and now they just diagnosed me to have colitis. Great, they don't know how to treat this either. I believe doctors go to school and learn medicine 100 years old and continue to treat that way. You bring them recent articles and they are not interested in a new fad that will be proven wrong. Doctors should be ashamed to call themselves Doctors.

I would like to hear of the symptoms of hyperthyroidism. I understand it is not as common as hypothyroidism, but I was being treated by a chiropractor who did a form of muscle testing for overactive thyroid. Can you add to your thoughts of thyroid function, or maybe discuss this as a separate article?

My symptoms were very mild to begin with, but diet and exercise are key. I still have some lingering symptoms which I would like to get cleared up.

Dr. Hyman, i heard you speak at IIN last month. you were phenomenal. thank you. I was dx with hashimoto's, but was told to "come back in a year" to have it checked again. my TSH was 2.88 last time i checked, TgAB were 35--but i have had diffuse hair thinning for 4-5 years among other symptoms you mentioned. i also just had a miscarriage-my first. Please, i beg of you, to address THE GLUTEN CONNECTION to the thyroid and antibodies-you touched upon it with your 28 year old patient reference (this is huge, everyone! go google Gluten intolerance and thyroid!) and to help those of us with Hashimotos-the many of us who doctors won't treat (either naturally or not) until we are in worse shape.

Thank you for your wisdom, as always.

Leah

I am writing to anyone who can identify with the thyroid symptoms Dr. Hyman wrote about in his blog. I suffered with a low functioning thyroid for at least 15 years and it significantly affected the quality of my life. Even though I had Hashimotos antibodies, my endocrinologist would not consider medication because my thyroid levels were within the range of normal. What didn't seem to matter to him was that they were at the bottom of normal! After suffering with much body pain (finally diagnosed as Fibromyalgia, though I am not sure that is accurate), fatigue, weight gain, cognitive dysfunction so severe that I consulted a neurologist to make sure that I didn't have early Alzheimers, and medication for depression, I finally fired my doctor and found another through Dr. Hyman's website. During the past two years my life has been completely restored. My new doctor spent almost 2 hours with me in my first appointment, and ordered a full panel of tests. The end result was that all of my hormones were in the tank, and in addition to prescribing Armour thyroid, I am also now on bio-identical hormones. I am 60 years old and post menopausal, but I look and feel at least 15 years younger. I changed my diet, am now taking supplements recommended by my doctor, and never miss a day of my probiotics and omega-3 oils. I will never return to a traditional doctor because traditional disease focused medicine completely failed me. I understand why Dr.Hyman says that so many of these life altering symptoms can really be eliminated through diet and lifestyle changes, but sometimes appropriate medication also is very helpful.

I gained 30 pounds overnight, within 3 more weeks I had gained another 100 pounds. So, in less than a month I more than DOUBLED my size. I had clothes that I never wore I gained weight so fast. I have a crappy doctor, on Levoxyl and the size of a bus. I NEVER look in a mirror anymore as it is a hedious person looking back. I stay on a Vegitarian diet, NO MILK products at all, and still look like a Macy's Day Balloon.  Very frustrating!

I was hyperthryroid for a very long time and I couldn't get my doctors to recognize it.  Even though my bloodtests showed my thyroid was malfunctioning, I was still in the "normal range".  As my symptoms became more pronounced, no other doctors wanted to re-test me, since I had already done blood tests.  It wasn't until my resting heart rate was 185, my eyes were bulging out of my head, and I looked like I swallowed a tennis ball that I was diagnosed (by a doctor in a different hospital, under a different insurance plan).  I was in danger of heart failure due to the stress of my rapid heart beat, and was told I had to have treatment immediately, and didn't have other options.  They but me on steroids and completely ablated my thyroid with radio iodine.  I was on the steroids for 5 months (I didn't know how long I was supposed to be on them, but apparently, 2 months is plenty) gaining weight and having muscle cramps that put me on the floor, crying, in fetal position.  

This was over 11 years ago, and after being on synthetic thyroid replacement, I still can't seem to lose the weight, and still have many symptoms of hypothryroidism, including chronic muscle cramps.  But since my bloodtests show I'm in the "normal range", the doctors don't know what to do.  I'm reading Ultrametabolism and looking forward to discovering what bloodtests I should be getting, and how I can return my body and health back to pre-thyroid disease condition. 

I am 46 years old. At 5 feet 4 inches, I weigh 188 lbs.  By the time I was 31 I had had 4 healthy children in 5 1/2 years. I then had 3 miscarriages in  one year's time.   My oldest was 11.  Part time gynastics coaching was very rewarding but emotionally draining. I had no energy left for my family and was falling a sleep for long naps in the afternoon. My memory was terrible and my hair was falling out and thinning. I was cold all the time, my skin was dry and I probably had most of the symptoms listed( I can't remember!   :)  )  I was gaining weight, slowly going from 130 to 154 pounds. I became pregnant at 41 and I asked to have my thyroid tested. I was diagnosed as hypothyroid and eventually my synthroid dose was moved up to 150 mcg.  After each increase I would feel better for a few days and then feel sluggish again. Looking back I realize I was also dealing with depression and had very little energy or interest in anything around me. I thank God for my husband and children who picked up the slack. I was drinking five cups of coffee a day to try and get some energy.  My Mother was also diagnosed with hypothyroidism by this time. As a child I can recall her having no hair on her legs and realized I had had this same symptom for a number of years before being diagnosed. I though I was just lucky and escaped having to shave!   :) 

About three years ago I decided I wanted to find something other than just medication to help me. I believe our bodies, emotions and spirit are all connected so I started looking at all aspects. For emotional support, I have used the Sedona method and currently use The Emotional Freedom Technique(EFT). Compared to other programs, Gary Craig's website is free online and the support material is very inexpensive. I noticed a decrease in my depression  and an increase in my physical energy. The EFT also helped with emotional eating and cravings. For my diet I started LISTENING to what MY body needed. I started cutting out bread-it made me sleepy and started adding nuts to my breakfast. I've cut back on sugar(lifelong sugar fiend) and finally cut out coffee(one of my  triggers for rosacea). For the last six months,I have been eating  a high protein breakfast with oatmeal, hemp hearts, raw nut mix, dry cottage cheese, fresh ginger ,cinnamon and yogurt. I've recently added Barley Gold to my day.   If necessary, with an apple in the afternoon I can make it through  a six hour workday without feeling tired.          I seldom feel cold anymore. My hairdresser has commented on the improvement in my hair texture. My hair loss is normal now.  I still get tired if I have a really busy or stressful day but I am taking an interest in cooking and cleaning again.  I am looking forward to refining my diet and having the energy to start an exercise program.  I am looking at weight training and short bursts of exercise rather than long workouts as it tires me out too much.  I am currently looking for a doctor that will support me in my search for health.  Never give up... The answers are out there - your health is worth it.  God Bless...  

I have been experiencing most of these symptoms for over a year and a half. All of the bloodwork comes out normal supposedly, but I still don't feel like I used to. I finally made the jump and cut out all gluten, sugar and dairy and trying to eat mostly veggies, fruits, nuts and organic meats and taking fish oil, multivitamins, and calcium and magnesium. I am also working out 5 times a week and getting about 8 hours of sleep a night. It's been about 6 weeks of sticking to this routine religiously, and I do feel a little better, but I am still exhausted most of the time, and the weight is only very slowly coming off. I am still going to stick with it becuase I want to be healthy overall, but I just wish I had some energy. The doctors I have seen just tell me that I might need to go on an anti-depressant but I don't really think I am depressed. It's just the culmination of living with most of these symtoms is overwhelming and depressing especially since I am only 25. Not sure what to do- just taking it one step at a time.

Hi, I'm new to this message board thing.  I've been reading Dr. Hyman's emails for a while now, but this one caught my eye.  After reading all your comments I am excited to participate in the conversation.  Like many of you, I was diagnosed hypothyroid approximately 10 yrs ago.  I was put on synthroid, and my levels have remained stable ever since.  However, I've never felt much better.  I've worked with various doctors and tried iron, B12, and various other things with a naturopath.  Interestingly, the naturopath tried to wean me off of the synthroid with a couple of homeopathic supplements.  As I cut back on the synthroid, I felt better and better.  However, when I stopped completely I felt terrible within a few days and it freaked me out so badly I went back on the full dose and stopped the homeopathic supplements.  I recently went back to the dr and complained about fatigue, dizziness, and lack of concentration.  She did a slew of blood work and determined there's nothing wrong with me; and sent me to an endocronologist, who said there's probably nothing she can do for me since my symptoms don't add up to anything, but ordered a battery of tests and told me to come back in 3 months.  I'm still waiting for this follow up appt.  In the meantime, I feel soooo tired and can't concentrate, cannot lose weight, and am terrified because the medical community doesn't seem able to help.  The only thing that ever made me feel better, and it realllllly did make me feel so much better and helped me lose weight, was to stop eating wheat and dairy, but this is such a difficult thing to sustain.  Currenly, I'm paying a nutritionist to help me with weight loss, but it is very very slow going even though I'm eating really healthy and exercising.  There must be something wrong!  Please please Dr. Hyman, have an answer for me and all the other people with similar stories.  Vic

Dear Dr. Hyman and fellow blog posters,

I am a 30 year old female. Since I stopped taking contraceptives 2 years ago I began gaining weight like crazy. My menstrual cycle went out of control and I began experiencing memory loss, hair loss, ultra-dry skin and almost every symptom you've described in your post, except for high cholesterol levels.

At first I was diagnosed with insuline resistance and PCOS, but after taking metformin for 6 months my symptoms were still there, and I kept gaining weight.

I went to a new endocrynologyst who diagnosed me with subclinical hypothyroidism (my TSH levels were "normal", but the symptoms were clear). He prescribed levothyroxine and said in a few months my symptoms will improve... but they didn't. The doctor changed the dose of the levothyroxine several times, but again... no improvement. After suspecting that I might have trouble converting T4 into T3, he prescribed Cytomel (T3), but it didn't help either. I continued gaining weight and most of my symptoms were the same.

The doctor then prescribed Serophene (clomiphene citrate). It did help me regulate my menstrual cycle, but the other symptoms remained the same. So after 5 months with Serophene, he has just changed my treatment to Utrogestan (progesterone). He says he is confident that I will see improvement with this new treatment, but I am so frustrated so far that I think I'll just have to live with this for the rest of my life.

I have to point out that during all this time I have been under a low carb diet and doing moderate exercise.

Do you think I am on the right track?

Yes, I am 53 years of age with about 100% of the symptoms you described, but my doctor instead put me on Premarin Tabs  0.625MG & Amtriptyline 50mg, based on:

mild depression, not sleeping all night, some anxiety, thinning of hair, sluggish, tired, low blood pressure, even low temp under 97.5, dry skin, constipation problems (he said drink more water), I was 140 in 2001, 2002, went up to 160 in 2003-2004, now in 2008 I am around 205 & miserable! No energy, even with these pills. In fact, I go to bed tired, and don't want to get up, like I can't get enough sleep. My eyes are blood shot by 8 pm. I have always been FULL of energy, until about 2004. I went back to college in 1999 - worked a full time job while going to school full time, plus raising a famly of 3 boys in their teenage years, with a husband, too, 2 dogs & 5 cats, and I kept a spotless home, lots of energy and then some.

Doctor feels like it's the "into the 50's" thing, but it's embarressing, not being able to function & want a bedtime by 10 or 11 pm, and when most people and up and around within a 6 to 8 hr sleep, I can sleep til 10, 11 12 in the morning, still tired. In fact, I can easily close my eyes and be back out to sleep. What's up with that??

I am in real estate, and it's KILLING my career. Need help, but my doctor does a quick 10 minute visit, says I am fine. Stay on the meds, come back in 6 months.

Any suggestions?

CarlaH 

I am a female 35 years-old, 5'5" and 175 pounds.  I have suspected a thyroid problem as of three years ago when I suddenly started gaining weight without changing my nutritional and exercise habits and struggle to lose the pounds and inches.  My bloodwork profile from last year indicated my thyroid level was within the 'normal' range and was told by my physician that I have no reason for concern.  I exhibit all of the symptoms including, lethargy, poor concentration/memory, puffy everything, moodiness & heavy periods.  Unfortunately, the weight has spiraled out of control and I sit here 30 pounds heavier struggling to lose weight.  I am hoping to find out what types of tests Dr. Hyman recommends to find out if an underactive thyroid is indeed my concern, along with ways to remove toxins from my body.  In the meanwhile, I follow his principles of eating as close to the natural source of a plant-based diet, increased exercise and regular chiropractic care to make some progress.

I am a 39 year old female who is 5 ft 6 and weigh 230 pounds. I have been diagnosed with a micro adenoma (tumor) on my pituitary gland and with hypothyroid.  It has been about 10 years now.  I am currently seeing a functional medicine team who has discovered that my adrenal glands are not working and my body is not absorbing certain vitamins such as b, d, calcium, selenium...etc.  I am taking mega doses of supplements and am on levoxyl 200 mg and am still not feeling much better.  My TSH levels are good as well as my T4, but my body is not converting the T4 into T3, but they do not want to add straight T3.  I also have fibromyalgia.  In January of this year I did the ultrasimple diet for 4 weeks.  I lost 10 pounds and have discovered by slowly adding things back in that I am allergic to gluten and coffee.  I work out doing cardio 5 days a week and weight train 3 days a week and I have not been able to lose any more weight.  It is so frustrating to be doing everything I know to do and not see any real results.  Dr. Hyman or anyone else out there have any answers or suggestions would be really helpful.  I am a former Marine and seeing how far my body is now from where it was is so frustrating.  I am a mom of 2, a 10yr old boy and an 8 yr old girl.  I'm trying to be a good example, but it is hard when I am not seeing any results.  Help!!!  Please!!!

I have hypothyroidism.  My doctor is working with me to help me feel better.  I have been on Synthroid since I was 35 yrs of age.  I am now 67.  I started with .125mcg for many years.  Just this year my doctor said it was too much and has reduced it to 100mcg for 3 mos and now .88mcg for 3 mos.  I still feel tired in morning, have tough time concentrating, dry skin, slight blues, thinning hair. But I also had a benign  meningioma 5 years ago and sometimes I feel like that has something to do with my state of health.  What do you think?  Just tired of being so tired and no motivation at all.

I'm turning 28 next week and I have all the symptoms you listed except the thinning hair.  I can't understand why I've been so exhausted and depressed all the time and I've gained a lot of weight recently but I'm not eating any more than normal.  Everyone tells me I'm tired because I'm doing too much, but my activities haven't increased.  And they shrug off my weight gain because I'm still a pretty small person.  But 20lbs is a lot for anybody in my opinion. 

 All of this is recent.  I keep telling my husband that I can't understand what's wrong with me or why it's happening.  It's effecting everything: my work, my play time with my kids, etc. 

 Should I see my Doctor?  What should I tell them when I go in?  Do you think I could have hypothyroidism?

Thanks,

Dawn-Marie

wow, you hit everything right on the head as far as symptoms, but what can I do...??? I am so frustrated and tired of feeling this crappy all the time - my brain fog is driving me crazy - I feel like I have "dislocated head" syndrome... I have been to an endo and he was a total jerk... He made me feel like everything that I felt was all in my head and that I was over "obese", but he gave me no suggestions on what to do... I am 15 pounds overweight, so that was a real blow.... believe me, I will never go back to him... I wish that I knew of a good one that would help me.  If anyone has any suggestions, please feel free to let me know.  I am from NW Iowa... Jodie

Female 180 lbs age 43 5' 3" diagnosed hypothyroid with nodes.  Two years on synthroid 80 mcg. Still have all symptoms no weight loss.  Dr. told me to keep smiling and have more sex.  Recently talked to Chiropractor who stated hypothroid is caused by lack of Iodine.  Suggested I take his supplement for $63.00.  Didn't notice much improvement, and was stressed over the price.  Started Dr. Hyman's healthy eating suggestions, small amounts of exercise, and Kelp supplement.  I have dropped 30 lbs.  People have noticed the change in my thinking patterns, and I do feel alot better, although I still need coffee in the morning.  Synthroid did reduce my nodes which I thought would come back when I stop it, but nothing yet.  I don't think my $8.00 bottle of Kelp was the miracle, but combined with proper eating, exercise, and a positive attitude as a LIFE STYLE CHANGE, certainly has made a big improvement.  I also feel proper sleep is HUGE factor, and even though I practice the latest remedies I am still trying to get a handle on this.  This is a great website with good information.  Thank you Dr. Hyman!

altho I have had a couple of doctors say my thyroid levels were low, I've been told that they didn't want to give me medication to treat it as it wasn't low enough. No doctor hsa ordered more detailed tests and I can't just walk into that type of doctor's office without a referral. I would say that I have the classic symptoms of low thyroid. I have been on a vegan diet through Hallelujah Acres and trying some exercise to help - for the most part it works but then I still have times when it doesn't. I'm 65 now. I appreciated your article on this.

My name is Tonia and I am 31 years old. In 1999 I had some test done that were a little confusing. The Dr. said that I had Graves Disease  but said my case was a little complicated because my numbers were all over the board she gave me three options for treatment option number one- Radioactive Iodine, option number two- surgery to remove the thyroid, option number three- try to regulate with medicine. After weighing my odds I chose option number one- Radioactive Iodine. Since then I have been taking Synthroid in several different doses from .25mg to 250mg. Some time in 2003 or 2004 I started to see another Dr. who after several test told me I had Hashimoto's instead of Graves and changed my medication. I did his treatment for about 6 months with out feeling any better. So I went back to believing I had Gravesand started back on Synthroid again with my primary Doctor. After feeling that nothing is getting better in December 2007 I started to see an Integrative Medicine Doctor who I really like but I am still having issues with fatigue, feeling sluggish in the morning, and having trouble with my memory, concentration, focusing, low sex drive, dry skin, have trouble losing weight, hair thinning, anxiety, PMS, muscle pain and weakness, and my number one problem- trouble getting pregnant. We have been trying for a good seven years. My husband has been tested and everything is good with him. I have had some test done and everything is coming back OK on me. We are thinking our problem is my weight and my graves disease. I currently weigh 289 pounds. I want to loose the weight but the tiredness and carb cravings are my problem. I need help because we desperately want to get pregnant this year. Are there any tests or any suggestions you have to help my issue? I have recently had my TSH, T3, and T4 tested. Unfortunately I don't have the test results with me now but if you are interested I can get them to you. Please let me know if you have any suggestions. 

My name is Tonia and I am 31 years old. In 1999 I had some test done that were a little confusing. The Dr. said that I had Graves Disease  but said my case was a little complicated because my numbers were all over the board she gave me three options for treatment option number one- Radioactive Iodine, option number two- surgery to remove the thyroid, option number three- try to regulate with medicine. After weighing my odds I chose option number one- Radioactive Iodine. Since then I have been taking Synthroid in several different doses from .25mg to 250mg. Some time in 2003 or 2004 I started to see another Dr. who after several test told me I had Hashimoto's instead of Graves and changed my medication. I did his treatment for about 6 months with out feeling any better. So I went back to believing I had Gravesand started back on Synthroid again with my primary Doctor. After feeling that nothing is getting better in December 2007 I started to see an Integrative Medicine Doctor who I really like but I am still having issues with fatigue, feeling sluggish in the morning, and having trouble with my memory, concentration, focusing, low sex drive, dry skin, have trouble losing weight, hair thinning, anxiety, PMS, muscle pain and weakness, and my number one problem- trouble getting pregnant. We have been trying for a good seven years. My husband has been tested and everything is good with him. I have had some test done and everything is coming back OK on me. We are thinking our problem is my weight and my graves disease. I currently weigh 289 pounds. I want to loose the weight but the tiredness and carb cravings are my problem. I need help because we desperately want to get pregnant this year. Are there any tests or any suggestions you have to help my issue? I have recently had my TSH, T3, and T4 tested. Unfortunately I don't have the test results with me now but if you are interested I can get them to you. Please let me know if you have any suggestions. 

I bought ULTRAMETABOLISM when it was published. I take Levothyroxin, but my metabolism is sluggish and I've become overweight since the thyroidectomy. One-third of my S.S. income goes to medical insurance, so I can't afford the holistic doctors I wish to see who would prescribe Armour.  Should I see an endocrinologist?  I have been in water aerobics 4 times weekly for past 5 years. Do not eat processed foods. Live in So. California - sun. Have tried many diets. Just don't know how to shed the weight.  Even Medifast no longer works for me.  HELP!

I was diagnois with hyperthyroid at first. Now, it is hypo. The first thing to do is have a colon, kidney, and liver cleanse. Disease starts in the colon first. The best product is Dr. Natura, www.drnatura.com. The second and one of the best natural doctors, who can get that thyroid in check, in 30 days, is Dr. Ted Broer. Dr. Broer's office will send you a complete list of foods to eat or avoid for either condition. Also, he will tell you the supplements you need, to get that little butterfly back in check. You can find Dr. Ted Broer under Health Masters. It is about your diet, and the supplements, that most doctors don't even know about, Dr. Ted Broer can help you with that. Just try and see!!

I just read this most recent blog and was really intrigued. I have recently put on weight, been depressed, am always cold, my temperature tends to be on the low side, i feel constantly bloated, have a wavering labido and my skin of late has been extremely dry. I feel like I put lotion on 10 times a day. I drink plenty of water and I have been very good about sticking to a healthy, mostly organic (it's pricey!) lifestyle. I'm not perfect, but for the most part I keep glutens and sugars to an extremely low minimum. Add to all of this: my younger sister called me recently and informed me that her doctor diagnosed her with hypothyroidism. She also suffers from Crohn's.

I am wondering if I should get checked for hypothyroidism as well. My one worry is about being putting on medication that I have to take for the rest of my life. My sister is really debating starting the meds, because she was told that once she was on, she couldn't go off. Is that really the only solution? I have much better dietary habits than she, so I am hoping that with time I might be able to strike a balance. I'm thinking my doctor is not going to be very thorough or open to my inquiry about this (time to get a new doctor, I know!).

Any suggestions? Anyone know a good doctor in Los Angeles?

I can answer yes to eight of those questions!  Yet my doctor just keeps saying lose weight and every thing will be fine!  I am tring but it is realy difficult and maybe this is why.  I look forward to reading more on this.

Dr. Hyman,

My doctor has been telling me for years that my thyroid is off but not enough to matter. Thank you for this blog it is a reminder from what I read in your book. I have had a recent TSH test and I'm waiting for the results. I have lost 44 pounds to date thanks to you.

Fondly,

Sailer

Your latest e-letter describes me to a "T"- over the past 20 years I have gained 70 lbs at a fairly consistent rate 7-10 lbs a year, been on every diet, exercised heavily- lost some, gained it back when I couldn't hold out on less than 1200 calories a day any longer.  Constipation, boating, dry hair and skin, fluid retention - had several thyroid tests, all came back "normal" - was told to keep exercising and dieting - "work up a sweat three times a week".  I will be very interested to know how I can take action for myself without needing prescribed medication as my physician really doesn't seem to perceive a problem (other than my "diet" -which I promise is reasonable- and "needing more excercise" - which I would agree with, but I also need some energy to do that!)

I have had an underactive thyroid for 11 years now and Iam taking Thyroxin 125mg per day.  I have grown acustomed to feeling tired and I keep putting on weight, in fact I started off at a size 10 and Iam now a 14. I am very unhappy with my weight.  I have spoken to my GP who said "eat less". I could do with some advice. Iam 44 years old.

Moggs

Thank you - Thank you :) for understanding

 For years I suffered with a lot of these symptoms anI thought I was going crazy.  I found a wonderful doctor who  diagnosed  me with hypothyroidism and had me take Armour thyroid.  My life changed - I was normal again - happy, not tired and I felt like a real person again!  Problem - he no longer practices and it is very hard to find some one who understands. Is there any other way to treat this with out a RX because I cant get a dr to write one.  :(

 Cyndy

I have hypothyroidism and have been on medication for 8 years.  I still have a lot of the symptoms, tiredness, very low sex drive, not being able to loss weight, dry skin ect.  Last year I switched to Armour Thyroid after reading UltraMetabolism but still haven't seen any real improvement.  I get blood tested twice a year and my doctor thinks I am on the right dose (which is the lowest dose) but I wonder why my symptoms fo not go away.

I have been doing the Armour thyroid thind for a couple of years now.  Gradually ramped up to 120 mg twice a day.  Temperature has stabilized around 98.4-98.6, but symptoms remained.  Started taking isocort for the adrenals a few weeks ago.  Have seen some improvement in symptoms at 20 mg/day.  Is there a downside to this self-medication? 

I HAD BEEN  GOING TO THE DOCTORS AND KEEP ON TELLING HER THAT I FEEL SLUGGISH AND HAVE TROUBLE STAYING AWAKE. I FEEL TRIED ALL THE TIME. NO ENERGY,HEADACHES, HAVE A HARD TIME TO CONSONTAT ON THINGS. DON'T FEEL LIKE MYSELF. I CAN WORK FOR AWHILE AND THEN I GET TRIED AND IF I DON'T WORK I TAKE A NAP BECAUSE I CAN'T STAY AWAKE. MY DOCTOR PUT ME ON MEDICINE TO HELP KEEP ME AWAKE IT SEEMS TO HELP ALITTLE BUT I DON'T LIKE TO TAKE ALOT OF MEDICINE.THE DOCTOR  SAID THAT ALL MY TESTS COME BACK OK. NO THYROID [PROBLEM] I KEEP ON SEEING HER AND TELLING HER BUT NOTHING CHANGED. I FEEL LIKE A 80 YEARS OLD PERSON AND I ONLY 51 YEARS OLD. I HAVE ALOT OF YEARS TO LOOK FORWARD TO. I DON'T KNOW WHAT ELSE TO DO. LET ME KNOW IF YOU CAN HELP