Most of us are no stranger to a little bit of fatigue now and then, a few pounds we wouldn’t mind losing, the occasional irregular period, or blue mood. But if you are struggling with any of these on a regular basis, with some severity, or a cluster of these symptoms, your thyroid function may be the culprit.

What is the Thyroid Gland?

Your thyroid gland is the thermostat regulating the energy for your entire body. It controls everything from your mood to your menstrual cycles to your metabolism – and about a thousand other biological functions – including how efficiently you burn calories and how easily you lose weight.

The thyroid gland is shaped like a butterfly and is located in the front center of your neck, about midway between the under part of your chin and that lovely dip at the base of your neck.

Through a series of chemical reactions, this gland takes iodine and repurposes it into fuel for numerous important functions throughout your entire body. This fuel starts out mostly in the form of the inactive hormone Free T4 which is then supposed to be converted as needed into the active form of the hormone called Free T3 – which does the heavy lifting!

Thyroid Problems Come in Several General Varieties

The most common forms of thyroid problems are:

  • Hypothyroidism, which is under-functioning of the thyroid gland (energy and metabolism are low)
  • Hyperthyroidism, which is over-functioning of the thyroid gland (metabolism is running on overdrive!)
  • And autoimmune forms of under- and over- active thyroid (Hashimoto’s and Graves disease, respectively) or due to other causes ranging from nutritional deficiencies to infection and inflammation (thyroiditis).

Hypothyroidism is the most prevalent form of thyroid disease, and thus is by far the most commonly diagnosed thyroid condition. Hashimoto’s disease accounts for 90% of all hypothyroidism in the US.

What’s amazing is that of the estimated 25 million Americans with thyroid disease, as many as 50% do not realize they have it and remain undiagnosed.

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Let’s Take Back Your Thyroid Health…Starting Now

Here are 10 top things you need to know about your thyroid to get the help you need:

1. Having the right amount of thyroid hormone for your individual needs is essential to your well-being. Without enough you might experience fatigue, constipation, dry skin, brain fog or trouble concentrating, depression, anxiety, hair loss, depression, joint and muscle aches (even carpal tunnel syndrome and tendonitis!), generalized swelling, cold intolerance (or you always feel a little cold) dry skin, even an excessively low heart rate. If you have an overactive thyroid, you might experience a rapid heartbeat, anxiety, insomnia, insatiable appetite, diarrhea, and weight loss. If you think you have a thyroid problem, it’s okay to be a squeaky wheel to your doctor. Squeaky wheels get the testing they need!

2. Women are way more likely than men to develop thyroid problems, and the months after birth are an especially high risk time for thyroid problems to surface. If you feel unusually blue in the year after the birth of your baby, or at any time, and especially if you have any of the above symptoms, get tested for thyroid problems!

3. Your high cholesterol could be caused by an underactive thyroid. Say what? Yes, it’s true. Hypothyroidism can lead to high cholesterol because slower metabolism isn’t burning up your fat. So before you go on special diet or a statin drug to control your cholesterol – get your thyroid levels checked. The answer might be in finding the root cause – a thyroid problem!

#4 Most doctors UNDERDIAGNOSE thyroid problems! Thyroid problems may affect as many as 10% of women – but for many of these women, the labs tests that doctors currently use, and the way those tests are interpreted, leads many women to be told that they don’t have a thyroid problem, and in fact, they are just fine. [TRANSLATES AS: This is all in your head because I, with my medical degree, cannot find a darned thing wrong with you, Lady.] And this often results in an antidepressant prescription.

I check the following labs on my patients in whom I, or they, suspect thyroid problems:

  • TSH
  • Free T3
  • Free T4
  • Thyroid Peroxidase Antibodies (TPOAb)
  • Thyroglobulin Antibodies (TgAb)
  • Reverse T3

5. Hypothyroidism can be causing your fertility problems and also increases miscarriage risk. Thyroid function controls fertility and menstrual regularity. If you’ve been having trouble getting pregnant, if you have irregular periods, think you are not ovulating, or have had a miscarriage, have your thyroid function checked BEFORE you get pregnant to make sure your levels are optimal.

6. Optimal thyroid functioning is also essential for the healthy development of your baby’s brain. Pregnant women with hypothyroidism automatically need to have their thyroid hormone medication increased by 50% in the first trimester to support the increased metabolic needs of the baby. Make sure to talk with your midwife (who might not know this!), or your primary care doctor or obstetrician who might not remember to adjust your medication dose.

7. Having a hard time losing weight? Tuning up your thyroid gland will rev up your metabolism and burn calories without you having to do anything extra. If you’ve tried diet after diet, exercise program after exercise program without success, it might be time to tap into the root causes – and hypothyroidism might just be one of them.

8. Thyroid glands need nourishment! Make sure your diet and your daily supplement provide you with iodine, selenium, and zinc which are three key nutrients needed by the thyroid gland for basic functioning. Sea vegetables such as 1 tablespoon of dulse flakes daily provides you with a nice dose of iodine, just 1-2 Brazil nuts each day provide you with ample selenium, and zinc is found in beef, oysters, dark meat chicken, cashews, pumpkin seeds, almonds, yogurt, and many other sources.

9. Fluoride, bromide, and chloride coming from your diet, fluoridated water, toothpaste, or other environmental exposures, can interfere with the iodine your thyroid needs to function. If you are having a hard time regulating your thyroid function, even with medications and a supportive doc, look for sources of these in your life and try to reduce/eliminate exposure.

10. In gluten sensitive individuals, eating gluten-containing foods (wheat, barley, rye) and possibly even some of the gluten cross-reactive foods can cause Hashimoto’s disease. A 3-month trial of going strictly gluten-free might be needed to see if your thyroid antibodies return to normal and your thyroid begins to recover function.

You Can Get Well!

Thyroid problems can be fixed! I help women to achieve healthy thyroid function in my practice – Thrive Health. In most conventional medical practices, you may have to advocate for yourself in the doctor’s office to get the testing you need.

A functional medicine, integrative medicine, or naturopathic doctor will usually automatically be willing to test the whole gamut of thyroid tests for you. You have to be careful not to get over-diagnosed and unnecessarily treated if you don’t actually have a thyroid problem, however if the symptoms and the labs fit – then appropriate treatment can make you feel like a million bucks!

Sometimes thyroid function can be recovered and restored with natural methods using stress reduction, diet, herbs, and supplements. Sometimes medications are needed long-term. But either way, it is important to identify whether you have a thyroid problem so you can get the help you need to feel like yourself again.

To your good health,


Get the first chapter of my new book The Adrenal Thyroid Revolution, FREE right here.

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  1. Do you have any input for somebody whose thyroid is already out? Things I should be aware of or doing to take better care of myself?

    (I had a suspicious nodule that ended up being a parathyroid adenoma.)

    • Hi Wendy, Great question. The most important thing is to make sure you are getting adequate thyroid hormone replacement to keep your metabolism healthy and at best functioning. This will help keep your energy up, your cholesterol down and your mood and other hormones steady! Best wishes! ~Aviva

      • Thank you for a very interesting article. I am 48 and I recently had a routine health check at my doctors, and a blood test revealed raised levels which indicated an underactive thyroid. I struggle to lose weight no matter how hard i try and or exercise. My doctor has said if i notice more symptoms to come back and he will consider further tests and medication for me. But he has said in time this is what I will need , just not now as at the moment the levels are only slightly raised. How can I help myself in the meantime please, what lifestyle changes can I make ? Diet wise or anything else . Thank you for your help

        • Great question! This is probably a great time to be assertive with your doc about going ahead and starting thyroid medication. Also, make sure you are getting basic thyroid nutrients – enough iodine, selenium, zinc, vitamin D, and vitamin A in your diet or in a supplement. And please keep an eye out for my upcoming thyroid health course – I think it might be very helpful for you!

  2. Thank you. Thank you for taking my request seriously. Those of us without one now appreciate it very much. Thyca is not easy. But I live to wake up next morning for my kids and clients. It was hashimoto’s. Blessing my friend. MT

  3. Thanks for this post, Aviva! I’m going to see a new doctor in a couple weeks and thyroid testing has been on my mind. I don’t feel like I have thyroid problems although I do exhibit some of the symptoms. But, I just wonder why so many people have thyroid issues. What is causing this? I’m not big on medications or supplements or vitamins. I’m interested in living a healthy life without having to worry if I took my 6 pills this morning. I just wonder….what is the root cause of all these thyroid problems and what can be done to permanently address it without paying for Synthroid every month for the rest of one’s life?

    • GREAT question and more to come in a future blog. Lot’s of reasons, though:
      – diet
      – stress
      – infection/inflammation
      – exposure to heavy metals and environmental toxins
      And more. In fact, many autoimmune conditions are increasing — with the heaviest burden in women. Good for you on wanting to live a pharmaceutical free vital life! Warmly, Aviva

  4. Aviva,
    Thank you for taking the time to write a series on this very important subject. I developed Hashimoto’s and adrenal fatigue after the healthy birth of my daughter, and it wasn’t until after my second miscarriage that the underlying health problems were discovered. I opted to try and heal/manage my illness through diet, alternative therapies and lifestyle, and by the grace of God, 10 months later my Hashimoto’s is in remission and I feel like I’ve been given a new lease on life. But I continue to educate myself, so I’m very excited to read the rest of your blog posts on thyroid health.
    And just one sidenote– my Hashimoto’s was accompanied by exceptionally low cholesterol (with low blood pressure, no weight gain and low body temp). I realize that’s not typical, but I say that to make the point that just because someone has “good” cholesterol levels doesn’t mean that the possibility of thyroid problems should be dismissed.

    • Hi Jacqueline,
      Thank you for sharing your story! Often when Hashimoto’s occur postpartum, it has been preceded by hyperthyroidism that was missed — this is extremely common. And that is often and explanation for low cholesterol! Also, the cholesterol problems are often a later stage phenomenon so if caught somewhat quickly, that might not manifest. So glad you were able to heal! A new lease on life is an amazing thing!! Thanks for writing! Aviva

  5. Thank you for the info, Aviva! What are an individual’s options when nodules of the thyroid are discovered or in the case of a goiter? Thanks!

    • Hi Tammy,
      When I pick up thyroid nodules on a physical exam I start with thyroid testing to see what’s going on with the numbers (TSH, FT3, FT4, antibodies) and I refer for an ultrasound of the thyroid which is a harmless and generally affordable procedure that gives quick answers. If nodules are seen, then there are criteria, based on size of the nodules, whether there needs to be additional testing (i.e. biopsy), no further testing, or a follow up ultrasound. Goiter is different than nodules. Nodules are discrete whereas goiter is more generalized swelling or diffuse. When there is goiter I start with lab testing — I also get iodine testing — and get the symptom picture. It could just be because of thyroiditis from a viral infection, or could be iodine deficiency leading to hypothyroid. Hope that info helps! ~Aviva

  6. Hi Aviva

    Thanks for another great (and timely!) health article.

    I’m 33 and was diagnosed with Hashimoto’s over a year ago when my thyroid was tested for another reason. I have been taking Thyroxin since my diagnosis, and while my thyroid levels are healthy I can’t say I’ve noticed any difference to my health and wellbeing since. Is this common? I have had ongoing anxiety and mild depression issues for many years as well as few other symptoms you mention above.

    I have also recently been diagnosed with Lupus (both dermal and SLE – diagnosed a few months apart) and wonder how these might be linked to the thyroid? I’d love for you to discuss the relationships between the thyroid and other auto-immune diseases. I’ve gone from having no auto-immune disease to having three diagnosed in an 18-month period.

    I love your integrative approach as I feel specialists only know what they know and there is no linking all the information together. For example, my Endocrinologist (who diagnosed the Hashimoto’s) looked at the missing hair patch from my Dermal Lupus and told me it was Alopecia, and my doctor (GP) told me it wasn’t Alopecia, and as a result it went untreated for several months and therefore got worse.

    Thanks again for your terrific blog and website.


  7. This is a very interesting topic to me. My mother and one sister so far have been diagnosed with hypothyroidism. I have had every symptom on the list for YEARS, yet have never had ‘abnormal’ test results! I have had yearly labwork for the last 3 years that indicate – though still within their ‘normal’ range – continues to climb higher in numbers each year. I’m right at the top edge of normal. I don’t want to become dependent on drugs! I am 46 years old and do not take medications for anything and if I can avoid it I won’t! I do love the use of herbs and essential oils as well as diet interventions, before just taking a pill for something. IF I do get a positive result on my next yearly lab check (order already written, just need to get them done) what can I begin to do naturally before I start popping pills? Thanks for this great post topic!

  8. Hello!
    I am curious how thyroid and adrenal issues can be discovered, if they can be, postpartum if the mother is breastfeeding.
    I breastfeed my children until about 16 months postpartum and suspect I have either thyroid issues or adrenal fatigue. I get very bad anxiety around 4-10 months postpartum. With my third child I actually developed panic attacks as well, with heart palpitations, and when I went to the Dr asking why this was happening she did no testing and said “well it has to happen sometime.” I asked what she meant and she said “for people that are going to develop anxiety it has to start at some point in their life and you are right in the age range that it usually starts.” And if I didn’t want an antidepressant then she couldn’t help me. Feeling helpless I tried to cope on my own and then became pregnant again. I’ve been to the cardiologist for the heart palpitations and everything looks good.
    My new Dr suspects an issue with the adrenal glands but doesn’t want to test them until I’ve weaned my daughter because she said the breastfeeding causes hormone fluctuations all the time that will throw the results off.. So am I stuck with all these problems until I can wean? I’m only 2 months out and the anxiety has started to get worse again, and the fatigue is real, despite fairly good sleep.

  9. Thank you for this article! Thyroid health is so essential to a healthy pregnancy and healthy post-partum mama. i have been managing a thyroid disorder (hashimotos) for 15 years. With the help of a naturopathic doctor we fixed my thyroid and I was healthy and med-free for 4 years. When i became pregnant my TSH went to 70. Even with immediate meds I ended up having a miscarriage. The next year we thought I was super healthy and my thyroid was in great shape, but my next pregnancy caused my immune system to short-circuit, resulting in severe hives, lip oedema, anaphylaxis and then my 2nd miscarriage. Throughout it all my GYN and allergist and other doctors told me there was nothing wrong or that “sometimes we just don’t know the reason” why someone develops chronic hives. I was told to take allergy meds, synthroid and just deal with the reactions. Only my naturopath was curious and willing to even help me. Though no one was able to figure out why this was all happening, my naturopath recommended higher thyroid meds and taking a supplement with iodine and tyrosine. I have been hive-free and had a wonderful successful pregnancy and now a beautifully healthy 1-yr-old. When my endocrinologist lowered my thyroid meds 6 months after birth my TSH soared to over 100, my allergies went crazy, immune system plummeted causing various illnesses, return of a plantar wart, puffy lips, skin issues and fatigue. Though they said they had never heard of these side effects from thyroid, they agreed to put me back on my compounded T3T4 at a higher dose – and all of my issues went away! I am assuming my next bloodwork will come back with normal results too.

    Ladies – do not hesitate to ask questions, switch doctors if you are not being heard and always listen to your body.

    • Melissa-thank you for your story! I have many of the symptoms for an under active thyroid (which runs in my family) and have had the “basic” thyroid blood work which comes back low but in range so my doctors won’t do anything. So frustrating. I’m overweight (yet I try too lose and can’t) I’m tired, anemic, low heart rate (I was even hospitalized for this), very dry skin, stressed, depressed at times, my muscles hurt, trouble getting pregnant, always feeling cold, and the list goes on. I think I need a new doctor.

  10. I love any posts you offer up, Aviva, and am grateful that you are generous with imparting good health information. I see so many women fall through the cracks in our medical system, who aren’t heard, who aren’t believed, who are considered hysterical… Thank you for working toward helping us toward good health.

    What else can you tell me about over active thyroid, in particular following pregnancy? I have a friend who is struggling with this. Cruciferous vegetables are supposed to be good for this, and I’m wondering what else from a dietary or herbal standpoint she might be able to add in?

    Wishing you all the best,

  11. Great thanks Aviva !

    But what about TPO antibodies I developp in the past with Graves… Now I’m stable and I have hypothyroidism under thyroid hormone medication…. Can Thyroid Peroxidase Antibodies (TPOAb) or
    Thyroglobulin Antibodies (TgAb) disappear one day ? If my TSH is stable, can I do something for TPOab + ? Do you think I’m a high risk pregnancy just because of TPOAb + even if my TSH is normal ?
    Do you recommand some articles or paper to read on that subject !?
    Thanks !!

    • Hi Courtney,
      Depends on symptoms. First thing I’d do is check antibodies and see if there’s anything brewing. I’d also check a reverse T3 and then recheck TSH, FT3 and FT4 in about 4 weeks before treating. ~Aviva

    • Hi Charlene
      I use a wide variety of supplements and meds as needed — stay tuned for my Healthy Thyroid E-course late this winter for details! Best, Aviva

  12. Thank you for this article. So it is possible to wean yourself from meds and treat Hashimoto’s holistically….even after 10+ years of armour and synthroid?

    • Sometimes…it depends on the initial reason for being placed on them, how your numbers look at low doses, and a few other factors. But often when on thyroid meds for that long it is a lifelong commitment…. They are quite safe and effective which is a bright side! 🙂 Best, Aviva

  13. I am frustrated. I have had a huge lump on my right side of my thyroid now for 4 years. It has not grown much and I have a smaller lump on my left side. I have had several needle biopsies that come up benign.I have levels checked each year and they show some abnormality (slightly overactive-not bad enough to treat)TSH-0.30, T3-91, FT4- 0.88. I take really good care of myself and am fit, but my major complaint I feel foggy a lot and my memory seems really bad. Not sure if it has to do menopause.. I am 49. It just does not feel right to be walking around with these big lumps in my body. Should I get another opinion? My doctor does not have me on any medicine. Which I actually appreciate as I am not a big fan.. BUT.. is there something out there that might help me level off and reduce my goiters? I keep reading about things that help reduce goiters but they are typically associated with hypo not hyper active thyroids.. Any advice would be so appreciated. Thank you!

  14. It took me 2 years to find a dr to diagnose me with hypothyroidism. I’m a nurse and know I had it but the dr I was going to was using old lab value regulations and wouldn’t treat me. Thankfully I found a great dr that was up to date on his assessment of my problem. I have been on synthroid for a few years now but still haven’t been able to lose the 15 lbs I gained while waiting for meds. Do u suggest synthroid or armor T3 replacement? I have heard t3 replacemt is more successful but my dr will not budge on his idea of using synthroid. What is your suggestions?

    • Hey Cindy – I am not a doctor or nurse but I suffer from both Grave’s disease and Hashimoto and had my thyroid removed in 2011.

      I have been on Levothyroxine since then and have been playing around with doses. I have never quite felt like I think I am supposed to feel so I started reading up on other options and heard about Armor T3. I made an appointment with my Endocrinologist 2 months ago and asked him to switch my meds and let me try it and he said no – he will not prescribe that med but he added a 2nd med to my daily routine liothyronine (cytomel) and I have to tell you – I have NEVER felt better!

  15. Great article! Dr. Wallach world famous naturopathic doctor preaches this. After using his protocol I reset my body and didn’t have to take thyroid medication!

  16. My father died of anaplastic thyroid cancer 7 years ago, and ever since then, I’ve had a major fear of anything thyroid. Then, a year and a half ago, I met my boyfriend and discovered that he had a thyroid cancer scare, but it turned out to be benign, they removed half of his thyroid, and he’s been fine (by Western Medicine’s standards) since. He’s not on any thyroid hormone drugs or anything, but is there anything I should make sure he’s doing/taking? Iodine? Any advice would be greatly appreciated!

    Also, I feel like I have thyroid issues, but I can’t tell because my symptoms are mixed. I have a completely insatiable appetite, but because I have a healthy diet, I am not overweight (I’m not underweight either, I’m fairly average for my height). Everyone I know jokes about the tapeworm I must have living inside me because I’m always eating. I get very hot and very cold easily (my feet and hands are almost always cold and I’ve always felt like my temperature regulation was off because what I feel always seems exaggerated – sweating when noone else is hot, or so cold I can’t possibly get warm when others are ok.). I also have some anxiety, constipation and brain fog/low energy. I sleep very well, but I never feel fully rested. I’m assuming I should try to find a naturopath (any recommendations in the NYC area? I’m in Brooklyn), but any advice would be great. Thanks again!

  17. I have every symptom of hypothyroidism. I have been miserable for months. My thyroid has been tested more than once and I am told it is normal. I have since been doing all other kids of testing to try to find out what is wrong but I keep coming back to my thyroid. I see the list of what you check on your patients. Do I just need to call my doctor and find out what all was tested when the did my labs? I just don’t want to be one of the non diagnosed people out there who could be getting help to get better.

  18. Thank you for this article! My question/comment is, I had thyroid cancer about 4 years ago. They removed my thyroid and have since been on medication. My levels get tested every 6 months and usually come back in the normal range, but I don’t feel normal! I’m always tired, so tired, have really bad anxiety, cannot stop gaining weight no matter what I do, have horrible night sweats and am constantly dizzy. Not for 1 day have I felt normal since my thyroidectomy. I don’t even remember what normal feels like. I’ve been to different doctors and they all say they don’t know, my levels are normal. What would be your suggestion in my case. Is this normal for people like me? I just want to feel normal and healthy again. Please help.

  19. Hello 🙂

    I am also curious about this because I have Graves’ disease. I also had radioactive iodine done twice. I would love to feel better! I try to live chemical free and eat healthy, but have many of the problems you listed. I am on synthroid and all my levels are normal. Thanks so much for this article.


  20. I’m surprise to see this article on my Facebook wall today. I have a history of nodules in my thyroid. Every other year I get an ultrasound done and the nodules don’t seem to change. I just had my routine ultrasound and I’m a bit worried. The report states that the thyroid has a mild heterogeneity. I have a mix of cystic and solid nodules, 7 on the right and 8 on the left. Largest 7mm. One of the 8 nodules on the left side is described as follow : “An exophytic 6 x 4 x 7 mm hypoechogenic solid nodule emanating from the lower pole, not visualized on the prior examination.” What does that mean? OYE. I have a lump in my throat that I feel when I swallow and the soft tissue above my left collarbone called supraclavicular is more noticeable, almost like I have a soft bump. Yes I have an appointment on Thursday but until then, I’m very worried

  21. I have suffered from hypothyroidism for the past 20 years and I am on synthroid. I still suffer from many of symptoms: cold all the time, very tired, over weight, etc. My blood tests come back normal for TSH while on synthroid but still suffering. Any suggestions? Thanks.

    • I’d ask your doc to check your FT3, FT4 and RT3. If those are out of range then I’d adjust the synthroid or try one of the several other medication options for thyroid.

    • It’s pretty tough unless there is a nutritional/immune medical condition going on like celiac – in which case removing all gluten and cross reactant exposure can sometimes help significantly. Otherwise, meds or RAI are usually necessary.

  22. I went and had my blood work done and it came back normal for my thyroid. But, I am still not satisfied with the decision, should I go to another doctor and see where to go from there with a second opinion?

    • Well, I might talk with the initial doctor first and also compare to the number ranges in my blog on thyroid labs to see if you are normal by that standard. If yes, then perhaps something else is going on. If not, I’d bring the blog to your doctor and discuss a reinterpretation according to those ranges.

  23. What if you are told, that your values are on the low side of normal or border line low, but not low enough for replacement therapy?

    • Hi there! Well, if they are low normal in a patient with symptoms in my practice, I will make sure my patient has enough nutrients to support the thyroid (selenium, iodine, iron, zinc, etc) and sometimes I will even start thyroid medications to see if that improves/relieves symptoms. Low normal in some doctors books is too low for some other doctors!

  24. Aviva, I was diagnosed with Graves in 99. I had to basically break it down to the doctor about what it was. I am so overwhelmed by the weight gain. I don’t know what to do. They have increased my med recently to 125 mg with my test results being a 7.7. Can you help?

    • LOVE to help — but cab’t really answer a personal health question! Please stay tuned for my upcoming thyroid health course in the spring!

  25. Hello, Iodine can have severe negative effects on people with Hashimoto’s (auto-immune condition affecting the thyroid gland) – I would definitely mention this before recommending iodine. Kind regards!

  26. Great article! & advice!! Thank you!
    I was diagnosed as a teenager, with hypothyroidism, & have been on Synthroid or Eltroxin since; in my late 50’s now.
    I’m wondering if/ how many others have a tremor as a side effect of this medication? And is there anything I can do to be rid of this?! I don’t remember this being an issue when I was younger, but I’ve noticed it more over last decade at least. Will taking more iodine help this? (It’s really annoying!) Tia

    • Hi!
      Getting your thyroid numbers checked – especially your FT3 and FT4 can help you to see if you are getting too much thyroid medication leading to some hyperthyroidism – which is more likely to cause a bit of a tremor. It’s possible you need less medication than you did in the past. I don’t think iodine is the answer…

  27. I had my thyroid burned out in my early thirties. Now that I am in my late (very late) sixties, I have found that no matter what I eat, I gain weight. Right now I am on .88 of thyroid medication. That is the only medication I am on. Should I be going to someone to someone who specializes in thyroid, although I have a great general physician.

    • Absolutely – or ask the physician you love to work with you on improving your medication dose or changing meds if your thyroid labs aren’t on target!

  28. Hi Aviva,
    I was given this link by a friend. I have a multi nodular goiter. When I have blood test for thyroid function they are either hyper, hypo or normal. These tests are then repeated every three months and same story… it’s either hyper, hypo or normal but different than the previous test. Which to me is quite annoying. I am struggling with my weight, my moods are terrible and I have a loss of sexy drive. I have been prescribed antidepressants which Im not sure if they helped. I did however notice I managed to lose weight by eating chicken, rice and veg only. Now I find my self in the ruthless of being tired, stressed and run down that I reach for hi sugar/ fat foods for that instant pick me up.
    any suggestions?
    Many thanks,
    Jane, New Zealand

    • I’m so glad you found your way over here! 🙂 I would LOVE TO HELP! But given the complexity of your situation I would need to have a personal appointment to get the to bottom of the fluctuations in your thyroid labs and your symptoms. We do see patients from all over the world in my practice — or do stay tuned for thyroid course coming in early 2015 — it might help to answer some of your questions and give you some new ideas to try! As for your labs — make sure that you are getting them checked at the same time every day, and don’t take your meds that morning, if you are on any…Best, ~AR

  29. Hi i have hypothyroid im horrible at taking my meds i havr probably had thyroid issues since i was in grade 3/4 when i went from a skinny kid to being the fat kid. Ive never been given info about thyroids or what they do etc just take thes meds here up the dose take them take them over and over. If its truly possible to fix the thyroid and lose all the weight can u help. I have a 6 and 3 Yr old and would like to be around to see them grow up and go off and start families of there own

  30. Hi I have several small nodules in my thyroid – ultra sound every 6 months biopsied twice – one in center of thyroid is growing but still small 5mm biopsy shows benign but cellular structure – doc wants to remove entire thyroid – is there anything I can do short of removal? Thank you for this blog Elizabeth

  31. I’d love to learn more about #10. I’ve been dealing with thyroid and adrenal challenges for a few years and haven’t figured out the role gluten plays. Where should I look?

  32. i had my thyroid and para thyroid out about a year parathyroid left any help or information for me on this situation……

  33. Wonderful timing.
    I have been diagnosed with hypothyroidism & having been taking synthroid for years. Recently I have had an ultrasound & a biopsy. Nodules were identified as 10-15% suspicious of cancer. The dr wants to remove my thyroid. I’m not yet comfortable with that decision. Any direction or advice you can offer wud be greatly appreciated.
    Thank you

    • Hi Pauline – Ouch, this is a tough decision. It sounds like a good time to get a second opinion from a local doctor who can look at your US results and biopsy report. If it really looks like thyroid cancer than removal and treatment with thyroid hormone sounds like a smart bet. But a good conversation with your doctor about your concerns and hesitations might be useful – and perhaps a watch and wait approach with repeat testing in a few months would seem reasonable to your doctor. Best with this decision!

  34. Can underactive thyroid in men cause osteoporosis? Husband recent L4 compression fracture, 56 years old. No prior history of fractures. Active. Diagnosed with thyroid issues and osteoporosis.

    • Osteoporosis is more likely caused by overactive than underactive thyroid. However, nutritional deficiencies could be underlying both, for example, vitamin D.

  35. i have shortness of breath every day at about the same time. I keep feeling like I have to take a deep breath. I have been to pulmonary MD (everything ok) cardiologist wth heart cath ( normal) family MD SAYS THYROID test not normal but going to watch. Could thyroid be the cause ?

    • Wish I could help – hard to assess what’s going on in a situation like this at a distance. I would try to see a good local integrative or functional medicine doc – or even a traditional Chinese medical doctor.

  36. I was diagnosed 3 years ago with Graves. My antibody count was over 22,000. My Endo wants me to do RAI. I am been on Paxil for just over a year and have gained 50 pounds, but Paxil is the only medicine…and I have tried many that will control the extreme panic attacks symptoms. I am afraid that RAI will cause my metabolism to slow so much that I will continue to gain alot of weight. I want to lose it. What are your thoughts? Thanks.

    • Hi! I know this is a really tough decision. My experience that unless you can quickly get to the root of the Graves, for example, there is an active virus or environmental trigger (ie celiac disease/gluten) then Graves is very tough to reverse naturally. While the RAI is, of course, not what you want to do, overall it is much easier to control hypothyroidism than hyperthyroidism – and the risks of the latter on your long term heart and bone health are much greater. So in this situation, I actually usually do encourage my patients to do the RAI and then boost their thyroid with thyroid hormone which is much safer than the medications for hyperthyroidism.. Best wishes on this very difficult choice.

  37. Hi I just went to the doctor today and found out I have a heart murmur and an enlarged thyroid, I’m very concerned I’m 25 years old and my energy is running low. Is this just coincidence? I’m having some lab work done asap.

  38. What is the normal range for tsh? Mine came in at 5.91 . I have many symptoms of hypothyroid main one being fstigue with many others. ThankbYou

  39. Hi! Really appreciate your article! I will work on #10 – this time I will do the FULL 3 months. I have several questions. In the process of finding/removing one parathyroid it was discovered that I have 2 small nodules on my thyroid. Should I be having regular checks on these? Is it possible, through proper nutrition, to reverse nodules? Are the nodules indicators of other thyroid problems? Since parathyroids and the thyroid are all part of the endocrine system, could other hormone regulating glands affect the thyroid? I tried talking with my PCP and Endo about this and have been told the glands don’t affect each other. (I find that hard to believe.) For years I have had nearly the whole list of symptoms of hypothyroidism but all the testing my PCP & Endo have done comes back “normal”. I am beginning to wonder if, in general, the entire endocrine system needs help. Should I be talking to some other type of Doctor? Your insight would be greatly appreciated. Thank you!

    • Hi There
      Yes, if you have hyperparathyroidism, surgery is the best solution, and then you’d have to have regular checks by an endocrinologist. I’ve not heard of nodules being reverse before in this case — doesn’t mean it’s not possible — just haven’t ever seen it. This is a separate issue than thyroid troubles, though they do sit on the thyroid. An endocrinologist is the type of doc that should be seeing you. Best wishes, Aviva

  40. I had a sonogram of my thyroid about 20(+) years ago and diagnosed with nodules but my THS test was within normal limits so I was not treated for hypothyroidism or other thyroid condition. “I would be monitored.” About 12-13 years ago I started on the Anti-depressant circuit – one after another as they lost their effectiveness. Then I was “diagnosed with a mood disorder which is now been diagnosed as “Bi-polar Disorder” so I have to be on MORE medications including anti-psychotics. Over the years, various people asked me if I had a thyroid problem because I would generally have a pouch at the base of my neck – including the psychiatrist ( I worked in the mental health field). Things at work got to the point that I was so stressed, unfocused, unable to concentrate, headaches, etc. etc. – symptoms of both thyroid and gluten sensitivity. My doctor has had two sonograms ordered – last May and Nov. 2014. They showed the nodules with Nov. tests showing a VERY slight in size but they are growing. Still I am on no treatment. He did asked if I wanted to have them zapped but recommended if I was not having any problems ( like difficulty swallowing, etc. he would like thing ride). SO things are riding. I am having difficulty trying to go gluten free (lack of husband support) but plan to try again. I do think I am sensitive as there is more gas and bloating after eating bread. I see my gynecologist next week. Any recommendations or suggestions I can ask of HER?

  41. Aviva – can you please explain why you check the reverse T3? I attended the Harvard Clinical Review for Endocrinology this past year, and I have to say the speakers made a pretty strong case that this was an expensive and essentially useless test for the majority of patients. I would love to hear the research you have found that supports its use. (Que failure of written word to convey the non-snarkiness of my tone asking this – just trying to provide background and express my genuine curiosity)
    I have found that the major part we overlook is that LT4 is not the only thing at work to make patient’s with Hashimoto’s disease feel better. When we start to recognize the impact of stress and poor diet (etc, etc) on an autoimmune disease then we start to see that the answer is not over correcting TSH levels in the never ending quest to “feel better”; sometimes the improvements have to come from the hard work of some major life changes on the part of the patient.
    (I am a family nurse practitioner and very supportive of holistic practice – wish there was more opportunity to practice this way here! That said, I was born and raised in the era of evidence based practice so I am always looking for the data to support my care choices)

  42. 6 months ago I pointed out a nodule to my doctor. It ended up being 4.6cm on my right lobe. I have another one on my left lobe that is 2.6cm. They are both solid and only my right went under FNA. It came back benign. My question is I have gained over 30 pounds the last 6 months. I feel like my heart is racing and I am cold. I definitely have memory fog and I am always tired. I feel like I have symptoms of both hyper and hypo. Is this possible? Can I be so tired from my heart racing? I just don’t have the energy like I use to. It’s very frustrating. Today I had another ultrasound and will get my results on Friday. I am more than positive it has grown. My throat feels tighter and my daughter told me my voice is changing. I feel like I constantly have to clear my throat like swallowing a marble.

    • Hi Sonya, Wish I could help, but this requires the support of your local doctors. Please so follow up with them — these are concerning symptoms! Be well and take good care, Aviva

  43. please note! If you have Hashimoto’s thyroiditis iodine supplementation is NOT indicated. I found out the hard way. It is like throwing gasoline on a hot engine. My antibodies actually increased and sypmtoms got much worse. Switched naturopaths and stopped the iodine and things began to improve immediately. Going to have bloodwork done soon.

    • This is correct, but making sure you have a normal iodine level is important — in other words, supplement up to normal is usually ok. But for each person, it is very individualized. I do NOT do high dose iodine supplementation in my practice pretty much ever — I only use micro-dosing. Great that you got benefit from stopping the supplementation!

  44. Is it possible for the thyroid gland to regenerate itself and become fully functional after RAI? I started out at 150 mcg of levothyroxine after RAI but my doctors have reduced it over the past 5 years since I had the procedure. My endo insists that it is impossible for the thyroid to grow back but lowered my levo to 75 mcg after my yearly TSH test showed very low TSH. I went to an internal medicine doctor who took me off the levo for a couple of months, which I was scared to do, but after two months, my free T4 was still in the normal range and my TSH was in the upper range (4-5). I went back to the endo to show him the results and he put me back on the levothyroxine, 75 mcg. This was almost a year ago but the last couple of months, I have been losing a lot of weight and feeling hyper again. The endo has insisted that I am worrying too much and blaming everything on my thyroid, insisting that I will always be on the levothyroxine. He also insists on only doing yearly bloodwork. If it wasn’t for me insisting on getting tested early a year ago, I would’ve been essentially hyperthyroid due to taking too much hormone for a greater part of the year. What tests do you recommend for this situation (thyroid regenerating) and what levels should we look for? By the way, the endo I’ve been seeing for the last couple of years is moving, so hopefully the new doctor will be more open-minded.

  45. Hi there I was diagnosed with Hashimotos in May and am wondering if I should have an ultrasound done on my thyroid? My doctor just said to continue with my thyroid medicine. Is an ultrasound necessary?

  46. Hi Aviva,
    I was diagnosed with graves disease after my first chad was born. I was only 18 and was having severe anxiety attacks. I had the radioactive iodine administered to kill my thyroid and my systems seemed to subside slightly, but not altogether. It wasn’t until 6 years later that my thyroid levels were semi-under control with meds (levothyroxine). It has been about 8 years now and I still can’t seem to stay completely level, even though I take my meds t the same time each morning and don’t eat or drink anything but water for an hour after taking them, and don’t vitamins or anything that could alter my absorption… I just don’t understand what makes it so difficult to stay level, and what can I do?!
    Chelsey k

    • Hi Chelsey,

      This is Megan from Dr. Aviva’s team. Thank you for your post, and for sharing your story. If you have not already, take look at Dr. Romm’s new free Thyroid Insights Ebook — you can download it from her website —. It is chalked full of information and really useful tools that can help you do the deeper healing that will help you stay more level. Also, check out this article that Dr. Romm wrote as it speaks to the gut/thyroid connection

      Megan- Dr. Aviva Romm Nutritionist

  47. Hi Dr. Romm,

    What levels of TSH, Free T3, Free T4, Thyroid Peroxidase Antibodies, Thyroglobulin Antibodies (TgAb) & Reverse T3 do you diagnose Hypothyroidism? I have gotten tested for the first 3 tests but it seems like each doctors range of normal and abnormal is different. Thanks as always.

    • Hi Libby
      See my new free Thyroid Insights Ebook — you can download it from my website — it’s got all of the lab level ranges in there that you need. Making the diagnosis is easy when TSH is out of range – when that’s normal and the others aren’t, it gets trickier and that’s where an appointment with a functional or integrative medicine doc like me can come in handy!

  48. would something like #3 be true with not being able to process glucose also? my levels of glucose and cholesterol keep rising.

    • Hi Chris,

      This is Megan from Dr. Aviva’s team. Taking a deep dive into really understanding the inner workings of blood sugar balance is a great place to start. In Dr. Romm’s Practice she often recommends The Blood Sugar Solution which is a book written by Dr. Mark Hyman. It can seem complicated, but once you get to understanding the inner workings of YOUR specific balance, many of the puzzle pieces will fall into place.
      Best of luck and stay tuned for more from Aviva!

      Megan- Dr. Aviva Romm Nutritionist

  49. Have terrible choices of doctors here , would love to know if my thyroid will start functioning again and try and deal with Hashimotos without thyroid meds . I am weaning off slowly have been on them a little over two years ? Had I found a good doctor they would have told me to go gluten , soy and dairy free before jumping straight to meds

    • Hi Jo,

      This is Megan from Dr. Aviva’s team. Thanks for writing and I am sorry you are having a hard time finding a doctor to work with. The Institute for Functional Medicine is a really great resource for finding a practitioner in your community. I hope this helps.

      Megan- Dr. Aviva Romm Nutritionist

  50. Hi! I’ve had hypothyroidism for 16 years (I’m 25 years old) and how do you know if you actually have Hashi’s? I don’t think I’ve ever been tested for it and a doctor has never told me about having it. Thanks!


  51. Aviva, I was diagnosed with hashimoto’s in 2011 in 2013 my thyroid was removed due to several non-cancerous nodules. Since it was removed it has been nothing but a battle. I am on a roller coaster and I’d love for the ride to end. I switched to compound thyroid in February after repeated bouts of illness. It has been a bit better. I couldn’t go to work or take care of my family. This has happened many times since I was diagnosed. I am currently going through another bout of this. I can’t be up for more than a few minutes and have nausea and weakness. So many more things really. I am just wondering if there is more of an explanation besides hashimoto’s, which it was assumed would go away after surgery?

  52. Hi there Dr. Aviva, I have been saying for over a year that something’s wrong; I was born with a practically non-existent thyroid and have been in synthroid my whole life. I have been dealing with a gp who was “consulting” with an endocrinologist because the endocrinologist was so hard to see… I mean maybe if she had referred me I would not have a hard time getting on her books. Well after a year of saying something is wrong (experiencing more severe hypo symptoms) well now I have a goiter per the nurse because I’m getting too much thyroid so they are lowering my dose) 6 months ago I made an apt with the “consulting endocrinologist” I have an apt and will see her in a month and a half. I try to advocate for myself but my gp pretty much rolls her eyes in protest to my sensitivity.. Thank you for listing those additional test because when I go see the endo I’m telling her to order the tests. Any suggestions /thoughts on goiter… Everything I’m reading says it’s a hypo problem

    • Hi Rebecca,

      This is Megan from Dr. Romm’s team, thank you for writing in and I am sorry to hear about the struggles that you have experienced. Take a peak at Dr. Aviva’s new free Thyroid Insights Ebook — you can download it from her website — it’s loaded to tons of informative information that will both help validate what you are going through, and can also give you some extra tools when you meet with the endocrinologist. Please know that Dr. Aviva HEARS you <3

      Megan-Dr. Aviva Romm Nutritionist

  53. I ve had thyroid problems for 40 or more years ive had 3 surgeries an1 dose of radical radium i only sleep a few hours a night ive gained weight joints are aching i could go on an on everything in your article is me to a tee my medical problems just keep mounting im so frusrltrated

    • Hi Betty, Oh that sounds so exhausting and frustrating for you!!! I’m sorry. Please check out my articles on sleep and also on pain — hopefully you can find some good supportive info that will be helpful for you. And if you are able to, consider an appointment with an integrative or functional medical doctor or licensed naturopath for some individualized recommendations.

  54. Hi I am from the UK how do I know what the optimal is for me my doctors always says my results are with in the normal range but what are the ranges ? I’m always tired doesn’t seem to matter how much sleep I get. I have had hypothyroidism for 25 years I have 5children and have struggled to breastfeed with all of them not gaining weight and poor milk supply could this be because of my thyroid medication not being at their optimum ?


    • Yes, these are symptoms of hypothyroid — though with 5 children, that could be fatiguing itself, and other things, for example, anemia, could cause these symptoms, too. I’d get a ferritin and general iron work up, in addition to rechecking thyroid labs and maybe changing medication. Be well!

  55. Hi I have just had my latest thyroid test results can you tell me if they are good I am from the UK ,
    Serum TSH – 0.24 mu/ l
    Serum T 4 – 16.3 pmol/ L
    Serum T3 – 3.8 pmol/L.

    • Hi Sarah,

      This is Megan from Dr. Aviva’s team. Please check out Aviva’s new free Thyroid Insights Ebook — you can download it from her website — it’s got all of the lab level ranges in there that you need! Hopefully you can find some good supportive info that will be helpful for you.

      Megan- Dr. Aviva Romm Nutritionist

  56. Hello! I am currently trying to conceive and my doctor has suggested that I go on a low dose of thyroid medication. My TSH is in the normal range but is higher that the 2.5 that is recommended for pre-conception. I was wondering if it is usual to go on thyroid medication for the sole purpose of conceiving and to go back off the meds postpartum (i.e. switching to herbal therapies and supplements). I worry that taking thyroid medication now will set me up for having to be on it long term.

    • Yes, you can, though with low thyroid function, you do want to stay on thyroid medication to optimize yours and baby’s health in pregnancy. I’d review all of this with a conventional MD and your obstetrician to make sure 1. You really do need the medication, and 2. That you’re appropriately dosed when you do become pregnant. Not everyone who goes on thyroid replacement meds needs them long term…. Best wishes with conception! 🙂 Aviva

    • Oh hi Josey, so sorry. Make sure your thyroid hormone levels and meds are optimized before you get pregnant again, and check your MTHFR gene and if positive,make sure you get on methylfolate, 1 mg daily, before you get pregnant and stay on that thru the pregnancy. I offer online consults, too — see my website under let me help you – if you need to consult. Warmly, aviva

  57. So I’m 3 months postpardum. I have had a lot of hyperthyroidism symptoms so decided to get labs done..TSH very low <0.015(.4-4.0) FT4 2.4(elevated) and FT3 4.5(elevated). Trap didn't show anything but TPO is extremely high around 1220. Should I get more tests done or is this postpardum thyroiditis?

  58. I was diagnosed & treated for 2yrs with a. Under active thyroid then it jumped to an overactive one. I have now been diagnosed with Graves Disease (17 out of 18 symptoms). My eyes bulge a little bit some days & tend to be red, dry & itchy. I was told a few weeks ago at a routine appointment that I have a goitre which has recently given me problems breathing while sleeping, hard to swallow food & an irritating cough. What can I do to relive some of these symptoms or should I make a gp appointment. Thanks 🙂

    • Hi Rhonda,

      Thank you for your comment and for sharing your story. Working with your Doctor is really the best route to take so that together you can create a protocol that will get to the root of your thyroid problems while also addressing the symptoms. I also highly recommend looking at Aviva’s Thyroid Insights e-book!

      Warm wishes,
      Megan- Aviva Romm’s Executive Assistant and Online Nutrition Expert

  59. Hi !
    I am just new here and trying to gain some suggestions or pieces of advice.
    Is it safe to have normal delivery of baby thougj having a goiter?..
    Thanks a lot!

  60. Hi,

    I am 25 yrs old and have recently been diagnosed with Hypothyroidism.
    T3: 66.50
    T4: 3.30
    TSH: >100

    Now im really worried about my health. Got the test done cause i had been experiencing abrupt weight gain. Was almost 47 kgs in May 2015 (note: had never exceeded this figure prior for almost 2 yrs apporx.) and have been putting on swiftly. Latest shown as 60 kgs..!!
    Puffy face, feel really stressed out, legs ache..

    Now im just worried cos i got married last year itself and whenever in future if we plan for a child this condition shouldn’t cause any hindrances.

    Can you please let me know how severe this condition is??

    Thanks in advance,

    • Hi Amrita,

      Thank you for your comment and please know that Aviva would love to help but she can’t read labs unless in a consult. If you would like to consult with Aviva in her medical practice, Thrive Health, you can find out more here:

      With warmest wishes,
      Megan- Dr. Aviva Romm Nutritionist

  61. I am 5 weeks pregnant and just told by my naturopath to take Nature Thyroid. I could not find any info about taking it while pregnant, do you recommend this?.. I am having some spotting and small blood clots, and cramping, and now concerned about potential miscarriage. I did have very low supply issues while breastfeeding my previous son.

    My TSH was 1.255, so normal. My T4 was .8, and my T3 was 2.5… all borderline I suspect. So I was not planning to take the Nature Thyroid while pregnant, but hoping to boost my thyroid functionally. Wondering your take on taking thyroid medication while pregnant? I would love to do a consult with you, but do not have the funds now. Thank you in advance!

    • Hi Diana, While I can’t weigh in on your labs for medical/legal reasons, I’d see a qualified midwife or OB to review with you and during pregnancy I usually use Synthroid first, and if I don’t get results then I go to other products. The Synthroid is familiar to most OBs and midwives, which is why it’s my pregnancy go to. In pregnancy, if you truly have hypothyroidism, meds are a must for baby’s health and yours. Also make sure to get your TPO (thyroid antibody) checked. This is a big indicator of the need for treatment during pregnancy and possibly postpartum. Best wishes! Aviva

  62. WOuld like anyone that has any. Knowledge on riders disease to share with me. ITs q thyroid problem and only one person every three years is diagnosed with it.

  63. Hi! Thank you for the great information! I saw my Doctor today to have my thyroid checked. He felt my thyroid and told me that it was still soft (he said it was soft when I saw him for a 8 week postpartum thyroid check asked for by my ob/gyn) but my question is what does that mean. Soft Thyroid? Thank you again.

  64. Hello, im 36 and would appreciate any advice right now as I’m confused and upset.
    My hair has been falling out at an alarming rate for a while now so I finally rang my doctors and they did a full MOT on my bloods. Last month they phoned to say that my thyrod came back with a “massive result” (doctors words) which resulted in a underactive thyroid. He told me that i would need another blood test a month later to confirm the first which i was annoyed about although I felt relieved as I wasn’t imagining it! He also said that I had a test 7 years ago and my thyroad came back as borderline and that it’s obviously dropped throughout this time.
    I read up on it as the doctor didn’t say anything else to me and to my horror, I realised I had the majority of the symptoms such as memory loss, loss of libido, constipation, hair loss, brittle nails, feeling low, tired, struggling loose weight ect… I couldn’t believe it but was hopeful as I would soon be sorted with medication.
    My second lot of bloods came back today which I rang for and the receptionist has told me that they are normal and no further action is required! I’m so upset and confused as to what to do now as I thought my diagnoses would put me back on track with being ‘normal’ again. How can it go from being so low to normal?
    Thank you

    • Hi Heidi,

      Oh goodness I am so sorry that you are dealing with this. Did you have a chance to check out the blog that Aviva wrote specifically about thyroid testing? If not, do a search on her site and also, stay tuned for Aviva’s forthcoming book as it is loaded with he tools that you need to take your health back into your own hands. She will also be doing a program that will accompany her book early next year. You’re not crazy and you’ve been heard!

      Warm wishes,
      Megan- Aviva Romm’s Executive Assistant & Functional Health Coach

  65. I was told that I have hyperthyroidism & of course I have a goiter with nodules on the left side, ultrasound/biopsy has been done. Thank God no cancer but then I was scheduled to see an endocrinologist & that’s a in about a month and a half. In the meantime I received a call from my ENT telling me that I have severe hyperthyroidism. I am so lost looking things up for answers but to see what I can expect next. Ha!!! Not doing me any good because like so many others, I thought it was cut & dry! WRONG! So I thought maybe I’ve been misdiagnosed so I call my Dr (family Dr) and I was told that my TSH level is almost 0 & with my other levels being so high (I was not given numbers) that if I choose to not see anyone at all for this, it could kill me. Okay, now I’m asking umm it’s really that bad?! She said yes what could happen is, it has already started a war with your body so the next would be your organs so if let go it can kill you. Dead silence for a second and I then ask, Okay, my white blood cells that are way to high, can’t that be from my thyroid also?! No! So I have to go back to see my hematologist even though she acts like she doesn’t know why she is seeing me, well you should. Having said all of this, I would like to some sort of anything!!! Everything I know is exactly what I have wrote. Help if possible please! Oh I have mentioned changing my diet to help, I was told that was not ever heard of!

    • Hi Bobbie,

      I wanted to chime in and let you know that you might enjoy joining Aviva in her FREE online course that she is offering called the 38 day Gut Reset and Replenish you challenge. It’s going to be wonderfully supportive and nurturing!! Doors close TONIGHT at midnight so we invite you to check it out!

      Warm wishes,
      Megan- Aviva’s executive assistant and Functional Health Coach

  66. my TSH level is at 64.38. I have no thyroid (surgery was almost 2 years ago). They increased my synthroid to 150mcg. I was originally on synthroid 100 mcg then another dr put me on Armour thyroid 60 per day. How dangerous is 64?

    • That’s REALLY high. Should be closer to 3.0. Please find a doc who can help you to bring that down to a healthy range to protect your cognitive function, heart rhythm, cholesterol and more. Not dangerous per se immediately, but not anywhere near a long term safe healthy range…

  67. Hi
    I am 13 years old and my hair has NEVER been more than an incheck past my collar bone and is baby fine (thin). I was wondering if that has something to do with a thyroid. If it is what kind is it and what can I do to get my hair growing

    • Hi Myriah!
      I am the nurse practitioner in Dr Romm’s practice, and I often hop in to answer comments and questions since Dr Romm doesn’t always have time to get to them all!
      As you have probably learned from Dr Romm’s blogs, hair loss can sometimes be a symptom of an under active thyroid, however there are other causes of thinning hair as well. It might be useful for you to find a local integrative medicine practitioner to work with so you can uncover the root cause!
      Wishing you the best,
      ~amanda, APRN

  68. Hi. I am 30 years old and was diagnosed with Hashimoto’s thyroiditis when i was 16. I was prescribed thyroxine and within a couple of years my levels returned to “normal”. Since then i have blood tests done every 6-12 months to check my TSH levels. My energy levels have always been up and down but that’s been put down to my depression, which i have suffered with since i was 12.

    Over the past few months i have felt terrible (more than normal). I have all the classic symptoms. Chronic fatigue, swollen and painful glands, weight gain, hair loss, brain fog, irritated cough (no cold symptoms) aching muscles and i also suffered a miscarriage a year ago. When i was pregnant previously (twice) my hormones had an opposite effect. I was calm, rational and didn’t show symptoms of depression, which suggests my hormones are out of wack.

    For years though, my bloods keep coming back as normal. I had an ultrasound and biopsy last year – nothing. (Previous ultrasounds have shown a goiter) I had another ultrasound just the other day – normal (the dr said my thyroid doesn’t even appear enlarged). Before that he requested TSH and T4 tests but apparently if the TSH is normal, medicare won’t cover the T4 test.

    I asked my Dr to give me a referral for an endocrinologist but i won’t be able to get in until May. I am beyond frustrated and even more depressed. I feel sick all the time and can’t seem to get any answers as to why i feel so ordinary. Anyone else experienced this? Can anyone help or offer suggestions. TIA.

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