How Many Of These Signs And Symptoms Do You Have
Dry, pale, and cool skin Moist, velvety, and warm skin like a babys Dry skin with deep cracks and scale Deep, noticeable lines on your palms and soles Yellowish-orange color on your palms and soles Doughy and swollen face, especially on your eyelids, lips, and tongue Widening nose Sweating less than before Goiter Protruding eyes Flushing on your face and red palms Darker skin in the creases of your palms, on your gums, or elsewhere in your mouth Rashes, especially in the creases of your skin Painless lumps and patches of scaly, discolored skin, and the affected skin feels hard and waxy Reddish spots on the skin that come and go
When eyes protrude, its often a sign of thyroid disease.
Painless lumps and patches of scaly skin feel hard and waxy
Lumps on discolored skin that feel hard and waxy can be a sign of thyroid disease.
Thinning eyebrows on the outer edge Coarse, dull, dry, and brittle hair that breaks easily Soft and fine hair with lots of shedding Thinning hair or balding patches Growing more slowly Dry, itchy scalp and dandruff Less hair on your legs, arms, and other areas
Thick, dry, and brittle with visible ridges Soft, shiny, and easily crumble Growing more slowly Peel, crumble, or break easily Lift up Curved with swollen fingertip and thickening skin above the nail
Curved nails with swollen fingertip
Itchy skin without a rash Untreatable and itchy hives
Existing skin disease
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Study Details: Thyroid And Weight
The researchers evaluated the thyroid functioning of more than 2,400 men and women by looking at the results of their thyroid stimulating hormone or TSH test, a blood test to assess thyroid functioning.
“I was struck that small changes within the normal range of TSH were associated with increases in body weight,” says Caroline S. Fox, MD, MPH, a study researcher and a medical officer at the National Heart, Lung, and Blood Institute’s Framingham Heart Study.
The butterfly-shaped thyroid gland, located in the lower front of the neck, makes thyroid hormone, which in turn goes into the bloodstream and the rest of the body, helping it to use energy, stay warm, and function properly.
The results of the new study, published March 24 in the Archives of Internal Medicine, agree with at least two other recent studies, Fox says.
Fox and her colleagues zeroed in on 2,407 men and women who participated in the famed Framingham Heart Study — Offspring Study, trying to find out if body weights vary within the range of normal TSH values and if changes in the TSH values over a 3.5-year follow-up affect a person’s body weight.
A high TSH level reflects an underactive gland a low TSH usually reflects hyperactivity.
The data were taken from exams done from 1983 to 1987 and 1987 to 1991. The average age at the first data collection was 48.
Next Steps: Thyroid And Weight
The findings need to be duplicated in still other studies, Fox agrees. “The Framingham subjects are mostly white. It would be important to see if applies to other ethnicities.”
Agrees Ramachandran S. Vasan, MD, another co-author of the new study and a professor of medicine at Boston University: “While we show an association, we can’t claim cause and effect.”
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Patients With The Coronavirus May Be At Risk Of Developing Subacute Thyroiditis
With Leann Poston MD
The Coronavirus was found to cause thyroid inflammation in a new study.
Just a few months ago, the world knew almost nothing about COVID-19, which is caused by the virus SARS-CoV-2. We knew that the symptoms seemed at first to mimic a bad cold or the flu , and we knew that people across the globe were dying.
As the weeks progressed, though, researchers and epidemiologists started putting more and more of the diseases puzzle pieces together, discovering at-risk demographics , and strange symptoms .
Many Americans are heading into their third month of quarantine, with an estimated three million cases reported globally, but the research around the infection continues to grow, illuminating the very real health risks that COVID-19 presents. Understanding the nature of a pandemic of this magnitude means saving lives and knowing how to prevent further infection.
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Treatments For An Underactive Thyroid
Luckily hypothyroidism is usually easy to treat. Your doctor will likely prescribe a synthetic version of the thyroid hormone. The most popular medication for this is called levothyroxine. You will need to take this medication for the rest of your life. Once you are medicated, your symptoms and complications may reduce greatly or go away completely.
If you are taking medication for an underactive thyroid, its important to visit your doctor for all follow-up appointments. The amount of medication you need to take may change throughout your life. So, your doctor will check your hormone levels periodically to make sure your current dosage is correct.
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Signs And Symptoms Your Thyroid Is Too Active
Remember that your thyroid helps control the activity of most of the cells and tissues in your body.
This can be a way to help you figure out what is going on.
Imagine if you simply activate or overactive the cells and tissues in your body, how would you react?
Using this logic we can figure out exactly how patients with an overactive thyroid would present:
If you activate your heart cells too much you’ll end up with a rapid heart rate or heart palpitations.
If you activate your bones too much you’ll increase bone turnover and end up with bone loss and osteoporosis.
If you activate your gastrointestinal tract too much you’ll end up with diarrhea or loose stools.
If you activate the neurons in your brain you’ll end up with increased brain activity and anxiety or panic attacks.
ALL of these symptoms tend to be associated with overactive thyroid activity.
You can find the complete list of symptoms associated with an overactive thyroid below:
- Weight loss
- Protrusion of the eyes
It’s also important to understand two things:
#1. Some of these symptoms may be associated with other medical conditions or caused by certain medications.
Common medical conditions, such as Menopause, may cause some similar symptoms such as hair loss, weight gain, and even hot flashes.
The similarity of symptoms between these conditions can be confusing, but the good news is that you can tease out the difference with simple lab tests.
What Causes An Overactive Thyroid
Excess thyroid production is most often the cause of an autoimmune disease known as Graves’ disease.
This condition results in hyperthyroidism due to stimulation of the thyroid gland.
In Graves’ disease, your body produces antibodies, known as thyroid stimulating immunoglobulin, which attaches to your thyroid gland and initiates the production of thyroid hormone.
Normally, when thyroid levels increase, your body can shut off excess production.
But the presence of these antibodies causes constant stimulation of your thyroid gland which results in the symptoms we listed above.
But Graves’ disease is not the only cause of this condition.
Some patients may experience an increase in thyroid hormone from nodules which ignore normal feedback loops.
Other conditions, such as tumors which produce TSH can also initiate the same response.
The conditions we listed above tend to cause a sustained and chronic increase in thyroid hormone over time.
But there are other conditions which temporarily cause an overactive thyroid .
Thyroiditis is worth mentioning because it can cause a very confusing clinical picture and one which causes alternating stages of both an overactive thyroid and an underactive thyroid.
This rollercoaster, which is seen in conditions such as Hashimoto’s thyroiditis, can be VERY confusing for patients.
Associated Factors Of Hot Flashes
Numerous studies have looked at hot flashes as a symptom in the past. Different approaches have been used and various results have been reported. The most common associated condition is menopause, primarily among the female population.
One study2 found that, even though menopause is the most commonly associated factor, medical experts need to look at additional health factors, as well as lifestyle factors, that may also contribute to the experience of hot flashes.
The study found that there are numerous additional factors that need to be considered when a woman complains about experiencing hot flashes frequently. Some particular factors that have been pointed out in this study include:
- The ethnicity of the patient.
- The consumption of phytoestrogens and soy isoflavones in the patients diet.
- Bodyweight, body mass index and the possibility of obesity as a major contributing factor.
The conclusion made by the study provides a more effective approach to treating hot flashes as a symptom. Instead of primarily targeting menopause as a cause for hot flashes, medical experts are urged to consider additional contributing factors.
With the detection of associated factors, treatment can be administered to address these additional possible causes thus leading to more efficient treatment methods without the need for experimenting with several treatment options before finding the most suitable option for a particular patient.
Getting The Right Diagnosis
Hypothyroidism is more likely to develop in women, and a personal history or family history of thyroid issues can increase your risk. To accurately test for hypothyroidism, a blood test for thyroid stimulating hormone is used. Even small changes in your thyroid hormone levels will cause very big changes in TSH secretion. The TSH test is really accurate and is the appropriate test for 99 percent of cases. Other lab tests for thyroid function are supplemental, and may not be clinically relevant or appropriate, adds Dr. Bloomgarden.
Once a diagnosis is confirmed, your physician will work with you to find the appropriate treatment. The most frequently used treatment for hypothyroidism is replacing the hormone with a substitute, known as levothyroxine . This is a precursor to the active hormone and seeks to replicate the hormones your body is failing to produce properly. Your body does not care if you make or take thyroid hormone, adds Dr Bloomgarden.
Causes of hypothyroidism can include:
Symptoms of an underactive thyroid can be nonspecific or reflect other issues. You may experience:
- Dry skin
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Parathyroid Disease And Hyperparathyroidism Are Associated With Weight Gain The Worries About Gaining Weight After Parathyroid Surgery Are Understandable But Unfounded It Is A Myth That Parathyroid Surgery And Removing A Parathyroid Tumor Causes You To Gain Weight
Weight gain is a common concern for patients with many hormone problems, including hyperparathyroidism. This blog was prompted by a recent rash of patients asking us if the parathyroid operation was going to make them gain weight. It absolutely does not happen because of the parathyroid surgery. Lets look at weight gain in patients with hyperparathyroidism before and after parathyroid surgery.
One study of weight gain in hyperparathyroidism was published in one of the best medical journals a few years ago and included several thousand patients. Here is a short version of their report, most of it exactly as written but some has been changed slightly to make it more readable for the non-doctors in the audience .
What Is The Relationship Between Hyperthyroidism And Weight
Since the BMR in patients with hyperthyroidism is elevated, many patients with an overactive thyroid do, indeed, have some weight loss. Furthermore, weight loss is related to the severity of the overactive thyroid. For example, if the thyroid is extremely overactive, the individuals BMR increases which leads to increased calories needed to maintain the body weight. If the person does not increase the amount of calories eaten to match the excess calories burned, then there will be weight loss. As indicated earlier, the factors that control our appetite, metabolism, and activity are very complex and thyroid hormone is only one factor in this complex system. Nevertheless, on average the more severe the hyperthyroidism, the greater the weight loss observed. Weight loss is also observed in other conditions where thyroid hormones are elevated, such as in the toxic phase of thyroiditis or if the dose of thyroid hormone pills is too high for a patient. Since hyperthyroidism also increases appetite, some patients may not lose weight, and some may actually gain weight, depending on how much they increase their caloric intake.
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Can Nodules Go Away On Their Own
Mostly, nodules disappear on their own or stay the same size. Nodules are not dangerous and require no treatment as long as they dont grow. Otherwise, your doctor may suggest treatments to shrink thyroid nodules.
If you want to get treated for thyroid nodules, contact us at 907-276-3676. At Far North Surgery â a trusted surgery center of Anchorage, Dr. Madhu Prasad and his team of doctors have all the expertise to treat nodular growth in your thyroid gland
The Link Between Thyroid And Your Weight
The thyroid gland is a butterfly-shaped gland located in the front of your neck. This gland is responsible for producing, storing and secreting thyroid hormone, an essential hormone for the function of virtually all parts of your body. Reduced production of thyroid hormone can be temporary, but when it is permanent, the result is called hypothyroidism.
Approximately 4.6 percent of people in the U.S. ages 12 and older have some degree of hypothyroidism, the vast majority falling into what is known as subclinical or mild hypothyroidism. Mild hypothyroidism is typically asymptomatic but can progress to overt hypothyroidism. Hypothyroidism from any cause results in a decrease in energy metabolism, or the basal metabolic rate. Patients often experience a modest amount of weight gain prior to diagnosis because of this metabolic slowing, explains Northwestern Medicine Endocrinologist Eve D. Bloomgarden, MD. Other symptoms depend on the severity of hypothyroidism but commonly include fatigue, constipation, muscle aches and feeling cold. And while this can lead to weight gain for some that is only a small part of the big picture.
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Can Thyroid Hormone Be Used To Help Me Lose Weight
Thyroid hormones have been used as a weight loss tool in the past. Starting or increasing thyroid hormone to cause thyroid hormone levels to be elevated is unlikely to dramatically change weight. Studies have shown that excess thyroid hormone treatment can help produce more weight loss than can be achieved by dieting alone, but includes the risk of major negative consequences from the use of thyroid hormone to help with weight loss, such as the loss of muscle protein, loss of bone, and/or heart problems. Furthermore, once the excess thyroid hormone is stopped, any weight loss is usually regained.
How Common Is Weight Gain After Treatment For Hyperthyroidism
There has been some fairly recent research on this and one major study on over 1,000 hyperthyroid patients – who were treated with antithyroid drugs, radioiodine or both – has revealed some interesting data
Lead by Dr Kristien Boelart of the University of Birmingham it was discovered that:
- 44% of patients with a normal BMI at the beginning of the research became overweight or obese
- Men gained 17.6 lbs during treatment and were 1.7 times more likely than those without an overactive thyroid to get into the obese range
- Women gained 12 lbs and were 1.3 times more likely than those without an overactive thryroid to get into the obese range
- A steady level of weight gain appears to happen in the first six months of treatment before tapering off, but some patients experienced this for more than three years.
- Those with Graves disease seemed to gain more weight than those with toxic nodular hyperthyroidism.
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What Prompts Hyperthyroid Related Weight Gain
“This woman had developed thyroid storm,” says Kristien Boelaert, MD, PhD, associate professor of endocrinology at the University of Birmingham in the United Kingdom, and senior author of a new study focusing on weight gain after treatment for hyperthyroidism. Thyroid storm is a life-threatening condition in which body temperature, heart rate, and blood pressure often rise to dangerous levels.
These symptoms arose in June, landing her in the intensive care unit, Dr. Boelaert says, and required urgent medical attention. Just like this patient, many people are tempted to stop taking their antithyroid therapy with of the hope of lessening the weight gain, she says, and for those who do, the result is even worse medical complications.
In recognizing this common scenario, Dr. Boelaert and her colleagues were compelled to study the issueexactly how much weight people typicaly gain while being treated for hyperthyroidismand report their findings in the journal Thyroid.1
Dr. Boelaerts team found that many people do indeed gain weight, with some developing obesity. The data gathered from this study puts concrete numbers to this adverse effect of hyperthyroid treatment. Simple awareness of how common excess weight gain may be can be a big relief for patients, Dr. Boelaert tells EndocrineWeb knowing that weight gain can occur means patients can take proactive steps to anticipate the problem and lessen the result.
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Your thyroid gland weighs less than an ounce, yet has the power to affect weight gain by an average of 20 to 30 pounds if its not working properly.
Your thyroid is a small gland in the front of your neck just below your Adams apple. When its working as it should, your thyroid releases hormones that play a huge role in how your body uses energy, and in how your organs function. Because your thyroid controls your metabolism it can also have an effect on your weight.
The thyroids function is to regulate the metabolism of the body how fast or slow things go, says Kimberly Bethel, MD, of Trotwood Physician Center. It affects everything from the top of the head all the way down to the toes. And we know it affects a persons weight. If you are a fast metabolizer you will burn more calories, or if you are a slow metabolizer, youre going to gain weight.
Thyroid function is often the first thing a physician checks when a patient is experiencing unexplained weight gain or loss, because improper hormone production affects so much more than a persons size. Thankfully, the disease is treatable, although not curable.
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