What does the thyroid do?

Your thyroid controls your body’s metabolic rate

The hormones your thyroid produces affect your heart rate, respiratory rate, the rate at which you burn calories, skin maintenance, growth, heat production, fertility and digestion.1-6

What is hypothyroidism?

Hypothyroidism refers to an underactive thyroid gland

A gland in your brain releases thyroid stimulating hormone (TSH), which signals the thyroid to produce hormones (T3 and T4). When the thyroid is not able to produce enough thyroid hormones to keep your body functioning properly, more TSH is released.
In most cases of hypothyroidism, there are high levels of TSH and low levels of T4. These levels may change throughout life so they should be monitored regularly.

There are many symptoms of hypothyroidism.7 You may have one or more of the following:

  • Fatigue
  • Dry skin
  • Feeling cold
  • Weight gain
  • Coarse hair / hair loss
  • Muscle aches
  • Depression
  • Difficulty concentrating
  • Brittle nails
  • Constipation
  • Hoarse voice
  • Puffiness of face / around eyes
  • Heavy periods
  • Infertility

How is hypothyroidism diagnosed?

Hypothyroidism can be diagnosed with a simple blood test called a TSH test.

TSH stands for "Thyroid Stimulating Hormone" – a hormone normally found in everyone's blood.

When you have hypothyroidism, your TSH level is high because your thyroid gland isn't making enough of the thyroid hormones called T3 and T4. This causes your pituitary gland to produce more TSH so it can tell your thyroid to work harder.

Following a TSH test, your doctor may also want to test your T4 hormone levels. Another test that looks at something called thyroid autoantibodies can also help confirm a diagnosis. Finally, if the shape of the thyroid gland appears abnormal to your doctor, he or she may perform a thyroid scan or ultrasound.8

Hypothyroidism can lead to serious consequences if not properly treated. Be sure to take your Synthroid® exactly as prescribed, complete your regular bloodwork and discuss any concerns with your doctor or pharmacist.

References:

  1. 1.Khatri M. What Does Your Thyroid Do? Available from: https://www.webmd.com/a-to-z-guides/what-does-thyroid-do. Accessed on February 15, 2022.
  2. 2.Ai J, Leonhardt JM, Heymann WR. Autoimmune thyroid diseases: etiology, pathogenesis, and dermatologic manifestations. J Am Acad Dermatol. 2003 May;48(5):641-59; quiz 660-2. doi: 10.1067/mjd.2003.257. PMID: 12734493.
  3. 3.InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. How does the thyroid gland work? 2010 Nov 17 [Updated 2018 Apr 19]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279388/ Accessed on February 15, 2022.
  4. 4.Dosiou C. Thyroid and Fertility: Recent Advances. Thyroid. 2020 Apr;30(4):479-486. doi: 10.1089/thy.2019.0382. Epub 2020 Feb 4. PMID: 31903865.
  5. 5.The British Thyroid Foundation. Your guide to pregnancy and fertility in thyroid disorders. Available from: https://www.btf-thyroid.org/pregnancy-and-fertility-in-thyroid-disorders. Accessed on February 15, 2022.
  6. 6.Ebert EC. The thyroid and the gut. J Clin Gastroenterol. 2010 Jul;44(6):402-6. doi: 10.1097/MCG.0b013e3181d6bc3e. PMID: 20351569.
  7. 7.Chaker L, Bianco AC, Jonklaas J, Peeters RP. Hypothyroidism. Lancet. 2017;390(10101):1550-1562. doi:10.1016/S0140-6736(17)30703-1.
  8. 8.Sawka AM, Jonklaas J. Hypothyroidism. CMAJ. Feb 2015;187(3):205. doi:10.1503/cmaj.141596.