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What are the causes of thyroid level imbalance?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am worried about my health. I have been feeling tired all the time despite resting a lot. I have also experienced unintended weight gain, thinning hair, and perpetual coldness despite other people's comfort. My menstruation has become irregular, and I have had mood swings and brain fog, which makes it difficult for me to concentrate at work.

I recently had blood work done, and my doctor said that my thyroid levels may be out of balance. Is it possible that this means I have hypothyroidism or some other endocrine issue? What additional tests would be required to diagnose it, and how reliable are they?

If I do require treatment, what are the available options, and how soon do I start to feel better? I just want to understand why I am feeling like this; it is really affecting my daily life. Are there any lifestyle changes or supplements that could help me feel better?

I would appreciate your guidance on this.

Thank you.

Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Symptoms of an underactive thyroid are:

  1. Tiredness.
  2. Being sensitive to cold.
  3. Weight gain.
  4. Constipation.
  5. Depression.
  6. Slow movements and thoughts.
  7. Muscle aches and weakness.
  8. Muscle cramps.

A blood test measuring hormone levels is the only accurate way to determine whether there is a problem. This test, called a thyroid function test, examines the levels of thyroid-stimulating hormone (TSH) and thyroxine (T4) in the blood.

Additionally, the following imaging tests can be conducted:

  1. Thyroid scan.
  2. Ultrasound.
  3. Radioactive iodine uptake test.

An underactive thyroid (hypothyroidism) is usually treated by taking daily hormone replacement tablets called Levothyroxine (hormones). Levothyroxine replaces the thyroxine hormone, which the thyroid does not produce in sufficient amounts. Initially, regular blood tests are required until the correct dose of Levothyroxine is determined.

I suggest you follow the lifestyles mentioned:

  1. Eat a balanced diet.
  2. Get regular exercise.
  3. Manage stress.
  4. Monitor your medication.
  5. Stay informed about your health.
  6. The following foods are to be avoided:
  7. Soy-containing foods.
  8. Cruciferous vegetables.
  9. Fried or fatty foods.
  10. Foods high in fiber.
  11. Nuts.
  12. Foods that contain excess iodine.
  13. Probable cause could be:
  14. Hypothyroidism.

Treatment plan:

Levothyroxine (thyroid hormone replacement).

I hope this helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 31, 2025
Reviewed AtJune 13, 2025

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