Services / Service details
Underactive thyroid
Identifying and treating insufficient thyroid hormone.
Understanding the condition
An underactive thyroid means the body has too little thyroid hormone. Hashimoto's thyroiditis is a common cause; surgery or certain treatments can also cause it. Whether an abnormal blood result needs treatment is decided individually.
Common symptoms
Tiredness, sensitivity to cold, constipation, dry skin or weight gain can occur. Symptoms often develop gradually and are not specific, so appropriate assessment is needed to clarify their cause.
Diagnosis and assessment
We particularly assess TSH and, where appropriate, free T4. Medical history and existing thyroid findings help interpretation. Additional antibody tests or ultrasound may help answer particular questions but are not necessary at every follow-up.
Treatment and ongoing care
An underactive thyroid that needs treatment is often managed with levothyroxine. The dose reflects blood results, symptoms and other conditions. We discuss timing, interactions and checks after dose changes. Treatment should be reviewed early when planning pregnancy or during pregnancy.
Monitoring your progress together
We discuss which changes to watch for in everyday life and when another check-up would be useful. Your questions, personal goals and how well you tolerate treatment inform further decisions. Where needed, we coordinate with your treating specialists.
Your appointment at the practice
Bring your health insurance card, recent medical letters, existing test results and a medication list. Note any changes in your symptoms and your main questions. Do not change existing treatment yourself; we will discuss together whether adjustments are needed.