{"id":1889,"date":"2026-10-04T20:16:06","date_gmt":"2026-10-04T20:16:06","guid":{"rendered":"https:\/\/praxis-dr-knauf.de\/?page_id=1889"},"modified":"2026-10-04T20:16:06","modified_gmt":"2026-10-04T20:16:06","slug":"hashimoto-thyreoiditis","status":"publish","type":"page","link":"https:\/\/praxis-dr-knauf.de\/en\/hashimoto-thyreoiditis\/","title":{"rendered":"Hashimoto's thyroiditis"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1889\" class=\"elementor elementor-1889\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6b446ff e-con e-atomic-element e-div-block-base e-default-div e-4e968946-2938\" data-id=\"6b446ff\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"6b446ff\">\n    \t\t\t<div class=\"elementor-element elementor-element-0jsyix4 e-con e-atomic-element e-flexbox-base e-default-div knauf-section e-755cb54e-4584\" data-id=\"0jsyix4\" 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management and medical support<\/a><a href=\"\/en\/akupunktur-und-taping\/\">Acupuncture and taping<\/a><a href=\"\/en\/infusionen\/\">Infusions<\/a><a href=\"\/en\/massage\/\">Massage<\/a><a href=\"\/en\/flugmedizin\/\">Aviation medicine<\/a><a href=\"\/en\/palliativmedizin\/\">Palliative care<\/a><\/span><\/span><\/p>\n\t\t\t\t\t<p class=\"e-5fd56f6e-c415 e-paragraph-base e-default-p\" data-interaction-id=\"31a8ea64\" data-e-type=\"widget\" data-id=\"1qjdfqi\"><a href=\"\/en\/ueber-uns\/\">About us<\/a><\/p>\n\t\t\t\t\t<p class=\"e-2d8fddb9-fc86 e-paragraph-base e-default-p\" data-interaction-id=\"4653f079\" data-e-type=\"widget\" data-id=\"0txbnij\"><a href=\"\/en\/kontakt\/\">Contact<\/a><\/p>\n\t\t\t\t\t<p class=\"e-b2de60-76ed e-paragraph-base e-default-p\" data-interaction-id=\"cd11ab8\" data-e-type=\"widget\" data-id=\"1aehqnf\"><a href=\"\/en\/karriere\/\">Careers<\/a><\/p>\n\t\t\n<\/div>\n\t\t\t<a href=\"https:\/\/www.doctolib.de\/gemeinschaftspraxis\/bergisch-gladbach\/hausarztpraxis-dr-knauf-und-partner-bergisch-gladbach\" target=\"_blank\" class=\"knauf-button e-5e30fdfc-abef e-button-base e-default-a\" data-interaction-id=\"6c1f8436\" data-e-type=\"widget\" data-id=\"1xa7v8z\">\n\tBook an appointment\n<\/a>\n\t\t\n<\/div>\n\n<\/div>\n\n\t\t<div class=\"elementor-element elementor-element-5ac66d41 e-con e-atomic-element e-flexbox-base e-default-div e-663361c4-fbf5\" data-id=\"5ac66d41\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"5ac66d41\">\n    <div class=\"elementor-element elementor-element-533bba5e e-con e-atomic-element e-flexbox-base e-default-div e-47755f16-c637\" data-id=\"533bba5e\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"533bba5e\">\n    \t\t\t<p class=\"knauf-kicker e-paragraph-base e-default-p\" data-interaction-id=\"2c1979f1\" data-e-type=\"widget\" data-id=\"2c1979f1\"><a href=\"\/en\/leistungen\/\">Services<\/a> \/ Service details<\/p>\n\t\t\t\t\t<h1 data-interaction-id=\"73149fd0\" class=\"knauf-h1 e-7709cbb7-6271 e-heading-base e-default-h1\" data-e-type=\"widget\" data-id=\"73149fd0\">Hashimoto's thyroiditis<\/h1>\n\t\t\n<\/div>\n\n<\/div>\n<div class=\"elementor-element elementor-element-160162ea e-con e-atomic-element e-div-block-base e-default-div e-2684e7ad-4208\" data-id=\"160162ea\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"160162ea\">\n    \t\t\t<p class=\"knauf-copy e-773953ca-d363 e-paragraph-base e-default-p\" data-interaction-id=\"678093d1\" data-e-type=\"widget\" data-id=\"678093d1\">Ongoing care for an autoimmune thyroid condition.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"331901db\" class=\"knauf-h2 e-3f0d5d62-de2d e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"331901db\">Understanding the condition<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-e96fde2-7839 e-paragraph-base e-default-p\" data-interaction-id=\"55551a0f\" data-e-type=\"widget\" data-id=\"55551a0f\">Hashimoto's thyroiditis is inflammation of the thyroid caused by the immune system. It can lead to an underactive thyroid over time. Not everyone needs medication immediately; thyroid function, symptoms and individual circumstances determine treatment.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"6dbdc75a\" class=\"knauf-h2 e-1d8cfed3-9bc3 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"6dbdc75a\">Common symptoms<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-7cd80e9c-c05a e-paragraph-base e-default-p\" data-interaction-id=\"716bf9a0\" data-e-type=\"widget\" data-id=\"716bf9a0\">Possible signs of an underactive thyroid include tiredness, sensitivity to cold, constipation and dry skin. These symptoms have other causes too. Some people notice nothing initially and learn about the condition through blood tests or ultrasound.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"5dc839ff\" class=\"knauf-h2 e-7d2bfecb-2476 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"5dc839ff\">Diagnosis and assessment<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-36b6dd87-963b e-paragraph-base e-default-p\" data-interaction-id=\"781e4a56\" data-e-type=\"widget\" data-id=\"781e4a56\">Assessment mainly uses TSH and, where appropriate, other thyroid measurements. Antibody tests and ultrasound can clarify the cause. We interpret results alongside symptoms, medication and circumstances such as pregnancy or plans to conceive.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"5e6e1619\" class=\"knauf-h2 e-6193773-7d2a e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"5e6e1619\">Treatment and ongoing care<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-33dc4487-fa71 e-paragraph-base e-default-p\" data-interaction-id=\"28cb3c69\" data-e-type=\"widget\" data-id=\"28cb3c69\">If an underactive thyroid needs treatment, levothyroxine can replace missing hormones. Regular checks help establish the right dose. Do not use iodine or other supplements without advice. We discuss correct use and possible interactions, including with iron or calcium supplements.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"27d80935\" class=\"knauf-h2 e-27143834-b7c8 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"27d80935\">Monitoring your progress together<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-a2a804d-4619 e-paragraph-base e-default-p\" data-interaction-id=\"594bb24\" data-e-type=\"widget\" data-id=\"594bb24\">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.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"1080fefb\" class=\"knauf-h2 e-2df4d9f6-3002 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"1080fefb\">Your appointment at the practice<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"275878e3\" data-e-type=\"widget\" data-id=\"275878e3\">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.<\/p>\n\t\t\t\t\t<p class=\"knauf-copy e-14f9525c-b73d e-paragraph-base e-default-p\" data-interaction-id=\"205d3571\" data-e-type=\"widget\" data-id=\"205d3571\"><a href=\"https:\/\/praxis-dr-knauf.de\/en\/chronische-erkrankungen\/\">\u2190 Back to Chronic conditions<\/a><\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-77a0e7ee e-con e-atomic-element e-flexbox-base e-default-div e-2a67f91b-8df0\" data-id=\"77a0e7ee\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"77a0e7ee\">\n    \t\t\t<p class=\"knauf-copy e-74204acb-b86c e-paragraph-base e-default-p\" data-interaction-id=\"37bdd0b1\" data-e-type=\"widget\" data-id=\"37bdd0b1\"><a href=\"\/en\/leistungen\/\">\u2190 View all services<\/a><\/p>\n\t\t\t\t\t<a href=\"\/en\/kontakt\/\" target=\"_self\" class=\"knauf-button e-button-base e-default-a\" data-interaction-id=\"7ecf4056\" data-e-type=\"widget\" data-id=\"7ecf4056\">\n\tAppointments and enquiries\n<\/a>\n\t\t\n<\/div>\n\t\t\t<footer class=\"elementor-element elementor-element-0crkhyd e-con e-atomic-element e-div-block-base e-default-footer knauf-section e-3dc92d59-826b\" data-id=\"0crkhyd\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"5805be83\">\n    <div class=\"elementor-element elementor-element-0dqxi5t e-con e-atomic-element e-flexbox-base e-default-div knauf-row e-70feb603-e1d1\" data-id=\"0dqxi5t\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"58487519\">\n    <div class=\"elementor-element elementor-element-0bjk7cr e-con e-atomic-element e-div-block-base e-default-div e-22bea648-e87b\" data-id=\"0bjk7cr\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"104416a2\">\n    \t\t\t<h3 data-interaction-id=\"6ffe7eb8\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"1ss4fwf\">GP practice<br>Dr. Knauf &amp; Partner<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"3936d2b5\" data-e-type=\"widget\" data-id=\"1fn4rsa\">Always here for you.<\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-1fopwtp e-con e-atomic-element e-div-block-base e-default-div e-7ec5c69e-25a7\" data-id=\"1fopwtp\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"666f32b0\">\n    \t\t\t<h3 data-interaction-id=\"766465df\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"1cgo89c\">Bergisch Gladbach<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"43ca075a\" data-e-type=\"widget\" data-id=\"00qhysk\">M\u00fclheimer Stra\u00dfe 84<br>51469 Bergisch Gladbach<br><a href=\"tel:+49220259190\">02202 \/ 5 91 90<\/a><br><a href=\"mailto:mail@praxis-dr-knauf.de\">mail@praxis-dr-knauf.de<\/a><\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-1n1kpkq e-con e-atomic-element e-div-block-base e-default-div e-775f3b4c-f36c\" data-id=\"1n1kpkq\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"2fe32f46\">\n    \t\t\t<h3 data-interaction-id=\"2d546434\" class=\"knauf-h3 e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"0s3vhx3\">Here for you<\/h3>\n\t\t\t\t\t<p class=\"knauf-copy e-paragraph-base e-default-p\" data-interaction-id=\"18a0041a\" data-e-type=\"widget\" data-id=\"17zz3nt\">Mon\u2013Fri: 08:00\u201313:00<br>Mon, Tue, Thu: 15:00\u201318:00<\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-0ajvyig e-con e-atomic-element e-div-block-base e-default-div e-ae0576b-ad72\" data-id=\"0ajvyig\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"37027d12\">\n    \t\t\t<h3 data-interaction-id=\"44b0eb22\" class=\"knauf-h3 e-390ed395-187c e-heading-base e-default-h3\" data-e-type=\"widget\" data-id=\"17k2drm\">Follow us<\/h3>\n\t\t\t\t\t<a href=\"https:\/\/www.instagram.com\/hausarzt_dr_knauf\/\" target=\"_blank\" class=\"e-11b95a1c-3e27 e-svg-base e-default-a\" data-interaction-id=\"2f8e569e\" data-e-type=\"widget\" data-id=\"1qfuc8h\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" fill=\"currentColor\" style=\"width: 100%; 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Das Krankheitsbild verstehen Hashimoto-Thyreoiditis ist eine durch das Immunsystem verursachte Entz\u00fcndung der Schilddr\u00fcse. Sie kann langfristig zu einer Unterfunktion f\u00fchren. Nicht alle Betroffenen ben\u00f6tigen sofort Medikamente; ausschlaggebend sind Schilddr\u00fcsenfunktion, Beschwerden und die individuelle Situation. Typische Beschwerden M\u00f6gliche Zeichen einer Unterfunktion sind M\u00fcdigkeit, K\u00e4lteempfindlichkeit, Verstopfung oder trockene Haut. Diese Beschwerden haben auch andere Ursachen. Manche Betroffene bemerken zun\u00e4chst nichts und erfahren durch Blutwerte oder eine Ultraschalluntersuchung von der Erkrankung. Diagnostik und Einordnung Zur Einordnung dienen vor allem TSH und bei Bedarf weitere Schilddr\u00fcsenwerte. Antik\u00f6rper und Ultraschall k\u00f6nnen die Ursache kl\u00e4ren. Wir betrachten die Werte zusammen mit Beschwerden, Medikamenten und besonderen Situationen wie Kinderwunsch oder Schwangerschaft. Behandlung und Begleitung Bei einer behandlungsbed\u00fcrftigen Unterfunktion kann L-Thyroxin fehlende Hormone ersetzen. Regelm\u00e4\u00dfige Kontrollen helfen, die passende Dosis zu finden. Jod- oder andere Nahrungserg\u00e4nzungsmittel sollten nicht ohne Beratung eingesetzt werden. Wir besprechen die korrekte Einnahme und m\u00f6gliche Wechselwirkungen, etwa mit Eisen- oder Calciumpr\u00e4paraten. Gemeinsam den Verlauf im Blick behalten Wir besprechen, welche Ver\u00e4nderungen Sie im Alltag beobachten sollten und wann eine erneute Kontrolle sinnvoll ist. Ihre Fragen, pers\u00f6nliche Ziele und die Vertr\u00e4glichkeit der Behandlung flie\u00dfen in die weiteren Entscheidungen ein. Bei Bedarf stimmen wir uns mit den behandelnden Facharztpraxen ab. Ihr Termin in der Praxis Bringen Sie Ihre Versichertenkarte, aktuelle Arztbriefe, vorhandene Untersuchungsergebnisse und eine Medikamentenliste mit. Notieren Sie Ver\u00e4nderungen Ihrer Beschwerden und die wichtigsten Fragen. \u00c4ndern Sie eine bestehende Behandlung nicht eigenst\u00e4ndig; wir besprechen gemeinsam, ob Anpassungen n\u00f6tig sind. \u2190 Zur \u00dcbersicht Chronische Erkrankungen \u2190 Alle Leistungen ansehen Termin oder R\u00fcckfrage HausarztpraxisDr. Knauf &amp; Partner Immer f\u00fcr Sie da. 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