{"id":1895,"date":"2026-10-04T20:16:13","date_gmt":"2026-10-04T20:16:13","guid":{"rendered":"https:\/\/praxis-dr-knauf.de\/?page_id=1895"},"modified":"2026-10-04T20:16:13","modified_gmt":"2026-10-04T20:16:13","slug":"schilddruesenunterfunktion","status":"publish","type":"page","link":"https:\/\/praxis-dr-knauf.de\/en\/schilddruesenunterfunktion\/","title":{"rendered":"Underactive thyroid"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1895\" class=\"elementor elementor-1895\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-61166f23 e-con e-atomic-element e-div-block-base e-default-div e-2d2b9a92-7472\" data-id=\"61166f23\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"61166f23\">\n    \t\t\t<div class=\"elementor-element elementor-element-1xrtxq3 e-con e-atomic-element e-flexbox-base e-default-div knauf-section e-755cb54e-4584\" data-id=\"1xrtxq3\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"2efe9892\">\n    <div class=\"elementor-element elementor-element-0z1zu9g e-con e-atomic-element e-flexbox-base e-default-div e-5df8a0db-3087\" data-id=\"0z1zu9g\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"39fe3a83\">\n    \t\t\t<img fetchpriority=\"high\" decoding=\"async\" class=\"e-image-base e-default-img knauf-image e-268015b0-2477\" data-interaction-id=\"12ba9dd2\" data-e-type=\"widget\" data-id=\"0ohibsw\" id=\"110\" src=\"https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re.png\" width=\"778\" height=\"236\" srcset=\"https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re.png 778w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-300x91.png 300w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-768x233.png 768w, https:\/\/praxis-dr-knauf.de\/wp-content\/uploads\/2024\/11\/cropped-Logo-mit-re-233x71.png 233w\" alt=\"\"\/>\t\t<div class=\"elementor-element elementor-element-0x7nijf e-con e-atomic-element e-flexbox-base e-default-div e-15c608af-3029\" data-id=\"0x7nijf\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"afcb2fb\">\n    \t\t\t<p class=\"e-7718a3e2-81ed e-paragraph-base e-default-p\" data-interaction-id=\"51dc6b96\" data-e-type=\"widget\" data-id=\"08l9h6k\"><a href=\"\/en\/\">Home<\/a><\/p>\n\t\t\t\t\t<p class=\"e-3910d5f3-e4ec e-paragraph-base e-default-p\" data-interaction-id=\"60c31d5\" data-e-type=\"widget\" data-id=\"02tfhxu\"><a href=\"\/en\/aktuelles\/\">News<\/a><\/p>\n\t\t\t\t\t<p class=\"e-3910d5f3-e4ec e-paragraph-base e-default-p\" data-interaction-id=\"29e806fa\" data-e-type=\"widget\" data-id=\"187276b\"><a href=\"\/en\/hausarztprogramm\/\">GP programme<\/a><\/p>\n\t\t\t\t\t<p class=\"e-396c8eb3-517a e-paragraph-base e-default-p\" data-interaction-id=\"10842642\" data-e-type=\"widget\" data-id=\"0uc55hn\"><span class=\"knauf-service-menu\" data-no-translation><a href=\"\/en\/leistungen\/\">Services<\/a><button class=\"knauf-menu-toggle\" type=\"button\" aria-label=\"Open services menu\" aria-expanded=\"false\" aria-controls=\"knauf-service-submenu\">\u25be<\/button><span id=\"knauf-service-submenu\" class=\"knauf-service-submenu\"><a href=\"\/en\/vorsorge-frueherkennung\/\">Preventive care and screening<\/a><a href=\"\/en\/akute-beschwerden\/\">Acute symptoms<\/a><a href=\"\/en\/chronische-erkrankungen\/\">Chronic conditions<\/a><a href=\"\/en\/impfungen-reisemedizin\/\">Vaccinations and travel medicine<\/a><a href=\"\/en\/diagnostik\/\">Diagnostic tests<\/a><a href=\"\/en\/digitale-praxis\/\">Digital medicine<\/a><a href=\"\/en\/diga-apps-auf-rezept\/\">DiGA \u2014 apps on prescription<\/a><a href=\"\/en\/bescheinigungen\/\">Medical certificates<\/a><a href=\"\/en\/abnehmen-aerztliche-begleitung\/\">Weight 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=\"1d3iqe1\"><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=\"1b361fc\"><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=\"01csvtk\"><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=\"1n3g6yo\">\n\tBook an appointment\n<\/a>\n\t\t\n<\/div>\n\n<\/div>\n\n\t\t<div class=\"elementor-element elementor-element-64303e18 e-con e-atomic-element e-flexbox-base e-default-div e-7c6cc6d9-9e4d\" data-id=\"64303e18\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"64303e18\">\n    <div class=\"elementor-element elementor-element-6841fe91 e-con e-atomic-element e-flexbox-base e-default-div e-53b2ca3f-7bc4\" data-id=\"6841fe91\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"6841fe91\">\n    \t\t\t<p class=\"knauf-kicker e-paragraph-base e-default-p\" data-interaction-id=\"e0bc0a5\" data-e-type=\"widget\" data-id=\"e0bc0a5\"><a href=\"\/en\/leistungen\/\">Services<\/a> \/ Service details<\/p>\n\t\t\t\t\t<h1 data-interaction-id=\"7779d05\" class=\"knauf-h1 e-3fa0e21-2b52 e-heading-base e-default-h1\" data-e-type=\"widget\" data-id=\"7779d05\">Underactive thyroid<\/h1>\n\t\t\n<\/div>\n\n<\/div>\n<div class=\"elementor-element elementor-element-5aaeef89 e-con e-atomic-element e-div-block-base e-default-div e-289b46f7-c859\" data-id=\"5aaeef89\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"5aaeef89\">\n    \t\t\t<p class=\"knauf-copy e-22cb6b25-d91d e-paragraph-base e-default-p\" data-interaction-id=\"23609238\" data-e-type=\"widget\" data-id=\"23609238\">Identifying and treating insufficient thyroid hormone.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"708699bb\" class=\"knauf-h2 e-209e174-2ac8 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"708699bb\">Understanding the condition<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-5a06bdf2-1708 e-paragraph-base e-default-p\" data-interaction-id=\"5a591e47\" data-e-type=\"widget\" data-id=\"5a591e47\">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.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"74986a86\" class=\"knauf-h2 e-18cc800b-4589 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"74986a86\">Common symptoms<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-14efef9a-3383 e-paragraph-base e-default-p\" data-interaction-id=\"141cd06c\" data-e-type=\"widget\" data-id=\"141cd06c\">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.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"2a62e110\" class=\"knauf-h2 e-5ec729c7-8bbc e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"2a62e110\">Diagnosis and assessment<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-7f5aef0c-95ab e-paragraph-base e-default-p\" data-interaction-id=\"3839f1ef\" data-e-type=\"widget\" data-id=\"3839f1ef\">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.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"77e44899\" class=\"knauf-h2 e-536c1cea-9c57 e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"77e44899\">Treatment and ongoing care<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-6d71d893-73c0 e-paragraph-base e-default-p\" data-interaction-id=\"587beade\" data-e-type=\"widget\" data-id=\"587beade\">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.<\/p>\n\t\t\t\t\t<h2 data-interaction-id=\"41f0bb8d\" class=\"knauf-h2 e-7942f331-868b e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"41f0bb8d\">Monitoring your progress together<\/h2>\n\t\t\t\t\t<p class=\"knauf-copy e-78db07d3-2c9e e-paragraph-base e-default-p\" data-interaction-id=\"2ae2f3d6\" data-e-type=\"widget\" data-id=\"2ae2f3d6\">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=\"67dd0864\" class=\"knauf-h2 e-35b437f9-8a8e e-heading-base e-default-h2\" data-e-type=\"widget\" data-id=\"67dd0864\">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=\"7f23aa01\" data-e-type=\"widget\" data-id=\"7f23aa01\">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-6e6e70dd-2847 e-paragraph-base e-default-p\" data-interaction-id=\"18f3ff4d\" data-e-type=\"widget\" data-id=\"18f3ff4d\"><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-63c7c233 e-con e-atomic-element e-flexbox-base e-default-div e-f2730e-ca87\" data-id=\"63c7c233\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"63c7c233\">\n    \t\t\t<p class=\"knauf-copy e-65f9994d-ce71 e-paragraph-base e-default-p\" data-interaction-id=\"243b265d\" data-e-type=\"widget\" data-id=\"243b265d\"><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=\"140acc1e\" data-e-type=\"widget\" data-id=\"140acc1e\">\n\tAppointments and enquiries\n<\/a>\n\t\t\n<\/div>\n\t\t\t<footer class=\"elementor-element elementor-element-1hyv4pm e-con e-atomic-element e-div-block-base e-default-footer knauf-section e-3dc92d59-826b\" data-id=\"1hyv4pm\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"5805be83\">\n    <div class=\"elementor-element elementor-element-0ck0eoe e-con e-atomic-element e-flexbox-base e-default-div knauf-row e-70feb603-e1d1\" data-id=\"0ck0eoe\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"58487519\">\n    <div class=\"elementor-element elementor-element-1eks3es e-con e-atomic-element e-div-block-base e-default-div e-22bea648-e87b\" data-id=\"1eks3es\" 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=\"1qjq6tc\">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=\"0251evp\">Always here for you.<\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-12h2yoi e-con e-atomic-element e-div-block-base e-default-div e-7ec5c69e-25a7\" data-id=\"12h2yoi\" 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=\"0a1q6y7\">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=\"0z8op23\">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-1rd285h e-con e-atomic-element e-div-block-base e-default-div e-775f3b4c-f36c\" data-id=\"1rd285h\" 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=\"099arrc\">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=\"0ix7dh2\">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-1qaj0lj e-con e-atomic-element e-div-block-base e-default-div e-ae0576b-ad72\" data-id=\"1qaj0lj\" 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=\"1i98s99\">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=\"0x8arri\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" fill=\"currentColor\" style=\"width: 100%; 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Das Krankheitsbild verstehen Bei einer Schilddr\u00fcsenunterfunktion stehen dem K\u00f6rper zu wenige Schilddr\u00fcsenhormone zur Verf\u00fcgung. Eine h\u00e4ufige Ursache ist Hashimoto-Thyreoiditis; auch Operationen oder bestimmte Behandlungen k\u00f6nnen dazu f\u00fchren. Ob ein auff\u00e4lliger Laborwert behandelt werden muss, wird individuell entschieden. Typische Beschwerden M\u00fcdigkeit, K\u00e4lteempfindlichkeit, Verstopfung, trockene Haut oder Gewichtszunahme k\u00f6nnen auftreten. Die Beschwerden entwickeln sich h\u00e4ufig langsam und sind nicht spezifisch. Daher sollte die Ursache durch eine passende Untersuchung gekl\u00e4rt werden. Diagnostik und Einordnung Wir beurteilen insbesondere TSH und bei Bedarf freies T4. Die Krankengeschichte und vorhandene Schilddr\u00fcsenbefunde helfen bei der Einordnung. Zus\u00e4tzliche Antik\u00f6rperbestimmungen oder Ultraschall sind je nach Fragestellung sinnvoll, aber nicht bei jeder Verlaufskontrolle n\u00f6tig. Behandlung und Begleitung Eine behandlungsbed\u00fcrftige Unterfunktion wird h\u00e4ufig mit L-Thyroxin ausgeglichen. Die Dosis orientiert sich an Laborwerten, Beschwerden und Begleiterkrankungen. Wir besprechen Einnahmezeit, Wechselwirkungen und Kontrollen nach Dosis\u00e4nderungen. Bei Kinderwunsch oder Schwangerschaft sollte die Behandlung fr\u00fchzeitig \u00fcberpr\u00fcft werden. 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. Bergisch Gladbach M\u00fclheimer Stra\u00dfe 8451469 Bergisch Gladbach02202 \/ 5 91 90mail@praxis-dr-knauf.de Wir sind f\u00fcr Sie da Mo\u2013Fr: 08:00\u201313:00 UhrMo, Di, Do: 15:00\u201318:00 Uhr Folgen Sie uns \u00a9 Hausarztpraxis Dr. Knauf und Partner \u00b7 Impressum \u00b7 Datenschutz \u00b7 Kontakt<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-1895","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.4 - aioseo.com -->\n\t<meta name=\"description\" content=\"Startseite Aktuelles Hausarztprogramm Services\u25bePreventive care and screeningAcute symptomsChronic conditionsVaccinations and travel medicineDiagnostic testsDigital medicineDiGA \u2014 apps on prescriptionMedical certificatesWeight management and medical supportAcupuncture and tapingInfusionsMassageAviation medicinePalliative care \u00dcber uns Kontakt Karriere Termin buchen Leistungen \/ Detail\u00fcbersicht Schilddr\u00fcsenunterfunktion Fehlende Schilddr\u00fcsenhormone gezielt erkennen und behandeln. 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