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Dr Basu
Dr Basu, Experienced Specialist
Category: Endocrinology
Satisfied Customers: 29244
Experience:  I have special training and certification in Diabetes management for last 10 yrs.
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I think that I might have an underactive thyroid, I am tired

Customer Question

I think that I might have an underactive thyroid, I am tired all the time my skin is very dry, my hair is very thin, I have panic attacks. I have had blood tests for thyroid but they have come back negative. Is if hard to diagnose an underactive thyroid?
Submitted: 4 years ago.
Category: Endocrinology
Expert:  Dr Basu replied 4 years ago.

Mysticdoc :

Hello,

Mysticdoc :

Thanks for your question.

Mysticdoc :

Underactive thyroid is difficult to diagnose sometimes.

Mysticdoc :

The thyroid blood tests should include serum TSH, free T4 levels.

Mysticdoc :

They should be repeated after 3 months if suspicion is high.

Mysticdoc :

Beside thyroid, there can be other possibilities as well for your symptoms.

Mysticdoc :

Diabetes, iron deficiency, and menopause can cause these symptoms as well.

Mysticdoc :

Adrenal gland insufficiency is another uncommon possibility.

Mysticdoc :

Hence, thee conditions also should be ruled out with fasting blod sugar, hemoglobin a1c level, serum feritin level, serum cortisol at 8 AM

Mysticdoc :

Best wishes,

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