Hypothyroidism - Signs and symptoms
  Thyroid hormone influences how fast the body produces and uses energy; an insufficient level of thyroid hormone slows down the body. For example, the brain, heart, blood vessels, liver, muscles, skin, and reproductive system all require thyroid hormone to function normally. If the level of thyroid hormone in the blood is too low, these parts of the body can begin to function poorly and produce a variety of signs and symptoms:
  • fatigue
  • drowsiness
  • feeling cold
  • difficulty concentrating
  • poor memory
  • feeling "blue"
  • difficulty losing weight
  • loss of appetite
  • dry, itchy skin
  • hair loss
  • dry, brittle hair
  • brittle nails
  • puffiness around the eyes
  • hoarseness
  • muscle pain and cramps
  • constipation
  • an enlarged thyroid gland (goiter)
  • slow heart rate
  • slow reflexes
  • elevated cholesterol
  • heavy menstrual periods
  • loss of interest in sex
  • difficulty conceiving
  • miscarriage
The type and severity of the signs and symptoms vary from patient to patient. Hypothyroidism can develop slowly, over time, and some patients may be unaware of any symptoms during the first stages of the disease. On the other hand, those patients who do not feel well will often describe symptoms such as feeling tired and sleepy, being cold all the time, losing their hair, being depressed, having difficulty concentrating, and finding it difficult to lose weight.