In functional medicine, thyroid imbalance is often assessed by considering a comprehensive set of parameters, including specific signs and symptoms. While it’s important to note that this information does not substitute for professional medical advice, here are some commonly evaluated parameters and associated signs/symptoms related to thyroid imbalances:

Thyroid Hormone Levels:

Low levels of thyroid hormones (T3 and T4) may lead to symptoms such as fatigue, weight gain, cold intolerance, dry skin, and constipation. Elevated levels of thyroid hormones can result in symptoms like weight loss, anxiety, irritability, heat intolerance, rapid heartbeat, and increased bowel movements. Thyroid-Stimulating Hormone (TSH) Levels: High TSH levels often indicate an underactive thyroid (hypothyroidism). Symptoms may include fatigue, depression, difficulty concentrating, hair loss, dryness of skin, and feeling cold. Low TSH levels can suggest an overactive thyroid (hyperthyroidism), which may cause symptoms like nervousness, insomnia, weight loss, increased sweating, rapid heartbeat, and frequent bowel movements.

Thyroid Antibodies:

The presence of thyroid antibodies, such as anti-thyroid peroxidase (TPO) antibodies or anti-thyroglobulin antibodies, can indicate autoimmune thyroid conditions like Hashimoto’s thyroiditis or Graves’ disease. These conditions may manifest with symptoms similar to hypothyroidism or hyperthyroidism, respectively, along with additional autoimmune symptoms like joint pain, muscle weakness, and mood disturbances.
Basal Body Temperature: Low basal body temperature, typically below 97.8°F (36.6°C), can be associated with hypothyroidism. Basal body temperature that consistently exceeds 98.2°F (36.8°C) may suggest hyperthyroidism.

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Symptom Assessment:

Functional medicine practitioners consider a range of symptoms associated with thyroid imbalances, including fatigue, weight changes, hair loss, dry skin, brittle nails, brain fog, depression, anxiety, menstrual irregularities, fertility issues, muscle aches, and sensitivity to cold or heat.

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