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Colds, aches, pains, and other ailments
Hypothyroidism
Originally Published: January 27, 1995
 
Dear Alice,

I am an insomniac. I also have very dry skin despite frequent lotioning. I have other skin problems associated with dryness and flaking. I am always tired, but as I said before, I cannot sleep, ever! I never have energy. I read somewhere that these may be the symptoms of hypothyroidism, but they don't test for it in women under thirty-five. I am twenty-four. Could it be hypothyroidism? What else could these symptoms be about?

--Overtired and flaky

 

Dear Overtired and flaky,

Hypothyroidism, an underactivity of the thyroid gland, results in underproduction of thyroid hormones. It is usually caused by the body developing antibodies against its own thyroid gland. The most common effects from this condition include muscle weakness, cramps, dry and flaky skin, hair loss, weight gain, and lethargy. As thyroid hormones are responsible for stimulating energy production, a deficiency of these hormones causes a generalized tiredness. (At this point, however, remember that insomnia also causes generalized tiredness, and that insomnia is NOT a symptom of hypothyroidism). One potential indication of the presence of hypothyroidism is an enlargement of the thyroid gland, called a goiter. Blood tests are used to determine whether an individual has a hypothyroid condition.

It would be important at this point for you to make an appointment with a health care provider who can perform a full physical, including a blood work-up and health history. You can then work from there with your provider to determine the cause of your insomnia and dry skin. Call x4-2284 to make an appointment at the Health Service.

Alice

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