Maybe you've heard people say, "I'm tired because I have a thyroid problem." Or, "I see an endocrinologist because I have thyroid issues." But how much do you really know about your thyroid?
The thyroid is a small gland that is butterfly shaped and located at the base of the neck, just below the Adam's apple. It's part of the endocrine system, which helps coordinate many of your body's activities. The gland makes hormones that regulate your metabolism. But when it's not working right, your body can be affected in various ways.
You don't produce enough hormone.
  Hypothyroidism is also known as Hashimoto's  disease or Hashimoto's thyroiditis. It is most common in middle-aged women, but  Hashimoto's disease can happen at any age. Here, your immune system mistakenly  attacks and slowly destroys the thyroid gland and its ability to make hormones. Treatment may include taking daily medication (which you'll likely need for the  rest of your life since it restores adequate hormone levels) and monitoring the  dosage to ensure you're taking the right amount. Your doctor may pass on  medication and take a wait-and-see-approach. 
You produce too much hormone.
  Hyperthyroidism is also known as Graves'  disease. This autoimmune disorder happens when the body's immune system  mistakenly attacks the thyroid gland. It's hereditary and is most common in  women ages 20 to 30. Some treatments include radioactive iodine therapy (taking radioiodine orally),  prescription antithyroid medications (which interfere with the thyroid's use of iodine to produce hormones), beta blockers (which block the effect of hormones on the body) or  surgery to remove all or part of your thyroid. 
You  have a goiter.
A goiter is a noncancerous enlargement of the  thyroid gland. It's often caused by a lack of iodine in your diet. It's most  common in parts of the world that lack iodine-rich foods and are more common in  women and after age 40. Treatments depends on your symptoms, the size of the  goiter and the underlying cause. Small goiters that aren't noticeable or  problematic typically don't need treatment. 
You  have a thyroid nodule.
  Thyroid nodules are growths that form in or on  the thyroid gland. They can be caused by Hashimoto's disease and iodine  deficiency, though the causes aren't always known. Most are benign, but a small  percentage of cases can be cancerous. They're more common in women, and your  risk increases as you get older. Symptoms may resemble hyperthyroidism if you  have abnormally high levels of the hormone in your bloodstream. Symptoms will  be like hypothyroidism if the nodules are linked to Hashimoto's disease.  Treatment depends on the type of thyroid nodule. 
Your sleep changes.
  You've always been a good sleeper but suddenly  can't sleep through the night? You may have an overactive thyroid, which is  pumping out some hormones excessively. And that can overstimulate the central  nervous system and lead to insomnia. You may also need more sleep than usual,  feel tired despite a good night's sleep or have the urge to nap. That means you  may have an underactive thyroid. 
Your  hair is thinning.
  Thinning hair, especially on the eyebrows, is a  common sign of thyroid disease. An overactive or underactive thyroid affects  your hair's growth cycle. Usually, most of your hair grows while some of it  rests. But when your thyroid is out of order, too much hair rests at once. And  that makes your hair look thinner. 
You're  sweating excessively when you shouldn't be.
  You're not even at the gym but you're sweating  excessively. That's a common sign of a hyperactive thyroid. Since your hormone  levels are higher than normal, you feel warm. 
Your  skin is dry in the summer.
  You may have hypothyroidism. Why? A slower  metabolism can decrease sweating. And that means your skin has less moisture,  making it dry. 
You  suddenly feel anxious.
  If you start feeling unsettled or anxious and  you've never had that issue, you may have a hyperactive thyroid. Because your  thyroid hormone levels are high, you feel anxious, nervous, irritable, shaky or  jittery. 
You  have unexplained weight gain.
  When you have a lack of hormones due to an underactive  thyroid, your metabolism decreases and you burn fewer calories. So, your pants  may feel snug, though your exercise or eating habits have remained the same. 
You  aren't gaining weight.
On the flip side, you may be losing weight  without changing what you eat or how you exercise. Here, you may have an  increased metabolism, due to an overactive thyroid. You're hungrier and eating  more, but you aren't gaining weight.
You're forgetful.
  Some people say they're in a brain fog when they  have an underactive thyroid. Others say they have subtle memory loss, overall  mental fatigue or difficulty concentrating. That can all be blamed on an  underactive thyroid.
Your  bowel movements change.
  You may have an underactive thyroid if you're  frequently constipated. The thyroid helps regulate your digestive track. But if you don't  produce enough thyroid hormones, things can get backed up. And if you have an  overactive thyroid, you'll have regular bowel movements but need to go more  frequently since everything is sped up.
You  have too much energy.
  Your body processes speed up when you have too  many hormones. You may feel like you've had too much coffee or feel like you're  having heart palpitations, even when you're relaxed. 
Your  periods have changed.
  You may not be producing enough hormones if your  periods have become longer, heavier or closer together. You may be producing  too many hormones if they occur further apart or have gotten lighter.
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