Short answer
Monitor TSH and antibodies to TPO, select replacement therapy with an endocrinologist, monitor nutrition and stress.
Autoimmune inflammation of the thyroid gland with gradual development of hypothyroidism
The mechanism in three steps, and where you can intervene.
Trigger
Genetic predisposition + environmental factors (selenium deficiency, viral infections, excess iodine)
Mechanism
The immune system attacks thyroid cells by producing antibodies to thyroid peroxidase (TPO) and thyroglobulin
Symptom
Fatigue, weight gain, dry skin, chilliness, swelling - signs of hypothyroidism in the later stages
Answer 3 questions to see likely causes and a baseline lab list.
How long has this been going on?
Is there marked fatigue?
Is stress high?
Likely causes
What to check
We will show a preliminary result before registration
Create an action plan in one click with a checklist, reminders, and a timeline.
Monitor TSH and antibodies to TPO, select replacement therapy with an endocrinologist, monitor nutrition and stress.
A baseline panel for the most common causes.
Main marker of thyroid function, increased in hypothyroidism
Antibodies to thyroid peroxidase are a diagnostic marker of an autoimmune process
Shows the level of active thyroid hormone
Detects structural changes (heterogeneity, hypoechogenicity)
How each marker relates to hashimoto's thyroiditis.
Hashimoto's is more common in women 30-50 years old. In addition to genetics, the disease is provoked by vitamin D deficiency, chronic stress, and smoking. Sometimes it debuts after pregnancy (postpartum thyroiditis). It is important to rule out other autoimmune diseases (celiac disease, type 1 diabetes).
The key indicator is TSH (target 0.5-2.5 mU/l during therapy). Anti-TPO remains elevated, but its level does not correlate with severity. Once a year, check your lipid profile (LDL increases in hypothyroidism) and ferritin (anemia often accompanies). Axioris makes it convenient to compare the dynamics of indicators on graphs.
If TSH is above 4 mU/L or symptoms of hypothyroidism appear. Urgently - for facial swelling, bradycardia <50 beats/min, TSH >10. The endocrinologist will select the dose of levothyroxine (Euthyrox, L-thyroxine) and adjust it every 6-12 months.
Take hormones in the morning on an empty stomach with only water (coffee reduces absorption). Do not replace medications with dietary supplements. Excess iodine (kelp, medications) can worsen the condition. If TSH is normal, additional selenium intake is not needed.
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Основано на структурированном медицинском подходе, не на хаотичных советах из интернета.
Не заменяет очную консультацию и постановку диагноза врачом.
Срочные симптомы требуют немедленного обращения за медицинской помощью.
No, this is a chronic disease, but with adequate treatment the quality of life does not suffer. Replacement hormones compensate for thyroid function.
Balanced nutrition without extremes. For concomitant celiac disease - gluten-free. Enough protein, omega-3, zinc. Cruciferous vegetables are safe in reasonable quantities.
At the start of therapy - every 6-8 weeks until TSH stabilizes. For compensation - once every 6-12 months. You can set reminders for follow-up tests in Axioris.
Yes, chronic stress aggravates autoimmune processes. Practice relaxation techniques and normalize your sleep. Cortisol can be tracked in the Biomarkers section.
Yes, but you need a TSH <2.5 mU/L before conception. During pregnancy, the dose of hormones is increased by 25-50%. Monitor TSH every 4 weeks in the 1st trimester.
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