Short answer
If hypothyroidism is suspected, check the level of TSH and free T4, contact an endocrinologist to correct the condition. In Axioris you can track the dynamics of hormones and symptoms.
Decreased thyroid function with insufficient production of thyroid hormones
The mechanism in three steps, and where you can intervene.
Trigger
Autoimmune thyroiditis (Hashimoto's), iodine deficiency, thyroid surgery
Mechanism
Decreased synthesis of thyroid hormones → slower metabolism
Symptom
Fatigue, weight gain, chilliness, dry skin, swelling
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.
If hypothyroidism is suspected, check the level of TSH and free T4, contact an endocrinologist to correct the condition. In Axioris you can track the dynamics of hormones and symptoms.
A baseline panel for the most common causes.
Main screening test, increased in primary hypothyroidism
Shows the level of active thyroid hormone
Marker of autoimmune thyroiditis (Hashimoto's)
Identifying anemia that often accompanies hypothyroidism
Hypothyroidism often causes high cholesterol
How each marker relates to hypothyroidism.
In 90% of cases, hypothyroidism is caused by autoimmune thyroiditis (Hashimoto's disease). Other causes include iodine deficiency, effects of thyroid surgery, and radiation therapy. Less common is secondary hypothyroidism when the pituitary gland is damaged. In Axioris, you can track the dynamics of antibodies and hormones to understand the cause.
The main test is TSH (a sensitive marker of primary hypothyroidism). If TSH is elevated, free T4 is checked. Antibodies to TPO confirm the autoimmune nature. Additionally, a CBC (detection of anemia) and a lipid profile (hypothyroidism increases cholesterol) may be required. The Axioris application conveniently stores and compares analysis results over time.
Consultation with an endocrinologist is necessary if there is a persistent increase in TSH above 10 mU/l or the presence of symptoms even at lower values. See a doctor immediately if there is swelling of the face, slow speech, drowsiness (risk of myxedematous coma). In Axioris, you can set up reminders for appointments with a specialist.
Self-medication with iodine without testing (dangerous in case of autoimmune thyroiditis). Stop taking levothyroxine if you feel better. Ignoring subclinical hypothyroidism during pregnancy. In Axioris, the AI assistant will warn you about critical changes in indicators.
«Сын занимается спортом профессионально. Наконец выстроили нормальный контроль базовых показателей, не гадаем.»
«После второго ребёнка чувствовала себя разбитой. Анализы показали железо и ферритин в норме, но вот D₃ — 8. Решили.»
«ТТГ оказался на границе. Без системной диагностики я бы ещё год занималась косметикой вместо причины.»
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.
Autoimmune hypothyroidism requires lifelong replacement therapy. In case of iodine deficiency, restoration of function is possible after correction of the deficiency. Secondary hypothyroidism can be reversible with treatment of the underlying pituitary disease.
In stable condition - once every 6-12 months. After changing the dose of levothyroxine - after 6-8 weeks. You can set reminders for follow-up tests in Axioris.
Characterized by fatigue, chilliness, dry skin, constipation, swelling, weight gain, depression. The Axioris app has a symptom tracker to assess dynamics during treatment.
Yes, for postpartum thyroiditis, subacute thyroiditis, overdose of thyreostatics. But more often it is a chronic condition that requires constant monitoring.
Take it in the morning on an empty stomach. Eliminate alcohol, stress and heavy physical activity the day before. Levothyroxine is taken after the test. Axioris has a checklist for preparing for various analyses.
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