Launching September 2027

Thyroid Disorders

Thyroid Disorders At A Glance

  • Thyroid disorders are conditions that affect how the thyroid gland produces hormones that regulate metabolism, heart rate, temperature, energy, digestion, and other body functions.
  • Hypothyroidism occurs when the thyroid makes too little hormone, while hyperthyroidism occurs when it makes too much.
  • Other thyroid conditions include nodules, goiter, thyroiditis, and thyroid cancer.
  • Symptoms vary and may include fatigue, weight changes, temperature sensitivity, dry skin, constipation, rapid or slow heartbeat, anxiety, tremors, sweating, or hair changes.
  • Diagnosis commonly relies on blood tests such as TSH and free T4, with antibody tests, ultrasound, thyroid scans, or biopsy used when appropriate.
  • Treatment depends on the condition and may include thyroid hormone replacement, anti-thyroid medication, radioactive iodine, surgery, and ongoing laboratory monitoring.

Table of Contents

Table of Contents

What Are Thyroid Disorders?

Thyroid disorders are conditions that affect how the thyroid gland works. The thyroid is a small, butterfly-shaped gland located at the front of your neck. It produces hormones that help regulate your body’s metabolism, heart rate, body temperature, energy levels, digestion, and many other important functions.

The two most common thyroid disorders are:

  • Hypothyroidism: The thyroid does not produce enough thyroid hormone.
  • Hyperthyroidism: The thyroid produces too much thyroid hormone.

Other thyroid conditions include thyroid nodules, goiter (an enlarged thyroid), thyroiditis (inflammation of the thyroid), and thyroid cancer. Most thyroid disorders can be successfully treated with medication, and many people live healthy, active lives with proper management.

Learn More

Thyroid Diseases – NIH MedlinePlus
https://medlineplus.gov/thyroiddiseases.html

Provides easy-to-understand information about thyroid disorders, including symptoms, diagnosis, treatment, and prevention.

Thyroid Disease – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/endocrine-diseases

Provides information about thyroid conditions and other endocrine disorders.

How Common Are Thyroid Disorders?

Thyroid disorders are very common and affect millions of Americans. Women are more likely than men to develop thyroid disease, and the risk increases with age. Many people have thyroid disorders without realizing it because symptoms can develop gradually.

Learn More

American Thyroid Association – Thyroid Information
https://www.thyroid.org/

Provides reliable patient education about thyroid disorders and current treatment recommendations.

What Symptoms Might You Notice?

Symptoms depend on whether the thyroid is underactive (hypothyroidism) or overactive (hyperthyroidism).

Common symptoms of hypothyroidism include:

  • Fatigue
  • Weight gain
  • Feeling cold
  • Dry skin
  • Constipation
  • Depression
  • Slow heart rate
  • Hair thinning or hair loss
  • Puffy face
  • Memory problems

Common symptoms of hyperthyroidism include:

  • Weight loss
  • Feeling hot
  • Rapid or irregular heartbeat
  • Anxiety or nervousness
  • Tremors
  • Sweating
  • Frequent bowel movements
  • Difficulty sleeping
  • Muscle weakness

How Are Thyroid Disorders Diagnosed?

Your healthcare provider will review your symptoms, perform a physical examination, and order blood tests to evaluate how your thyroid is functioning. Depending on your condition, imaging studies or additional testing may also be recommended.

Learn More

Thyroid Diseases – NIH MedlinePlus
https://medlineplus.gov/thyroiddiseases.html

Explains how thyroid disorders are diagnosed and what testing may be recommended.

Thyroid Disorders infographic – click to enlarge

What Causes Thyroid Disorders?

Several different conditions can affect the thyroid gland.

Common causes include:

  • Hashimoto’s thyroiditis (most common cause of hypothyroidism)
  • Graves’ disease (most common cause of hyperthyroidism)
  • Thyroid nodules
  • Thyroid inflammation (thyroiditis)
  • Certain medications
  • Previous thyroid surgery
  • Radiation treatment involving the neck
  • Iodine deficiency (rare in the United States)

Learn More

Thyroid Diseases – NIH MedlinePlus
https://medlineplus.gov/thyroiddiseases.html

Learn about the causes and different types of thyroid disorders.

What Can Make Thyroid Disorders Worse?

Several factors can worsen thyroid symptoms or make treatment less effective.

Common factors include:

  • Missing thyroid medication doses
  • Taking thyroid medication incorrectly
  • Certain medications that interfere with thyroid hormone absorption
  • Pregnancy (may change thyroid hormone needs)
  • Smoking
  • Excess iodine intake
  • Untreated autoimmune disease

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides patient education about managing thyroid disorders and medication use.

Prevention

Not all thyroid disorders can be prevented, especially autoimmune thyroid diseases. However, healthy lifestyle habits and regular medical care can help identify thyroid problems early and reduce complications.

Helpful prevention tips include:

  • Take medications exactly as prescribed.
  • Attend regular healthcare appointments.
  • Have routine thyroid blood tests if recommended.
  • Eat a balanced diet with adequate iodine intake.
  • Avoid smoking.
  • Inform your healthcare provider about new symptoms.
  • Follow recommendations for monitoring thyroid nodules if present.

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides practical information about thyroid health, early detection, and long-term management.

Learn More About Thyroid Disorders

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Laboratory testing is the primary way thyroid disorders are diagnosed and monitored.

Common laboratory tests may include:

  • Thyroid-Stimulating Hormone (TSH): The most common screening test for thyroid disease.
  • Free T4 (Free Thyroxine): Measures the amount of active thyroid hormone.
  • Free T3 (Triiodothyronine): May be used when hyperthyroidism is suspected.
  • Thyroid Peroxidase (TPO) Antibodies: Helps diagnose autoimmune thyroid disease such as Hashimoto’s thyroiditis.
  • Thyroid-Stimulating Immunoglobulin (TSI): May help diagnose Graves’ disease.

Learn More

TSH Test – NIH MedlinePlus
https://medlineplus.gov/lab-tests/tsh-thyroid-stimulating-hormone-test/

Explains how TSH testing is used to diagnose and monitor thyroid disorders.

Diagnostics

Additional testing may help identify structural thyroid problems or determine the cause of abnormal thyroid hormone levels.

Common diagnostic tests include:

  • Thyroid Ultrasound: Evaluates thyroid nodules, enlargement, or cysts.
  • Radioactive Iodine Uptake Scan: Helps determine the cause of hyperthyroidism.
  • Thyroid Scan: Evaluates thyroid function and nodules.
  • Fine-Needle Aspiration (FNA) Biopsy: May be performed to evaluate suspicious thyroid nodules.

Learn More

Thyroid Tests – American Thyroid Association
https://www.thyroid.org/thyroid-function-tests/

Provides information about thyroid laboratory tests and imaging studies.

Treatment & Management

Treatment Options

Treatment depends on the specific thyroid disorder and how severe it is.

Treatment options may include:

  • Thyroid hormone replacement therapy
  • Anti-thyroid medications
  • Radioactive iodine therapy
  • Surgery
  • Regular laboratory monitoring
  • Lifestyle modifications

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides information about treatment options for hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Lifestyle Changes

Healthy lifestyle habits can support thyroid health and improve your overall well-being.

Helpful lifestyle changes include:

  • Take thyroid medications exactly as prescribed.
  • Take thyroid hormone on an empty stomach if instructed.
  • Keep regular healthcare appointments.
  • Eat a balanced diet.
  • Stay physically active.
  • Maintain a healthy weight.
  • Avoid smoking.
  • Discuss supplements with your healthcare provider before starting them.
  • Report new or worsening symptoms promptly.

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides practical guidance for living well with thyroid disease.

Medications

Treatment depends on the specific thyroid disorder.

Common medications include:

  • Levothyroxine: Replaces thyroid hormone in people with hypothyroidism.
  • Methimazole: Reduces thyroid hormone production in people with hyperthyroidism.
  • Propylthiouracil (PTU): Another medication used to treat hyperthyroidism in selected situations.
  • Beta-Blockers: Help relieve symptoms such as rapid heart rate and tremors caused by hyperthyroidism while other treatments begin working.

Learn More

Levothyroxine – NIH MedlinePlus
https://medlineplus.gov/druginfo/meds/a682461.html

Provides information about levothyroxine, how it works, proper use, and possible side effects.

Methimazole – NIH MedlinePlus
https://medlineplus.gov/druginfo/meds/a682464.html

Explains how methimazole treats hyperthyroidism and important safety information.

Procedures

Some thyroid disorders require procedures to diagnose, monitor, or treat the condition. The type of procedure depends on the specific thyroid disorder, the presence of thyroid nodules, or whether the thyroid gland is overactive or enlarged.

Common procedures may include:

  • Fine-Needle Aspiration (FNA) Biopsy: Uses a thin needle to collect cells from a thyroid nodule to determine if it is benign or cancerous.
  • Radioactive Iodine Therapy: Used to treat hyperthyroidism and some types of thyroid cancer by shrinking or destroying overactive thyroid tissue.
  • Thyroidectomy: Surgical removal of part or all of the thyroid gland for thyroid cancer, large goiters, suspicious nodules, or hyperthyroidism that cannot be controlled with other treatments.
  • Thyroid Ultrasound: Frequently used to monitor thyroid nodules or enlargement over time.

Learn More

American Thyroid Association
https://www.thyroid.org/

Learn about thyroid procedures, surgery, radioactive iodine therapy, and thyroid nodule evaluation.

What Should You Expect Long-Term?

Most thyroid disorders can be successfully managed with medication, regular laboratory monitoring, and follow-up care. Many people with hypothyroidism take thyroid hormone replacement for life, while some people with hyperthyroidism achieve long-term remission after treatment.

Routine blood tests help ensure your thyroid hormone levels remain within a healthy range, allowing your healthcare provider to adjust treatment if needed.

What Can You Do At Home?

Daily self-care can help keep your thyroid condition well controlled and improve your overall health.

Helpful tips include:

  • Take thyroid medications exactly as prescribed.
  • Take levothyroxine on an empty stomach if instructed by your healthcare provider.
  • Avoid taking calcium or iron supplements within several hours of thyroid hormone unless directed otherwise.
  • Keep regular laboratory appointments.
  • Eat a balanced diet.
  • Stay physically active.
  • Maintain a healthy weight.
  • Report new or worsening symptoms promptly.
  • Keep all healthcare appointments.

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides practical guidance for living well with thyroid disease and taking thyroid medications correctly.

Frequently Asked Questions

What is the difference between hypothyroidism and hyperthyroidism?

Hypothyroidism occurs when the thyroid does not produce enough thyroid hormone, causing the body’s metabolism to slow down. Hyperthyroidism occurs when the thyroid produces too much thyroid hormone, causing metabolism to speed up.

Will I need to take medication forever?

Many people with hypothyroidism require lifelong thyroid hormone replacement. People with hyperthyroidism may need medication for a limited time or may receive other treatments such as radioactive iodine therapy or surgery.

Can thyroid disease cause weight changes?

Yes. Hypothyroidism commonly causes weight gain, while hyperthyroidism often causes unintended weight loss.

Can thyroid disease cause fatigue?

Yes. Fatigue is one of the most common symptoms of hypothyroidism and may also occur with hyperthyroidism.

How often should my thyroid levels be checked?

Your healthcare provider will determine how often your thyroid function should be monitored. Blood tests are commonly repeated after starting or adjusting medication and then periodically once levels are stable.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • What type of thyroid disorder do I have?
  • Do I need medication?
  • How often should my thyroid levels be checked?
  • How should I take my thyroid medication?
  • Do I have thyroid nodules that need monitoring?
  • Will I need lifelong treatment?

When should I schedule my next follow-up appointment?

Specialist Referrals

Many thyroid disorders are managed by a primary care provider. Depending on your diagnosis or treatment needs, your provider may recommend seeing a specialist.

You may be referred to:

  • Endocrinologist: Specializes in thyroid disorders, diabetes, and hormone-related conditions.
  • Endocrine Surgeon: Evaluates thyroid nodules, thyroid cancer, large goiters, or conditions requiring surgery.
  • Otolaryngologist (ENT Surgeon): May perform thyroid surgery in some cases.
  • Registered Dietitian: Provides nutrition guidance for maintaining a healthy weight and supporting overall wellness.

Learn More

American Thyroid Association
https://www.thyroid.org/

Provides patient education about thyroid disease, specialists, and treatment options.

Are Thyroid Disorders Curable?

Whether a thyroid disorder is curable depends on the specific diagnosis.

  • Hypothyroidism is usually a lifelong condition but is effectively treated with daily thyroid hormone replacement.
  • Hyperthyroidism may be treated successfully with medications, radioactive iodine therapy, or surgery. Some people achieve long-term remission.
  • Thyroid nodules are often benign and may only require monitoring.
  • Many thyroid disorders can be managed successfully, allowing people to live healthy, active lives.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Chest pain
  • Difficulty breathing
  • Loss of consciousness
  • Severe confusion
  • Extremely rapid or irregular heartbeat
  • High fever with severe agitation or confusion (possible thyroid storm)
  • Severe weakness or inability to wake up (possible myxedema coma)

Seek prompt medical evaluation if you notice:

  • A rapidly enlarging neck mass
  • Difficulty swallowing
  • Persistent hoarseness
  • Significant changes in heart rate
  • New or worsening symptoms despite treatment

Learn More

Thyroid Diseases – NIH MedlinePlus
https://medlineplus.gov/thyroiddiseases.html

Learn about thyroid disorders, potential complications, and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Thyroid Diseases – NIH MedlinePlus
https://medlineplus.gov/thyroiddiseases.html

Easy-to-understand information about thyroid disorders, symptoms, diagnosis, treatment, and prevention.

American Thyroid Association
https://www.thyroid.org/

Comprehensive patient education about hypothyroidism, hyperthyroidism, thyroid nodules, thyroid cancer, medications, and thyroid surgery.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
https://www.niddk.nih.gov/health-information/endocrine-diseases

Reliable information about thyroid disease and other endocrine disorders.

Hormone Health Network
https://www.hormone.org/

Evidence-based patient education about thyroid disorders, hormone health, and endocrine conditions.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, you develop new symptoms, or your medications are no longer controlling your thyroid condition. Call 911 immediately if you experience chest pain, difficulty breathing, severe confusion, loss of consciousness, or symptoms of a thyroid emergency such as thyroid storm or myxedema coma.

Get personalized care for Thyroid Disorders

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.