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The question is what are symptoms of a Hashimoto's thyroiditis flare up. So there's the common symptoms. I'm assuming the person asking this and the person tuning into this as interest already know something about Hashimoto's. So Hashimoto's flares up. Many things can flare it up. I mean we've talked about that. They're lifestyle things that can flare it up. There's lack of sleep. There's over-exercise, there's poor relationships. There's blood sugar problems can do it. And then there's food sensitivities and chemicals and viruses and pathogens and moles, and on and on. There's like, again, the third famous 39 triggers that can flare it up. There's the symptomatic overactive thyroid symptoms are pretty much anxiety. It can flare up anxiety. It can I think like the cardinal sign to me is heart palpitations for no reason at all. Heart palpitation that come and go for no reason at all. Something goes, something triggers your thyroid. The thyroid starts vomiting out thyroid hormone, more than it should. It increases your metabolism and your heart has a gazillion thyroid receptors on it, more than any place else in your body. And so the thyroid hit your arm and you start getting heart palpitations for no reason. Inward trembling, which comes directly from that increased thyroid. Shakiness, like if you some for not everybody but for some people start to get shakiness or some people will start to get worse balance problems because their cerebellum is being attacked by the thyroid. Insomnia, the insomnia fires up the system. Starts screwing up your blood sugar. Blood sugar is the biggest cause of waking up in the middle of night and not being able to go back to sleep but it can be secondary to the thyroid. So let's see thyroid let's see. Inward trembling, insomnia, night sweats. It has a profound thyroid when its major function, its main function. It has a profound effect on estrogen and testosterone and progesterone. And so it can affect your hormones and cause night's sweats in men as well as women by the way. I think some of the more outward visual signs that are more obvious that tend to really really get people's attention is their thyroid. If their thyroid starts swelling and then it goes down it swells and then it goes down. Those are signs of a hyperthyroid Hashimoto's flare up. And that's actually an acute unstable Hashimoto's thyroiditis. And when one of those cases comes in here, one of my decisions is do I just go after that first and throw a bunch of stuff there, that's gonna get that down. So the patient can be a little calmer and not be so worried or do you go after all of the things that are causing those triggers and just wait on giving the person a bunch of supplements that calm down the inflammation. So, but either way, if that is an acute inflammatory response. 

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