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Presentations I do on Hashimoto's are done from questions. And the question was what are Hashimoto's thyroiditis Symptoms?

Hashimoto's is primarily an autoimmune problem, but it shows up first as a hypothyroid case because over a period of time, you have a thyroid that has started to get attacked by your immune system. And in the beginning, when you get this attack, you may only get symptoms from the hypo thyroid aspect of this. And what that means is, that as you attack the thyroid, the initial response is you start to lose thyroid tissue, and that causes you to make less thyroid hormone. So normally in the beginning, you'll get fatigue, you'll get tired, you'll usually start putting on weight, you haven't changed your diet, you haven't stopped exercising. You know, your routine is pretty much the same but all of a sudden you start putting on weight. Some people gradually, some people not so gradually. Hair will start falling out to varying degrees. Hashimoto's, the hypothyroid aspect of Hashimoto's slows everything down, so it can slow down your intestines. It can slow down your stomach, so you can start getting stomach acid. You could get GERD because you don't have enough hydrochloric acid in your stomach cause the thyroid is slowing it down, so you can get acid indigestion, you can get gas, bloating. The most common gastrointestinal symptom that you'll get will be constipation, because it has to do with helping your nervous system to ultimately make the bowels move.

So everything slows down your bowels move down. One of the most common causes, constipation is hyperthyroid. So you'll get those, swelling around the ankles is another one. Dry skin, normally the dry skin is usually on the shins of the ankles. Sometimes you'll get myxedema of the face, we've gotten questions about why I get puffiness in the face. So basically everything slows down. You're not clearing, your liver is not clearing, your lymph glands aren't clearing so you're starting to get puffiness. And then as the attack keeps taking place and more and more tissue goes, but as the attack keeps taking place more and more, then you start activating, these enzymes more that create the thyroid hormone. And during the attacks you will get usually intermittently, you'll get I think the big one is kind of anxiety intermittently for no reason at all.

Anxiety happens. You're getting too much thyroid hormone during the attacks and it creates a situation that sets off a stress response in your brain. Insomnia, you can get insomnia, you can get inward tremors. Hashimoto's thyroiditis has an affinity to also create an attack on something called your cerebellum. That's called molecular mimicry. A lot of times, these two things will get attacked at the same time, the thyroid and the cerebellum. And so you might get inward tremors for no reason at all, night sweats. You can get night sweats from some indirect function of the thyroid effecting your estrogen hormone balances. So anxiety and inward tremors, panic attacks. You can get panic attacks in extreme cases and insomnia, night sweats. For some of you who are like the 20% that, thin Hashimoto's patient.

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