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| Symptoms and Risks Associated With: | Hypo | Hyper |
| I have a family history of thyroid disease | * | * |
| I have had my thyroid "monitored" in the past to watch for changes | * | * |
| I had a previous diagnosis of goiters/nodules | * | * |
| I currently have a goiter | * | * |
| I was treated for hypothyroidism in the past | * | * |
| I had post-partum thyroiditis in the past | * | * |
| I had a temporary thyroiditis in the past | * | * |
| I have another autoimmune disease | * | * |
| I have had a baby in the past nine months | * | * |
| I have a history of miscarriage | * | * |
| I have had part/all of my thyroid removed due to cancer | * | * |
| I have had part/all of my thyroid removed due to nodules | * | * |
| I have had part/all of my thyroid removed due to Graves' Disease/hyperthyroidism | * | * |
| I have had radioactive iodine due to Graves' Disease/hyperthyroidism | * | * |
| I have had anti-thyroid drugs due to Graves' Disease/hyperthyroidism | * | * |
| I am gaining weight inappropriately | * | (*) |
| I'm unable to lose weight with diet/exercise | * | (*) |
| I am constipated, sometimes severely | * | |
| I have hypothermia/low body temperature (I feel cold when others feel hot, I need extra sweaters, etc.) | * | |
| I feel fatigued, exhausted | * | * |
| Feeling run down, sluggish, lethargic | * | (*) |
| My hair is coarse and dry, breaking, brittle, falling out | * | * |
| My skin is coarse, dry and scaly | * (thick) | * (thin) |
| I have a hoarse or gravely voice | * | * |
| I have puffiness and swelling around the eyes and face | * | * |
| I have pains, aches in joints, hands and feet | * | * |
| I have developed carpal-tunnel syndrome, or it's getting worse | * | |
| I am having irregular menstrual cycles (longer, or heavier, or more frequent) | * | * |
| I am having trouble conceiving a baby | * | * |
| I feel depressed | * | * |
| I feel restless | * | * (anxious) |
| My moods change easily | * | * |
| I have feelings of worthlessness | * | * |
| I have difficulty concentrating or focusing | * | * |
| I have more feelings of sadness | * | * |
| I seem to be losing interest in normal daily activities | * | * |
| I'm more forgetful lately | * | * |
| My hair is falling out | * | * |
| I can't seem to remember things | * | * |
| I have no sex drive | * | * |
| I am getting more frequent infections, that last longer | * | * |
| I'm snoring more lately | * | |
| I have/may have sleep apnea | * | |
| I feel shortness of breath and tightness in the chest | * | * |
| I feel the need to yawn to get oxygen | * | |
| My eyes feel gritty and dry | * | * |
| My eyes feel sensitive to light | * | * |
| My eyes get jumpy/tics in eyes, which makes me dizzy/vertigo and have headaches | * | * |
| I have strange feelings in neck or throat | * | * |
| I have tinnitus (ringing in ears) | * | * |
| I get recurrent sinus infections | * | * |
| I have vertigo | * | * |
| I feel some lightheadedness | * | * |
| I have severe menstrual cramps | * | * |
| I have taken anti-thyroid drugs in the past due to Graves' Disease or a diagnosis of hyperthyroidism | * | * |
| My heart feels like it's skipping a beat, racing and I feel like I'm having heart palpitations | (*) | * |
| My pulse is unusually fast | * | |
| My pulse, even when resting or in bed, is high | * | |
| My hands are shaking, I'm having hand tremors | * | |
| I feel hot when others feel cold, I am feeling inappropriately hot or overheated | (*) | * |
| I'm having increased perspiration | * | |
| I am losing weight inappropriately | (*) | * |
| I am losing weight but my appetite has increased | * | |
| I feel like I have a lot of nervous energy that I need to burn off | * | |
| I am having diarrhea or loose or more frequent bowel movements | * | |
| I feel nervous or irritable | * | |
| My skin looks or feels thinner | * | |
| My muscles feel weak, particularly the upper arms and thighs | * | * |
| I am having difficulty getting to sleep, staying asleep, or going back to sleep after awakening in the middle of the night | * | * |
| I feel fatigued, exhausted | * | * |
| I have had panic attacks | (*) | * |
| I've recently been diagnosed as having panic disorder, anxiety disorder, or panic attacks | * | |
| I am gaining weight but my appetite has decreased | * |