Goldfish JumpingThere are so many reasons a thyroid patient can have hyper-like symptoms, even without having the “hyperthyroid” autoimmune disease called Graves.

Hyper symptoms can include anxiety, panicky feelings, palps, higher heartrate, shakiness, feeling wired and more listed below. You might even be told you’re having a thyroid storm.

The hyper symptoms are usually all caused by your body producing excess adrenaline in response to a problem.

The more common reasons for hyper-like symptoms include:

  • Having low cortisol and or low iron–both which can cause T3 to pool high in your blood, causing high adrenaline, the latter causing hyper-like symptoms to match!
  • Getting on HC (hydrocortisone aka cortisol) when you have an overly high FT3, which can cause a sudden T3-rush into the cells which we call a “thyroid dump”. This is why it’s much better to allow your pooled T3 to fall fist.
  • Having Hashimotos where you get the hyper swings of the die-off of your thyroid thrusting thyroid hormones into your blood
  • Other varieties of thyroiditis 
  • Low aldosterone, which causes you to lose fluid, lowers sodium and eventually potassium
  • Literally taking too much thyroid hormone (but you’ll need to rule out if it’s low cortisol or low iron causing the hyper-like symptoms, not actually too much thyroid hormone. Many doctors don’t get this!)
  • Other
More rare include:
  • Having a tumor/adenoma on your pituitary or thyroid gland (often due to low levels of iodine)
  • Toxic multinodular goitre
  • Hashitoxocosis–a combination of Graves and Hashimotos
  • Other

Here are common hyper-like symptoms to watch for, and you may have some but not others:

  • a higher-than-normal heartrate or heart pounding
  • feeling nervous or anxietal
  • feeling the need to shake your leg
  • having a sense of speediness or mania
  • heart palpitation (feels like an extra thump or beat)
  • trembling, whether in your hands or inside your body
  • trouble sleeping
  • sweating more than normal
  • feeling really uncomfortable in heat
  • feeling clammy
  • shortness of breath (also a symptom of low thyroid or low iron)
  • a high Reverse T3 lab result

With Graves’ disease, an autoimmune attack on your TSH-receptor which activates the production of far too much thyroid hormone, you can have the above plus the following:

  • protrusion of your eyes (caused by inflammation of your eye muscles and called Graves’ ophthalmopathy)
  • frequent bowel movements
  • enlargement of your thyroid
  • extreme weight loss
  • thicker, redder skin

How to discern between all the above?

  1. To discern if you have Hashimotos disease causing hyper-like swings in the die-off, get the anti-TPO and anti-thyroglobulin lab work. i.e BOTH, not just one.
  2. To discern if you have Hashitoxicosis, all the above plus the TSI (the Hashi’s chapter in the revised STTM book talks about this.)
  3. To discern if low cortisol or low iron is causing the hyper-like symptoms (common!), order a 24-hour adrenal saliva test plus four iron labs. You can order your own from the Recommended Labwork page. T3 tends to go far too high in your blood when either are problematic.
  4. To discern if you have Graves disease, ask your doctor to test your TSI (thyroid stimulating immunoglobulin).


Did saliva results show you have only low morning cortisol i.e. the rest of your saliva results are where they should be??

Click on the following link to see what patients have learned about better treatment that does NOT include using HC: T3CM

Have I left anything out above? Let me know below.