There are so many reasons a thyroid patient can have hyper-like symptoms, even without having the hyperthyroid autoimmune disease called Graves. You might even be told you’re having a thyroid storm. 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 with high adrenaline and hyper-like symptoms to match!
• getting on HC because you have hypopituitary, which can cause a sudden T3 rush into the cells which we call a “thyroid dump”.
• having Hashimotos from the hyper swings of the die-off of your thyroid
• Other varieties of Thyroiditis 
• 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!)

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
• 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
2. To discern if you have Hashitoxicosis, all the above
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, here. T3 tends to go 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).

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Did saliva results show you have low cortisol?? 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.