What makes this particular list unique from others is that it’s totally based on ACTUAL PATIENT DESCRIPTIONS of their symptoms within a variety of groups associated with Stop the Thyroid Madness….rather than a dry list culled from all over the internet.

And yes, it’s a fact: some of these reported patient symptoms listed below can be reflective of other conditions.

But, that doesn’t take away that these are real life symptoms as reported by…

a) Hypothyroid-diagnosed patients all over the world

b) Undiagnosed Hypothyroid patients

(due to a doctor’s reliance on the TSH lab test and its dubious “normal” range) yet with clear symptoms and/or family history

c) Hypothyroid-treated patients who are either underdosed or poorly treated

i.e. being held hostage to the TSH, or on thyroxine, T4-only medications like Synthroid, levothyroxine, Eltroxin, Oroxine…even the latest Tirosent…all while their doctor pronounces them “normal”.


These are also symptoms which patients have reported greatly improved or totally went away once they were moved over to Natural Desiccated Thyroid and allowed to find their optimal dose. Or even adding synthetic T3 to synthetic T4 has given great improvement. It’s also important to correct low iron and cortisol issues



  • Less stamina than others
  • Less energy than others
  • Feeling weak
  • The need to nap more than others
  • Long recovery period after any activity
  • Arms feeling like dead weights after activity
  • Inability to exercise, or withstand certain exercises
  • Paying a price after activity
  • Inability to hold children for very long
  • Nodding off easily
  • Slowing to a snail’s pace when walking up slight grade
  • “Exhaustion in every dimension–physical, mental, spiritual, emotional”
  • Diagnosis of Chronic Fatigue Syndrome


  • Sleep Apnea (which can also be associated with low cortisol due to continued hypothyroid state)
  • Being so exhausted at bedtime that you have insomnia
  • Sleeping hard
  • Sleeping more hours than normal
  • Dark circles under eyes
  • Getting more fatigued as day goes on
  • The need for naps to get through the afternoon
  • Air Hunger (feeling like you can’t get enough air)


  • Chronic Low Grade Depression
  • Major depression
  • Sadness
  • Need for antidepressants
  • Suicidal Thoughts
  • Crying easier
  • Ruminating/worrisome
  • Anxiety (can be a cortisol symptom, but also a hypo symptom)
  • Need for anti-anxietal meds
  • Complete lack of motivation
  • Extremely crabby or irritable
  • Intolerant of others
  • Bi-polar symptoms (often associated with Hashimotos)


  • Often feeling cold
  • Cold hands and feet
  • Sweaty or clammy palms
  • The need for extra clothing
  • High or rising cholesterol
  • Feeling too hot (Hashimoto’s disease usually)
  • Low body temperature
  • Less perspiration than others


  • Acid reflux
  • Low stomach acid
  • Diagnosis of too much acid (it’s really about too little)
  • The need for anti-acids to quell symptoms
  • Food sitting in stomach a long time
  • Craving sweets more than normal


  • Poor absorption
  • Poor levels of iron
  • Poor levels of B12
  • Poor levels of Vitamin D
  • Etc. 



  • Hard stools
  • Little round stools
  • Constipation
  • Diarrhea (less common than constipation)
  • Candida
  • Colitis
  • Irritable bowel syndrome (IBS)
  • Painful bladder
  • Not urinating much


  • No eyebrows or thinning outer eyebrows
  • Dry Hair
  • Hair feels like straw
  • Excessive frizziness
  • Hair Loss
  • White hairs growing in
  • No hair growth, breaks faster than it grows
  • Dandruff
  • Only needing to wash hair once a week or so
  • Dry face
  • Dry cracking heels
  • Dry skin in general
  • Itchy skin
  • Scaly looking skin
  • Easy bruising
  • Pimples
  • Acne
  • Swelling/edema/puffiness
  • Breakout on chest and arms
  • Hives (one woman stated hers went away with NDT)


  • Puffy fingers
  • Stiff fingers
  • Breaking/brittle nails
  • Broken/peeling fingernails
  • Ridged nails


  • Bumps on legs
  • Swollen legs that impeded walking
  • Shin splints
  • Difficulty standing on feet 
  • Sore feet aka plantar fasciitis; painful soles of feet (like walking on glass)



  • Inability to concentrate
  • Inability to read long periods of time
  • Forgetfulness
  • Foggy thinking aka Brain Fog


  • Inability to lose weight in spite of trying hard
  • Losing only a little when trying hard
  • Always gaining weight
  • Obesity
  • Weight loss (a small minority experience this)
  • Fat tummy
  • Water retention


  • Inability to function well in a relationship 
  • No or poor sex drive
  • Argumentative
  • Avoidance
  • Inability to work full time
  • Constantly tired at work
  • Lower quality work performance
  • The need for sit-down jobs


  • Failure to ovulate
  • Constant bleeding (see Rainbow’s story)
  • Heavy bleeding
  • Irregular periods
  • Moody periods
  • Excruciating pain during period
  • PMS
  • PCOS
  • Inability to get pregnant
  • Miscarriages


  • Seem to get more colds than others
  • Bad colds
  • Poor resistance to illnesses going around
  • Taking longer to recover 
  • Recurring viral or bacterial illnesses
  • Recurring sore throats
  • Chronic sinus infections
  • Persistant Candida
  • Tightness in throat; sore throat
  • Swollen lymph glands
  • Inflammation 


  • Bad motion sickness
  • Worsening of other conditions
  • Headaches and Migraines
  • Slurred speech
  • Swollen tongue
  • Lower voice
  • Dry mouth
  • Gum problems
  • Handwriting nearly illegible
  • Internal itching of ears
  • Ringing in ears
  • Hearing problems
  • Lactose Intolerance
  • Inability to eat in the mornings
  • Carpal tunnel symptoms
  • No Appetite
  • Worsening Varicose Veins
  • Dizziness from fluid on the inner ear
  • Allergies (which can also be a result of low cortisol–see link below)
  • Tailbone pain
  • A cold bum, butt, derriere, gluteus maximus, haunches, hindquarters, posterior, rear, and/or cheeks. Yup, really exists.
  • Extreme hunger, especially at nighttime
  • Dysphagia (nerve damage causing inability to swallow fluid, food, saliva; can also be caused by a goiter or anxiety)

In other words….

• If you have some or many of these symptoms, and have never received a diagnosis of hypothyroidism, it’s time to visit an informed and open-minded doctor.

• If you have some or many of these symptoms and are on T4-only, time to talk to your doctor about adding synthetic T3 to your treatment, or experience the benefits of having all five thyroid hormones in your treatment, which Natural Desiccated Thyroid (NDT) gives you. Learn where your lab results should fall here.

• If you have some or many of these symptoms and are on Natural Desiccated Thyroid or T3, you are either underdosing yourself (common scenario), or you need to read about the other two main reasons why one may not do as well on NDT.

A summary is on the Things We Have Learned page, or even more detail in Chapter 3 in the revised STTM book–all to make you more informed with your doctor.  YOU are your own best advocate. Teach your doctor!


Get the STTM books here. 

* Learn about ADRENAL SYMPTOMS, some of which can be similar to hypo symptoms, while others are unique or more exaggerated. 

Want to order your own labwork to confirm what the above symptoms are telling you? STTM has created the right ones just for you to discuss with your doctor. Go here: https://sttm.mymedlab.com/