the cold-hard truth about hashimoto’s symptoms

the cold-hard truth about hashimoto's symptomsConsider your symptoms as an internal GPS to navigate you to wellness.

Written by Andrea Nakayama

I’m just going to come right out and say it: Hashimoto’s symptoms suck.

Symptoms like waking up tired, feeling run down, struggling with bowel dis-regularity or sudden skin issues can possess you, monopolize your thoughts and behavior and prescribe you to a life that falls outside of your dreams and potential.

Yet symptoms can also be your dependable GPS, the internal system that provides direction and key information for your next course of action.

The process of going from the suck to the sympathetic doesn’t happen overnight. It comes first from the fortitude to seek explanation. Why do those symptoms not just persist but dominate, despite your best efforts to do what you know to address them?

Symptoms don’t look alike for everyone. My Hashimoto’s symptoms likely look quite different than yours, which look different than my mother’s. Not having all symptoms doesn’t mean your handful are less relevant.

Take a look at the top results from the Hashimoto’s Symptom Survey I’ve collected from nearly 3,000 participants. Responses came flowing in with fatigue, difficulty losing weight and poor concentration afflicting more than 75% of the survey participants.

These are symptoms that most definitely suck.

Hashimoto's Symptom Survey

step #1: seek explanation

It’s my strong opinion that we all owe it to ourselves to seek the support that will help us interpret the meaning or the reason for our symptoms. While this same thinking may not be true of an actual diagnosis ~ we may not benefit from steeping ourselves in the quest for why ~ a symptom always has a root cause.

There is always a reason why.

The root cause of your symptoms may even provide insight about the diagnosis itself.

Upwards of 95% of hypothyroid cases in the U.S. are actually autoimmune thyroiditis (or Hashimoto’s), that’s not being addressed by traditional hypothyroid care. Hashimoto’s can even deceive the practitioner, making it appear that you are not hypothyroid on standard labs even when you have every suspicion that you are.

This leaves too many of us struggling with symptoms like those in the graph above without any explanation or resolution at all. It deludes hope.

Don’t give up hope. Seek explanation and those that can provide it.

step #2: tailor your treatment

If fatigue, resistant weight loss, and brain fog are your concerns, coffee, calorie restriction, excessive workouts and Suduko may not provide lasting resolution, as you’ve likely experienced. I have too! That’s because these seeming solutions are sidestepping the root cause of your symptoms.

Sadly, there’s no quick-fix or one right way to treat a diagnosis of any sort.

In fact, recently I read a report on how to address hypothyroidism by consuming a hearty breakfast of eggs, raw milk, coffee and fresh squeezed orange juice. I can tell you that with my unique internal system (i.e. my symptoms and sensitivities), that this prescribed morning meal would leave me bathroom bound all day, oscillating between nausea, loose stools and swinging energy levels. And that’s just on day one. I hate to think of what a week of this regime would do to my system!

(Who needs symptoms in response to the supposed resolution? That sounds like the trap of the pharmaceutical industry to me.)

With no one-size-fits-all solution, it takes a deeper understanding of your internal situation, from your symptoms to your story, to navigate the management of any condition, particularly an autoimmune condition. This is a level of detection that you are poised to do better than anyone else on your team, at least with the right guide.

step #3: sponsor your symptom sensitivity

The bottom line is that symptoms suck when they rule your life, when they’ve taken over your everyday and seem to define you and everything you do.

What if the goal were not to be symptom free? What if the goal was to harness and mitigate those symptoms so that you could become symptom sensitive, using your symptoms as the GPS that helps to re-route you, keeping you on the course that allows you to experience the freedom to live your life to its fullest?

Step by step to symptom sensitivity. . .

(Remember, your symptoms are your GPS. Learn to pay heed to the directions!)

P.S. Where do your symptoms fall in relation to the Top Ten Responses to our Symptoms Survey?

About Andrea Nakayama

Andrea is a functional nutritionist and the founder of Functional Nutrition Alliance. Based on her personal experience with Hashimoto’s, she helps women manage the ill effects of Hashimoto’s through a deeper understanding of their physiology and a strong commitment to self-care. Andrea is the co-author of Living Candida-Free with chef and blogger Ricki Heller.


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About Dana Trentini

Dana Trentini founded Hypothyroid Mom October 2012 in memory of the unborn baby she lost to hypothyroidism. This is for informational purposes only and should not be considered a substitute for consulting your physician regarding medical advice pertaining to your health. Hypothyroid Mom includes affiliate links including the Amazon Services LLC Associates Program.


  1. Angeline Thorne says

    Almost 1 1/2 years ago, I was put on thyroid medication because I told my physician that I had gained 7 pounds in one month which was uncharacteristic of me. I’m a pretty lean build & the most I’ve ever fluctuated has been 3-4 pounds either direction. Thyroid test results were out of whack, indicating I needed medication to treat. After being on the medication for about 8 months, my body felt worse. Started getting my period 2-3 times per month, had more hair loss, & more of a mental fog. I told my physician I was going off my medication because I felt I was having an adverse reaction to it. I was retested 3 months after going off my medication, & my levels were all within normal range for almost a year. My weight has even dropped a bit since being off it. More recent tests revealed an elevated anti-thyroid antibody level. Was diagnosed as borderline Hashimoto’s but was not prescribed medication. I just want to feel somewhat normal again. My body temperature is fluctuating like crazy… hot, cold, hot, cold, cold, cold, hot. My hands & feet feel like ice a good share of the time. Concentration is difficult. My emotions are all over the place. Not gaining any weight though. I know things can always be worse… but I feel like I’m losing my mind. Anyone else feeling like this? By the way… I’m 49 so I’m sure hormones are playing a huge role in my physical, mental & emotional rollercoaster ride. Angie

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