Hypothyroidism (Underactive Thyroid)
If fatigue, weight changes, mood shifts, or cold intolerance are disrupting your life, a thyroid evaluation can help. We provide in-office testing and a personalized plan to restore thyroid balance and long-term wellbeing.1
Read FAQsWhat it is
Hypothyroidism occurs when the thyroid doesn’t make enough hormone to support normal metabolism and body functions.1
Common cause
Autoimmune thyroiditis (Hashimoto’s disease) is a leading cause of hypothyroidism in many adults.2
How it’s treated
Thyroid hormone replacement (levothyroxine) is the standard treatment, monitored with follow-up labs.3
Symptoms to Watch For
Symptoms can build slowly and vary from person to person. Common signs include persistent fatigue, unexplained weight gain, depression or low mood, dry/coarse skin, sensitivity to cold, and facial puffiness.1
If symptoms last 2+ weeks or interfere with daily life, it’s worth checking thyroid labs—especially if there’s a family history of thyroid disease.
How We Evaluate Hypothyroidism
We start with your history, symptoms, and a targeted exam. Diagnosis is typically confirmed with blood tests that evaluate thyroid function (commonly including TSH and thyroid hormones).1
1 Listen + assess We review symptoms, timeline, medications/supplements, and key risk factors. 2 Test strategically In-office labs help confirm whether thyroid hormone levels are contributing to symptoms.1 3 Treat + optimize If appropriate, we prescribe thyroid hormone replacement and pair it with lifestyle guidance for better energy and quality of life.3 4 Monitor long-term We recheck labs and symptoms and adjust dosing when needed for stability and safety.3Frequently Asked Questions
Quick answers based on trusted medical references.
What is hypothyroidism?+ Hypothyroidism is an underactive thyroid condition where the gland doesn’t produce enough thyroid hormone, which can slow metabolism and affect many body systems. 1 What causes hypothyroidism?+ One common cause is autoimmune thyroiditis (Hashimoto’s disease), where the immune system attacks thyroid tissue over time. Other causes can include certain medications, thyroid surgery, or radiation. 2 How is hypothyroidism diagnosed?+ Diagnosis is usually confirmed with blood tests that assess thyroid function (often including TSH and thyroid hormone levels), combined with symptom review and medical history. 1 What is the standard treatment?+ Thyroid hormone replacement with levothyroxine is the standard treatment for an underactive thyroid, with periodic monitoring to maintain appropriate levels. 3 How long does treatment take?+ Many patients notice improvement once levels stabilize, but thyroid medication typically requires ongoing management. Follow-up testing helps ensure dosing stays safe and effective. 3Medical sources
- NIH (NIDDK) — Hypothyroidism overview. View source
- NIH (NIDDK) — Hashimoto’s disease (autoimmune thyroiditis) overview. View source
- NHS — Levothyroxine for hypothyroidism (treatment + monitoring context). View source