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Hypothyroidism: Understanding a Slow Metabolism

picture of a woman with low energy due to hypothyroidism touching her neck where her thyroid is located
Struggling with low energy? It may be hypothyroidism


Hypothyroidism, a common endocrine disorder, affects millions of people worldwide. Often referred to as an underactive thyroid, this condition occurs when the thyroid gland fails to produce sufficient thyroid hormones. These hormones play a pivotal role in regulating metabolism, energy levels, body temperature, and many other vital bodily functions. Understanding the symptoms, diagnosis, and natural treatments for hypothyroidism is crucial for those experiencing its effects. This comprehensive blog post will explore its symptoms, diagnostic approaches, underlying causes, and natural methods to restore thyroid health.

Symptoms of Hypothyroidism

Hypothyroidism manifests itself through a wide array of symptoms, some of which may overlap with other medical conditions. Individuals experiencing hypothyroidism may encounter the following common signs:


Feeling excessively tired, even after getting enough rest, is a prominent indicator of hypothyroidism.

Weight Gain

Unexplained weight gain, often despite no significant changes in diet or exercise routines.

Cold Sensitivity

Increased sensitivity to cold temperatures, which may be accompanied by cold hands and feet, or just feeling cold all over.

Dry Skin and Hair, Hair Loss

Hypothyroidism can lead to dry, rough skin and brittle hair that tends to fall out more than usual.


Sluggish bowel movements and constipation are common gastrointestinal issues related to an underactive thyroid.

Muscle Weakness

Muscle weakness and aches often lead to decreased physical performance.

Depression and Mood Swings

Hypothyroidism may contribute to mood changes, including depression, anxiety, and irritability.

Memory Issues

Impaired memory, concentration, and cognitive function may be experienced.

Irregular Menstrual Cycles and Infertility

Women may notice changes in their menstrual cycles, including heavier periods or irregularities. Impaired function of the ovaries may cause fertility issues. Hypothyroidism is a common cause of infertility.

Elevated Cholesterol Levels

Hypothyroidism can cause high cholesterol levels through several interconnected mechanisms. The thyroid hormones (triiodothyronine – T3 and thyroxine – T4) play a crucial role in regulating various metabolic processes, including the breakdown and utilization of fats and cholesterol in the body. When the thyroid gland fails to produce sufficient hormones, as is the case in hypothyroidism, it can lead to disruptions in lipid metabolism, resulting in elevated cholesterol levels. Here’s how hypothyroidism can cause high cholesterol:

  1. Reduced Lipid Clearance: Thyroid hormones are responsible for promoting the breakdown and clearance of lipids (fats) from the bloodstream. In hypothyroidism, the decreased production of thyroid hormones can slow down the clearance of cholesterol and triglycerides from the blood, leading to their accumulation.
  2. Decreased LDL Receptor Activity: Low-density lipoprotein (LDL) cholesterol is often referred to as “bad cholesterol” because elevated LDL levels are associated with an increased risk of atherosclerosis (plaque buildup in arteries). Thyroid hormones stimulate the activity of LDL receptors on the surface of cells, which helps remove LDL cholesterol from the blood. In hypothyroidism, the reduced availability of thyroid hormones leads to decreased LDL receptor activity, resulting in higher LDL cholesterol levels.
  3. Impaired HDL Cholesterol Function: High-density lipoprotein (HDL) cholesterol is often called “good cholesterol” because it helps remove excess cholesterol from the bloodstream and transport it to the liver for excretion. Thyroid hormones also influence the function of HDL cholesterol. In hypothyroidism, the impaired function of HDL cholesterol can further contribute to high cholesterol levels.
  4. Insulin Resistance: Some studies suggest that hypothyroidism may lead to insulin resistance, which can also contribute to abnormal blood lipid levels. Insulin resistance may exacerbate the negative impact of hypothyroidism on cholesterol metabolism.

It’s important to note that not everyone with hypothyroidism will experience high cholesterol levels. The extent of the impact on cholesterol levels may vary depending on factors such as the severity of hypothyroidism, individual metabolism, genetics, and other underlying health conditions.

Sexual Dysfunction

Sexual dysfunction is a less commonly discussed but significant symptom associated with hypothyroidism. The thyroid hormones play a vital role in regulating various physiological processes, including those related to sexual health. When the thyroid gland fails to produce adequate hormones, it leads to disruptions in the body’s hormonal balance, potentially impacting sexual function.

Impact of Hypothyroidism on Sexual Function

Hypothyroidism can affect men’s and women’s sexual health in different ways:

a. Men:

  • Erectile Dysfunction (ED): Hypothyroidism may contribute to difficulties in achieving or maintaining an erection, leading to erectile dysfunction. This results from decreased blood flow to the genital area or alterations in the nerve signals that control erections.
  • Reduced Libido: Hypothyroidism might be associated with a decrease in sex drive (libido), leading to a reduced interest in sexual activity.

b. Women:

  • Low Libido: Hypothyroidism can lead to a decreased desire for sexual activity in women, affecting their overall interest in sex.
  • Irregular Menstrual Cycles: Thyroid hormones influence the menstrual cycle. Women with hypothyroidism may experience irregular periods, which can also impact their sexual health.

Mechanisms Behind Sexual Dysfunction in Hypothyroidism

The exact mechanisms by which hypothyroidism impacts sexual function are not fully understood. However, it is believed that the thyroid hormones influence the production and balance of other hormones in the body, including sex hormones like estrogen and testosterone. When thyroid hormone levels are low, it can disrupt the normal hormonal interplay, leading to sexual dysfunction.

Additionally, the impact of hypothyroidism on the cardiovascular system, metabolism, and nervous system can also contribute to sexual problems. For example, reduced blood flow to the genital area can hinder arousal and sexual response.

Diagnosing Hypothyroidism

Prompt and accurate diagnosis is crucial in managing hypothyroidism effectively. Physicians use a combination of clinical evaluation, medical history, and laboratory tests to diagnose the condition. Common diagnostic tests include:

Thyroid Function Blood Tests:

The tests that I use to assess thyroid function include measuring TSH (Thyroid-Stimulating Hormone), free T4 (Thyroxine), free T3 (Triiodothyronine), anti-thyroglobulin and anti-thyroperoxidase levels in the blood.

Physical Examination:

I may do a physical examination to assess any visible signs of hypothyroidism, such as swelling in your neck (goitre).

Medical History:

Your medical history and family history can provide valuable insights into the potential causes of hypothyroidism.

Incidence and Causes of Hypothyroidism

Hypothyroidism can affect individuals of all ages and genders, although it is more prevalent in women, especially as they age. Research indicates that the incidence of hypothyroidism varies by region and is influenced by factors such as iodine intake, genetics, and exposure to certain environmental toxins.

Some common causes of hypothyroidism include:

Autoimmune Thyroiditis (Hashimoto’s Disease):

An autoimmune condition where the body’s immune system attacks the thyroid gland, gradually leading to its dysfunction.

Iodine Deficiency or Excess:

Insufficient or excess iodine intake can impede the production of thyroid hormones.

Hyperthyroidism Treatment: Surgery or Radioactive Iodine Therapy:

Congenital Hypothyroidism:

Some individuals are born with an underactive thyroid gland due to genetic factors or developmental abnormalities.


Certain medications like lithium or amiodarone may interfere with thyroid function.

Reversing Hypothyroidism: Natural Treatments

While conventional medications like synthetic thyroid hormones (levothyroxine) remain the standard treatment for hypothyroidism, some individuals seek complementary and natural approaches to support thyroid health. Before considering any natural treatment, consulting with a naturopathic doctor is essential.

a. Dietary Changes: Incorporating a well-balanced diet rich in essential nutrients can aid in supporting thyroid function. Foods high in iodine, selenium, zinc, copper, and iron are particularly beneficial. Examples include seafood, nuts, seeds, and leafy greens.

b. Stress Management: Chronic stress can negatively impact thyroid function. Engaging in relaxation techniques such as yoga, meditation, or deep breathing exercises can help alleviate stress.

c. Exercise: Regular physical activity can support metabolism and energy levels.

d. Herbal Supplements: Some herbs like ashwagandha and guggul have shown promise in supporting thyroid health. However, their use should be approached with caution and under the guidance of a naturopathic doctor.

Goitrogens and The Thyroid

The term “goitrogenic foods” refers to certain substances found in foods that may interfere with the proper functioning of the thyroid gland and potentially contribute to goitre formation. Goiter is the enlargement of the thyroid gland, which can be a symptom of both hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid). Goitrogenic foods are often associated with hypothyroidism due to their potential to interfere with iodine uptake or the synthesis of thyroid hormones.

Goitrogenic foods primarily contain compounds called goitrogens, which can affect thyroid function in different ways. The two main types of goitrogens found in food are:

  1. Thiocyanates: Found in certain vegetables like broccoli, cabbage, cauliflower, kale, and Brussels sprouts.
  2. Glucosinolates: Present in cruciferous vegetables such as broccoli, cauliflower, cabbage, kale, bok choy, and turnips.

The theory behind the concern about goitrogenic foods is that they may inhibit the uptake of iodine by the thyroid gland, leading to decreased production of thyroid hormones (T3 and T4). Iodine is an essential component of thyroid hormones, and any interference with its uptake could potentially contribute to hypothyroidism.

However, the research on the actual impact of goitrogenic foods on thyroid function and their association with hypothyroidism is not entirely straightforward. While some studies have shown that consuming large amounts of raw or inadequately cooked goitrogenic foods may reduce iodine uptake and thyroid hormone synthesis, it is crucial to consider certain factors:

  1. Cooking: Cooking deactivates many goitrogenic compounds, making them less potent. Steaming, boiling, or sautéing these vegetables can significantly reduce their goitrogenic effects.
  2. Iodine Adequacy: The impact of goitrogens on thyroid function largely depends on an individual’s iodine status. In areas with sufficient iodine intake, the goitrogenic effects of these foods are less likely to be problematic.
  3. Individual Variation: Not everyone responds the same way to goitrogenic foods. Some individuals may be more sensitive to their effects, while others may not experience any noticeable impact on thyroid function.
  4. Moderation: Consuming goitrogenic foods in moderation as part of a well-balanced diet is safe for most people, even those with hypothyroidism.


Hypothyroidism is a complex condition that can significantly impact a person’s overall well-being. Recognizing the symptoms, early diagnosis, and appropriate management are essential for those experiencing the effects of an underactive thyroid. While conventional medication is the primary treatment, incorporating natural approaches can complement conventional care and support thyroid health.

Remember, if you suspect you may have hypothyroidism, consult a naturopathic doctor for proper evaluation and personalized treatment. With the right approach, individuals can find relief from hypothyroid symptoms and improve their overall quality of life.

Where to Learn More About Your Thyroid

  1. American Thyroid Association (ATA) –
  2. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) –
  3. Mayo Clinic –
  4. World Health Organization (WHO) –
  5. National Center for Complementary and Integrative Health (NCCIH) –
  6. PubMed –
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