- There are so many reasons a thyroid patient can have hyper-like symptoms, even without having the “hyperthyroid” autoimmune disease called Graves. Check out the information on this page! ~Janie, hypothyroid patient and site creator
Hyper symptoms can include: anxiety, panicky feelings, palps, higher heartrate, shakiness, feeling wired and more listed below. You might even be told you’re having a thyroid storm.
The hyper symptoms are usually all caused by your body producing excess adrenaline in response to a problem.
The more common reasons for hyper-like symptoms include:
- Having a cortisol problem, which can cause T3 to pool high in your blood, causing high adrenaline as you raise T3 in. your treatment, which causes hyper-like symptoms to match!
- Getting on HC (hydrocortisone aka cortisol) when you have an overly high FT3 due to a cortisol problem and which we call pooling, which can cause a sudden T3-rush into the cells which we call a “thyroid dump”. This is why it’s much better to allow your pooled T3 to fall fist.
- Having Hashimotos where you get the hyper swings of the die-off of your thyroid thrusting thyroid hormones into your blood
- Other varieties of thyroiditis
- Low aldosterone, which causes you to lose fluid, lowers sodium and eventually potassium
- Literally taking too much thyroid hormone (but you’ll need to rule out if it’s low cortisol causing the hyper-like symptoms, not actually too much thyroid hormone. Many doctors don’t get this!)
More rare include:
- Having a tumor/adenoma on your pituitary or thyroid gland (often due to low levels of iodine)
- Toxic multinodular goitre
- Hashitoxocosis–a combination of Graves and Hashimotos
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
- feeling the need to shake your leg
- 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?
- HASHIMOTO’S DISEASE: To discern if you have Hashimotos disease causing hyper-like swings in the die-off of your thyroid hormones and tissue, get the anti-TPO and anti-thyroglobulin lab work. i.e BOTH, not just one. Get the premier, patient-to-patient Hashimoto’s book called Hashimoto’s: Taming the Beast.
- HASHITOXICOSIS: To discern if you have Hashitoxicosis, all the above plus the TSI (the Hashi’s chapter in the revised STTM book talks about this, as does Hashimoto’s: Taming the Beast book.)
- CORTISOL PROBLEM: To discern if a cortisol problem is causing the hyper-like symptoms with T3 in one’s treatment (common!), order a 24-hour adrenal saliva test . T3 tends to go far too high in your blood when cortisol is problematic.
- GRAVES’ DISEASE: To discern if you have Graves’ disease, ask your doctor to test your TSI (thyroid stimulating immunoglobulin).
Have I left anything out above? Let me know.