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5 subtle signs of hypothyroidism

Authored by , ND

Uncovering thyroid issues can be tricky — even when you’re suffering from weight gain, cold sensitivity, deep fatigue or other well-known thyroid symptoms. But it’s even more difficult when you suspect something isn’t quite right and your doctor says, “you’re fine.”

How do you know if you have a hidden thyroid problem?

Here’s the first clue to help you determine if you have a hidden thyroid issue: many women who suffer from common symptoms are also often experiencing lesser–known symptoms that can signal hypothyroidism, or sluggish thyroid. In rare cases, some of these lesser-known symptoms may be the only symptoms showing up.

Up to 60% of women with low thyroid are unaware of their condition

Rare symptoms of hypothyroidism

1. Skin symptoms

  • Yellowing of palms and soles of the feet
  • Hives
  • Psoriasis (skin redness, itching and flaking)

2. Skeletal and muscular symptoms

  • Muscle aches or spasms
  • Joint pain
  • Carpal tunnel syndrome
  • Psoriatic arthritis

3. Mental/emotional symptoms

  • Mental dullness
  • Deeper depression, melancholy feelings

4. Reproductive symptoms

  • Infertility
  • Menstrual irregularities
  • Menstrual cramps
  • Milky-white nipple discharge that isn’t related to breast feeding

5. Digestive symptoms

  • Constipation or hard bowel movements every two days at most

If you’ve been suffering from a common symptom like fatigue or unusual weight gain, and haven’t been able to pinpoint why — even with the help of your healthcare practitioner — uncovering some of the more unusual symptoms of hypothyroidism may help you pinpoint a thyroid issue.

5 common hypothyroidism symptoms

Thyroid issues and the symptoms they cause frequently start small and get worse as your metabolism continues to slow down. If you’re wondering whether you might have a thyroid issue, consider symptoms you’ve had for a while that you may have thought were caused by something else. These are some of the most common symptoms of low thyroid:

1. Severe fatigue/loss of energy

  • High levels of fatigue
  • Sleeping more than average
  • Persisting lack of energy after rest

2. Weight gain/difficulty losing weight

3. Dry skin, brittle nails

  • New wrinkles
  • Dry or cracked skin patches
  • Itchy rashes
  • Split, weak or peeling fingernails

4. Hair issues

  • Brittle hair or hair thinning
  • Premature graying of the hair
  • Loss of outer-third of eyebrows

5. More sensitivity to cold and lower body temperature

A natural thyroid solution for your symptoms

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Relief for symptoms of low or underactive thyroid

Last Updated: March 13, 2025
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