THYROID

Tick each symptom based on severity. Where you have checked two or more boxes as “moderate” or “severe” in any group, it is likely that you have the hormone imbalance represented by that group. It is recommended to assess your hormone levels with pathology testing.  Please consult with your health care professional.

LOW THYROID FUNCTION SYMPTOMS	No	Moderate	Severe
Fatigue, especially evenings	o	o	o
Cold Extremities	o	o	o
Low Libido	o	o	o
Dry Skin	o	o	o
General Aches & Pains	o	o	o
Depression	o	o	o
Scalp Hair Loss	o	o	o
Brittle Nails	o	o	o
Low Pulse Rate/Blood Pressure	o	o	o
Memory Lapses	o	o	o
Heart Palpitations	o	o	o
Constipation	o	o	o
Low Stamina	o	o	o
Low Body Temperature	o	o	o
Headaches	o	o	o
Intolerance to Cold	o	o	o
Weight Gain	o	o	o
Anxiety	o	o	o
Swollen Puffy Eyes	o	o	o
Deceased Swelling	o	o	o
Poor concentration	o	o	o
High Cholesterol	o	o	o
Infertility	o	o	o
Fibromyalgia	o	o	o

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