doctor checking woman's thyroid
Jade Small
Jade Small
March 7, 2025 ·  5 min read

Is It Just Weight Gain? 10+ Signs Your Thyroid Might Be to Blame

An underactive thyroid, or hypothyroidism, affects metabolism. It can mimic simple weight gain but has deeper health effects. Many overlook the signs, assuming lifestyle changes will fix the issue. However, persistent symptoms may indicate thyroid dysfunction. Recognizing these signs early can prevent complications. The thyroid gland produces hormones that influence almost every organ. When it slows down, various bodily functions are affected. Understanding the warning signs helps in seeking early treatment.

Unexplained Weight Gain

Diagram of hyprothyroidism symptoms
Credit: Stephen Kelly

Weight gain without changes in diet or activity can signal hypothyroidism. The thyroid regulates metabolism, impacting calorie burn. A sluggish thyroid slows down metabolic processes. This leads to gradual but steady weight gain. If weight increases despite a healthy lifestyle, consider thyroid testing. Many people assume excess weight results from overeating or inactivity. However, thyroid dysfunction alters how the body processes energy. Even with diet control and exercise, shedding pounds can become difficult. A medical evaluation can determine whether an underactive thyroid is the cause.

Persistent Fatigue

Feeling constantly tired, even after a full night’s sleep, can be a thyroid issue. Hypothyroidism reduces energy production in cells. This leads to prolonged fatigue and sluggishness. If rest does not restore energy, seek medical advice. Chronic tiredness should not be ignored. When thyroid hormone levels drop, the body struggles to maintain energy levels. Everyday tasks may feel exhausting, and naps may not help. If fatigue is accompanied by other symptoms like muscle weakness, thyroid dysfunction could be the cause. Addressing the issue can restore energy and overall well-being.

Cold Sensitivity

People with an underactive thyroid often feel colder than others. The thyroid helps regulate body temperature. A slow thyroid function reduces heat production. If you feel cold even in warm environments, your thyroid may be struggling. Layering up excessively could be a sign. This symptom is due to decreased blood circulation and a lower metabolic rate. Some people with hypothyroidism even experience cold hands and feet. If you constantly need extra layers while others feel comfortable, consider checking your thyroid. Treating hypothyroidism can restore normal temperature regulation.

Dry Skin and Brittle Hair

Thyroid hormones support skin and hair health. A deficiency can lead to excessive dryness and hair thinning. Brittle nails and flaky skin are common signs. If moisturizer and hair treatments don’t help, thyroid imbalance could be the cause. A dermatologist may notice these changes first. Skin may appear dull, and wounds may take longer to heal. Hair loss often occurs at the crown and eyebrows. If your skin lacks elasticity and hydration despite proper care, your thyroid could be to blame. Proper treatment can improve hair and skin health over time.

Depression and Mood Changes

Low thyroid function affects brain chemicals that regulate mood. This can lead to depression, anxiety, or mood swings. Many people dismiss these symptoms as stress or life circumstances. If feelings of sadness persist without a clear cause, thyroid levels should be checked. Emotional well-being depends on balanced hormones. The brain relies on thyroid hormones to function properly. A deficiency can cause concentration problems, irritability, and feelings of hopelessness. If antidepressants and therapy don’t help, consider a thyroid screening. Proper hormone balance can improve mental clarity and mood stability.

Read More: 7 Simple Ways To Recognize Possible Body Issues

Slower Heart Rate

A sluggish thyroid slows many bodily functions, including heart rate. A lower-than-normal pulse may indicate hypothyroidism. You may feel dizziness, lightheadedness, or palpitations. Checking pulse regularly can help detect changes. If your heart rate is unusually slow, consult a doctor. The heart relies on thyroid hormones to pump efficiently. A sluggish heart rate can cause fatigue and fainting spells. Some individuals may also experience shortness of breath. If cardiovascular changes occur without explanation, thyroid function should be assessed. Addressing hypothyroidism can prevent heart-related complications.

Joint Pain and Muscle Weakness

Unexplained aches, stiffness, or muscle weakness can result from low thyroid hormone levels. These symptoms may mimic aging or arthritis. Pain often affects shoulders, hips, and knees. Muscle cramps may occur frequently. If discomfort persists without injury, a thyroid check is advisable. The thyroid influences muscle strength and joint flexibility. A decrease in hormones can lead to inflammation and slow recovery from physical activity. If stiffness or weakness becomes a daily struggle, proper treatment may alleviate discomfort. Physical therapy can also aid recovery while managing thyroid health.

Puffy Face and Swelling

Hypothyroidism can cause fluid retention, leading to facial puffiness. Swelling may also occur in the hands, feet, or ankles. This happens due to slowed metabolism and poor circulation. If you notice persistent puffiness, thyroid function could be involved. Morning facial swelling is especially common. The condition, known as myxedema, occurs when the body retains excess fluids. This can lead to a swollen tongue, bloated features, and a puffy under-eye area. Reducing sodium intake and staying hydrated may help. However, only thyroid treatment can fully resolve the issue.

Constipation and Digestive Issues

A slow thyroid affects digestion, leading to constipation. The intestines move food at a slower rate. This causes bloating and discomfort. If fiber and hydration don’t relieve symptoms, consider a thyroid test. Chronic constipation is a common but overlooked sign. The digestive tract relies on hormones to maintain movement. When thyroid function declines, food takes longer to pass through. This leads to frequent bloating, cramping, and irregular bowel movements. If traditional remedies don’t work, a medical evaluation is necessary. Treating hypothyroidism can improve digestion significantly.

Memory and Concentration Problems

Thyroid hormones support brain function. Low levels can cause brain fog, forgetfulness, and difficulty concentrating. Some describe it as feeling mentally sluggish or distracted. These cognitive changes can affect work and daily life. If memory issues arise without explanation, thyroid dysfunction may be involved. The brain requires a steady supply of hormones for optimal performance. Low levels can slow down mental processing, making problem-solving harder. If focus and productivity decrease without reason, thyroid treatment may help. A proper balance of hormones enhances cognitive function and mental clarity.

Diagnosing and Treating Hypothyroidism

A blood test measures thyroid hormone levels. Doctors check TSH, T3, and T4 levels. If hypothyroidism is diagnosed, medication can restore balance. Lifestyle changes, like proper diet and exercise, support thyroid health. Early detection prevents long-term complications. Regular checkups ensure proper management. Medical treatment often includes levothyroxine, a synthetic thyroid hormone. Dietary changes, like increasing iodine and selenium intake, can aid thyroid function. Exercise can also boost energy and metabolism. A comprehensive approach improves overall health while managing thyroid function.

Final Thoughts

Weight gain is not always due to lifestyle habits. An underactive thyroid affects many body functions. Recognizing early signs can lead to proper diagnosis and treatment. If multiple symptoms apply to you, consult a doctor. Addressing thyroid issues improves overall health and well-being. Taking symptoms seriously can prevent complications. Early detection and medical intervention can restore hormone levels. If left untreated, hypothyroidism can lead to severe health problems. Listening to your body and seeking medical advice is crucial. A well-functioning thyroid contributes to a healthier and more energetic life.

Read More: 15 Foods To Help Your Energy When It’s Low