Friday 5 - Things to Investigate When You Have Hypothyroidism but Still Feel Exhausted
Send us Fan Mail If you have hypothyroidism, take thyroid medication and have been told that your blood tests are “normal”, it can be incredibly frustrating to still feel exhausted. Sometimes your thyroid function or medication does need another look, but fatigue is not specific to hypothyroidism, and your thyroid does not operate in isolation. Thyroid hormones interact with your nutrient status, gut health, stress response, sex hormones, cellular energy production and whether you are eating enough to meet the demands being placed on your body. I remember living with chronic fatigue and hoping that an endocrinologist would prescribe levothyroxine and everything would fall back into place. Although there were issues with my thyroid, there was far more contributing to how I felt. In this Friday Five episode of The Autoimmune RESET Podcast, I explore five areas I would investigate when someone with hypothyroidism continues to feel exhausted. In this episode, I discuss: Why TSH does not give us the complete thyroid picture The difference between T4 and the more metabolically active T3 What can influence thyroid hormone conversion and utilisation Why it may be useful to consider free T4, free T3 and thyroid antibodies The relationship between iron stores, ferritin, fatigue and hair loss Other nutrients involved in thyroid function and energy production Why a “clean” diet is not necessarily a nutrient-dense one How restrictive eating and chronic under-fuelling can affect energy, recovery, hair and menstrual health Why more exercise and health optimisation are not always the answer The importance of considering your overall stress load and capacity to recover How gut health may affect nutrient absorption, immune health and thyroid hormone metabolism Why symptoms of hypothyroidism and perimenopause can be difficult to distinguish How apparently unrelated changes in digestion, sleep, skin, hair, periods and stress tolerance can help reveal the wider picture If you are still exhausted, the answer may not be to focus more intensely on your thyroid. It may be time to widen the lens and consider what else has changed around the same time. Please continue to have your thyroid appropriately monitored and treated by your doctor, and never alter prescribed thyroid medication without speaking to the clinician responsible for your care. 🧘♀️ Need nervous system support? → I personally use and recommend SONA, a vagus nerve stimulation device clinically shown to support immune balance, inflammation, and stress recovery. Use code VJ10 for 10% discount at checkout. 📥 New to the podcast or need a starting point? → Download my free The Autoimmunity Recovery Plan — a simple guide that outlines the steps I recommend to all clients as they begin calming the immune response and rebuilding resilience. The information shared in this episode is for educational purposes only and is not intended to replace medical advice. Always consult your healthcare provider. Thanks for listening! You can join The Autoimmune Forum on Facebook or find me on Instagram @theautoimmunitynutritionist.