{"id":8343,"date":"2024-08-08T17:31:08","date_gmt":"2024-08-08T14:01:08","guid":{"rendered":"https:\/\/ahmadfanaei.com\/?post_type=portfolio&#038;p=8343"},"modified":"2025-08-12T18:20:08","modified_gmt":"2025-08-12T14:50:08","slug":"hashimotos","status":"publish","type":"portfolio","link":"https:\/\/ahmadfanaei.com\/en\/diseases\/hashimotos\/","title":{"rendered":"hashimotos"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row css=&#8221;.vc_custom_1718960311958{margin-top: 0px !important;}&#8221; el_class=&#8221;ds-sec-1&#8243;][vc_column css=&#8221;.vc_custom_1718463346881{padding-left: 30px !important;}&#8221; el_class=&#8221;sr-about-txt&#8221;]<div id=\"cz_109607\" class=\"cz_109607 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"What_is_Hashimotos\"><\/span>What is Hashimoto&#8217;s?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_76560\" class=\"cz_76560 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Hashimoto&#8217;s disease or chronic thyroiditis is an autoimmune disorder that affects the thyroid gland. Autoimmune disorder is a disease caused by the immune system attacking healthy tissues. The thyroid produces hormones that are involved in regulating many body functions. In Hashimoto&#8217;s disease, immune system cells lead to the death of thyroid hormone producing cells. This disease will usually lead to a decrease in the production of thyroid hormone and cause a condition called hypothyroidism. Primary treatment for Hashimoto&#8217;s includes thyroid hormone replacement or levothyroxine tablets. Hashimoto&#8217;s disease is also known as Hashimoto&#8217;s thyroiditis, chronic lymphocytic thyroiditis and chronic autoimmune thyroiditis.<\/p>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem ds-icon-row&#8221; css=&#8221;.vc_custom_1718994053800{padding-top: 60px !important;padding-bottom: 40px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243;]<div id=\"cz_94473\" class=\"cz_94473 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"Hashimotos_thyroid_symptoms\"><\/span>Hashimoto&#8217;s thyroid symptoms<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_43342\" class=\"cz_43342 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Some people with Hashimoto&#8217;s disease may have no symptoms at first. As the disease slowly progresses, your thyroid gland may become enlarged (a condition called a goiter<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;]<div id=\"cz_16622\" data-position=\"top-right\" class=\"cz_16622 cz_image clr cz_image_no_fx\"><div class=\"cz_svg_bg\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img fetchpriority=\"high\" loading=\"eager\" decoding=\"sync\" data-no-lazy=\"1\" width=\"512\" height=\"512\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-1.png\" class=\"attachment-full\" alt=\"Diagnosis  1\" title=\"diagnosis -1\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-1.png 512w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-1-300x300.png 300w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-1-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\"  \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem&#8221;][vc_column]<div id=\"cz_92470\" class=\"cz_92470 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Goiter is the first common symptom of Hashimoto&#8217;s thyroiditis. This condition is usually not painful, but it can cause a kind of fullness in the lower part of your neck and make your neck look swollen. For this reason, this disease is called thyroiditis because it is one of the causes of inflammation of the thyroid gland.<\/p>\n<p>If Hashimoto&#8217;s disease leads to hypothyroidism, it can cause the following symptoms over time:<\/p>\n<ul>\n<li>Fatigue, lethargy and excessive sleep<\/li>\n<li>Slight weight gain<\/li>\n<li>Constipation<\/li>\n<li>skin dryness<\/li>\n<li>Feeling cold<\/li>\n<li>Slower than normal heart rate (bradycardia)<\/li>\n<li>Joint stiffness and muscle pain<\/li>\n<li>Dry and brittle hair, slow hair growth or hair loss<\/li>\n<li>Low mood or depression<\/li>\n<li>Puffy eyes and face<\/li>\n<li>Memory problems or difficulty concentrating<\/li>\n<li>Heavy or irregular periods<\/li>\n<li>Decreased libido<\/li>\n<li>Female infertility or male infertility<\/li>\n<\/ul>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem ds-icon-row&#8221; css=&#8221;.vc_custom_1719067525562{padding-top: 60px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243;]<div id=\"cz_74984\" class=\"cz_74984 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"What_is_the_cause_of_Hashimotos_thyroiditis\"><\/span>What is the cause of Hashimoto&#8217;s thyroiditis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_96864\" class=\"cz_96864 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Hashimoto&#8217;s disease is an autoimmune disease; This means that your immune system attacks your own cells and organs. Normally, the immune system protects your body from harmful foreign invaders such as bacteria and viruses. But in chronic thyroiditis, the following occur:<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;]<div id=\"cz_21105\" data-position=\"top-right\" class=\"cz_21105 cz_image clr cz_image_no_fx\"><div class=\"cz_svg_bg\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/protection-mask-1.png\" class=\"attachment-full\" alt=\"Protection mask (1)\" title=\"protection-mask (1)\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/protection-mask-1.png 512w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/protection-mask-1-300x300.png 300w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/protection-mask-1-150x150.png 150w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem&#8221;][vc_column]<div id=\"cz_50773\" class=\"cz_50773 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><ul>\n<li>Your immune system makes antibodies that attack your thyroid tissue for unknown reasons.<\/li>\n<li>Too many white blood cells (especially lymphocytes) build up in your thyroid.<\/li>\n<li>This accumulation causes inflammation (thyroiditis) and damages the thyroid.<\/li>\n<li>Over time, this damage can prevent your body from producing enough thyroid hormone that it needs, leading to hypothyroidism. However, not everyone with Hashimoto&#8217;s disease will develop hypothyroidism.<\/li>\n<\/ul>\n<p>It is not known exactly what causes the immune system to attack thyroid cells. The onset of the disease may be due to the following reasons:<\/p>\n<ul>\n<li>Genetic factors<\/li>\n<li>Environmental triggers such as infection, stress, or radiation exposure<\/li>\n<li>Interaction between environmental and genetic factors<\/li>\n<\/ul>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row rtl_reverse=&#8221;yes&#8221; css=&#8221;.vc_custom_1719081409673{margin-top: 80px !important;margin-bottom: 0px !important;padding-top: 80px !important;padding-bottom: 40px !important;background-color: #f8f9fa !important;}&#8221; el_class=&#8221;ds-bg-row bg-top ds-sec-2 row-reverse-cu&#8221;][vc_column]<div id=\"cz_49079\" class=\"cz_49079 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h3><span class=\"ez-toc-section\" id=\"Which_people_are_more_at_risk_of_this_autoimmune_thyroiditis\"><\/span>Which people are more at risk of this autoimmune thyroiditis?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<\/div><\/div><\/div><div id=\"cz_56082\" class=\"cz_56082 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Anyone at any age can develop chronic thyroiditis, but the following factors are associated with an increased risk of developing Hashimoto&#8217;s disease:<\/p>\n<p><strong>Gender<\/strong>: Women are much more susceptible to this disease than men; In fact, the risk of Hashimoto&#8217;s disease in women is almost 10 times that of men.<\/p>\n<p><strong>Age<\/strong>: Autoimmune thyroiditis can occur at any age, but occurs mostly in middle age (30 to 50 years old).<\/p>\n<p>Other autoimmune diseases: Having an autoimmune disease such as Addison&#8217;s disease, celiac disease, lupus, pernicious anemia, rheumatoid arthritis, Sjogren&#8217;s syndrome, and type 1 diabetes increases the risk of developing this disease.<\/p>\n<p><strong>Genetics and family history:<\/strong> If a person or people in your family have thyroid disorders or other autoimmune diseases, you will be at risk of developing this disease. Research shows that your genetics can increase your chances of developing Hashimoto&#8217;s disease by about 80%.<\/p>\n<p><strong>Pregnancy:<\/strong> Common changes in immune system function during pregnancy may be a risk factor for developing Hashimoto&#8217;s thyroiditis that begins after pregnancy.<\/p>\n<p><strong>Too much iodine<\/strong>: Too much iodine in the diet may act as a trigger among people who are already at risk for developing Hashimoto&#8217;s disease.<\/p>\n<p><strong>Exposure to radiation:<\/strong> People who are exposed to excessive levels of environmental radiation are more susceptible to this disease.<\/p>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-dash-row&#8221; css=&#8221;.vc_custom_1719167012061{margin-top: 80px !important;margin-bottom: 80px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_75078\" class=\"cz_75078 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"Is_Hashimotos_disease_dangerous\"><\/span>Is Hashimoto&#8217;s disease dangerous?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In general, all thyroid disorders, if undiagnosed and untreated, can negatively affect a person&#8217;s quality of life in the first place and cause irreparable health complications in the long run. Hashimoto&#8217;s disease is no exception to this rule. However, Hashimoto&#8217;s has a very positive prognosis in treatment. This means that it can be well controlled with timely diagnosis and receiving the right dose of medicine.<br \/>\nHashimoto&#8217;s disease is not dangerous in itself. However, if this disease is diagnosed too late or is not treated properly, it can cause dangerous complications for the affected person and in some cases it can even be fatal.<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_11429\" data-position=\"top-right\" class=\"cz_11429 cz_image clr cz_image_no_fx center_on_mobile\"><div class=\"\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"772\" height=\"1028\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455.jpg\" class=\"attachment-full\" alt=\"45736455\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455.jpg 772w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455-225x300.jpg 225w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455-769x1024.jpg 769w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455-768x1023.jpg 768w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/45736455-600x799.jpg 600w\" sizes=\"auto, (max-width: 772px) 100vw, 772px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-dash-row dash-type-2&#8243; css=&#8221;.vc_custom_1719235762377{margin-top: 80px !important;margin-bottom: 80px !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_32365\" data-position=\"top-right\" class=\"cz_32365 cz_image clr cz_image_no_fx center_on_mobile\"><div class=\"\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"770\" height=\"1030\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232.jpg\" class=\"attachment-full\" alt=\"345232\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232.jpg 770w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232-224x300.jpg 224w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232-766x1024.jpg 766w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232-768x1027.jpg 768w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/08\/345232-600x803.jpg 600w\" sizes=\"auto, (max-width: 770px) 100vw, 770px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_94927\" class=\"cz_94927 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"Complications_of_not_treating_Hashimotos_thyroiditis\"><\/span>Complications of not treating Hashimoto&#8217;s thyroiditis<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>With lifelong monitoring and treatment, the prognosis (outlook) for people with Hashimoto&#8217;s disease is excellent. However, if hypothyroidism caused by this disease is not properly controlled and treated, it can lead to certain health problems, including:<\/p>\n<ul>\n<li>High cholesterol<\/li>\n<li>Heart disease and heart failure<\/li>\n<li>High blood pressure<\/li>\n<li>Depression<\/li>\n<li>Myxedema coma: This condition is a rare complication of severe hypothyroidism in which your body&#8217;s functions slow down to a point that can be fatal.<\/li>\n<li>Without proper treatment, hypothyroidism can also cause problems during pregnancy, including premature labor and miscarriage.<\/li>\n<\/ul>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem ds-icon-row&#8221; css=&#8221;.vc_custom_1719236482212{padding-top: 30px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243;]<div id=\"cz_41179\" class=\"cz_41179 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"How_to_diagnose_Hashimotos\"><\/span>How to diagnose Hashimoto&#8217;s<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_85255\" class=\"cz_85255 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Various health problems may lead to symptoms similar to autoimmune thyroiditis. Therefore, apart from a complete physical examination and review of your medical history, it is necessary to perform special tests to diagnose this disease. How to diagnose is as follows.<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;]<div id=\"cz_39681\" data-position=\"top-right\" class=\"cz_39681 cz_image clr cz_image_no_fx\"><div class=\"cz_svg_bg\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-2-1.png\" class=\"attachment-full\" alt=\"Diagnosis (2) (1)\" title=\"diagnosis (2) (1)\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-2-1.png 512w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-2-1-300x300.png 300w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/diagnosis-2-1-150x150.png 150w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem&#8221;][vc_column]<div id=\"cz_107719\" class=\"cz_107719 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p><strong>Perform a thyroid function test<\/strong><\/p>\n<p>To determine whether hypothyroidism is the cause of your symptoms, your doctor will order a blood test that may include:<\/p>\n<p><strong>TSH test<\/strong>: Thyroid stimulating hormone (TSH) is produced by the pituitary gland. When the pituitary detects low thyroid hormones in the blood, it sends thyroid-stimulating hormone (TSH) to the thyroid to increase thyroid hormone production.<\/p>\n<p><strong>T4 test:<\/strong> The main thyroid hormone is thyroxine (T4).<\/p>\n<p><strong>Antibody tests<\/strong><\/p>\n<p>Besides chronic thyroiditis, other health conditions can also lead to hypothyroidism. To determine if Hashimoto&#8217;s disease is the cause of your hypothyroidism, your doctor will order an antibody test. If you have certain autoantibodies in your blood, it usually indicates that Hashimoto&#8217;s disease is the cause of your hypothyroidism; Not something else like iodine deficiency.<\/p>\n<p>Note: In some cases, the doctor may recommend a thyroid ultrasound to check the size of the thyroid and make sure there are no thyroid nodules.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"The_answer_to_Hashimotos_test\"><\/span><strong>The answer to Hashimoto&#8217;s test<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The following results in Hashimoto&#8217;s tests can indicate this disease:<\/p>\n<ul>\n<li>High TSH levels in the blood indicate hypothyroidism.<\/li>\n<li>Low blood thyroxine (T4) levels confirm the TSH test findings and indicate that the problem is with the thyroid itself.<\/li>\n<li>Usually, in this disease, your immune system produces antibodies against thyroid peroxidase (TPO); A protein that plays an important role in thyroid hormone production. Most people with Hashimoto&#8217;s disease have thyroid peroxidase (TPO) antibodies in their blood. Laboratory tests for other antibodies associated with Hashimoto&#8217;s disease may also be needed.<\/li>\n<\/ul>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem ds-icon-row&#8221; css=&#8221;.vc_custom_1719236482212{padding-top: 30px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243;]<div id=\"cz_12309\" class=\"cz_12309 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"Hashimotos_treatment\"><\/span>Hashimoto&#8217;s treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_90763\" class=\"cz_90763 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>There is no way to definitively cure or reverse Hashimoto&#8217;s disease. But lifelong medication is very effective in managing hypothyroidism and thyroid hormone levels<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;]<div id=\"cz_107704\" data-position=\"top-right\" class=\"cz_107704 cz_image clr cz_image_no_fx\"><div class=\"cz_svg_bg\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/prescription-1.png\" class=\"attachment-full\" alt=\"Prescription (1)\" title=\"prescription (1)\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/prescription-1.png 512w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/prescription-1-300x300.png 300w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/prescription-1-150x150.png 150w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem&#8221;][vc_column]<div id=\"cz_46914\" class=\"cz_46914 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Treatment for Hashimoto&#8217;s thyroiditis depends on whether your thyroid is damaged enough to cause hypothyroidism. If you don&#8217;t have hypothyroidism or it&#8217;s very mild, your doctor may not prescribe any medication but just monitor your symptoms and check your thyroid hormone levels.<\/p>\n<p>If you have hypothyroidism, you will be prescribed a medication (usually in pill form). This drug, called levothyroxine, is a chemical or synthetic version of the natural thyroid hormone T4 and is designed to restore your normal metabolism. Levothyroxine tablets are available in different dosages. The exact dose your doctor prescribes depends on several factors, including:<\/p>\n<ul>\n<li>Age<\/li>\n<li>Weight<\/li>\n<li>Severity of hypothyroidism<\/li>\n<li>Other health problems<\/li>\n<li>Other medications that may interact with synthetic thyroid hormones.<\/li>\n<\/ul>\n<p>6 to 8 weeks after the start of treatment, the doctor prescribes a TSH test to monitor thyroid function and ensure that you are getting the right dose. After adjusting the dose, this test is repeated in 6 months and then in another year. You must use this medicine for the rest of your life because there is no cure for autoimmune thyroiditis.<\/p>\n<p>Because thyroid hormones work so slowly in the body, it may take several months for Hashimoto&#8217;s symptoms to go away and for your goiter to shrink. However, very large goiters that do not heal may require <strong><a href=\"https:\/\/ahmadfanaei.com\/en\/thyroid-surgery\/\">thyroid surgery<\/a><\/strong> and removal of the thyroid gland.<\/p>\n<p>If levothyroxine does not control all your symptoms of hypothyroidism, your doctor may add another drug called Cytomel (liothyronine sodium), which is a synthetic version of another thyroid hormone called T3, to your treatment plan, or a combination of the two hormones. to do<\/p>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem ds-icon-row&#8221; css=&#8221;.vc_custom_1719236482212{padding-top: 30px !important;padding-bottom: 0px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243;]<div id=\"cz_29619\" class=\"cz_29619 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h2><span class=\"ez-toc-section\" id=\"Prevention_of_Hashimotos_disease\"><\/span>Prevention of Hashimoto&#8217;s disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/div><\/div><\/div><div id=\"cz_99038\" class=\"cz_99038 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Unfortunately, there is nothing you can do to prevent Hashimoto&#8217;s disease. Because its risk factors (the most important of which are genetics and age) cannot be changed.<\/p>\n<\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/4&#8243;]<div id=\"cz_18011\" data-position=\"top-right\" class=\"cz_18011 cz_image clr cz_image_no_fx\"><div class=\"cz_svg_bg\" ><div class=\"cz_image_in\"><div class=\"cz_main_image\"><img decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/health-insurance-1.png\" class=\"attachment-full\" alt=\"Health insurance (1)\" title=\"health-insurance (1)\" srcset=\"https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/health-insurance-1.png 512w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/health-insurance-1-300x300.png 300w, https:\/\/ahmadfanaei.com\/wp-content\/uploads\/2024\/06\/health-insurance-1-150x150.png 150w\" sizes=\"auto, (max-width: 512px) 100vw, 512px\" loading=\"lazy\" \/><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;ds-alaem&#8221;][vc_column]<div id=\"cz_79726\" class=\"cz_79726 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Although Hashimoto&#8217;s thyroiditis cannot be prevented, remember that this thyroid disorder is very manageable. If you are concerned about any possible symptoms, discuss it with your doctor so that treatment can be started as soon as possible.<\/p>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1718307960492{margin-top: 110px !important;margin-bottom: 60px !important;}&#8221; el_class=&#8221;sr-faq&#8221; el_id=&#8221;faq&#8221;][vc_column]<div id=\"cz_69741\" class=\"cz_69741 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><h3><span class=\"ez-toc-section\" id=\"FAQ\"><\/span>FAQ<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row el_class=&#8221;sr-faq padding-2&#8243;][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_25993\" data-arrows='{\"open\":\"fa czico-115-cross-3\",\"close\":\"fas fa-minus\"}' class=\"cz_25993 cz_acc clr cz_acc_icon_before\"><div><div id=\"cz_58097\"><span class=\"cz_acc_child\"><div>What are the symptoms of Hashimoto's?<\/div><\/span><div class=\"cz_acc_child_content clr\"><div id=\"cz_13792\" class=\"cz_13792 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Chronic thyroiditis is initially asymptomatic, but if it leads to hypothyroidism, it can cause symptoms such as fatigue, dry skin, constipation, weight gain, etc.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div id=\"cz_70721\"><span class=\"cz_acc_child\"><div>How is Hashimoto's disease treated?<\/div><\/span><div class=\"cz_acc_child_content clr\"><div id=\"cz_64145\" class=\"cz_64145 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>There is no definitive cure for Hashimoto&#8217;s disease. If this condition has led to hypothyroidism, a drug called levothyroxine will usually be prescribed to control the symptoms, which you need to take for the rest of your life.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/2&#8243;]<div id=\"cz_25993\" data-arrows='{\"open\":\"fa czico-115-cross-3\",\"close\":\"fas fa-minus\"}' class=\"cz_25993 cz_acc clr cz_acc_icon_before\"><div><div id=\"cz_22420\"><span class=\"cz_acc_child\"><div>Is Hashimoto's thyroid hereditary?<\/div><\/span><div class=\"cz_acc_child_content clr\"><div id=\"cz_107459\" class=\"cz_107459 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>In many cases yes. Genetics and family history are one of the most important risk factors for Hashimoto&#8217;s disease.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div id=\"cz_104356\"><span class=\"cz_acc_child\"><div>How common is Hashimoto's disease?<\/div><\/span><div class=\"cz_acc_child_content clr\"><div id=\"cz_14256\" class=\"cz_14256 cz_title clr cz_title_pos_inline\"><div class=\"cz_title_content\"><div class=\"cz_wpe_content\"><p>Hashimoto&#8217;s disease is the most common cause of hypothyroidism and affects about 5 out of 100 people.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row el_class=&#8221;ds-alaem &#8230; <a class=\"cz_readmore\" href=\"https:\/\/ahmadfanaei.com\/en\/diseases\/hashimotos\/\"><i class=\"fa fa-angle-right\" aria-hidden=\"true\"><\/i><span>Read More<\/span><\/a><\/p>\n","protected":false},"author":8,"featured_media":9015,"comment_status":"open","ping_status":"closed","template":"","format":"standard","meta":[],"portfolio_cat":[],"portfolio_tags":[],"class_list":["post-8343","portfolio","type-portfolio","status-publish","format-standard","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hashimoto&#039;s Disease: Symptoms , Diagnosis &amp; treatment - Dr.Ahmad Fanaei<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ahmadfanaei.com\/en\/diseases\/hashimotos\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"hashimotos\" \/>\n<meta property=\"og:description\" content=\"[vc_row el_class=&#8221;ds-alaem ... 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