Underactive thyroid
Hypothyroidism
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When the thyroid doesn't make enough hormone, things can slow down: energy, digestion, mood, even your cycle. Symptoms tend to creep in gradually, so they're easy to miss.
You might notice
- feeling exhausted most of the time
- feeling cold when others aren't
- constipation that's new for you
- foggy, slow thinking
- dry skin, or hair that's thinning or falling out
- periods getting heavier or less regular
Who can help
- Dr. Hannah Moore · Naturopathic Doctor (ND)Also works with fatigueProfile →
- Dr. Rachel Alioto · Naturopathic Doctor (ND)Also works with fatigueProfile →
- Dr. Megan Ross · Naturopathic Doctor (ND) · Functional Medicine PractitionerAlso works with fatigueProfile →
A naturopathic or integrative doctor can look at your hormones as a whole. Acupuncture and nutrition can support you alongside.
See everyone for hormones →Where it can overlap
- Fatigue
Underactive thyroid commonly shows up as fatigue. Established
- Thyroid symptoms
Underactive thyroid can overlap with thyroid symptoms. Established
- Brain fog
Underactive thyroid can overlap with brain fog. Established
- Constipation
Underactive thyroid can show up as constipation. Established
- Hair changes
Underactive thyroid can show up as hair changes. Established
- Irregular periods
Underactive thyroid can overlap with irregular periods. Established
4 more threads +Fewer threads −
- Missing periods
Underactive thyroid can overlap with missing periods. Established
- PCOS / PMOS
Underactive thyroid is usually ruled out when exploring PCOS / PMOS. Established
- Skin changes
Underactive thyroid can overlap with skin changes. Established
- SIBO
Underactive thyroid can overlap with SIBO. Emerging
Established: well documented · Associated: linked, not a cause · Emerging: early research · Woo exploration: worth exploring, not yet sourced. A link isn't a cause.
Keep exploring
10 sources · how we checked
Everything on this page was researched from clinical guidance, government health sources and published reviews first, then single studies. Where a connection is only worth exploring, it says so.
- Acanthosis nigricans NHS · 2024 · Government health source
- Irregular periods NHS (UK National Health Service) · 2026 · Government health source
- Missed or late periods NHS (UK National Health Service) · 2026 · Government health source
- Polycystic Ovary Syndrome Endocrine Society · 2022 · Professional medical organisation
- SIBO (Small Intestinal Bacterial Overgrowth) Cleveland Clinic · 2024 · Academic medical centre
- Thyroid disease Office on Women's Health, U.S. Department of Health and Human Services · 2026 · Government health source
- Underactive thyroid (hypothyroidism) NHS (UK National Health Service) · 2025 · Government health source
- Underactive thyroid (hypothyroidism) NHS · 2025 · Government health source
- What causes amenorrhea? Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), NIH · 2017 · Government health source
- Relationship Between Hypothyroidism, Risk of Small Intestinal Bacterial Overgrowth, and Duodenal Microbiome Alterations Journal of Clinical Endocrinology & Metabolism (PubMed-indexed) · 2026 · Peer-reviewed paper
A note from Woo: Body Map is here to help you explore and ask better questions. It isn't a diagnostic tool or a substitute for medical care. Relationships shown here represent areas that may be associated or worth exploring, not a diagnosis or statement of cause.
if this landed, here’s where to go next
Article · On our SubstackWho Should You See? What is a Practitioner? Back on the mapEverything in Thyroid Step back inside the area and see what lives beside it.On The WooTalk it through in Body & Cycles Questions and what helped, from Woo girls.Quiz · 8 questionsWhat's Your Aura? A little read on how you move through the world. Take the quiz.

