Q. Do I have to face hair loss, skin pigmentation, sleep disorder, and increased weight because of my thyroid issues?

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 10, 2022 and last reviewed on: Feb 21, 2023

Hi doctor,

I am a 37-year-old female of weight 65 kg and height 5 feet 1 inch. I took Thyrox 50 mg for one year, and I am currently taking Thyrox 25 mg. Now, I face extreme hair loss and hair dryness, skin pigmentation near eyebrows, and sleep disorder. My weight is also increasing. One week back, I took a new thyroid report, which showed T3: 0.92 ng/dL, T4: 9.33 ng/dL, TSH: 5:43 uIU/mL. Kindly help.



Welcome to

I understand your concern. Thyroid dysfunction can lead to hair thinning. The dose you are taking is relatively low, but your thyroid function tests are fine. I would like to know the following:

1) Do you have any other symptoms like constipation, feeling low mood, tiredness?

2) Have you previously done thyroid peroxidase antibodies (TPO)?

I will suggest you do TPO antibodies if not done before, and if it is positive, we may need to increase the dose to 50 mcg three days a week and 25 mcg four days a week if you have other symptoms well. Usually, our target is to keep thyroid-stimulating hormone from 0.5 to 4 mIU/L, but if symptoms are there, we can lower it down to 2.5 mIU/L.

Hair issues can be there because of local or systemic problems other than thyroid, so if you still have the same issue, you may need to see a dermatologist or hair specialist to find out the different causes of hair loss.

Kindly revert in case of further queries.

Hi doctor,

Thank you for the reply.

I have not done the TPO antibodies test yet. Very rarely, I feel low and have mood swings as well. Kindly help.



Welcome back to

I understand your concern. I suggest the following:

1) Do a TPO antibodies test and let me know.

2) Repeat thyroid-stimulating hormone test after six weeks. The target of thyroid-stimulating hormone would be 2.5 mIU/L.

3) Increase the doses of medications and lower thyroid-stimulating hormone, and bring free T4 (thyroxine) a little more. It will help in weight, skin, and hair issues.

Kindly revert in case of further queries.

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