HomeAnswersEndocrinologythyroid disordersAre dry skin, brittle nails, hair fall and brain fog symptoms of thyroid problem?

I have dry skin, brittle nails, hair fall and brain fog. Are these due to thyroid problem?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Divakara. P

Medically reviewed by

iCliniq medical review team

Published At December 8, 2019
Reviewed AtJanuary 18, 2024

Patient's Query

Hello doctor,

I am a 36-year-old female. I am inquiring about thyroid issues. I am constantly exhausted (even when I do actually sleep). I cannot seem to lose weight even though I am more active and eat better than ever. I have dry skin, nails are brittle and some ridges, my hair is coming out by the handfuls, foggy brain and memory. My doctor did a thyroid test and these are my results.

Thyroid peroxidase autoaby - 12.2

TSH - .70

Free-T4 - .9

Free-T3 - 3.1.

She also checked my iron levels, Ferritin - 26.

She has advised me that I am in the normal range and my issue is depression and I need to exercise more. She has prescribed Wellbutrin 150 mg. I understand that according to the ranges listed on the results I do fall within normal, but I seem to be on the very low end of the range. Is it possible that my thyroid is causing my issues even though they are in the normal range? Would it be worth getting a second opinion from an endocrinologist?

Answered by Dr. Divakara. P

Hi,

Welcome to icliniq.com.

Your symptoms very well fit into thyroid problems but if the thyroid reports are normal (even if it is in the low normal range) it excludes thyroid diseases. One thing that you can do is to repeat TSH (thyroid-stimulating hormone) test after two months. But also get tested for adrenal problems by doing serum cortisol levels in the morning and evening samples. Depression could be the only cause in your case and with continued usage of Wellbutrin (Bupropion) you may notice improvement, but do get these tests and revert back.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Divakara. P
Dr. Divakara. P

Internal Medicine

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