The 6 Categories Of Insidious Hypothyroid Patterns

The 24 thyroid patterns can be broken down in to 6 distinctive categories of dysfunction. While many of the symptoms of a low functioning thyroid are shown across every pattern, there are some distinctions in presentations.

Category 1: Primary Pituitary, Secondary Hypothyroidism

Pituitary driven hypothyroidism come from low serotonin or low dopamine as well as excessive inflammation, cortisol, or prolactin.

Symptoms Include:

• Fatigue
• Brain fog
• Chronic pain
• Depression
• Low sex drive
• Trouble sleeping

Autoimmune issues consist of an attack on TPO, TGB, TR/TSI (hypo or hyper), or T3/T4 abs).

Symptoms Include:

• Fatigue
• Joint Pain
• Digestive issues
• Skin issues
• Food allergies
• May manifest as hyperthyroid at first. (Heart racing at night, excessive weight loss, etc.)

Category 3: Down regulated TPO enzyme activity

TPO issues come form low progesterone, high stress hormones, or cofactor deficiencies.

Symptoms Include:

• Fatigue
• Depression
• Trouble with asleep
• Cycle issues
• PMS

Category 4: Down regulated 5-deiodinase activity

5-DID issues come from serotonin, dopamine, and cofactor deficiencies (down regulated 5-d) – excessive testosterone and insulin (up regulated 5-d leading to resistance) – excessive inflammation, cortisol, or dysbiosis/LPS.

Symptoms Include:

• Fatigue
• Depression
• Weight gain
• Tired after meals
• Digestive issues
• Sleep trouble
• PMS, Cycle issues, Previous PCOS diagnosis
• Acne
• Excessive body hair growth

Category 5: TBG issues

TBG issues come from either high tbg (Estrogen HRT) or low tbg and high fT leading to receptor resistance (elevated Estrogen, elevated insulin -> elevated test or exogenous test)

Symptoms Include:

• Fatigue
• Depression
• Trouble staying asleep
• PMS, Cycle issues, Previous PCOS diagnosis
• Weight gain
• Acne
• Excessive body hair growth

Category 6: Receptor Site Resistance

Thyroid resistance is driven by inflammation, cortisol, homocysteine, and vitamin A deficiency.

Symptoms Include:

• Fatigue
• Chronic pain
• Trouble sleeping at night
• Skin issues, itchy
• Cramping at night
• Dry eyes
• Poor night vision