Hi everyone. I’m a 24-year-old female and was recently diagnosed with Graves’ disease. These were my thyroid results:
- TSH: <0.01 mcIU/mL
- Free T4: 1.02 ng/dL
- Free T3: 4.1 pg/mL
- TSI: 0.52 IU/L
- TPO antibody: 398 IU/mL
- Antithyroglobulin antibody: <1 IU/mL
I recently started methimazole 10 mg once daily. I was also prescribed propranolol as needed, but my blood pressure tends to run low, so I am cautious about taking it. I am waiting for my endocrinology appointment to discuss my options.
My physical symptoms include weight loss, low appetite, shakiness, palpitations, occasional shortness of breath, hair thinning, excessive sweating, stronger body odor, head pressure, and severe fatigue. I sometimes feel feverish as well.
I feel physically weak, slow, and extremely sluggish. I have almost no energy to study, work, complete normal daily tasks. Even simple things feel exhausting. I sleep eight or nine hours, sometimes longer, but I still feel tired and could continue sleeping throughout the day.
I also have joint, leg, back, and foot pain. My feet are especially painful, and my legs can feel weak and heavy. The exhaustion and pain make it difficult to move around, stay productive, or take care of myself properly.
The mental and emotional symptoms have been the hardest part. My mental health has never been this bad. I feel depressed, completely withdrawn, and isolated from other people. I have no motivation or interest in doing anything. Everything irritates me, triggers me, or feels overwhelming. Even being around people bothers me, and I often just want to be alone.
I cry very easily, feel emotionally unstable, and sometimes react impulsively. I do not feel like myself anymore.
The brain fog is also severe. My short-term memory feels terrible. I forget conversations, lose my train of thought, struggle to recall information, have difficulty finding words, and sometimes cannot express myself clearly while speaking. When someone talks to me, I may zone out after a few minutes and realize I did not process or remember what they said. I cannot focus enough to study or retain information.
My general practitioner mentioned surgery, but I feel hesitant about both surgery and radioactive iodine. I am worried about making an irreversible decision and becoming permanently hypothyroid. I would prefer to preserve my thyroid and try medication or remission first if that is medically reasonable.
For anyone with Graves’ disease or another autoimmune condition:
- Did you experience severe fatigue, weakness, depression, isolation, irritability, brain fog, poor memory, or loss of motivation?
- Did you have joint, leg, back, foot, or muscle pain?
- Did your mental health and cognitive symptoms improve after your thyroid levels stabilized?
- How long did it take before you had enough energy to study, work, and function normally again?
- Were you able to achieve remission with methimazole or remain stable on long-term low-dose medication?
- What influenced your decision between medication, surgery, and radioactive iodine?
- Did any dietary changes help, such as reducing processed foods, avoiding certain foods, increasing protein, or following an anti-inflammatory diet?
- Did any supplements help with fatigue, deficiencies, hair loss, pain, anxiety, depression, or brain fog? I would only take something after checking with my doctor because I know certain supplements can interfere with thyroid disease or medication.
- Did improving sleep timing, walking, strength training, therapy, meditation, journaling, sunlight exposure, or another lifestyle change make a noticeable difference?
- What helped your mental health the most while your thyroid was being treated?
- Are there any blood tests or nutritional deficiencies I should ask my endocrinologist about?
I am not looking for a diagnosis or a replacement for medical care. I will continue following up with my doctors. I would appreciate any personal experiences, practical advice, or recommendations because I feel overwhelmed and unsure about what treatment path to choose.