Hypothyroidism happens when the thyroid can’t produce enough hormone for the body’s needs. It often develops gradually, so symptoms can be subtle or mistaken for “normal tiredness.”
A common cause is Hashimoto’s thyroiditis, an autoimmune condition.
How to diagnose?
Main tests:
- TSH (often rises when the thyroid is underactive)
- Free T4 (shows available thyroid hormone)
- Antibody tests may be used to clarify the cause.
How to treat?
Standard treatment is thyroid hormone replacement with levothyroxine.
Dose is adjusted based on follow-up blood tests, and long-term monitoring is common.
FAQ:
Can it go away on its own? Often it needs ongoing treatment and monitoring.
Is TSH alone enough? Sometimes, but free T4 may also be needed.
What’s the main treatment? Levothyroxine, tailored and monitored.
At Farhod Madad Shifo, we’ll interpret your TSH/T4 results clearly and build a practical treatment plan with follow-up monitoring.
✅ Message us or book an endocrinology appointment.

