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Summary List of Symptoms
In general, the symptoms of hypothyroidism (underactive thyroid) are:
Weight gain
Puffy face
Loss or thinning of eyebrows
Cold intolerance
Low sex drive
Depression
Abdominal bloating
Cold hands or feet
Dry or thinning hair
Joint or muscle pain
Thickening of the skin
Thin, brittle fingernails

Early Symptoms
Many people attribute the early symptoms of hypothyroidism to stress or aging. They begin to feel chronically tired and overly sensitive to cold; muscle and joint aches often develop; modest weight gain is common even though appetite diminishes; constipation is often a problem. Premenopausal women may experience heavy periods.

As your thyroid hormone levels fall over the following months, the skin becomes rough and dry, hair coarsens, and mental activity—including concentration and memory—may become slightly impaired.

Depression can develop, and some experts believe that even mild thyroid failure can lead to major depression.