1 - Title Slide 2 - Disclosures 3 - Objectives 4 - Thyroid does what? 5 - Signs & Symptoms 6 - Common Causes 7 - Hashimoto's & Graves' 8 - AITD and Graves' Disease 9 - Alternating 10 - Isolated 11 - Antibodies in ATD 12 - Expected % 13 - T4 Replacement 14 - Typical Case 15 - Related Symptoms 16 - Persistent Symptoms 17 - Why Persistent Symptoms 18 - Production 19 - NHANES Survey 20 - Altered Circulating 21 - More Thyroxine? 22 - LT4 for CF? 23 - No Statistical Differences 24 - Prospective Trial 25 - Adding T3 26 - Independent Symptoms? 27 - May Coexist 28 - Overlap 29 - Other Autoimmune Diseases 30 - Non-Specific Symptoms 31 - Positive Thyroid Antibodies 32 - Euthyroid 33 - Prediction 34 - Higher TPO-Ab Titers 35 - Subclinical Hyperthyroidism 36 - Low TSH 37 - “Hyper Symptoms” 38 - Thyroid Misperceptions 39 - Not Your Thyroid 40 - Typical Case 41 - Weight Gain 42 - Brain Fog 43 - Causes of “Brain Fog” 44 - Hair Loss 45 - Lab Testing 46 - Causes of hair loss 47 - Constipation 48 - Fatigue 49 - Fatigue Evaluation 50 - Management 51 - Summary 52 - Conclusions / Recommendations