Insomnia and Anxiety: Hyperthyroidism or Hypothyroidism?

Patient's question:

Recently, I had a disagreement with the company again due to work transfer issues, while also handling daily internal matters of the company. My girlfriend is also preparing to isolate herself recently, which has been putting me under a lot of stress. I've been experiencing frequent neurasthenia and anxiety, and I've noticed that my appetite has increased recently, but my weight is also rising. I want to know if these symptoms are related to hyperthyroidism or hypothyroidism?

Doctor's answer:

According to your description, your appetite has recently increased, but your weight is rising noticeably. Considering that your basal metabolism may have enhanced, there is still a possibility of thyroid tension. Based on symptoms alone, it cannot be confirmed. Therefore, it is recommended that you have your thyroid function checked at the hospital, including thyroid T3, T4, and serum thyrotropin levels. If T3 and T4 levels decrease and serum thyrotropin levels are reduced, then it can be diagnosed as hyperthyroidism.

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