See AV Clinic and Diabetes center if you're feeling tired for no reason or have any other signs or symptoms of hypothyroidism, such as dry skin, a pale, puffy face, constipation or a hoarse voice. If you're receiving hormone therapy for hypothyroidism, schedule follow-up visits as often as your doctor recommends. Initially, it's important to make sure you're receiving the correct dose of medicine. And over time, the dose you need may change. When your thyroid doesn't produce enough hormones, the balance of chemical reactions in your body can be upset. There can be a number of causes, including autoimmune disease, hyperthyroidism treatments, radiation therapy, thyroid surgery, and certain medications. Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your Adam's apple. Hormones produced by the thyroid gland triiodothyronine (T3) and thyroxine (T4) have an enormous impact on your health, affecting all aspects of your metabolism. These hormones also influence the control of vital functions, such as body temperature and heart rate—hypothyroidism results when the thyroid gland fails to produce enough hormones.
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