Welcome | Robert Lang, MD

Thyroid Self Test

Fill out the following questionnaire to find out how how well your thyroid is functioning.


  Weight gain

  Difficulty losing weight

  Low energy – fatigue (Especially after good nights sleep)

  Cold natured

  Ice-cold hands or feet

  Dry skin

  Brittle Finger Nails

  Hair loss (alopecia)

  Slowed thinking, poor concentration

  Brain fog

  Memory problems

  Insomnia, poor sleep

  Waking up exhausted (Especially after good nights sleep)

  Tingling in hands and feet

  Muscle pain

  Edema (swelling in ankles/hands/face)


  Slow heart rate

  Low blood pressure

  Elevated cholesterol

  Thickened tongue


  Thinned eyebrows

  Muscle cramps at night

  Slow reflexes

  Your skin itches in the winter

  Recurrent headaches

  Decreased sweating

  Multiple miscarriages and infertility

  Pale, puffy, skin

  Decreased body hair

  Hoarse voice

  Low body temperature (below 97.6 degrees)

  Total Score

0-9Unlikely you are hypothyroid
10-19Mild hypothyroidism
20-29Moderate hypothyroidism
30-49Profound hypothyroidism
50-69Severe hypothyroidism
70+Hypothyroidism so bad that blood tests may be abnormal

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