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Conditions We Treat

Thyroid Disorders: Hypothyroidism and Hyperthyroidism

Thyroid disorders occur when the thyroid gland makes too little hormone (hypothyroidism) or too much (hyperthyroidism), affecting energy, weight, heart rate, and mood. Avita MD primary care providers diagnose and manage both conditions for adults.

Medically reviewed by Dr. Patricia Sitnitsky, M.D. ยท July 2026

The thyroid is a small gland in the front of the neck that makes hormones controlling how the body uses energy. A thyroid disorder happens when the gland makes too little hormone, called hypothyroidism, or too much hormone, called hyperthyroidism. These hormones affect breathing, heart rate, weight, digestion, and mood, so an imbalance can be felt throughout the body. Avita MD primary care providers diagnose and manage thyroid disorders for adults in Los Altos, Mountain View, and Los Gatos.

What are the symptoms of thyroid disorders?

Thyroid symptoms often develop slowly and can be mistaken for everyday stress or aging. The direction of the imbalance shapes which symptoms appear.

  • Fatigue, low energy, or feeling run down
  • Unexplained weight gain (hypothyroidism) or weight loss (hyperthyroidism)
  • Feeling unusually cold or unusually hot
  • A slowed or racing heartbeat
  • Dry skin, thinning hair, or brittle nails
  • Mood changes, anxiety, or trouble concentrating

Hypothyroid vs hyperthyroid symptoms

FeatureHypothyroidism (too little)Hyperthyroidism (too much)
EnergyTired, sluggishRestless, anxious
WeightTends to gainTends to lose
TemperatureFeels coldFeels hot, sweaty
Heart rateSlowedFast or irregular
MoodLow mood, brain fogIrritable, jittery

How does Avita MD diagnose and treat thyroid disorders?

Diagnosis starts with a simple blood test that measures thyroid stimulating hormone (TSH) and thyroid hormone levels. Avita MD draws these labs on-site at all three locations, so there is no separate trip to an outside lab. If results point to a thyroid problem, your provider explains what the numbers mean and builds a treatment plan with you.

Hypothyroidism is usually treated with daily thyroid hormone replacement, and the dose is fine-tuned with follow-up labs. Hyperthyroidism is managed based on its cause and may involve medication, radioactive iodine, or referral for further care. Because Avita MD keeps your results in one place over time, your provider can track trends and adjust treatment with longitudinal data rather than a single snapshot.

Same-day and next-day appointments make it easy to get evaluated when symptoms first appear, and the practice coordinates referrals to endocrinology when a nodule, an enlarged thyroid, or a complex case calls for specialist input.

When should you see a doctor about thyroid disorders?

See a primary care provider if you have ongoing fatigue, unexplained weight change, a racing or very slow heartbeat, or persistent feelings of being too cold or too hot. A neck swelling, a lump in the front of the neck, or trouble swallowing also deserves prompt evaluation. People who are pregnant or planning pregnancy should have thyroid function checked, since untreated thyroid disease can affect both parent and baby. If you already take thyroid medication and your symptoms return, schedule a visit so your levels can be rechecked and your dose adjusted.

Related conditions

Thyroid disorders care near you

This page is for general educational purposes and is not medical advice. Individual results vary. Talk with an Avita MD provider about your specific health needs. If you think you are having a medical emergency, call 911.

Sources & references

This page draws on guidance from the following authoritative medical and public-health organizations.

Thyroid disorders: Frequently Asked Questions

How are thyroid disorders diagnosed?

Thyroid disorders are diagnosed with blood tests that measure thyroid stimulating hormone (TSH) and thyroid hormone levels. Avita MD draws these labs on-site at all three locations, so testing is convenient and results guide treatment.

What is the difference between hypothyroidism and hyperthyroidism?

Hypothyroidism means the thyroid makes too little hormone, which can cause fatigue, weight gain, and feeling cold. Hyperthyroidism means it makes too much, which can cause weight loss, a fast heartbeat, and feeling hot or anxious.

Can thyroid disorders be treated?

Yes. Hypothyroidism is commonly treated with daily thyroid hormone replacement medication, and hyperthyroidism is managed with medication, radioactive iodine, or surgery depending on the cause. Most people feel better once hormone levels are restored to normal.

Do I need to see a specialist for a thyroid problem?

Many thyroid conditions are managed by a primary care provider. Avita MD coordinates referrals to endocrinology and other specialists when a thyroid nodule, complex case, or pregnancy needs additional expertise.

How often should thyroid levels be checked?

People on thyroid medication usually have levels rechecked every 6 to 12 weeks after a dose change, then once stable about once a year. Avita MD tracks your results over time so dosing stays accurate.

Talk With a Primary Care Provider

Book online or call (408) 495-5770. Same-day and next-day appointments are often available in Los Altos, Mountain View, and Los Gatos.