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Symptoms of an underactive thyroid: Fatigue after sleeping 8 to 10 hours a night, or needing to take a nap daily Weight gain or the inability to lose weight Mood issues such as mood swings, anxiety, or depression Hormone imbalances such as PMS, irregular periods, infertility, and low sex drive Muscle pain, joint pain, carpal tunnel syndrome, or tendonitis Cold hands and feet, feeling cold when others are not, or having a body temperature consistently below 98.5 Dry or cracking skin, brittle nails, and excessive hair loss Constipation Brain issues such as brain fog, poor concentration, or poor memory Neck swelling, snoring, or hoarse voice 1 Hyperthyroidism (overactive thyroid) Hyperthyroidism occurs when your thyroid gland becomes overactive and produces more thyroid hormones than you need