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Thyroid UK
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Is having a puffy face a sign of Hypothyroidism

I have extreme puffiness in my face and a sunken look. Can barely open my eyes and have had 12 hours sleep. My endocrinologist seems to think i am hyper and wants to reduce my meds. My T3 and T4 are all within normal range and my TSH is in the low end. All my symptoms and point towards under-active including the additional weight gain. fed up of trying to figure this out. I take L-Tyrosine and 5HTP along with other supplements to support the thyroid.

I thought a puffy face went with under-active thyroid, including weight gain. Please let me have your comments

6 Replies

Well, puffiness of face is on the list of hypo signs and symptoms here thyroiduk.org/tuk/about_the...

What are your actual results/ranges?

Endo should know that if you are diagnosed hypo you can't 'go hyper', it's impossible. I bet your TSH has made him poop his pants for some reason.

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Can you give us the exact results with ranges? You can edit your post to add them above using the v bottom right. From what you say it may be that they are concerned primarily with a low TSH. You can’t be hyper if diagnosed hypo and medicated, it may be overstimulation.


Oh cwill

it may be that they are concerned primarily with a low TSH

You are much more polite than me -

(I bet your TSH has made him poop his pants for some reason.)


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Seasoned pro speak for they haven’t a clue. Trying not to be too alarmist for new members. Reserve *#%** for when we see the whole sorry tale unfold. On energy saving mode today.

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Yes ,I had puffy face weight gain and was falling asleep a couple of hours after I got up. Hypo.


For full evaluation you ideally need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested

See if you can get full thyroid and vitamin testing from GP. Unlikely to get FT3

Private tests are available


Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results

Link about antibodies


Link about thyroid blood tests


List of hypothyroid symptoms



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