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Confusing Symptoms

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Graves’ disease may be associated with all the classic symptoms of hyperthyroidism but, according to the UK-based endocrinologist Dr Anthony Weetman, these can be extremely variable. Writing in the New England Journal of Medicine, Weetman explains that both age and duration of thyroid overactivity play a part in determining which symptoms predominate. In over half those affected, nervousness, fatigue, rapid heart beat, heat intolerance and weight loss are key symptoms. However, in the over-50s, weight loss and loss of appetite are more common. Atrial fibrilliation is rare among the under-50s, but affects up to a fifth of those over 50. And while 90 per cent of younger women have a firm, diffuse goitre, only 75 per cent of the over-50s do. Glucose intolerance (inability to metabolize glucose) and, more rarely, diabetes can accompany Graves’ disease, and if you have diabetes, the condition will increase your need for insulin.

The Healthy Thyroid: What you can do to prevent and alleviate thyroid imbalance

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