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Are The Lack Of Lunulas On My Fingers A Sign Of Anemia And Hypothyroidism?

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Posted on Tue, 19 Sep 2023
Question: I noticed recently that I no longer have lunulas on my fingers, save my right thumb (and even then, it's very little). I know that anemia and hypothyroidism can cause this, and while I could definitely suspect anemia (I'm a vegetarian), I'm concerned about the hypothyroidism. I've had my thyroid tested multiple times (a long time ago because I was skinny, and a year ago for throat pain thst has since gone away). My thyroid appears to be a little larger than average, but whenever I've had my levels tested, the tests all came back normal, including the T3/T4 test. Is it worth it to have my thyroid levels tested again? I can't say that I have hypothyroid symptoms, especially when they are far more easily explained by other factors (e.g., I get fatigue because I only sleep 5-6 hours per night, I'm not sensitive to the cold, and my weight gain corresponds nicely with my use of birth control).
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Answered by Dr. Mirjeta Guni (51 minutes later)
Brief Answer:
About thyroid hormones

Detailed Answer:

Hello,

First, I would suggest a thyroid ultrasound to confirm any pathology of the thyroid gland. If the gland is enlarged in ultrasound, or has characteristic suggesting for chronic pathologies (Hashimoto thyroiditis) than further exams are needed (such as AntiTPO and AntiTG antibodies).

If they are positive, you need to check TSH, FT4 and FT3 every 6 months.

If the ultrasound is normal, there is no need to check thyroid function often. Once in three years is recommended.

Hope the information will help.

Regards,
Dr. Mirjeta Guni
Endocrinologist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Are The Lack Of Lunulas On My Fingers A Sign Of Anemia And Hypothyroidism?

Brief Answer: About thyroid hormones Detailed Answer: Hello, First, I would suggest a thyroid ultrasound to confirm any pathology of the thyroid gland. If the gland is enlarged in ultrasound, or has characteristic suggesting for chronic pathologies (Hashimoto thyroiditis) than further exams are needed (such as AntiTPO and AntiTG antibodies). If they are positive, you need to check TSH, FT4 and FT3 every 6 months. If the ultrasound is normal, there is no need to check thyroid function often. Once in three years is recommended. Hope the information will help. Regards, Dr. Mirjeta Guni Endocrinologist