There Are Various Reasons Why Your Thyroid Might Stop Working

What is the thyroid?

The thyroid is a small, butterfly-shaped gland found in the base of the neck, below the Adam’s apple. Despite the thyroid’s small size, it produces a hormone that affects every cell, tissue, and organ in the body. Your thyroid needs to be healthy and work properly to regulate your body’s metabolism.

There are various reasons a thyroid might stop working the way it should, such as:

· Autoimmune diseases—Graves’ disease or Hashimoto’s disease

· Thyroid nodules—benign lumps in the thyroid

· Thyroiditis—an inflamed thyroid


What exactly does the thyroid do?

The thyroid gland extracts a mineral called iodine from the bloodstream. It uses the iodine to make two kinds of thyroid hormones commonly called T3 and T4. These hormones:

· Control your metabolism (the rate at which your body burns calories)

· Change the speed at which food moves through your digestive track

· Can slow down or speed up your heartbeat

· Affect your body temperature and muscle strength


The thyroid is controlled by the pituitary gland (located in the brain) which sends out a thyroid-stimulating hormone called TSH.

Risk factors for thyroid disorders

· Family history

· Prescription medications—specifically Lithium or Amiodarone

· Radiation therapy—any radiation therapy to the head or neck

· Age—the older you are, the higher your risk


What is hypothyroidism (underactive thyroid)?

Hypothyroidism is a disease where the thyroid does not make enough hormones to meet your body’s needs. As a result, your body’s functions slow down. Some symptoms of an underactive thyroid are:

· Fatigue

· Weight gain

· Feeling cold all the time

· Joint and muscle pain

· Dry skin, dry and thinning hair

· Irregular periods, fertility problems

· Depression

· High cholesterol


What is hyperthyroidism (overactive thyroid)?

Hyperthyroidism is a disease where the thyroid makes more hormones than your body needs. As a result, your body’s functions speed up and push your metabolism into overdrive. Some symptoms of an overactive thyroid include:

· Nervousness, anxiety

· Fatigue or muscle weakness

· Feeling hot all the time

· Trouble sleeping

· Shaky hands

· Rapid, irregular heartbeat

· Weight loss

· Mood swings


Diagnosis and Treatment

If you are experiencing the symptoms listed, you should contact your primary care provider (PCP). If your PCP suspects a thyroid problem, they will run diagnostic bloodwork to measure your TSH levels. Your PCP may also test for T3 and T4 (thyroid hormones) levels and antibodies to determine the severity and cause of the disease.

Underactive thyroids are usually treated with a synthetic thyroid hormone. Finding the correct medication may take time as each person’s thyroid hormones are very precise. Follow your doctor’s instructions regarding what time of day to take the medication and exact dose. Your doctor will follow you to make sure your TSH levels stabilize. Once on synthetic thyroid hormones, most adults take the medication throughout their lives.

Overactive thyroids can be treated with medicines, radioiodine therapy or thyroid surgery. Usually medication treatment will last for about a year.

You should note that many of the symptoms of thyroid disease are the same as other conditions. Regular preventive checkups with your PCP are the best way to have a medical practitioner who knows you and can make the right diagnosis.


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I am not working. Can I stay on the Plan’s coverage?

If you are not working, but you are still eligible for Plan coverage under the collective bargaining agreement, you may continue your coverage under the Plan by making monthly payments to the Plan during your period(s) of leave. You must notify the Health and Welfare office when you return to work.

If you are out on Workers’ Compensation, you must also make your monthly payments directly to the Health & Welfare Plan because they are not deducted from your paycheck or from your Workers’ Compensation benefits.

Payments are due on the first of the month. It is your responsibility to make your Health & Welfare payments on time. The Plan does not send notices of delinquent payments, nor will it send you a bill. If you do not make your payments on time, your coverage under the Plan will end. Consider permitting the Plan to deduct payments from your bank account. Contact the Plan for more information.

Coverage will retroactively end as of the monthly premium payment due date if the required monthly premium payment is not paid within 30 days from the due date (e.g., if the monthly premium payment for September, which is due on September 1, is not paid by September 30th, coverage would be terminated as of September 1). If coverage is terminated due to non-payment of the required monthly premium payment, you may again become covered (on a prospective basis) by sending in the required monthly premium payment for future coverage. Your coverage will re-start as of the first day of the month following receipt of the required monthly premium payment. You will not be permitted to retroactively reinstate coverage for any period of coverage that terminated due to non-payment of the required monthly premium payment.

If you are on a leave of absence for military duty, you are permitted to continue medical, dental, prescription drug, and vision benefit coverage under this Plan for you and your covered dependents in accordance with the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA). Please see the “If You Enter Military Service”  section on the Life Events page for more information.

If your coverage ends due to termination of your employment with METRO, you may be eligible for COBRA for you and your family. Although METRO will notify the Health & Welfare Plan of your termination, you are also encouraged to inform the Health & Welfare Plan to avoid any delay.

If you lose Plan coverage due to the termination of your employment or any other reason, you may want to look into purchasing health coverage through a Health Insurance Marketplace.

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