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Hypothyroidism: The Hidden Story
Blog January 19, 2025

Hypothyroidism: The Hidden Story

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Table of Contents

Ah, hypothyroidism! It's a term we hear quite often in these busy times. Many people don't fully understand the significant role that the thyroid gland, a small butterfly-shaped organ, plays in our bodies. If this tiny friend doesn't function properly, our bodies slow down like bears hibernating, become fatigued, and feel the cold more intensely.

"Why am I always tired?"

Many patients ask this question. One of the most common symptoms of hypothyroidism is persistent fatigue. As soon as they open their eyes in the morning, their bodies feel heavy, as if they had been carrying a heavy load and running all night, and all they want to do is crawl back into bed all day.

However, this fatigue often cannot be explained simply by 'lack of sleep' or 'being busy.' This is because insufficient thyroid hormone slows down the body's energy production process. This change is like a subtle symphony playing within the body, where one note goes awry, disrupting the entire harmony.

"Why do I only gain weight?"

This is another common question. All cells in our bodies require thyroid hormone, and if there isn't enough, metabolism slows down. Consequently, even if you eat the same amount, you gain weight easily. It's like walking the same distance every day, but suddenly feeling as if you're walking through sand. Your steps become heavy, and it becomes harder to move forward.

"Hypothyroidism, how is it viewed in traditional Korean medicine?"

In traditional Korean medicine (TKM), hypothyroidism is not simply viewed as a problem of hormone levels. We believe that our body and mind are inextricably linked. Mental instability or stress can disrupt the body's vital energy, especially the flow of 'Gi' (Qi) and 'Yang.' If this imbalance persists, various bodily functions decline, ultimately affecting thyroid function as well.

When I talk with patients, I often say, "The body is the most honest storyteller." The various symptoms in our bodies are like whispers, signals trying to convey something to us. Therefore, when treating hypothyroidism in traditional Korean medicine, we aim to restore the balance of the body and mind, rather than merely suppressing symptoms.

"So, how is it actually treated?"

Treatment is highly individualized. We utilize a comprehensive approach involving various methods such as herbal medicine, acupuncture, meditation, and dietary control. However, all treatments begin with a deep understanding of each patient's unique physical and mental state. For example, acupuncture may be performed to facilitate the flow of 'Gi,' and specific herbal remedies may be prescribed to supplement 'Yang energy' ('Yanggi').

Most importantly, it's about the patient valuing their own body and consistently implementing small changes in their daily life. Healthy lifestyle habits like light walks or yoga help the flow of 'Gi' and 'Yang,' significantly aiding in gradually finding balance between the body and mind.

In conclusion

Hypothyroidism is not merely a collection of physical symptoms. Through the various messages our bodies send, it reminds us once again of the deep connection between the body and mind. From the perspective of traditional Korean medicine, our goal is to help each individual achieve harmony between their body and mind, thereby leading a healthy life. Even when facing the challenge of hypothyroidism in this process, we become stronger and gain a deeper understanding of our own bodies on the journey to overcome it.

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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