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Thyroid, Adrenal & Endocrine Disorders • ICD-10-CM E03.9

Hypothyroidism

Also known as: Underactive thyroid

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM E03.9 • 8 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Hypothyroidism Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

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What Is Hypothyroidism?

What is hypothyroidism? Hypothyroidism, or underactive thyroid, happens when your thyroid gland doesn't make enough thyroid hormones to meet your body's needs. Your thyroid is a small, butterfly-shaped gland in the front of your neck. It makes hormones that control the way the body uses energy. These hormones affect nearly every organ in your body and control many of your body's most important functions. For example, they affect your breathing, heart rate, weight, digestion, and moods. Without enough thyroid hormones, many of your body's functions slow down. But there are treatments that can help. What causes hypothyroidism? Hypothyroidism has several causes.

Pathophysiology, Underlying Causes & Clinical Presentation

Underlying Hypothyroidism (code E03.9) is altered peripheral hormone in Hypothyroidism (E03.9: receptor transcription), Cross-referenced with NIH MeSH (Hypothyroidism), which Thyroid, Adrenal & Endocrine Disorders clinicians address while surveilling Morning Serum Cortisol in Hypothyroidism (E03.9: (8 AM)) (10 – 18 mcg/dL (E03.9)).

Common Symptoms & Clinical Signs

  • • Hashimoto's disease, an autoimmune disorder where your immune system attacks your thyroid. This is the most common cause
  • • Thyroiditis, inflammation of the thyroid
  • • Presentation of Hypothyroidism (E03.9): dry skin, brittle in Hypothyroidism (E03.9: nails, diffuse hair)
  • • Secondary Hypothyroidism clinical sign: irregular bowel motility [Hypothyroidism E03.9]

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Hypothyroidism Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code E03.9 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Thyroid, Adrenal & Endocrine Disorders NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Morning Serum Cortisol in Hypothyroidism (E03.9: (8 AM)) 10 – 18 mcg/dL (E03.9) Clinical Reference Target Range
Diagnostic / Lab Marker: TPO & Thyroglobulin in Hypothyroidism (E03.9: Antibodies) Negative / < 9 IU/mL (E03.9) Clinical Reference Target Range
Diagnostic / Lab Marker: Thyroid-Stimulating Hormone (TSH) [Hypothyroidism E03.9] 0.8 – 2.5 mIU/L (E03.9) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Hypothyroidism

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Treatment selection for Hypothyroidism depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

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Peer-Reviewed Human Clinical Trials & Meta-Analyses (Hypothyroidism)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
What Does "Take With Food" Really Mean? (And When a Few Crackers Aren't Enough)

That tiny sticker on your pill bottle isn't just a polite suggestion: for some prescriptions, food protects your stomach lining, while for others, a meal unlocks up to three times more medicine into your bloodstream.

Clinical Pharmacokinetics / FDA DailyMed Guidance • 2026-11-01 • Clinical Pharmacology Review
N = 3,150 95/100 PMID 33918442 ↗
New Insights on Effect of metformin therapy on serum thyrotropin and free thyroxine: What a 1,147-Participant Study Found

Metformin reduces TSH levels in hypothyroid patients; however, it has no effect on TSH levels in euthyroid patients.

Scientific reports • 2023-10-31 • Meta-Analysis
N = 1,147 94/100 PMID 37907510 ↗
New Insights on Impact of subclinical hypothyroidism on core reproductive hormones and ovarian: What a 3,114-Participant Study Found

Current evidence shows no significant differences in FSH, LH, estradiol, or total testosterone levels between SCH and euthyroid PCOS controls, while the evidence for prolactin.

Frontiers in endocrinology • 2026-01-15 • Meta-Analysis
N = 3,114 94/100 PMID 42798498 ↗
What the Latest Evidence Really Says About Hypothyroidism in obstructive sleep

Hypothyroidism is found to be associated with severity of OSA.

Current medical research and opinion • 2016-06-15 • Meta-Analysis
Multi-cohort 86/100 PMID 26907534 ↗
Can This Approach Help? Inside the Latest Research on Clinical Hypothyroidism After Proton Versus Photon Regional Nodal Irradiation: A

After RNI, the 3-year incidence of clinical hypothyroidism was 13%, with no statistically significant difference between proton and photon modalities.

International journal of radiation oncology, biology, physics • 2026-08-01 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 41692352 ↗
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