I have a few thoughts to add to the discussion.
Thyroid disorders come in two flavors. The autoimmune variety (Hashimotos or Graves Disease) versus a low-functioning thyroid (older people primarily).
Generally speaking nearly all autoimmune-driven thyroid patients have relatives with autoimmune issues. Take my family (please!), Grandmother - Graves, Father - Graves, Brother, Self and Daughter - Hashimotos.
Does anyone know if Goucher or Rupp's thyroid problems are autoimmune in nature?
Without doubt there is a genetic correlation for autoimmune disorders. I believe environmental factors (stress, hard training) in concert with a genetic predisposition can kick-start the autoimmune attack. The most intense competitors prone to pushing their bodies the farthest seem most likely to trigger autoimmune-caused thyroid problems. Salazar and Goucher certainly fit the description.
Please note that having one autoimmune disorder vastly increases the odds of developing other autoimmnune issues. Other autoimmne issues in my immediate family include alopecia, Sjogrens, Reynauds, Celiac Disease, and rheumatoid arthritis.
Hashimotos is an insidious disorder. You look okay but feel poorly. Plus it comes on slowly and few of those afflicted exhibit the same symptoms.
The number one complaint physicians hear from patients is "I'm tired." So thin young physically fit males have little chance of having their thyroid dysfunction properly diagnosed - that is if we even consult a physician. Graves symptoms are more extreme so physicians will diagnose it more readily than Hashimotos.
Below I will list some the symptoms I experienced. If any of them sound familiar, and autoimmune issues run in your family, have your doc test your TSH level AND thyroid autoantibodies. Elevated autoantibodies mean your body is attacking the thyroid - even if the TSH is in the normal range (0.5 - 3.0).
My Hashimoto Symptoms:
Brain-fog
Profoundly tired
nighttime calf cramps
still tired in the morning
trouble with feeling cold much of the time
slow pulse
dry skin
My Father's Graves Symptoms:
High strung personality
Always hungry - always eating
Losing weight very fast (my dad lost 50 lbs in three months)
Most people feel best with a TSH @1.0. Anybody over 2.0 will feel better taking Armour (natural version of Synthroid) or Synthroid.
I feel best with an corrected TSH of near zero. Many a bone-headed doc would review my blood test results and say my hormone dosage had to be dialed down - before even asking me how I felt.
After years of searching I finally found an outstanding thyroid doctor. He has me feeling better than I have in my adult life.
I live in Metro Detroit if anybody is interested in seeing him.