People living in big cities often report more fatigue, low energy, trouble staying awake, decreased focus, anxiety, and trouble sleeping. These symptoms aren’t always caused by a hectic pace of life alone; they can also point to hormonal imbalances, including thyroid hormones. This perspective comes from endocrinologist Maria Khudyakova, who notes these signals can reflect how the thyroid is functioning and how that balance interacts with daily stressors and routines (attribution: SM-Clinic; endocrinologist Maria Khudyakova).
Beyond fatigue, other signs may hint at hormonal disruption. Possible reproductive system concerns include reduced sexual desire, potency changes, irregular periods, and digestive shifts such as constipation or diarrhea. Skin can feel dry, and hair may lose its shine or begin to thin. While these symptoms can arise from a variety of causes, they are sometimes linked to the thyroid or to hormones that aren’t producing the expected signals in the body (attribution: SM-Clinic; endocrinologist Maria Khudyakova).
Experts emphasize that maintaining a steady routine matters. A person who eats balanced meals, ensures a minimum of seven hours of restorative sleep per night, and keeps a consistent work-rest schedule may still experience persistent symptoms. When those signs linger despite healthy habits, it becomes important to seek medical advice to identify the root cause and prevent potential complications down the line (attribution: SM-Clinic; endocrinologist Maria Khudyakova).
To determine whether symptoms stem from thyroid function or from lifestyle factors, a straightforward screening test is often recommended. The thyroid-stimulating hormone, or TSH, is a key indicator used by clinicians to assess thyroid activity. A healthcare provider can explain the results and discuss whether further testing or treatment is appropriate. This approach helps distinguish a true thyroid issue from other influences such as sleep quality, stress, or diet, ensuring that any intervention is targeted and effective (attribution: SM-Clinic; endocrinologist Maria Khudyakova).
It is common for people to notice overlapping signs—fatigue that doesn’t resolve after rest, changes in appetite, or mood fluctuations—that can make self-diagnosis challenging. When such patterns persist, it is wise to consult a clinician who can review medical history, conduct a physical examination, and order a targeted panel if needed. Early detection supports better management and can reduce the risk of longer-term health effects associated with thyroid imbalance or other hormonal conditions (attribution: SM-Clinic; endocrinologist Maria Khudyakova).
In addition to thyroid assessment, practitioners may explore lifestyle factors that influence wellbeing. Even with a healthy regimen, stress management, physical activity, and sleep hygiene can play crucial roles in how the body responds to hormones. A comprehensive approach often combines lifestyle optimization with appropriate medical testing, enabling tailored recommendations that address both symptoms and their underlying causes. Patients are encouraged to share all relevant details with their healthcare provider to help build an accurate picture and a practical plan (attribution: SM-Clinic; endocrinologist Maria Khudyakova).