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Kaniksha Desai and Skand Shekhar discuss the interconnectedness between sleep and thyroid, including hypothyroidism and hyperthyroidism. https://www.medscape.com/viewarticle/... -- TRANSCRIPT -- Kaniksha Desai, MD: Welcome to another episode of the Thyroid Stimulating Podcast, which is created in conjunction with the American Thyroid Association to discuss up-to-date diagnosis and management of thyroid diseases. I'm your host. Our thyroid gland plays a crucial role in regulating many bodily functions, including metabolism, energy levels, and even our sleep patterns. Whether you're dealing with hypothyroidism, hyperthyroidism, or are simply curious about how this small thyroid gland impacts your nightly rest, this episode is for you. We'll explore how thyroid imbalances can lead to sleep disturbances, such as insomnia, and how poor sleep quality can impact your thyroid gland. Joining us today is Dr Skand Shekhar from the National Institutes of Health (NIH). He completed medical school at the University of Delhi in India, completed a master of health sciences at Duke University School of Medicine, and went on to complete clinical and research training and an endocrinology fellowship at the NIH, focusing on reproductive endocrinology. His research involves studying the interaction between lifestyle, sleep, diet, and the hypothalamic-pituitary-gonadal/hypothalamic-pituitary-adrenal axis in humans. He is developing clinical trials to enhance our understanding of sleep metabolism and reproductive endocrinology interplays. He's here today to discuss the interactions between the thyroid gland and your sleep. Skand Shekhar, MD, MHS: Thank you very much, Dr Desai, for inviting me to your podcast. I'm happy to be here and excited to talk about this important topic. Before we move any further, I do want to clarify that everything I say today reflects my personal views. I do not speak on behalf of the NIH or the US federal government. Desai: How did you get interested in this topic? Shekhar: That's a good question. I have a deep-rooted interest in neuroendocrinology and its interaction with our environment. Inevitably, sleep is at the center of this interaction, which integrates things like puberty onset, growth hormone secretion, and, of course, a number of metabolic disorders that tend to have an association with sleep. Therefore, it was natural to think about the thyroid and how it is related to sleep, which really sparked my attention. In addition, from a clinical factor standpoint, we also see that many patients who have thyroid problems tend to also complain of sleep issues. It was a natural subject that piqued my attention, and I decided to delve deeper into this topic. Desai: Speaking of that, I know that many thyroid patients have sleep problems, and many sleep problems can cause thyroid problems. How common of an issue is this? Shekhar: It's a fairly common issue. I'll try to answer this question by breaking it up into individual issues. First, as far as hypothyroidism is concerned, it's a widely prevalent issue. In fact, the NHANES data published a few years ago demonstrated a steady increase in the rates of hypothyroidism such that it has doubled from the estimate of about 5% in the late 1990s to approximately 10% in 2019. It tends to impact women disproportionately. Similarly, hyperthyroidism is also a common problem, although not as common as hypothyroidism, and it affects about 1% of the general population. Again, women are more widely impacted. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/...