Hypothyroidism in Children: The Hidden Clues Parents Need to Know

Hypothyroidism in Children: The Hidden Clues Parents Need to Know

Hypothyroidism isn’t just an adult problem. Children can have hypothyroidism, even with normal TSH.

I learned this firsthand when my son Jack was nine years old.

Jack was struggling with weight, having trouble focusing in school, and feeling low on energy. It wasn’t a matter of “just eat less, pay more attention, or try to exercise more.”

I remember looking into his eyes and seeing that dull, flat look that I knew all too well. It was the same look I had when I was struggling with undiagnosed hypothyroidism.

Weight Gain Can Be a Clue

In an effort to help, we tried a very strict diet (no grains, no flour, minimal sugar.) Jack was a real trooper.

For breakfast, he had eggs, potatoes, and lettuce. For lunch, high protein like meat and cheese rollups, or smoothies made with yogurt, frozen fruit, chocolate, and stevia. Dinner was a hamburger without the bun.

It wasn’t easy, but we made it fun and tried to keep meals satisfying.

Most people on this kind of diet would lose weight. But not Jack.

That’s what makes hypothyroidism so frustrating. You can eat all the “right” foods, but if your thyroid is struggling, weight loss can feel impossible.

What this experience showed me was that Jack didn’t have an issue with overeating, he had underlying hypothyroidism. And until we supported his thyroid, no diet was going to “fix” the problem.

When Doctors Miss the Signs

At first, Jack’s primary doctor said his thyroid was fine because his TSH was normal. They never shared the actual number, and they didn’t run any other tests.

I wish I had known then what I know now: TSH isn’t the whole story.

Many children (and adults) have hypothyroidism with normal TSH. It’s one of the biggest reasons people get misdiagnosed and stay stuck in symptoms for years.

Jack had the classic signs of hypothyroidism—weight gain, low energy, trouble focusing, and that puffy, tired look. Once I started connecting the dots, it all made sense.

What I Want Other Parents to Know

If your child is struggling with weight gain, fatigue, mood swings, or trouble focusing, it’s not “just the age” or “just the diet.”

Your child’s body may be sending clues that their thyroid needs support.

When I finally understood this, it changed everything for our family.

That’s why I’m so passionate about helping other parents understand the missing piece. Your child’s thyroid health affects everything: their energy, mood, focus, and growth.

The Next Step

If you suspect your child might be struggling with hypothyroidism, I want you to know there’s hope and a better way to help them feel better.

The HypoHero™ Thyroid Protocol teaches you how to spot the signs, track the clues, and support thyroid and adrenal health naturally.

This method has helped thousands of hypothyroid patients uncover hidden patterns and start their journey to healing.

👉 Learn more about the HypoHero™ Thyroid Protocol and take the first step toward helping your child feel like themselves again.

Miss LizzyHypothyroidism in Children: The Hidden Clues Parents Need to Know
The Importance of Body Temperature in Thyroid and Adrenal Health

The Importance of Body Temperature in Thyroid and Adrenal Health

One of the most important lessons I learned in my thyroid and adrenal journey is this: your body temperature tells the truth.

No one told me about temperature tracking. I didn’t read it in a book or hear it from a doctor. I discovered it because I was so fed up with the endless cycle of labs, medications, and symptoms that didn’t make sense.

I was tired of waiting for test results that didn’t match how I felt. I knew something wasn’t right and was determined to figure it out. That’s when I started taking my temperature out of curiosity, frustration, and honestly, desperation.

Most doctors had dismissed my low body temperature as “normal,” but through years of research, I found thyroid experts like Dr. Broda Barnes, Dr. James L. Wilson, and Paul Robinson who talked about the importance of body temperature for thyroid and adrenal health. So I started tracking.

And what I found was shocking. My temperature was consistently low and fluctuated wildly, sometimes dropping as low as 95.5°F in the afternoon. No wonder I felt so many symptoms—fatigue, brain fog, cold hands and feet, and that constant feeling that my body just wasn’t keeping up.

That was the turning point. Tracking my temperature became the tool that helped me finally understand what my body was trying to tell me. When thyroid lab testing failed me, tracking body temperature saved me.

Low Temperature Is a Clue, Not a Fluke

Low body temperature is one of the clearest signs that your thyroid and adrenals are struggling. It’s a message from your body that it’s running too slow, that something is off with your metabolism, and that your thyroid needs support.

If you’re waking up tired, struggling to focus, feeling cold all the time, or noticing stubborn weight gain, you’re not imagining it. And you’re not alone. Your temperature may hold the answers.

What I Wish I’d Known Sooner

If I had known how to track my temperature the right way and use it to guide my healing, I could have saved myself years of frustration.

That’s why temperature tracking is the foundation of the HypoHero™ Thyroid Protocol. It’s not just about taking random readings or guessing what they mean. It’s about learning how to spot patterns, understand the clues your body is giving you, and use that information to empower your healing.

This isn’t something most doctors teach you. And it’s not something you can just figure out from a quick internet search. It took me years of trial and error to uncover this system, so I built the HypoHero™ Thyroid Protocol to guide others through it, step by step.

The Path to Healing

If you’re frustrated by thyroid lab results and thyroid medications that aren’t helping, and you have ongoing symptoms that don’t make sense, there’s a better way. Your temperature holds the clues. You need the right system to understand it and know what to do next.

That’s what the HypoHero™ Thyroid Protocol is here to help you with.

👉 Learn more about the HypoHero™ Thyroid Protocol and take the first step toward understanding what your body is trying to tell you.

Miss LizzyThe Importance of Body Temperature in Thyroid and Adrenal Health
How Do I Find a Good Doctor?

How Do I Find a Good Doctor?

This is one of the most common questions we get:
“How do I find a doctor who will actually help?”

The truth is, you don’t need an expensive specialist or a doctor who knows everything about thyroid and adrenal health. What you do need is someone who’s willing to listen and partner with you.

A good doctor doesn’t need to have all the answers. They just need to be open-minded, respectful, and willing to work with you. And the more you follow the HypoHero™ Thyroid Protocol, the easier it becomes to advocate for yourself and know what to ask for.

What Makes a Doctor “Good”?

When looking for a doctor, focus less on the title or credentials and more on how they practice. Here are a few things we suggest looking for:

  • Willing to treat based on symptoms and body temperature, not just lab ranges
  • Runs a full thyroid panel: Free T3, Free T4, Reverse T3, not just TSH
  • Is willing to take a natural approach using supplements
  • Will run additional tests when needed (iron, B12, ferritin, cortisol, hormones, vitamin D, etc.)
  • Makes you feel heard, not dismissed
  • Open to feedback and willing to adjust based on how you’re responding

A good doctor will never tell you it’s “all in your head” or shame you for wanting to feel better.

What to Avoid

If a doctor makes you feel ignored, judged, or dismissed, that’s a red flag. These statements are signs the doctor may not be a good fit:

  • “Your TSH is normal, so your thyroid is fine.”
  • “Fatigue and weight gain are just part of getting older.”
  • “You don’t need any other tests.”
  • “You just need to eat less and exercise more.”
  • “I won’t prescribe anything but Synthroid or Levothyroxine.”

Remember: You don’t need to convince someone who isn’t willing to listen. It’s okay to move on.

Do I Need a Thyroid Specialist?

Not necessarily.

Some endocrinologists and family doctors are helpful, but many aren’t trained in anything beyond standard TSH-based treatment. That’s why we often recommend looking for a doctor who practices integrative or functional medicine, or D.O. primary care providers, as they tend to take a holistic view of thyroid and adrenal health.

That said, any doctor can be helpful if they’re willing to learn and listen. The HypoHero Thyroid Protocol will help you understand what’s going on in your body, so you’re not depending on someone else to figure it out for you.

Too often, we see hypothyroid patients so frustrated and desperate for help that they end up paying thousands of dollars and waiting many months for expensive specialists who are frequently unnecessary. The HypoHero Thyroid Protocol will help you become your own best advocate, which can save you time, money, and frustration.

Interview the Office First

To save yourself time and frustration, call the doctor’s office before booking a visit. Ask:

  • Does the doctor treat hypothyroidism based on symptoms and not just TSH?
  • Will they test Free T3, Free T4, and Reverse T3?
  • Are they open to natural approaches, including supplements?
  • Are they open to adjusting thyroid medication (up or down) based on how I feel?

If the office can’t or won’t answer, it’s okay to keep looking. A quick call now can save you months of waiting for an appointment that goes nowhere.

You Are Your Best Advocate

You don’t have to wait for a doctor to fix everything. When you follow the HypoHero™ Thyroid Protocol, you’ll learn how to track your temperature and symptoms, understand what they mean, and support your body with the right tools.

That way, when you do find a doctor who’s willing to work with you, you’ll know exactly what to ask for and why.

You’re not stuck—you just need the right strategy, support, and confidence to advocate for yourself.

Ready to Take the First Step?

The HypoHero™ Thyroid Protocol is designed to help you get results—even if you’ve been told your labs are normal or your symptoms don’t matter.

Start tracking your progress, restoring your energy, and learning how to work with your body—not against it.

👉 Click here to take the HypoHero symptom quiz and get started

Miss LizzyHow Do I Find a Good Doctor?

Can I have hypothyroidism with normal TSH?

Yes, absolutely. It’s more common than most people realize.

TSH stands for Thyroid Stimulating Hormone, but here’s what many people don’t know, TSH is actually a measure of how the pituitary gland is signaling the thyroid. It’s not a direct measurement of how well your thyroid is functioning or how your cells are using thyroid hormone.

Even though doctors have relied on the TSH test for decades, it doesn’t always reflect what’s actually going on in the body. This is why many people experience clear signs of hypothyroidism including fatigue, weight gain, brain fog, cold hands and feet, but they’re told everything is “normal.”

That was true for me, and it’s true for many people I’ve worked with.

How Common Is Undiagnosed Hypothyroidism?

Depending on the source, it’s estimated that up to 20 million Americans have a thyroid disorder, and many more may go undiagnosed. Hypothyroidism affects women more than men, and 1 in 8 women will develop a thyroid disorder in their lifetime.

You probably know someone with undiagnosed hypothyroidism. They’re the friend who’s always tired, can’t lose weight, wears a sweater in summer, and struggles to focus or remember words. Maybe that person is you.

If you’ve been told your thyroid is “fine” based on TSH but still feel off, there’s a reason for that—and you’re not alone.

Why TSH Can Be Misleading

TSH is not always reliable. Here are a few reasons why:

  • TSH can fluctuate up to 200% during the day.

  • The “normal range” varies between labs and is still debated.

  • TSH doesn’t measure how much active thyroid hormone (T3) is available to your cells.

  • It doesn’t show whether your body is converting T4 (inactive hormone) into T3 (active hormone).

  • It doesn’t detect thyroid resistance or adrenal issues, both of which can affect how thyroid hormone works in your body.

  • In some cases, people have low thyroid function but still show a normal or even low TSH.

If your doctor is relying on TSH alone, they might miss what’s really going on.

What Happens When Hypothyroidism Goes Untreated?

When TSH is used as the only test, many people get misdiagnosed or not diagnosed at all. That means years of symptoms like fatigue, brain fog, weight gain, depression, low libido, hair loss, and poor sleep. It also means years of being told it’s “just stress” or “all in your head.”

For me, that meant years of going from doctor to doctor, being told my thyroid was fine, but continuing to suffer from symptoms. I knew something was wrong, but my labs didn’t show it. So I was dismissed. When I finally got diagnosed with hypothyroidism, I spent another decade trying every type of thyroid medication trying chasing thyroid lab test numbers but continuing to suffer from symptoms.

If you’ve been in that position, you know how frustrating and hopeless it can feel.

What To Do If Your TSH Is Normal But You Have Symptoms

If you suspect low thyroid function, here are a few steps I recommend:

  1. Request a full thyroid panel, not just TSH. This should include:

    • Free T3

    • Free T4

    • Reverse T3

    • TSH (as a reference range)
    • Thyroid peroxidase (TPO) antibodies (for Hashimoto’s)

  2. Track your body temperature. Your thyroid controls temperature regulation, and low body temperature is one of the most reliable signs of low thyroid function. A waking temperature below 97.8°F and an afternoon temperature below 98.6°F can point to hypothyroidism.

  3. Pay attention to symptoms. Symptoms matter. Energy, focus, temperature, mood, digestion, skin, sleep are all measurements your thyroid is either working well or not. If your thyroid labs are “normal” but you feel anything but normal, trust what your body is telling you.

  4. Work with someone who takes a full-picture approach. If your doctor refuses to run these tests or dismisses your concerns, it may be time to find a new healthcare provider. It’s not your job to convince a doctor who isn’t open-minded. And you deserve to have someone on your team who will help you.

The Role of Body Temperature

I talk about temperature a lot in my work because it was the missing piece for me. Where lab testing failed me, tracking my body temperature saved me.

When I finally started tracking my temperature, I realized I wasn’t just “a person who’s always cold.” My body temperature was consistently below 97°F. That’s a sign the thyroid is underactive, even if TSH says otherwise.

Once I learned how to support my thyroid and adrenals the right way, my temperature came up, and so did my energy, mood, and metabolism. Everything started to make more sense.


If This Sounds Familiar, You’re in the Right Place

This is exactly why I created the HypoHero™ Thyroid Protocol to help people who are still dealing with low thyroid symptoms even when the labs look normal.

The protocol teaches you how to track your temperature, understand your symptoms, and support your thyroid with minerals, without chasing lab results or constantly adjusting medication.

If you’ve felt ignored, frustrated, or like you’ve tried everything and nothing works… this is a new approach that actually makes sense.

Click here to learn more about the HypoHero™ Thyroid Protocol and how it can help you feel like yourself again. 👉 Take the HypoHero Thyroid Symptom Quiz

Miss LizzyCan I have hypothyroidism with normal TSH?

Do You Have Hypothyroid Symptoms, Even With “Normal” Labs?

If you’ve been feeling off, but your doctor says everything looks “fine,” you’re not imagining things.

Many people live with undiagnosed or misdiagnosed hypothyroidism, often for years. And the reason? Most doctors rely too heavily on TSH (thyroid-stimulating hormone) levels, which don’t tell the full story about what’s happening in your cells.

I personally struggled with all the classic symptoms of hypothyroidism including fatigue, brain fog, slow metabolism, and cold hands and feet for years. Even though my TSH was “in range.” And I’m not alone. Thousands of people report classic symptoms of hypothyroidism while being told their thyroid labs are normal.

Here’s the truth:
TSH is not always reliable. That’s why it’s critical to understand the full range of symptoms and pay attention to what your body is trying to tell you.

From low body temperature and constant fatigue to hormone imbalances and hair loss, the signs of hypothyroidism are often dismissed or overlooked. But when you know what to look for, and how to respond, you can finally start feeling better.

Body Temperature and Metabolism

  • Low body temperature (below 98.2-98.4 at 3pm)
  • Easily gain weight
  • Difficulty losing weight
  • Difficulty tolerating cold
  • Feeling cold when others are comfortable
  • Cold hands and feet
  • Raised body temperature

Energy, Motivation, and Exercise

  • Fatigue or loss of energy
  • Feeling tired even after a full nights sleep
  • Sleeping more than average
  • Less stamina than others
  • Less energy than others
  • Nodding off easily
  • Requires naps in the afternoon
  • Exhaustion
  • Difficulty working a full-time job
  • Inability to stand on feet for long periods
  • Complete lack of motivation
  • Long recovery period after any activity
  • Inability to hold children for very long
  • Arms feeling like dead weights after activity
  • Bizarre and debilitating reaction to exercise
  • Slowing to a snail’s pace when walking up slight grade

Mood and Mental Focus

  • Depression
  • Feeling uninterested in life
  • Seasonal blues
  • Memory loss
  • Fuzzy-thinking
  • Difficulty following conversations
  • Brain fog
  • Anxiety
  • Headaches and migraines
  • Less ability to cope in relationships
  • Difficulty concentrating
  • Forgetfulness
  • Irritability
  • Intolerance of others

Digestion

  • Candida
  • Lactose intolerance
  • Inability to eat in the mornings
  • No appetite
  • Constipation
  • Colitis
  • Extreme hunger, especially at nighttime
  • Nausea

Hair, Skin and Nails

  • Irregular periods
  • Dry skin, brittle nails
  • Brittle hair, itchy scalp
  • Hair loss, thinning hair
  • Bumps on legs
  • Breakout on chest and arms
  • Hives
  • Thinning outer eyebrows, or no eyebrows
  • No hair growth, breaks faster than it grows
  • Broken/peeling fingernails

Hormones

  • PMS moodiness, bloating, heavy periods, and cramps
  • Irregular periods
  • Reduced sex drive or no sex drive
  • Fertility issues including lack of ovulation
  • Inability to get pregnant
  • Miscarriages

Endocrine

  • Puffy face, around eyes, neck, wrists and/or hands
  • Hoarse voice
  • Bruising or blood clotting problems
  • Elevated levels of LDL cholesterol
  • Heightened risk of heart disease
  • Swollen lymph glands

Other

  • Asthma or allergies that suddenly appear or get worse
  • Persistent cold sores
  • Sleep apnea which can be associated with low cortisol
  • Air hunger which feels like you can’t get enough air
  • Osteoporosis
  • Joint and muscle pain
  • Handwriting nearly illegible
  • Internal itching in ears
  • Ringing in ears
  • Fluid retention
  • Swollen legs that prevent walking
  • Low blood pressure issues
  • High blood pressure issues
  • Varicose veins
  • Tightness in throat
  • Plantar fascitis
  • Cold gluteus maximus

Want to Know What’s Really Going On With Your Thyroid?

The HypoHero™ Thyroid Protocol goes beyond basic lab tests to help uncover hidden thyroid patterns using temperature tracking, symptom awareness, and targeted minerals to support your thyroid health.

It’s a 3-part process to help you:

  • Track your body’s symptoms so you can finally connect the dots

  • Fuel your thyroid with the minerals it’s been missing

  • Optimize your energy, mood, metabolism, and temperature

If you’ve been told your symptoms are “in your head”… we believe you. And we have a plan.

👉 Take the HypoHero Thyroid Quiz to Get Started Today

Miss LizzyDo You Have Hypothyroid Symptoms, Even With “Normal” Labs?
Lab Tests for Hypothyroidism

Lab Tests for Hypothyroidism

If you’ve been told your thyroid is “normal” but still feel tired, cold, foggy, or stuck, there’s a good chance you haven’t had the full picture. It’s not just about TSH. And it’s not just about labs.

When you’re trying to get to the root of fatigue, weight gain, low body temperature, or other thyroid-related symptoms, having the right tests can help but they only work if you know what to look for and how to connect the dots. That’s exactly what we do inside the HypoHero™ Thyroid Protocol.

Why Standard Lab Testing Isn’t Always Enough

Most doctors run a TSH test and stop there. But TSH is a pituitary hormone, it’s not a direct measure of thyroid function. It doesn’t tell you how well your body is converting thyroid hormone, how much active hormone is available to your cells, or how your adrenals are influencing your energy levels.

That’s why many people get told “everything looks fine” while still living with hypothyroid symptoms. I was one of them.

Here’s a better set of labs to request if you’re still trying to get answers.

Basic Thyroid Labs

Free T3

This measures the active form of thyroid hormone your body actually uses. If Free T3 is low, even with “normal” TSH, you can still have hypothyroidism symptoms. It’s one of the most important thyroid markers to monitor over time.

Free T4

Free T4 is the storage form of thyroid hormone. Your body converts T4 into T3. Low Free T4 can signal underactive thyroid, but it must be interpreted alongside Free T3.

Reverse T3 (RT3)

Reverse T3 is a blocker. When it’s too high, it can slow your metabolism and compete with active T3 at the cellular level. The best way to evaluate this is by looking at the Free T3 to RT3 ratio—we explain how to do this inside the protocol.

TSH

This test can be helpful as a reference range over time, not as the single diagnostic test.

Thyroid Peroxidase Antibodies (TPO)

This test can help identify autoimmune thyroid issues like Hashimoto’s. If TPO antibodies are elevated, your body may be attacking its own thyroid.

Adrenal Health Labs

24-Hour Saliva Cortisol Test

This test maps your cortisol rhythm throughout the day. It’s helpful if you feel wired at night, can’t wake up in the morning, or crash in the afternoon. Cortisol patterns matter more than a single cortisol value.

Note: If you’re planning to take this test, stop any adrenal supplements at least two weeks beforehand for best accuracy.

Nutrient Labs That Impact Thyroid Function

These labs aren’t always run, but they may provide additional insights:

Ferritin (Iron Storage)

Low ferritin can mimic hypothyroid symptoms. For thyroid function, most women feel best with ferritin between 70–90.

Vitamin B12

Low B12 can lead to fatigue, brain fog, and mood issues. Some people with thyroid issues don’t absorb B12 well and may need sublingual or injection support.

Vitamin D

Aim for a level between 50–70 ng/mL. Low vitamin D is common in people with autoimmune conditions and can affect immune and thyroid function.

Serum Iron / TIBC

These tests help determine if your body is absorbing and transporting iron effectively. Iron is required for thyroid hormone conversion.

Zinc

Zinc is needed for hormone production and immune health. Blood zinc may look normal even when you’re functionally low, so symptoms and temperature tracking are important.

Secondary Labs (Optional but Useful)

These may be helpful in certain situations:

  • DHEA-S

  • Aldosterone / Renin

  • ACTH Stimulation Test

  • RBC Magnesium

  • Folate (Vitamin B9)

We go into more detail about when and why to consider these in the Optimize phase of the HypoHero Thyroid Protocol.

Why Lab Tests Alone Aren’t Enough

Even with all the right labs, it’s still possible to miss what’s going on. That’s why, in the HypoHero Thyroid Protocol, we focus on daily temperature tracking and symptom patterns.

Your body temperature can give you clues about thyroid and adrenal function in real-time (something no blood tests can’t do). When temperature is consistently low (especially under 97.8°F in the morning), it’s often a sign of low thyroid function, even if labs are in range.

Inside the HypoHero™ Thyroid Protocol, we show you how to:

  • Track temperature and symptoms daily

  • Identify patterns that point to thyroid, adrenal, or conversion issues

  • Use labs alongside your data, not in place of it

  • Support your body with targeted minerals

  • Adjust your approach based on progress, not guesswork


Ready to Understand What’s Really Going On?

If you’ve been running in circles trying to get lab answers that make sense, the HypoHero™ Thyroid Protocol gives you a different approach—one that puts you back in control.

Take the first step now and start your thyroid transformation:
👉 Click here to learn more and take the quiz

Miss LizzyLab Tests for Hypothyroidism
Health Tracking is Vital for Treating Hypothyroidism

Health Tracking is Vital for Treating Hypothyroidism

I’ve accepted the fact that either I am health obsessed or a hypochondriac. That said, if I’ve learned anything trying to heal from hypothyroidism and adrenal fatigue, its that good health is a practice which takes effort, research and intention. In doing so I have become a bit of a health detective.

For example, I use a spreadsheet to track every day of my life; charting my medicine, mood, weight, body temp, cycle, PMS, energy, hair loss, even sex drive (yep, I track it!). I start on Day 1 of my cycle and track every day until the next Day 1. It’s amazingly informative!

Otherwise life just blends together and its sometimes hard to see progress or setbacks. Like tracking point on Weight Watcher’s, writing it down helps me see what’s happening. It’s not about judgement either, tracking is about awareness and observation.

By tracking I discovered a big mood shift in my cycle, but didn’t see the monthly pattern. When I started tracking I realized this mood swing happened like clockwork on Day 19. On Day 18 every month, I felt great. And then suddenly on Day 19, I would feel the weight of the world on my shoulders. I would feel sad and have difficulty coping even with everyday chores. Sometimes I could actually feel my mood slipping as the day progressed on Day 19. Then as quickly as it started, the mood would lift around Day 24. I never connected it with PMS because it came so much earlier in my cycle.

When I showed this pattern to my doctor he suggested we run hormone lab tests. Sure enough, he learned my estrogen and progesterone levels dramatically flip on Day 19, which created the mood swing. He prescribed bioidentical estrogen creme for days 16-24 of my cycle, and sure enough, no more mood swings. Also I learned if I start the estrogen creme to late (like Day 18) or end too early (like Day 22) the mood swing hits me hard. Incredible isn’t it?!

Tracking also helped me realize when I overstimulated my adrenals by increasing my thyroid medicine too much.

But I know, we are all so tired already, how will manage to do this too? My advice is just do your best and forgive yourself what you cannot do. I am reading the The Four Agreements, A Practical Guide to Personal Freedom, by Don Miguel Ruiz. It’s a great book and I especially like what Ruiz writes about crime and punishment. When there is a crime it is punished once, but in our minds we punish ourselves over and over for years. He explains happiness is directly related to quieting the inner judge, and then attempting to do our best. If you track a little and that’s your best, then great. If you are too tired to track today, maybe you will tomorrow. Whatever it is, do your best.

In case you are curious, here is a section of my tracker from 2009 (done in Pages, but will open in Excel). The notes can be as loose or detailed as you like. Download a copy and take a look.

 

Miss LizzyHealth Tracking is Vital for Treating Hypothyroidism