Hypothyroidism in Dogs: Causes, Signs and Symptoms, and Treatment

Hypothyroidism in Dogs: Causes, Signs and Symptoms, and Treatment

Published Date

Published Date

June 10, 2025

June 10, 2025

Last Updated

Last Updated

June 24, 2025

June 24, 2025

A veterinarian holds and examines a brown curly-haired dog in a clinic, both looking at each other.
A veterinarian holds and examines a brown curly-haired dog in a clinic, both looking at each other.
A veterinarian holds and examines a brown curly-haired dog in a clinic, both looking at each other.

Your dog isn’t quite themselves lately. Maybe they’ve stopped chasing the ball like they used to, or they linger a little longer at the foot of the stairs before climbing. It’s tempting to chalk it up to aging. After all, dogs slow down, right?

But sometimes, it’s not just age. It’s something quieter, hidden beneath the surface.

Hypothyroidism in dogs, also known as an underactive thyroid in dogs, is surprisingly common. Still, it rarely announces itself. The condition develops slowly, often masked by subtle shifts that feel easy to miss until one day, it’s not.

At Noble Vet Clinics, we’ve seen it many times. A cheerful pup turning sluggish. A shiny coat turning dull. We believe awareness is everything. Because the sooner you recognize the canine hypothyroidism symptoms, the sooner you can intervene with the correct diagnosis, the right dog thyroid medication, and a care plan that puts your dog back on track.

So, let’s take a closer look, together.

What Is Hypothyroidism in Dogs, and Why Should You Be Concerned?

Hypothyroidism in dogs begins quietly, deep in the neck, where the thyroid gland sits, often overlooked but essential. When this tiny gland stops producing enough thyroid hormones, the effects ripple through your dog’s entire body.

It controls more than you might think: metabolism, body temperature, the nervous system, even how much energy your dog has to greet you at the door. So when it slows down, so does everything else.

What might you notice? Maybe there’s weight gain without a change in diet. A sudden disinterest in walks. Or a temperament shift that feels… off. These changes are often easily attributed to age or weather. But in many middle-aged dogs, they’re early signs of hypothyroidism, and they matter.

If left unchecked, this condition doesn’t just linger. It can lead to chronic skin and ear infections, a sluggish heart rate, and severe strain on your dog’s immune system. It chips away at quality of life, one quiet symptom at a time.

What Causes Hypothyroidism in Dogs?

Most cases of canine hypothyroidism are primary, meaning they start in the thyroid gland itself. The two most common causes include:

  • Lymphocytic thyroiditis: An autoimmune disorder where the body mistakenly attacks the thyroid gland.

  • Idiopathic thyroid atrophy: Healthy thyroid tissue is gradually replaced with fat, a process known as gland atrophy.

Less common causes (called secondary hypothyroidism) include:

  • Congenital defects

  • Certain medications

  • Tumors affecting the pituitary gland

Dog breeds at higher risk include Golden Retrievers, Dobermans, Irish Setters, and Cocker Spaniels. Most diagnoses occur in middle aged dogs, typically between 4 to 10 years old.

What Are the Signs of Hypothyroidism in Dogs?

Hypothyroidism can be difficult to detect early. Pet parents often describe their dog as “slowing down” or “just not themselves.”

Here’s a helpful table to spot early signs of hypothyroidism and clinical signs:

Symptom

What It Looks Like

Why It Matters

Lethargy

Sleeps more, avoids play, tires easily

Slowed metabolism reduces energy

Weight Gain

Heavier despite normal food intake

Lower thyroid hormones reduce calorie burn

Skin Issues

Dry skin, dandruff, frequent infections

Reduced cell turnover weakens the skin barrier

Hair Loss

Thinning coat, especially on the tail, neck, or flanks

Hormone imbalance disrupts hair growth

Cold Intolerance

Seeks warmth, shivers in mildly cool environments

Lower body temperature regulation

Behavioral Changes

Withdrawn, irritable, depressed

Hormonal effects on brain chemistry

Recurrent Infections

Frequent skin and ear infections

Weakened immune response

In warm climates like the UAE, heat can mask some of these symptoms. If your dog appears unusually sluggish during mild weather or avoids activity altogether, hypothyroidism could be a silent cause. 

How Is Hypothyroidism Diagnosed in Dogs?

Three veterinarians examine a happy, gray-and-white dog on a clinic table. The setting feels professional and caring, with medical tools visible.

Diagnosis involves a combination of symptoms, physical exams, and blood tests. Key diagnostics include:

  • Total T4 (Thyroxine): Low levels raise suspicion, but this alone isn’t definitive.

  • Free T4 by equilibrium dialysis: A more accurate reflection of active hormone levels.

  • TSH (Thyroid Stimulating Hormone): Often elevated in hypothyroid dogs, but not always.

Why the complexity? Because other illnesses can suppress thyroid hormone levels without true hypothyroidism. It’s called euthyroid sick syndrome, and it can muddy the waters. That’s why test results must be interpreted with experience and context, not in isolation.

At Noble Vet Clinics, we combine test results with your dog’s full medical picture before confirming a diagnosis. We also follow up with regular monitoring to ensure your dog’s treatment is effective and safe.

Worried your dog might have hypothyroidism?

Worried your dog might have hypothyroidism?

Book a consultation with our veterinary team today for expert diagnosis.

Book a consultation with our veterinary team today for expert diagnosis.

How Is Hypothyroidism Treated in Dogs?

The condition isn’t curable, but hypothyroidism in dogs is very manageable with the right treatment.

The cornerstone? Levothyroxine, a synthetic thyroid hormone and the go-to therapy for most cases. It’s given orally, usually once or twice a day, and when the dose is just right, many dogs bounce back, with more energy, a better mood, and a healthier coat, often within weeks.

Here’s what treatment typically looks like:

  • Daily tablets, ideally given on an empty stomach to help with absorption

  • Regular blood tests early on, to monitor total thyroxin and adjust dosage if needed

  • Lifelong commitment to consistent care using prescribed dog thyroid medication, specifically levothyroxine, as part of long-term thyroid hormone replacement

Are There Natural Ways to Support a Dog With Hypothyroidism?

Medication is essential, but that doesn’t mean you’re powerless outside of the pill bottle. Small lifestyle shifts can make a big difference in how your dog feels day to day:

  • Nutrition: Focus on a well-balanced diet rich in nutrients like omega-3s, selenium, and zinc, all of which are known to support thyroid and immune function. Be cautious with iodine; more isn’t always better unless your vet specifically recommends it.

  • Exercise: Gentle, steady movement can help regulate mood and prevent weight gain. Just regular walks or low-impact play.

  • Stress reduction: Dogs feel stress too, and for those with hormonal imbalances, it can quietly make things worse. Keep routines predictable and the home environment calm.

We don’t advise using supplements or herbal remedies unless your vet gives the go-ahead. Some can disrupt dog thyroid medication or even aggravate symptoms.

Can Hypothyroidism in Dogs Be Prevented?

Veterinarian in a black shirt smiling while holding a happy brown poodle in his arms. The background is a white room, conveying warmth and affection.

Unfortunately, no. Hypothyroidism isn’t preventable in the traditional sense, especially when caused by autoimmune disorders or genetics. However, early detection makes all the difference.

Here’s what you can do:

  • Schedule annual wellness exams

  • Opt for routine bloodwork, especially if your dog is a predisposed breed

  • Pay attention to small behavioral or weight changes as your dog speaks through their actions

Is Hypothyroidism Linked to Other Health Problems?

When left untreated, hypothyroidism can trigger serious secondary diseases in dogs:

  • Obesity and metabolic issues

  • Heart disease, especially low heart rate

  • Chronic infections or poor wound healing

  • Muscle weakness and nervous system issues

  • Infertility in intact dogs

But the good news? Once treated, most of these problems resolve or improve significantly.

What Happens If Hypothyroidism Goes Untreated in Dogs?

When left undiagnosed or untreated, hypothyroidism can quietly set off a chain reaction of health issues. What begins as subtle lethargy or weight gain may slowly deepen. Your dog may withdraw, lose interest in play, and seem like a shadow of who they were.

Over time, the impact reaches further. The heart, liver, and even the nervous system can feel the strain.

But here’s the good news: with timely diagnosis and consistent care, the outlook is incredibly positive. Dogs with hypothyroidism don’t just manage. They truly thrive.

How Will Your Dog’s Life Change After a Hypothyroidism Diagnosis?

Many pet parents fear a diagnosis will mean a difficult or diminished life. In reality, most dogs adjust quickly to treatment and go on to live full, vibrant lives. You might even notice a resurgence of personality traits, such as playfulness, energy, and curiosity. 

We’ve seen countless dogs who looked years younger just weeks after starting treatment. The hardest part is often just recognizing the signs and taking that first step.

“When a dog slows down, it’s easy to mistake it for aging, but often, it’s their way of asking for help. Listening closely can change everything.”

- Dr. Soheyl Simaei 

Final Take: Should You Be Worried About Hypothyroidism in Dogs?

Worried? No. Aware? Absolutely.

Hypothyroidism in dogs is common, manageable, and treatable. What matters most is spotting the signs early and partnering with a trusted veterinary team. If your dog seems a little “off,” slower, heavier, or less engaged than usual, trust your instinct. You know your dog better than anyone.

And if you're ever in doubt, we’re here. At Noble Vet Clinics, we don’t just treat conditions. We listen. We care. We guide.

Frequently Asked Questions

What are the signs of hypothyroidism in dogs?

What are the signs of hypothyroidism in dogs?

What are the signs of hypothyroidism in dogs?

What are the signs of hypothyroidism in dogs?

How long can a dog live with hypothyroidism?

How long can a dog live with hypothyroidism?

How long can a dog live with hypothyroidism?

How long can a dog live with hypothyroidism?

Can hypothyroidism in dogs be cured?

Can hypothyroidism in dogs be cured?

Can hypothyroidism in dogs be cured?

Can hypothyroidism in dogs be cured?

What foods should dogs with hypothyroidism avoid?

What foods should dogs with hypothyroidism avoid?

What foods should dogs with hypothyroidism avoid?

What foods should dogs with hypothyroidism avoid?

Is hypothyroidism common in certain dog breeds?

Is hypothyroidism common in certain dog breeds?

Is hypothyroidism common in certain dog breeds?

Is hypothyroidism common in certain dog breeds?

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