Can you have all the symptoms of Hashimoto except weight gain?

I remember presenting to the clinic because I had just finished a week of vacation and spent the lions share of it sleeping in bed. I had not felt rejuvenated afterwards. I was seen at a teaching hospital clinic where the Resident, or doctor in training had been given ample time to do the whole nine yards as far as interviewing and physical exam goes I recall. My TSH level returned in the 10 range (well beyond the lab's normal values). I was given a choice of starting Synthroid or holding off on doing so.

My hypothyroidism had not been detected by a preventative screening lab testing, I was symptomatic. If anyone is new to this diagnosis it is well worth one's time reading up on it: I am sure the Residents would have taken time to answer all my questions, but at that juncture I did not know what to ask. In wonderful hindsight I would have requested additional lab testing like my vitamin D level. It was later found to be too low for thyroid hormones to work effectively.

Thank you so much. That helps me pursue an answer for my symptoms. I wonder if my case is similar to others where if the standard tests for thyroid are normal, that's the end of the story.
med08's response and your response are helping me move forward and not stop at one doctor's visit.
I have a list of 16 Hashimoto symptoms from a Mayo Clinic site. The only ones I don't have are enlargement of the tongue, a puffy face and I'm well past menstruation. Best to you.

Thank you so much. That helps me pursue an answer for my symptoms. I wonder if my case is similar to others where if the standard tests for thyroid are normal, that's the end of the story.
med08's response and your response are helping me move forward and not stop at one doctor's visit.
I have a list of 16 Hashimoto symptoms from a Mayo Clinic site. The only ones I don't have are enlargement of the tongue, a puffy face and I'm well past menstruation. Best to you.

I also seem to have hypothyroidism though I am thin. My TSH is elevated at about 6, but the only symptoms I have so far are muscle spasms. I am curious: was your diagnosis based on the TSH results?

I was just talking to endo md and she dismissed that I have muscle spasms (in my hands) saying it would be someone with tsh of 20 or higher. mine is also 6.5

I now think my muscle spasms and twitching was because of some nutritional imbalance, possibly a low calcium level or B12 deficiency. The spasms have gone away though my hands occasionally twitch involuntarily. I am taking vitamin supplements. If you have bloodwork done, it should show deficiencies if they are responsible for your spasms. I hope you get some relief. When my spasms first appeared it scared me as I feared Parkinson's or ALS. I found out that it is most often some benign condition.

I now think my muscle spasms and twitching was because of some nutritional imbalance, possibly a low calcium level or B12 deficiency. The spasms have gone away though my hands occasionally twitch involuntarily. I am taking vitamin supplements. If you have bloodwork done, it should show deficiencies if they are responsible for your spasms. I hope you get some relief. When my spasms first appeared it scared me as I feared Parkinson's or ALS. I found out that it is most often some benign condition.

One clue for HASHIMOTO's which few people mention, but which I feel could be definitive, is the missing outer third of one's eyebrows. I suffered with undiagnosed Hashis for 25 years, starting as a a young mother with my first child. My eyebrows were normal, but I had every Hashi symptom, eventually, with one terrble flare, also undiagnosed, whch caused me to take a two year sabbatical from my private psychology practice, which I spent mostly lying in bed. Eyebrows were normal this whole time. The symptoms gradually resolved as my immune system weakened with age. Following the Moderna 1 vaccine in Jan of 2021, almost overnight. my eyebrows took on the Hashi's pattern of missing the outer portion along with a hugely elevated ANA, as well as the resurgence of all Hashi symptoms, along with a new, undiadnsed autoimmune disease. Long before this, after becoming a researcher of my various strange illnesses, which I finally recognized as autoimmune in nature, I had diagnosed my years of struggling wth extreme fatigue, lack of will (so opposite to my natural personality), extreme food sensitivity flares, a failing immune system, and elevated TSH, as Hashimoto's.