Hypothyroidism (Underactive Thyroid) Online

Manage an underactive thyroid with a bulk billed telehealth GP. Get thyroid blood tests, thyroxine prescriptions, and endocrinology referrals online.

What is hypothyroidism?

Hypothyroidism, or underactive thyroid, is a condition in which the thyroid gland does not produce enough thyroid hormone. Thyroid hormones regulate metabolism, energy, body temperature, and many other functions. The most common cause in Australia is autoimmune thyroiditis (Hashimoto's disease). It is more common in women and tends to develop with age.

Symptoms can include fatigue, weight gain, cold intolerance, dry skin, constipation, hair thinning, low mood, and menstrual changes. Many symptoms are non-specific, which is why a blood test is essential for diagnosis.

How a telehealth GP can help

A NewDoc GP can take a history of your symptoms, order a thyroid function test, review the results with you, and commence or adjust thyroid hormone replacement therapy if indicated. Thyroid hormone replacement is available on the PBS and can be prescribed via eScript. Dose titration usually happens over several follow-up consultations.

Your GP can also arrange referrals to an endocrinologist for complex cases, and coordinate other relevant investigations such as cholesterol, ferritin, and vitamin D levels.

When to see a GP

Persistent fatigue, unexplained weight changes, or any of the symptoms above are reason to speak with a GP. Hypothyroidism is also relevant in pregnancy and fertility; if you are planning or are pregnant, speak with your GP promptly as monitoring requirements change.

Seek urgent care if you experience severe symptoms such as profound drowsiness, hypothermia, or confusion, which may indicate uncommon but serious complications.

References

This content is informational and does not replace individual medical advice. For personal assessment, book a consultation with your GP. In emergencies, call 000.

Reviewed by Dr. Jason Yu FRACGP

Last reviewed 16 April 2026. Editorial policy

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Frequently asked questions

Can a telehealth GP diagnose hypothyroidism?

A GP can assess your symptoms and order a thyroid function test (TFT) that measures TSH, free T4, and where indicated free T3 and thyroid antibodies. Diagnosis is based on blood test results reviewed in a follow-up telehealth consultation.

Can thyroid hormone replacement be prescribed via telehealth?

Yes. If your GP considers thyroid hormone replacement clinically appropriate based on blood test results, an eScript can be sent to your phone during a telehealth consultation. Dose adjustments are typically guided by follow-up TFTs.

How often do I need a thyroid blood test?

When starting or adjusting thyroxine, TFTs are usually repeated every 6–8 weeks until stable. Once stable, annual monitoring is typical. Your GP will guide the schedule based on your individual circumstances.

When is an endocrinologist referral needed?

Your GP may refer you to an endocrinologist for complex thyroid disease, pregnancy, suspected secondary hypothyroidism, or if standard treatment is not achieving stable results. Telehealth referrals are issued electronically.

Is the consultation bulk billed?

Yes. NewDoc bulk bills telehealth consultations for eligible Medicare cardholders. There is no out-of-pocket cost for the consultation, eScripts, or pathology referrals.

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