Hashimoto’s affects your energy, cognition, mood, temperature regulation, and more. With symptoms that fluctuate day to day and labs that only get checked every few months, a daily log is the bridge between how you feel and what your doctor can see.
This template captures the metrics that matter most for Hashimoto’s in a format that takes under five minutes per entry.
Daily Tracking Categories
Energy Level (0 to 10)
Rate your overall energy for the day. This is the single most useful metric for tracking Hashimoto’s over time. A few guidelines for consistency:
- 0 to 2: Cannot get out of bed, completely drained
- 3 to 4: Functional but struggling, everything takes extra effort
- 5 to 6: Moderate energy, can do most daily tasks
- 7 to 8: Good day, feeling capable and alert
- 9 to 10: Excellent energy, rare for most Hashimoto’s patients
Track this at the same time each day for consistency. Many patients find that an evening rating captures the day more accurately than a morning rating.
Brain Fog and Cognitive Clarity
Rate cognitive function on a 0 to 10 scale, where 10 is sharp and clear and 0 is unable to concentrate. Note specific issues if they occurred:
- Word-finding difficulty
- Slow processing speed
- Trouble following conversations
- Forgetfulness or losing track of tasks
Temperature Sensitivity
Note whether you felt unusually cold today, especially:
- Cold hands and feet
- Needing extra layers when others are comfortable
- Difficulty warming up after being cold
Changes in cold intolerance can signal thyroid level shifts before labs catch them.
Mood
Rate overall mood on a simple scale: low, neutral, or good. Note any irritability, anxiety, or unexplained sadness. Thyroid fluctuations directly affect neurotransmitter function, so mood changes can be an early signal.
Physical Symptoms
Check off any that apply today:
- Joint or muscle aches
- Dry skin
- Hair shedding
- Constipation
- Puffiness or swelling (face, hands)
- Hoarse voice
- Weight change (track weekly rather than daily)
Medication Log
- Thyroid medication taken: Yes/No
- Time taken: Log this to ensure consistency
- Taken on empty stomach: Yes/No (food, coffee, and certain supplements interfere with absorption)
- Other medications or supplements: Note anything new or changed
Lab Results (When Available)
When you get lab work done, log the results in that day’s entry:
- TSH
- Free T4
- Free T3 (if tested)
- TPO antibodies (if tested)
- Thyroglobulin antibodies (if tested)
Having lab results logged alongside your daily symptom data lets you see whether “normal” labs actually correspond to feeling normal.
Sample Daily Entry
- Date: March 9
- Energy: 4/10
- Brain fog: 6/10 (word-finding issues, slow afternoon)
- Temperature: Cold hands all morning, needed extra layer
- Mood: Low, irritable without clear cause
- Physical: Joint aches in knees, dry skin on hands
- Medication: Levothyroxine 75mcg at 6:30 AM, empty stomach. Vitamin D 4000 IU at lunch.
- Sleep: 8 hours but unrefreshing, woke tired
- Notes: Third day in a row with energy below 5. May be heading into a flare. Will call endo if it continues through the week.
Weekly Review Questions
- What was my average energy this week compared to last week?
- Did brain fog correlate with any specific trigger?
- Were there any changes in temperature sensitivity?
- Did I take my medication consistently and correctly?
- Any new or worsening physical symptoms?
- Do I need to request lab work sooner than scheduled?
Track Hashimoto’s Daily With the Clarity App
The a dedicated Hashimoto symptom journal makes this daily check-in fast and organized. Log energy, brain fog, temperature sensitivity, mood, physical symptoms, and medication in one place. When lab results come in, overlay them against your symptom trends to see the full picture.
For a deeper understanding of what to track and why, read our Hashimoto symptom tracking guide. To learn about what triggers flares and how to catch them early, check out Hashimoto flare triggers.
Start your daily Hashimoto’s log today. Start tracking your Hashimoto symptoms.