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feeling hangry Dependency on caffeine Needing food to relieve fatigue Shaky, jittery, or tremulous feelings Nervousness or agitation Forgetfulness Blurred vision Mental fog Cold extremities Symptoms of elevated blood sugar levels include: Fatigue, after meals and in general Persistent hunger Cravings for sugary foods that are not eliminated after eating them Needing desserts after meals Waist girth equal to or larger than hip girth Frequent urination Increased appetite and thirst Difficulty losing weight Common symptoms of ongoing blood sugar issues include hormonal issues, fatigue, depression , anxiety , insomnia , poor brain function , and chronic pain (many of which are also common symptoms of Hashimotos)