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Your risk of getting Hashimotos increases if you have: A family history of someone with Hashimotos Recently gave birth (postpartum thyroiditis) Autoimmune diseases such as lupus, rheumatoid arthritis, celiac disease, pernicious anemia (a deficiency of vitamin B12) or type 1 diabetes While you may not experience symptoms for years before a diagnosis of Hashimotos eventually the damage to your thyroid will begin to exhibit physical symptoms such as: A goiter (enlarged thyroid) Fatigue Joint pain Muscle aches Constipation Pale, dry skin Weight gain Hair loss Brittle nails Enlarged tongue Puffy face Depression Hoarseness Issues with memory Sensitivity to cold Problems getting pregnant Menstrual bleeding is longer than usual