Underactive thyroid treatment online

What is hypothyroidism?

Common symptoms include tiredness, weight gain, feeling cold, dry skin and low mood, though symptoms can be non-specific and develop gradually.

Please note: This service is for people already diagnosed and treated for an underactive thyroid. It does not diagnose thyroid conditions.

Is this service right for you?

How Nelford’s an underactive thyroid service works

1. 1
   Tell us what you need

   Complete a secure online consultation about your symptoms, health and any treatment you’ve tried. It’s free and you can start any time.

2. 2
   Same-day review by a UK-registered clinician

   Assessment includes your symptoms, relevant blood test results where available, medical and family history, and current medication. If anything else would help, the clinician will ask, or arrange a call or video consultation.

3. 3
   You choose

   If treatment is clinically appropriate, you receive your options with their benefits, risks and a clear price. You decide whether to go ahead.

4. 4
   We handle the rest

   Choose next-working-day delivery through our pharmacy partners, or your prescription by email. Nelford coordinates the next steps and any follow-up.

Information that helps

Having these to hand helps the clinician review your consultation quickly. If you don’t have something, you can still submit: the clinician will let you know if anything else is needed.

• Confirmation of your existing diagnosis of an underactive thyroid
• Your current thyroid medicine and dose
• Recent thyroid blood-test results, or a healthcare record that can be checked
• Photo ID, so your identity can be confirmed (if you are new to Nelford or your details have changed)
• Medicines you take now or have taken recently, and any allergies
• Relevant medical history and your GP's details
• Your contact details and address, so the clinic can reach you safely

After your consultation

Where appropriate, treatment usually involves thyroid hormone replacement, with dosing guided by blood test monitoring over time.

Regular blood test monitoring and follow-up are arranged to keep your treatment at the right dose.

• Next-working-day delivery. Treatment confirmed before 4pm on a weekday is eligible for next-working-day delivery. Same-day options are available on request.
• Prescription sent by email. Receive your prescription electronically by email and use it at a pharmacy of your choice.
• Repeat treatment made simple. With a Nelford account you can request repeat treatment in a few steps, and a clinician reviews each request.

Every decision is made by a clinician together with you. The clinician may ask for more information, suggest a call or video consultation, or recommend another service if that would suit you better.

Cost, hours and delivery

• Your consultation is free. Your online consultation is free. You only pay if a clinician considers treatment appropriate and you choose to go ahead. You see a clear price for each option before you pay.
• Same-day review, 7 days a week from 7am to midnight.
• Next-working-day delivery when you order before 4pm on a weekday, with same-day options on request.
• If a clinician needs to speak with you by video or phone before deciding, a £19.40 booking fee applies. You see it before you book and can choose not to go ahead.

We work with multiple pharmacy partners to help keep treatment available. If we're unable to fulfil your medication order, we'll refund the medication and delivery costs and send your prescription electronically so you can arrange fulfilment elsewhere.

Pricing · Prescriptions and delivery · Same-day online consultations

When to get urgent help

Hypothyroidism: common questions

Sources and clinical information

• NHS - Underactive thyroid (hypothyroidism) (opens in a new tab)

Publisher

The Nelford Clinic

Written by

Nelford Clinical Content Team

Clinically reviewed by

Nelford Clinical Lead

Reviewed:

2 October 2026

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