TSH alone misses it. We run the whole panel — and treat you, not the range.
Fatigue, stubborn weight, cold hands, thinning hair, brain fog — and a doctor who says your thyroid is 'fine' because one number landed inside a wide range. We test TSH, free T4, free T3, reverse T3, and both antibodies, then optimize toward how you actually feel.
women will develop a thyroid condition in her lifetime — many undiagnosed for years.
markers in a complete thyroid panel. Most annual physicals run exactly one.
cause of hypothyroidism is autoimmune (Hashimoto's) — which is why we always check antibodies.
TSH is a pituitary signal, not a thyroid hormone. You can have a 'normal' TSH while free T3 — the hormone your cells actually use — runs low, or while antibodies quietly attack the gland. Stress, dieting, and illness push T4 toward reverse T3, which blocks the active hormone at the receptor. One number can't see any of that.
"'Your TSH is normal' tells you your pituitary is talking. It doesn't tell you whether your cells are listening."
TSH, free T4, free T3, reverse T3, TPO and thyroglobulin antibodies — the complete picture, not the screening shortcut.
Medication tailored to your labs and symptoms — including T4/T3 combinations where appropriate — titrated carefully and re-tested.
Autoimmunity tracked, conversion supported, and the nutrients thyroid function depends on — selenium, iron, vitamin D — measured and corrected.
A complete thyroid picture, plus the nutrients and stress physiology that drive conversion and autoimmunity.
see the labs we runNo. TSH can sit in range while free T3 runs low, conversion falters, or antibodies smolder. The full panel usually explains what the single number couldn't.
When labs and symptoms support it, yes. Some people feel dramatically better with T3 in the mix; others don't need it. Either way, it's titrated to data and follow-up labs — not set and forgotten.
Antibodies change the management — we monitor them, address the drivers we can (nutrients, stress, blood sugar), and treat the hormone deficit properly rather than waiting for the gland to fail further.
Yes. Thyroid hormone sets your metabolic rate. When it runs low, everything slows — and no amount of discipline out-diets a slowed metabolism. Fix the thyroid first.
A free 20-minute conversation. No pressure — just a chance to talk through where you are and whether we can help.
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