Most clinicians order TSH and stop. But TSH is a pituitary signal — not a measure of how your tissues are actually using thyroid hormone. Plenty of women have a 'normal' TSH and a quietly under-converting thyroid that is making them miserable.
What we test
TSH, Free T3, Free T4, Reverse T3, TPO and TGB antibodies, plus the cofactors (iron/ferritin, selenium, zinc, vitamin D, B12) your thyroid needs to function. We also screen for Hashimoto's, the most common autoimmune cause of hypothyroidism — often missed for years.
How we treat
Based on your full picture, treatment may include levothyroxine, T3, NDT (natural desiccated thyroid), or compounded combinations — paired with the nutrient and lifestyle support your thyroid needs to actually convert and use that hormone. We re-test and fine-tune until you feel like yourself.
FAQ
Frequently asked questions.
+My TSH is 'normal' — could it still be my thyroid?
Yes — and often is. Standard TSH ranges miss a huge number of struggling thyroids. We run a full panel: TSH, free T3, free T4, reverse T3, and antibodies — and treat based on how you actually feel.
+Is this just Synthroid?
No. We use the right tool for you — including T3-containing options like NDT or compounded combinations — based on labs and symptoms.
+Can thyroid cause weight gain and fatigue?
Absolutely. Suboptimal thyroid is one of the most common drivers of stubborn weight, fatigue, hair loss, brain fog, and feeling cold all the time.