Thyroid dysfunction is one of the most common reasons patients come to us, some already on medication and need a new provider, others certain something's off despite "normal" results. We run the full panel and treat the whole picture.
For anyone told their numbers are fine, but they don’t feel fine.
These are the words patients actually use in their first conversation with us.
“I'm exhausted all the time, no matter how much I sleep.”
Fatigue that doesn't add up“I don't feel like myself anymore, and I can't explain why.”
Something's changed, but no diagnosis“My labs say normal, but I know something's off.”
Symptoms without a clear diagnosisMany patients are told their thyroid is "normal" based on a single marker. A comprehensive thyroid panel looks at the fuller picture, giving us a much clearer sense of whether your thyroid is truly the issue, or whether something else is driving your fatigue, brain fog, or weight changes.
We look at the full picture, not a single number, to understand what's actually happening.
TPO and thyroglobulin antibodies can flag autoimmune thyroid disease (Hashimoto's) years before TSH ever moves.
If your thyroid truly is normal, we look at what else, stress, nutrient status, other hormones, might explain your symptoms.
"The full panel, not just TSH" only means something if you know what's in it. Here's what we run, and why each one matters.
The standard starting point, but only one piece of the picture. Can look "normal" while everything else is off.
The active thyroid hormone your cells actually use. This is often where symptoms show up first, even when TSH hasn't moved.
The storage form your body converts to T3. Shows us whether that conversion is happening the way it should.
Explains why someone already on levothyroxine can still feel flat. Elevated levels quietly block active thyroid hormone from doing its job.
Can flag Hashimoto's, the most common cause of hypothyroidism, years before TSH ever moves.
A second autoimmune marker that catches cases TPO antibodies alone can miss.
Tired in a way sleep doesn't fix.
Cold when everyone else in the room is fine.
More on the brush, more in the drain.
Slower digestion that's become the new normal.
Weight that won't move no matter what you change.
Trouble focusing, remembering, or finishing a thought.
Stays dry no matter what you put on it.
Periods that have changed pattern for no clear reason.
You don't need to self-diagnose before you call. This just helps you see we've treated exactly this before.
Patients on thyroid medication whose panel has never gone beyond TSH
Wanting reverse T3, free T3, and antibody testing added, not just a refill.Patients with a thyroid diagnosis and lingering symptoms
On medication, but still dealing with fatigue, weight changes, or brain fog.Patients told their labs are normal, but they don't feel normal
Wanting a more comprehensive look before accepting there's nothing to find.Patients managing thyroid alongside other hormone changes
Perimenopause, postpartum, or other hormonal shifts happening at the same time.Whether you're already diagnosed or still searching for answers, here's how we approach thyroid care.
You don't need every marker abnormal to feel it. You need someone willing to look at all of them.
Yes. A normal TSH doesn't always mean your thyroid, or your current treatment, is fully dialed in. We run a full panel, Free T3, Free T4, reverse T3, and thyroid antibodies, to see what a single number can miss.
A single TSH test doesn't always tell the full story. We run a more comprehensive thyroid panel and look at other factors, like nutrient levels, stress, and other hormones, that can produce very similar symptoms.
We prescribe medication when it's appropriate, and combine it with nutrition and lifestyle changes that support thyroid function, rather than relying on medication alone.
The biggest difference is time and depth, a 60-minute consultation and full lab review versus a rushed annual visit, with ongoing monthly follow-up to actually track your progress.
No referral is required. You can schedule a consultation directly with our office.
A short, low-pressure first conversation. Tell us what you're dealing with, and we'll help you figure out the next step.