Thyroid Disorder
Description
The thyroid is a small gland with a big role in regulating metabolism, energy, mood, and hormone balance. Thyroid dysfunction can take several forms: hypothyroidism (underactive thyroid), Hashimoto’s thyroiditis (autoimmune thyroid destruction), or post-thyroidectomy status (after surgical removal for cancer or nodules). Many patients struggle with symptoms even when labs appear “normal.” Functional medicine evaluates not just TSH and T4, but also Free T3, Reverse T3, thyroid antibodies, and nutrient co-factors needed for proper conversion and utilization of hormones. Through a combination of lifestyle, dietary, and targeted supplement or medication strategies, we aim to restore optimal thyroid function and symptom resolution.
Symptoms
Fatigue or sluggishness
Weight gain or difficulty losing weight
Hair thinning or hair loss
Depression or low mood
Brain fog or memory issues
Cold intolerance
Constipation
Dry skin
Menstrual irregularities
Slow heart rate or low body temperature
Labs & Testing Options
TSH, Free T4, Free T3
Reverse T3 (rT3)
TPO and Thyroglobulin antibodies (for Hashimoto’s)
Total T3, Total T4 (in some cases)
Iodine, selenium, zinc, and vitamin D levels
Cortisol and adrenal testing
Iron panel and ferritin
Sex hormones (can influence thyroid performance)
Treatment Options
Natural desiccated thyroid (Armour, NP Thyroid) or T3/T4 combo therapy
Gluten-free, anti-inflammatory diet (especially for Hashimoto’s)
Nutrient repletion (selenium, zinc, iron, B12, D3)
Adaptogens and adrenal support
Gut healing and immune regulation (especially in autoimmunity)
Low-dose naltrexone (LDN) in some Hashimoto’s cases
Lifestyle interventions: sleep, stress, movement
Regular follow-up labs to adjust treatment
Still tired despite “normal” labs? Get a comprehensive thyroid evaluation and personalized hormone support.