Thyroid Optimization, Done Properly

TSH is a useful screening test, but it doesn't tell the whole story. Free T4 and free T3 show your body's actual thyroid hormone levels, and thyroid antibody testing can catch autoimmune thyroid conditions like Hashimoto's before TSH ever moves out of range. Checking TSH alone is how a lot of thyroid disease gets missed or mismanaged.

Typically TSH, free T4, free T3, and thyroid antibodies (TPO and/or thyroglobulin antibodies) to check for autoimmune involvement. We tailor additional testing to your specific symptoms.

Yes -- this is one of the most common reasons patients come to us. We'll run a full panel to see whether your current dose and medication type are actually optimized for you, not just whether your TSH is "in range."

For hypothyroidism, this usually means thyroid hormone replacement (like levothyroxine, sometimes combined with T3). For hyperthyroidism, treatment depends on the cause and severity, and may involve medication management or a referral to endocrinology for more complex cases. We'll walk through what's appropriate for you.

No -- you can book a one-off consultation and lab review as a cash-pay visit. That said, thyroid dosing is usually fine-tuned over several rechecks, and our DPC membership (at-cost labs, direct provider access) tends to be the more affordable path for patients who know they'll need ongoing adjustments.