Conditions · Telehealth

Functional medicine for thyroid health and Hashimoto's

You're exhausted, cold, gaining weight, losing hair — and you've been told your thyroid is "normal" because one number came back in range. A full thyroid picture looks at much more than TSH, and it often tells a different story.

Sound familiar?

  • Fatigue that sleep doesn't fix
  • Weight gain that doesn't match your eating or activity
  • Feeling cold when others aren't
  • Hair thinning or loss, dry skin, brittle nails
  • Brain fog, low mood, or slowed thinking
  • Constipation, puffiness, or a hoarse voice
  • A diagnosed thyroid condition that's "treated" — but you still don't feel like yourself

Why it so often gets missed

Most routine checkups screen the thyroid with a single test: TSH. But TSH is a signal from your brain to your thyroid — not a measure of the hormone your cells are actually receiving. You can have a "normal" TSH while free T3, free T4, or reverse T3 tell a very different story.

Thyroid antibodies are the other blind spot. Hashimoto's thyroiditis — the most common cause of hypothyroidism — is an autoimmune process that can begin years before TSH ever moves out of range. If antibodies are never checked, the diagnosis is often delayed until damage is well underway.

How Heal approaches it

The complete thyroid panel

TSH, free T3, free T4, reverse T3, and both thyroid antibodies (TPO and thyroglobulin) — interpreted together, with optimal ranges in mind, not just "not flagged."

The why, not just the what

Thyroid function is affected by nutrients (iodine, selenium, iron, zinc), gut health, stress physiology, and autoimmunity. We look for what's driving your thyroid picture, not only the numbers themselves.

A plan that fits your life

Ninety minutes with your physician to connect your labs, history, and symptoms into one personalized protocol — nutrition, targeted supplementation where appropriate, and coordination with any existing thyroid treatment.

Testing we may use

  • TSH, free T3, free T4, reverse T3
  • Thyroid antibodies (TPO, thyroglobulin)
  • Ferritin, iron studies, vitamin D, B12
  • Selenium, zinc, and other cofactor nutrients
  • Inflammatory and metabolic markers as indicated

Testing is personalized — your physician recommends only what your history and symptoms call for. Lab fees are billed separately by the lab.

Common questions

My TSH is normal but I still have symptoms. Is it worth testing further?
Often, yes. TSH alone can miss early Hashimoto's, conversion problems (low free T3), and elevated reverse T3. A complete panel gives you and your physician a full picture — and if everything truly is optimal, that's valuable information too, because it points the investigation elsewhere.
I'm already on thyroid medication. Can you still help?
Yes. Many patients on levothyroxine still feel unwell. We review your full panel, look at conversion and absorption factors, address the autoimmune component if present, and coordinate with your prescribing clinician where appropriate.
Can thyroid care really be done by telehealth?
Yes. Lab requisitions go to a draw site near you or arrive as at-home kits, and every review and planning visit happens by secure video. Thyroid care is primarily a thinking discipline — connecting labs, symptoms, and history — which doesn't require an exam room.

Start with a conversation.

A free 15-minute call to share what's going on and see if Heal is the right fit — no commitment, entirely by telehealth.