Standard thyroid testing that only measures TSH and T4 levels is insufficient for proper diagnosis, as it fails to evaluate T3 conversion and cellular thyroid hormone utilization; effective thyroid assessment requires a full thyroid panel to identify specific thyroid dysfunction patterns and guide appropriate treatment strategies, including evaluation of cortisol levels, lifestyle factors, and stress management.
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Deep Dive
Testing for Thyroid FunctionAdded:
what's happening? What cortisol? What's happening lifestyle-wise? What's happening with stress?
>> What are most doctors doing with lab testing right now when it comes to thyroid?
>> Typically, what I see, and I see this day in and day out, people are coming in, they are either told that yes, you have hypothyroidism because your TSH is high and your T4 is low. So, here are some levothyroxine, here are some Synthroid, here are some maybe even armor if someone's a little bit more progressive. And typically, it's like I'll see you in 6 months. People may feel a little better, they usually don't feel 100% better, and some people don't feel better at all. But, what they're missing with thyroid specifically, right? Most people don't know what they're converting into T3 because T3 is not tested. And so, I think that we really, really need to do a full thyroid panel and evaluate it for someone's thyroid type and make sure that everything is in that optimal range. And then, if it's not, there's so many different things we could do depending on what's going on. For example, if someone has this high free, but it's not getting into the cell, that's when we really want to look at what's happening with cortisol, what's happening lifestyle-wise, what's happening with stress overall. And you know, stress is physical and emotional, and it both counts. You know, it's not just like, "Oh, you have to change your life or get rid of your kids." Or, you know, whatever. Like, there's so many other things that we can do without overhauling our life to change that stress response.
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