I love working with the thyroid. I think it is quite poorly treated conventionally, so being able to offer my patients something different is really rewarding. I like to begin with a proper assessment. If my patients have any symptoms of low thyroid I like to run a full thyroid panel (includes free T3 and T4, TPO) and do body temperature testing.
I prescribe a variety of different thyroid medications, including glandular thyroid (Erfa or compounded), T3, sustained release T3, and T4. I also use many herbs, homeopathics, and nutritional medicine in my thyroid treatments.
Some issues I usually like to consider when dealing with the thyroid are:
Autoimmunity (are their thyroid antibodies present)
Nutritional status/ Digestive health
Progesterone vs estrogen levels in women
Heavy metals or other toxicity
For Hashimoto’s patients I focus on the immune system, not just the thyroid. I am using an exciting injection therapy called LDA to decrease autoimmune reactions for Hashimoto’s and other autoimmunity. I do this in conjunction with my other thyroid treatments.