Thyroid Conditions

An underrated epidemic of low-functioning thyroid conditions has emerged, affecting millions of people. The thyroid gland, a small gland in your neck, regulates your body’s metabolism through hormone production. Thyroid-related issues are commonly misdiagnosed due to limited blood tests conducted by conventional doctors. These problems can stem from nutrient deficiency, inflammation, chronic infections, or harmful exposure.

We look beyond standard lab results, considering your symptoms, medical history, and a complete thyroid panel to get a holistic view of your thyroid function. This allows us to tailor treatments that address the underlying causes of your symptoms, even if your initial lab results appear normal by conventional standards. If you’re experiencing symptoms like fatigue, weight gain, or cold intolerance but your labs are normal, it’s worth exploring a functional medicine evaluation to get to the root of the issue.

Testing & Treatment

Our testing and treatment protocols for thyroid health go beyond conventional medicine. We delve deeper into thyroid health by using comprehensive diagnostic tests to evaluate thyroid function and uncover underlying causes. 

Conducting a Complete Thyroid Panel

We start with a comprehensive thyroid panel that includes testing for TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies. This helps us accurately diagnose the condition and understand the full picture of your thyroid health.

Aggressively Treating Hypothyroidism Symptoms

Our focus is on your overall well-being, not just lab results. We treat hypothyroidism symptoms aggressively to improve your quality of life, ensuring that you feel better and more energetic.

Recognizing the Limitations of Lab Tests

We understand that lab tests alone may not reflect optimized thyroid function. Therefore, we pay close attention to your symptoms and how you feel, adjusting treatments to meet your individual needs.

Supporting Prescription Medications with Essential Nutrients

Prescription medications for thyroid issues are supported with essential nutrients to enhance their effectiveness. We particularly focus on enhancing T3 activation to ensure optimal metabolic function.

Addressing Elevated Reverse T3

If elevated Reverse T3 is detected, we identify and address its potential causes. This includes looking at factors like stress, inflammation, and nutrient deficiencies that can impair metabolism.

Evaluating Autoimmune Thyroid Conditions

For autoimmune thyroid conditions like Hashimoto’s, we take a gut-centric approach. We evaluate your gut health and prescribe dietary recommendations aimed at healing the gut and reducing inflammation, which can improve thyroid function.

Symptoms We Treat

Weight gain / Fatigue (especially mid-afternoon or early evening) / Cold intolerance / Constipation / Dry skin / Thinning or shedding hair / Brittle nails / Depressive emotions / Muscle weakness / Joint pain / Swelling in the neck / Hoarseness / Elevated cholesterol levels / Memory issues / Slowed heart rate

Conditions We Treat

Hypothyroidism / Hyperthyroidism / Hashimoto’s thyroiditis / Graves’ disease / Thyroid nodules / Goiter / Thyroid cancer / Subclinical hypothyroidism / Subacute thyroiditis / Postpartum thyroiditis / Congenital hypothyroidism / Thyroid storm

Frequently Asked Questions

Here you’ll find the answers to help you make informed decisions about your health journey.

Diseases like Hashimoto’s thyroiditis and Graves’ disease are common culprits. Hashimoto’s occurs when the immune system attacks the thyroid gland, leading to hypothyroidism, while Graves’ disease causes the thyroid to overproduce hormones, resulting in hyperthyroidism. Iodine levels also play a crucial role; both deficiency and excess can disrupt thyroid function. Genetic factors contribute to the susceptibility and severity of thyroid conditions. Additionally, environmental factors such as exposure to chemicals like perchlorate, polychlorinated biphenyls (PCBs), and radiation can negatively impact thyroid health.


It’s not uncommon for patients to experience symptoms of thyroid disorders even when their lab results appear normal. This discrepancy often arises from the difference between functional and conventional medicine ranges for thyroid function.

Conventional medicine typically uses broader reference ranges for thyroid tests, such as TSH, Free T3, and Free T4. These ranges are designed to identify overt thyroid disease but may not detect subclinical or early-stage thyroid dysfunction. As a result, you might be told your thyroid is “normal” even if your symptoms suggest otherwise.

Functional medicine, on the other hand, uses narrower, optimal ranges that aim to identify imbalances before they become full-blown diseases. By focusing on these functional ranges, we can detect subtle shifts in thyroid function that conventional methods might miss. For example, a TSH level within the conventional range might still be considered suboptimal in functional medicine, prompting further investigation and early intervention.

Listen to Dr. James talk about gut health and working with us.