Thyroid Treatment Q & A

Introduction: Why Standard Thyroid Care Often Fails

20 million Americans have thyroid disease, yet 50% remain undiagnosed due to incomplete testing. At Patients Medical in NYC, we go beyond TSH to:

✔ Identify autoimmune triggers (gut health, toxins, infections)
✔ Optimize thyroid hormones (not just “normalize” lab numbers)
✔ Restore metabolic function at the cellular level

We don’t just manage thyroid labs—we help you regain energy, mental clarity, and vitality.

Thyroid Conditions We Treat

Why You Still Feel Sick Despite "Normal" Labs

Conventional testing often misses key factors:

1. Incomplete Testing

  • TSH alone misses FT3, FT4, reverse T3, and thyroid antibodies
  • “Normal” ranges are too broad (optimal TSH: 0.5-2.0 mIU/L)

2. Autoimmune Triggers

  • TPO/Tg antibodies indicate Hashimoto’s years before TSH changes
  • Gluten cross-reactivity drives ongoing thyroid attack

3. Conversion Problems

  • Low selenium/zinc impairs T4→T3 conversion
  • High cortisol increases reverse T3 (inactive form)

4. Cellular Resistance

  • Mitochondrial dysfunction blocks thyroid hormone effectiveness
  • Receptor site mutations (THRB gene variants)

Advanced Thyroid Testing

We use comprehensive panels unavailable in most clinics:

Full Thyroid Panel (TSH, FT3, FT4, reverse T3, TPO/Tg antibodies)

Thyroid Ultrasound (for nodules and inflammation)

Nutrient Analysis (selenium, zinc, iron, vitamin D)

Gut Health Panel (stool microbiome, zonulin for leaky gut)

Heavy Metal Testing (mercury, fluoride, perchlorates)

Genetic Testing (DIO1/DIO2, THRB, HLA-DQ for gluten sensitivity)

Integrative Thyroid Treatments

Personalized Hormone Therapy

  • Natural Desiccated Thyroid (NDT) for T4/T3 combination
  • T3-Only Protocols for conversion issues
  • Compounded Options for precise dosing

Autoimmune Stabilization

  • Gluten-Free/Grain-Free Diet (based on Cyrex Array 3 testing)
  • Low-Dose Naltrexone (LDN) to modulate immune response
  • IV Glutathione to reduce thyroid antibody levels

Gut-Thyroid Repair

  • H. pylori Eradication (linked to Hashimoto’s)
  • Probiotic Protocols (L. reuteri improves TSH levels)
  • Leaky Gut Healing (bone broth, colostrum, zinc carnosine)

Metabolic Optimization

  • Mitochondrial Support (CoQ10, PQQ, B vitamins)
  • Adaptogens (ashwagandha for cortisol balance)
  • Detox Protocols (selenium for mercury chelation)

Case Study: Sarah's Hashimoto's Recovery

Sarah, 38, had:

  • TSH 4.8 (normal range but symptomatic)
  • TPO antibodies >1,200
  • Severe gluten sensitivity

Treatment Plan:

  1. Gluten-free/dairy-free diet
  2. NDT + LDN therapy
  3. Gut healing protocol

Results in 6 Months:

  • TPO antibodies dropped to 300
  • TSH stabilized at 1.2
  • Energy and mental clarity restored

Testimonials

Frequently Asked Questions

Yes! Many patients reduce antibodies and symptoms through immune modulation and gut healing.

For patients with conversion issues, NDT often provides better symptom relief. We personalize based on labs.

Most notice improvements in 4-8 weeks; full stabilization takes 3-6 months.

We provide superbills for out-of-network reimbursement. Some tests may be covered.

We coordinate with endocrinologists for ultrasounds and offer selenium/iodine protocols when appropriate.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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