Thyroid Treatments

Introduction: Why Thyroid Health Needs a New Approach

Thyroid disorders are becoming increasingly common, affecting millions across the globe. At Patients Medical in New York City, we recognize that thyroid issues go beyond just TSH levels. Our integrative approach combines conventional, holistic, and functional medicine to understand the root causes of thyroid imbalances and address them naturally, when possible.

We treat the whole person—not just the thyroid.

What Is Thyroid Dysfunction?

The thyroid is a butterfly-shaped gland in the neck that produces hormones responsible for regulating metabolism, energy, mood, and more. When the thyroid is underactive or overactive, it can lead to a range of health problems.

There are several types of thyroid conditions:

  • Hypothyroidism (Underactive Thyroid): The thyroid does not produce enough hormones, leading to symptoms like fatigue, weight gain, and depression.
  • Hyperthyroidism (Overactive Thyroid): The thyroid produces too many hormones, causing symptoms such as weight loss, rapid heartbeat, and anxiety.
  • Hashimoto’s Disease: An autoimmune condition where the immune system attacks the thyroid, often leading to hypothyroidism.
  • Graves’ Disease: An autoimmune disorder that leads to overactive thyroid and is often associated with bulging eyes and hyperactivity.
  • Subclinical Hypothyroidism: Mild thyroid dysfunction with normal TSH levels but elevated antibodies or symptoms.

Common Symptoms of Thyroid Dysfunction

Root Causes: Why Did You Develop Thyroid Dysfunction?

Functional medicine aims to uncover the underlying causes of thyroid disorders. Common root causes include:

  • Nutritional Deficiencies: Lack of iodine, selenium, and zinc, all vital for thyroid function.
  • Autoimmune Conditions: Hashimoto’s or Graves’ disease can lead to thyroid dysfunction.
  • Chronic Stress: High cortisol levels interfere with thyroid hormone production and function.
  • Toxin Exposure: Heavy metals, pesticides, and endocrine-disrupting chemicals can impair thyroid health.
  • Gut Health Issues: Leaky gut and imbalances in the gut microbiome can exacerbate autoimmune thyroid conditions.
  • Hormonal Imbalances: Estrogen dominance or imbalanced cortisol can interfere with thyroid function.
  • Mitochondrial Dysfunction: Affects cellular energy and can contribute to thyroid problems.

Diagnostic Testing We Use

At Patients Medical, we utilize advanced lab testing to understand what’s contributing to your thyroid dysfunction.

TSH, Free T3, Free T4, and Reverse T3

Thyroid Antibody Tests (Anti-TPO, Anti-TG)

Ultrasound to check for nodules or goiters

Adrenal testing (cortisol, DHEA)

Gut health panels (stool microbiome, leaky gut testing)

Nutritional status (vitamin D, iodine, selenium)

Heavy metal testing

Hormone panels (estrogen, progesterone, testosterone)

Genetic markers (MTHFR, SNPs affecting thyroid)

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)

Real Case Study: Susan’s Journey to Balance

Susan, age 45, struggled with fatigue, weight gain, and brain fog. Her TSH levels were high, and she had antibodies present for Hashimoto’s thyroiditis. Despite being on thyroid medication, she still felt unwell.

We discovered elevated cortisol, gut imbalances, and a vitamin D deficiency. We created an integrative treatment plan that included:

  • Anti-inflammatory meal plan
  • Herbal supplements to support thyroid and adrenal health
  • IV vitamin therapy
  • Detoxification and gut repair

After three months, Susan’s TSH returned to normal, her energy improved, and she no longer needed medication.

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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