Functional Medicine
Thyroid and Adrenal Treatment
Your doctor checked your TSH and said your thyroid is fine. But you're still gaining weight, losing hair, freezing cold, and exhausted. TSH alone misses most thyroid dysfunction. We run a full panel: free T3, free T4, reverse T3, thyroid antibodies. And we test cortisol patterns because thyroid and adrenal function are inseparable.
Your Thyroid Isn't 'Fine'
Thyroid dysfunction is the most underdiagnosed condition in America. Hashimoto's thyroiditis alone affects an estimated 14 million Americans, most of whom don't know they have it. Why? Because the standard screening test (TSH) doesn't catch it until the gland is significantly damaged.
TSH can be "normal" while your free T3 (the active thyroid hormone) is low, your reverse T3 is high (blocking thyroid activity), or your antibodies are elevated (your immune system is attacking your thyroid). All of these produce symptoms: fatigue, weight gain, hair loss, cold intolerance, brain fog, constipation, depression. And all of them are invisible on a standard TSH test.
The adrenal glands compound the problem. When you're chronically stressed, cortisol stays elevated. High cortisol suppresses thyroid hormone conversion (T4 to T3) and increases reverse T3. So even if your thyroid gland is working, the hormone can't get into your cells. Treating the thyroid without addressing cortisol is like pushing the gas pedal with the parking brake on.
“These glands have a complex relationship with each other. In conventional medicine there's this idea that the thyroid is off on an island, the adrenal glands are off by themselves, and the ovaries are separate. All of these hormones are in the blood together.”
Dr. Rose: The Hormonal Triangle
Provider Insight
“If we are catching hormone decline early, 100% it should be caught early and dealt with early. We see decline in hormones in men in their 30s. We see perimenopausal shift in women in their 30s.”
Colin Renaud, PA-C and Dr. Rose: Catching Hormone Decline Early
Provider Insight
“I was so anxious that I was really looking at getting on an anxiety medication, and then I know now that that was a function of my hormones. I don't feel like that anymore. I feel great.”
Cat: Anxiety Resolved Through Hormone Balance
Patient Story
“My old level was really probably closer to my baseline. And if you take that and cut it in half, even though my half was still in what medical professionals say is an acceptable range, that's not necessarily what's acceptable for my body.”
Ryan: Why 'Normal Range' Wasn't Normal for Him
Patient Story
“I wake up and not feel that, you're like, 'Wow.' My quality of life is completely different.”
Caleb: Quality of Life Completely Changed
Patient Story
“Trauma and the mind-body connection is not a psychological experience. It's really a physiological imprint.”
Colin Renaud, DC, PA-C: Trauma Creates a Physiological Imprint
Provider Insight
“It was looking at more of the root cause, not just treating symptoms. That wasn't working for my symptoms with normal medical doctors.”
Victoria: Root Cause, Not Just Symptom Management
Patient Story
“It was looking at more of the root cause, not just treating symptoms. That wasn't working for my symptoms with normal medical doctors.”
Victoria: Root Cause, Not Just Symptom Management
Patient Story
“There were things on there that I hadn't known. For example, Hashimoto's disease. I had asked my physician to test me for that and they didn't. And that did come up on there.”
Laura: Hashimoto's Discovered After Years of Being Dismissed
Patient Story
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Full Thyroid and Adrenal Evaluation
Our thyroid panel includes TSH, free T3, free T4, reverse T3, TPO antibodies, and thyroglobulin antibodies. We also assess cortisol patterns, sex hormones (which interact directly with thyroid), and nutrient cofactors (iodine, selenium, zinc, iron, vitamin D).
- Hashimoto's identification. Thyroid antibodies tell us if your immune system is attacking your thyroid. This changes the entire treatment approach. Conventional medicine waits until the gland fails. We intervene early.
- T3 optimization. Many patients convert T4 poorly to active T3. We identify conversion issues and address them through nutrient support, stress management, and when needed, T3 supplementation.
- Reverse T3 patterns. Elevated reverse T3 blocks thyroid receptors even when other numbers look normal. This is a stress and inflammation pattern that requires a different approach than standard thyroid medication.
- Cortisol restoration. HPA axis dysfunction (adrenal fatigue) impairs thyroid function at every level. We assess cortisol patterns and restore healthy adrenal function.
- Autoimmune triggers. If Hashimoto's is present, we look for triggers: gut permeability, gluten cross-reactivity, infections, and toxin exposure that drive the immune attack.
Treatment is personalized. Some patients need thyroid medication. Others need gut repair and stress management. Most need a combination. We monitor and adjust until symptoms resolve and labs optimize.
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Related Content
Articles, patient stories, and podcast episodes about thyroid and adrenal treatment.
FAQ
Thyroid and Adrenal Treatment FAQ
Yes. TSH can be normal while free T3 is low, reverse T3 is high, or antibodies are elevated. These patterns produce all the classic thyroid symptoms but are invisible on a TSH-only test. We test the full panel.
Hashimoto's is an autoimmune condition where your immune system attacks your thyroid gland. It's the most common cause of hypothyroidism and affects women 7x more than men. It's diagnosed by testing thyroid antibodies (TPO and thyroglobulin), which most doctors don't routinely check.
The medical term is HPA axis dysfunction. It means your stress response system is dysregulated, typically from chronic stress. Cortisol patterns become abnormal, causing fatigue, poor sleep, afternoon crashes, and impaired thyroid function. It's real, testable, and treatable.
When labs indicate it's needed, yes. We use both T4-only and combination T4/T3 medications depending on your conversion ability. Many patients also benefit from addressing nutrient deficiencies and stress patterns alongside medication.
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