OPTIMIZE your thyroid

Thyroid testing and treatments in Cincinnati OH

The thyroid is responsible in taking certain nutrients that are consumed from the food we eat and supplements we take and converting it into thyroid hormones.

These hormones are important in how your body uses energy, body temperature regulation, maintaining optimal health with the brain, heart, muscles, and other organs. Every cell in the body depends on thyroid hormones for regulating their metabolism.

Patients with suboptimal thyroid function are at an increased risk for:

What are the causes of Hypothyroidism or Low thyroid function?
Hashimoto’s Thyroiditis Adrenal/Cortisol imbalance Bromide toxicity Prescription medications Age/Menopause Dysbiosis Environmental toxins T4 to T3 Thyroid hormone resistance

Hashimoto’s Thyroiditis is an autoimmune disease that affects the thyroid and destroys the thyroid tissue. This is the most common cause of thyroid dysfunction.

Return to Hashimoto’s Thyroiditis ^

High cortisol interferes with the conversion of T4 to T3. High cortisol also suppresses TSH.

Return to Adrenal/Cortisol imbalance ^

Bromide is a chemical compound found in commercially prepared baked goods, soft drinks, some vegetable oils, pesticides and plastics, carpets and mattresses. Bromide displaces iodine from the thyroid molecule so that thyroid hormones are not getting made.

Return to Bromide toxicity ^

Selenium is needed to convert T4 into the active hormone T3.

Return to ^

Birth control pills, Lithium, seizure medications, sulfonylureas, amiodorone interfere with how thyroid hormones are made.

Return to Prescription medications ^

Thyroid hormones are not made as effectively as we age.

Return to Age/Menopause ^

Organisms in the gut such as yeast can unleash an immune attack on these invaders which then releases chemicals that affect thyroid hormones.

Return to Dysbiosis ^

Fluoride, mercury (usually from tooth fillings), bisphenol A, phthalates and tobacco can block thyroid hormone function.

Return to Environmental toxins ^

Any problems that interfere with the conversion of T4 to T3 (see below).

Return to T4 to T3 ^

A patient may have adequate levels of T3 but if the hormone can’t get into the cells to do its job, symptoms of low thyroid will remain. Normal levels of cortisol are needed for thyroid to get into the cells. Iron is also needed for this transfer to occur

Return to Thyroid hormone resistance ^

Symptoms of Hypothyroidism
or Low thyroid function

  • Weight gain
  • Difficulty losing weight
  • Dry skin
  • Hair loss or thinning hair
  • Swelling in face, hands, ankles, or feet
  • Feeling cold – especially cold hands and feet
  • Hertogue’s sign (lateral eyebrow thinning)
  • Heavy periods or irregular bleeding
  • Fatigue
  • Constipation
  • Slower thinking
  • Goiter (swelling of the thyroid gland that is visible in the neck)
  • Feeling down or depressed
  • Memory loss
  • Anxiety
  • Arthralgias, muscle aches
  • Headaches
  • Hoarseness
  • Too tired to exercise
  • May have heat intolerance as well as cold intolerance
  • Fluid retention
  • Periorbital or ankle edema
  • Hypertension (elevated blood pressure)
  • Brain fog
Thyroid Testing Process
Step 1 Step 2 Step 3
Step 1

The Consultation

Your initial consultation with one of our providers will begin with a thorough look into your past medical and surgical history, family history, and current medications, with specific attention paid to the symptoms you are struggling with. This visit will be billed to your insurance company.

Step 2

Facilitate a Thyroid Panel

What is a comprehensive thyroid panel? The thyroid is best tested with a blood test. The labs that we look at include your TSH, Free T4, Free T3, Reverse T3, Thyroid peroxidase (TPO) and Anti-thyroglobulin antibodies.

Step 3

Follow up & Results

We will see you back in the office in 1 to 2 weeks, review your test results and initiate therapy if appropriate. This visit is billed to your health insurance company. Diet, exercise, and optimal supplementation are all discussed as an important part of this treatment plan.

Additional Information
Testimonials FAQ's

Thank you, thank you, thank you to Dr. Thieman for listening to me and taking care of me these past few months. I am such a better version of myself now!"

Why is treatment with T4 unsuccessful in many patients?

The thyroid gland secretes T4 in response to TSH and the body’s needs for thyroid hormones. However, many patients don’t adequately convert the prohormone, T4, into the more active hormone, T3. When this conversion is not happening adequately, symptoms of hypothyroidism will ensure – even with a “normal” TSH! Therefore, our approach to treating thyroid dysfunction with thyroid hormone is to use a combination of T3 and T4 hormones and optimize the T4 to T3 conversion. This approach has been shown in the literature to be more effective than using T4 alone and patients prefer combined therapy. Traditionally – perhaps because of large pharmaceutical companies, doctors have been trained to test only the TSH and occasionally the T4 levels and thus, replace only the T4 hormones. There was a met analysis (review of 9 individual studies) performed by Joffe RT et. al. that was sponsored by a pharmaceutical company that revealed no significant difference in psychiatric symptoms when T4 alone or T4/T3 was used. Our criticism of this study is that many of the papers they examined were not using a high enough dose of T3(only 5 ug of T3) to even make of difference. So, of course, the conclusion of the paper was that there was no benefit to using a combined regimen.

My doctor told me that my low TSH would put me at risk for osteoporosis and atrial fibrillation. Is this true?

In the traditional medical community, there is a lot of concern that suppressing the TSH will cause medical conditions such as osteoporosis and atrial fibrillation. It is true that endogenous hyperthyroidism (patients developing hyperthyroidism on their own – not treating hypothyroidism) is associated with osteoporosis. There is medical literature on both sides of the fence as to whether bone loss occurs or not with suppressed levels of TSH. We monitor bone turnover closely in our patients who have a suppressed TSH.

It's simple— identify the problem areas of your body and we will recommend the right treatment plan for you.