It is known as the metabolic hormone as it controls all metabolic processes in all the cells in your body. Hypothyroidism is becoming more and more prevalent because the number of people suffering from it has increased and the number of people already on medications which seem to have stopped working has also increased tremendously.
People suffering from thyroid problems may feel sluggish, depressed, have thinning and brittle hair and nails, notice weight gain, have dry and scaly skin, a loss of libido and always cold.
Most GPs will offer levothyroxine which is a synthetic T4 version of the thyroid hormone which needs to be converted to the active T3 version which your body can use. In some people the conversion step is dysfunctional hence you will find that your blood tests look normal, but you don't feel normal. In others you may be getting the normal blood levels of thyroid hormone but their body cannot utilise the hormones because the receptor sites are blocked. In others their bodies may be attacking the thyroid gland which results in auto-immune thyroiditis.
Routine labs include TSH, Free T3, Free T4. Additional tests as required can be added if considered relevant such as reverse T3 and thyroid antibodies. Our routine labs are very comprehensive and gives a good overview of how your other hormonal systems are working, inflammation in your body as well as other parameters to give a holistic view of how your body is functioning. Please call for more details.
Management can be as simple as replacing T3 to a fairly complex and comprehensive affair depending on the aetiology of your hypothyroidism. In some, basic replacement suffice whilst in others, adrenals may need to be managed better, other hormonal parameters optimised; leaky gut (where present) properly managed; in Hashimoto's, or autoimmune thyroiditis, the autoimmune component needs to be managed so that the body stops attacking itself so much. You will be advised and guided in all these components as part of your consultation and management.
What does a consultation with our Doctors include?
- Up to 70 minutes consultation
- Lab interpretation where relevant
- Bespoke management plan to get the best outcome possible
- We assess your thyroid, adrenals and gut predominantly during the hour. We also look for signs of autoimmunity (Hashimotos thyroiditis)
- If your problems are complex and you believe that there may be issues other than your thyroid, we highly recommend considering the comprehensive consultation
We have formulated 3 levels of lab tests depending on where you currently are with your understanding of thyroid issues and your budget
- Basic Thyroid Panel (FT3, FT4, TSH),
- Advanced Thyroid Panel (Basic + T4 and thyroid antibodies)
- Comprehensive Thyroid Panel (Advanced + Reverse T3)
- This is generally done 3-4 months after the initial consultation to reassess management and adjust where necessary.
- This can be done in-house or over the phone/video conferencing
- Thereafter, we recommend a follow up on month 9 and 6 monthly after that.