Your labs say ‘normal’ - so why do you feel awful?
Why Thyroid Medication Alone Often Isn’t Enough
You’re tired. You’ve cleaned up your diet, bought the probiotics, seen the doctor, maybe even started thyroid medication… and yet, nothing has really changed.
The fatigue, the weight gain, the brain fog, the digestive struggles - they’re still there.
Here’s the truth most women never hear:
👉 Your thyroid isn’t the real problem, it’s the victim of deeper imbalances.
And when you rely on medication alone, it’s a bit like swiping a credit card for energy you don’t actually have. You may get a little short-term relief, but without addressing the root causes, you’ll stay stuck in survival mode.
Let’s unpack why that happens, and what you can do about it.
The Problem with “Normal” Thyroid Labs
Most women who come to me have already been told their thyroid is “normal.”
But here’s the issue: conventional testing usually stops at TSH.
TSH may look normal, while antibodies are sky-high (your immune system is already attacking your thyroid).
You can be in the “normal” range while dealing with clear thyroid symptoms: fatigue, constipation, hair loss, irregular cycles, anxiety, weight that won’t budge.
This is where so many women get dismissed. They’re stuck in the “reactive phase” where symptoms are showing up, but labs don’t yet flag “disease.”
That’s why a full thyroid panel is essential. At a minimum, we want to run:
✔ TSH
✔ Free T3 & Free T4
✔ Reverse T3
✔ Thyroid antibodies (TPO & TgAb)
Because “normal” isn’t the same as optimal.
4 Overlooked Root Causes of Thyroid Dysfunction
If the thyroid isn’t the real problem, what is? Here are the four hidden culprits I see most often:
1. Liver & Bile Flow
Your liver makes bile and converts thyroid hormone (T4) into its active form (T3).
If your liver is sluggish or congested, conversion slows, and your metabolism stalls.
2. Gut Health
Bloating, constipation, and nutrient malabsorption often masquerade as thyroid symptoms. The gut-liver axis directly impacts thyroid balance.
3. Mineral Imbalances
High calcium-to-potassium ratios (something I measure with HTMA testing) literally slow the thyroid down. Correct the ratios, and the thyroid often “wakes back up.”
4. Fuel Shortages
Undereating, skipping carbs, or pushing too hard at the gym can self-induce thyroid dysfunction. Your body won’t make energy out of thin air.
What Real Thyroid Support Looks Like
There’s no quick fix, but there is a roadmap. Here’s where I start with clients struggling with thyroid issues (including Hashimoto’s):
✨ Mineral balancing – Restoring key minerals like potassium, magnesium, and iodine supports the foundation of thyroid health.
✨ Gut and liver support – Reducing inflammation, improving bile flow, and restoring healthy digestion.
✨ Stress management – Because high stress and constant “go mode” are the #1 enemy of the thyroid.
✨ Targeted nutrition – Eating enough of the right foods, at the right times, to fuel energy and hormone balance.
Here’s the Bottom Line
If you’re…
Constantly upping your thyroid medication dose
Feeling like a shell of your former self
Doing “everything right” but still bloated, constipated, and exhausted
Watching your metabolism crawl no matter what you do
…then it’s time to look deeper than medication or just testing TSH.
Your thyroid symptoms aren’t random. They’re messages from your body that deeper imbalances - liver, gut, minerals, stress, and nutrition…..need attention.
And the good news? Once you address these root causes, everything changes.
Ready to Get to the Root of Your Thyroid Struggles?
This is exactly what I help my clients uncover. Together, we’ll run the right labs, identify what’s keeping your thyroid stuck, and create a personalized roadmap so you can finally restore energy, balance your hormones, and feel like yourself again.