Podcasts about T4

Many people are told their elevated cholesterol and LDL levels are simply the result of diet, lack of exercise, or genetics. But what if rising cholesterol is actually a clue that thyroid physiology is slowing down? In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains the important relationship between thyroid signaling, T4 to T3 conversion, cellular metabolism, liver function, bile production, and cholesterol regulation. He discusses why cholesterol is essential for health, how the body produces and uses it, and why elevated cholesterol may be a sign that the body is struggling to convert food energy into cellular energy efficiently. Dr. Balcavage breaks down several mechanisms by which reduced thyroid signaling may contribute to elevated cholesterol and LDL levels, including decreased T4 to T3 conversion, impaired cholesterol transport, reduced LDL receptor activity, diminished bile production, and impaired bile flow. He also explains why simply lowering cholesterol with medication may not address the underlying physiologic stressors driving these changes. If you've been told your cholesterol is high despite eating well, exercising regularly, and doing all the "right" things, this episode explores why it may be time to look deeper at thyroid physiology, cellular metabolism, inflammation, liver function, and the body's adaptive stress response. In This Episode, You'll Learn: Why cholesterol is essential for hormone production, cell membranes, vitamin D production, brain health, and bile formation How reduced T4 to T3 conversion can contribute to elevated cholesterol and LDL levels The critical role T3 plays in liver function, cholesterol transport, and bile production Why cholesterol may rise even when diet and exercise habits are healthy How impaired bile flow and gallbladder function can affect cholesterol clearance Why elevated cholesterol may be a sign of reduced thyroid signaling rather than simply a dietary problem The lab markers Dr. Balcavage uses to assess thyroid physiology, inflammation, metabolism, and cholesterol regulation Why addressing cellular stress and adaptive physiology is often more important than simply lowering cholesterol numbers Resources Mentioned:

SVP and Stanford Steve are back to recap all the storylines coming from Wyndham Clark's US Open win at Shinnecock. In his second US Open victory, the jeering and groans were louder than the applause. Why was that? Is it fair? And how the crowd's response to Wyndham's play was so rare and unlike anything SVP has seen. Scottie Scheffler was in the mix for a career slam on his birthday and Father's Day, but several putts barely missed the cup leading to a T4 for the top player in the world. Sam Burns was in the mix once again but came up short, as three crucial putts didn't fall as Burns looked to finish a phenomenal final round. Finally, a word on Cashmere Ketih's historic weekend and viral moment. The NBA Draft is coming up. Is AJ Dybantsa the pick? And a conversation on Dusty May taking the Mavs job and the ripple effects it could have. Additionally, plenty of World Cup thoughts including the seemingly ever-changing nature of country names along with skepticism surrounding viral social media accounts. And of course, a Father's Day recap with swim stories, plus the future of SportsCenter. | SVPod Time Codes/Topics (0:00) Intro (5:17) Reaction to Wyndham Clark's US Open victory (22:22) On Sam Burns' 2nd place finish (29:27) Cashmere crushed (34:32) Final US Open thoughts (37:44) Shoutout Golf Channel gang (41:50) Who should the Wizards take? (43:57) NBA Draft storylines + Giannis (45:22) Reaction to Dusty May taking Mavs job (50:52) World Cup thoughts (1:00:06) What's with country names changing? (1:01:23) Swim season accomplishments (1:03:00) Vacation loading + SportsCenter future thoughts (1:09:50) Father's Day recap (1:15:45) Thanks for watching Learn more about your ad choices. Visit podcastchoices.com/adchoices

L’IA va-t-elle révolutionner la conception de sites web, ou les promesses dépassent-elles la réalité ? Olivier Sauvage, consultant et stratège du web, invité du live Visionary Marketing du 18 juin 2026, a apporté une réponse nuancée, documentée et parfois à contre-courant des discours dominants. Tour d’horizon des promesses réelles, des limites concrètes et des impacts sur les métiers. Sites Web, l’IA à toutes les étapes mais pas (encore) de miracles Sites Web conçus avec l’IA : Si Olivier Sauvage confirme que l’IA est présente à tous les instants, il pense néanmoins elle n’est cependant pas magique. Image d’Olivier Sauvage réalisée par lui-même sur son générateur d’images (oliviersauvage.com) La première question méritait d’être posée franchement : allons-nous continuer à faire des sites web ? La réponse d’Olivier Sauvage est catégorique : oui, et même davantage qu’avant. Les sites web ne disparaissent pas. Ils changent de rôle. L’IA est aujourd’hui présente à tous les stades de la chaîne de production web : outils de design (Figma intègre l’IA depuis longtemps), outils de prototypage, outils de retouche graphique (Photoshop), outils de test, outils de réflexion et de génération de contenu. On ne peut plus y échapper. La question n’est plus de savoir si l’on va intégrer l’IA, mais comment, à quel moment, et à quelles fins. En trois minutes, Stitch va te sortir des pages web là où il faudrait une journée ou deux pour un UX designer. Très impressionnant. Mais en réalité, ce n’est pas un outil qui a cette compréhension des choses que peut avoir un être humain quand il crée des maquettes. — Olivier Sauvage L’IA est un outil qui ouvre des horizons, explore des pistes qu’on n’aurait pas eu le temps d’explorer, accélère certaines phases de production. Ce n’est pas un substitut au métier. IA pour les sites web : les usages les plus solides aujourd’hui Le prototypage : un vrai gain C’est probablement l’usage le plus solide identifié par Olivier Sauvage. Le prototypage, notamment sur des applications mobiles ou des fonctionnalités complexes, était autrefois laborieux. Aujourd’hui, un outil comme Google Stitch permet de générer en quelques minutes des maquettes multi-supports (desktop, tablette, mobile) d’un niveau de réalisation crédible. L’avantage n’est pas seulement la vitesse : c’est la capacité à tester 4 ou 5 variantes là où l’on n’en produisait qu’une seule. On peut explorer des parcours utilisateurs différents, tester des architectures de navigation, obtenir un premier retour client sur quelque chose de visuellement représentatif, et ce bien avant d’engager un budget de développement. La génération d’arborescences et de tree-testing (test de tri de cartes) Autre usage robuste : la définition d’arborescences et le card sorting (tri de cartes, technique qui consiste à demander aux utilisateurs de classer des contenus pour identifier la structure de navigation la plus intuitive). L’IA fait gagner un temps considérable sur ces tâches de structuration de l’information, à condition d’alimenter l’outil avec des données suffisamment riches et spécifiques. Des personas génériques, sortis de nulle part, n’ont que peu de valeur. Des personas connectés à de vraies données de terrain, c’est une autre affaire. Avec l’IA, la conception des sites web n’a jamais été aussi rapide ni gratifiante, mais les itérations et les tests humains restent nécessaires nous dit Olivier Sauvage.Il ne faut pas rêver aux miracles et les web designers ne seront pas remplacés par Merlin l’enchanteur. Image réalisée avec Midjourney. La production d’interfaces : utile, avec supervision La production et la création d’interfaces bénéficient clairement de l’IA. Générer des composants, des variantes graphiques, des systèmes de design : tout cela est désormais accessible plus rapidement. Mais la supervision humaine reste indispensable pour valider que ce qui est produit correspond à la réalité de l’expérience utilisateur attendue. Ce qui ne fonctionne pas (encore) Simuler un comportement humain : une limite fondamentale Olivier Sauvage est catégorique sur un point : l’IA ne peut pas simuler un comportement utilisateur réel. Des personnages artificiels censés tester un site web à la place d’utilisateurs humains ? Je pense que ça ne marchera vraiment jamais. Il y a trop d’inconnues, trop de paramètres. Une IA se nourrit de ce qui existe. Elle ne sait pas ce qui est bon ou pas bon. Elle définit statistiquement ce qui est majoritaire, ce qui n’est pas un gage suffisant de qualité. — Olivier Sauvage Ce point est crucial : le web regorge d’interfaces médiocres. Une IA entraînée sur ce corpus va reproduire ces médiocrités avec une belle régularité statistique. Les sites 100 % IA : pour quels usages ? La question des sites entièrement générés par IA a été soulevée par un participant au live. Le verdict d’Olivier Sauvage est mesuré. Pour un site vitrine informatif d’une TPE locale, un site e-commerce B2C classique, c’est jouable, à condition d’une vérification humaine minimale. Pour un site B2B avec de la vente complexe, des parcours privés, une expérience riche, des animations : la limite est atteinte rapidement. « Les données nécessaires pour recréer des parcours UX valables sur du B2B complexe n’existent tout simplement pas en quantité suffisante. » Et le contenu ? C’est là que le bât blesse le plus. Le « slop » (contenu IA générique, interchangeable et sans valeur ajoutée) est déjà un problème visible. Générer des milliers d’articles en quelques minutes ne crée pas de valeur. Les moteurs de recherche et les utilisateurs s’en aperçoivent. Ce mouvement a un temps limité. La maintenabilité : le problème qu’on ne voit pas tout de suite J’ai cité un exemple vécu : un site d’association refait en 4 heures avec Claude, fonctionnellement supérieur à l’ancien, design convenable. Mais « le jour où la personne qui a développé ça s’en va, on fait quoi ? Qui va le retoucher ? Où est la base de données ? Quels sont les mots de passe ? » La dette technique invisible est l’un des vrais risques du vibe-coding (développement par description en langage naturel, sans écrire de code ligne par ligne) appliqué à des projets réels. Olivier Sauvage va plus loin en suggérant que les solutions no-code (outils permettant de créer des applications sans programmer, via des interfaces visuelles), moins spectaculaires mais structurellement plus solides, méritent d’être reconsidérées dans ce contexte. Des outils comme Airtable, Bubble ou TimeTonic offrent des garanties de maintenabilité que le code généré par IA ne peut pas toujours assurer. L’agent IA et l’avenir du e-commerce Un échange particulièrement intéressant a porté sur le protocole MCP (Model Context Protocol) et l’IA agentique appliquée au e-commerce. L’hypothèse est la suivante : demain, un agent IA pourra conduire une recherche produit, comparer des offres, poser des questions complémentaires, et passer à la transaction en ne donnant la main à l’utilisateur humain qu’au moment du paiement. Cela existe déjà partiellement : Shopify a adopté MCP, et ChatGPT intègre des fonctions marchandes dans certaines géographies. Ce qui change, c’est le rôle du site web : il reste indispensable, non plus comme destination première de navigation humaine, mais comme source de données structurées pour les agents IA. « Le site web va avoir encore une grande fonction : alimenter les IA par ses contenus. » Et Olivier Sauvage ajoute un point prospectif important : les marchands ont de plus en plus intérêt à produire des contenus spécifiques, propriétaires, qu’on ne peut trouver que sur leur site, et qui constituent une vraie barrière à l’imitation par l’IA générique. Premier signal concret de cette évolution : lors de ce live, j’ai mentionné la réservation d’une session photo dans mon studio par un client dont la recommandation initiale provenait de ChatGPT. Le trafic issu des LLM reste marginal, mais sa qualité est notable. Selon le rapport Adobe Digital Insights d’avril 2026, basé sur plus d’un milliard de visites e-commerce, le trafic provenant des LLMs convertit 42 % mieux que le trafic non-IA chez les retailers américains. Semrush va plus loin et mesure un ratio de 4,4× sur certains segments B2B logiciel, avec des taux de conversion de 15,9 % pour ChatGPT contre 1,76 % pour Google organique. Ces chiffres restent toutefois à nuancer : une étude Amsive portant sur 54 sites (septembre 2025) indique que 41 % des sites de l’échantillon convertissaient moins bien via LLM que via l’organique classique. Le résultat dépend du secteur et de la maturité du site. Impacts sur les métiers du design web Une transformation plus qu’une accélération Olivier Sauvage formule ici une thèse importante : l’IA transforme le métier de designer plus qu’elle ne l’accélère. Les gains de productivité purs ne sont pas aussi évidents qu’annoncés. On fait un prompt, on voit le résultat, on se dit c’est révolutionnaire. Puis en réalité, avant d’arriver à quelque chose de vraiment utilisable, on a fait 50 prompts, ce n’est jamais parfait, il faut mettre les mains dans le cambouis. — Olivier Sauvage La comparaison avec le développement est éclairante. Côté demande globale, les données TalentNeuron montrent que les offres d’emploi pour développeurs de logiciels ont progressé de 22 % entre 2023 et 2024, éclipsées toutefois par une hausse de 148 % sur les profils ingénieurs IA et machine learning. Mais côté marché français, la note de conjoncture de l’INSEE de mars 2026 dresse un tableau plus nuancé : l’emploi des moins de 30 ans dans l’informatique et les services d’information a reculé de 3 % entre 2023 et 2025, avec ‑7,4 % d’emploi des 15‑29 ans sur un an au T4 2025. Les entreprises produisent davantage, mais avec moins de juniors, remplacés en partie par l’IA sur les tâches répétitives. Les seniors, eux, passent plus de temps à corriger, structurer et documenter le code généré automatiquement. Ce n’est pas forcément moins de travail : c’est un travail différent. Une étude METR de juillet 2025 a même mesuré que des développeurs expérimentés étaient en réalité ralentis de 19 % avec Cursor Pro et Claude, alors qu’ils estimaient avoir gagné 20 % de productivité. L’écart entre la perception et la réalité est significatif. Olivier Sauvage : même avec l’IA, pour concevoir des sites web, un mauvais ouvrier aura toujours de mauvais outils. Image réalisée avec Midjourney. Conception de sites web, la valeur reste chez les humains, pas dans l’IA Si n’importe qui peut générer des contenus ou des maquettes avec des prompts basiques, et que tout le monde peut le faire, ça n’a aucune valeur puisqu’il n’y a plus de rareté. — Olivier Sauvage La valeur se déplace, elle ne disparaît pas. Elle se concentre chez ceux qui savent poser les bonnes questions, orienter la machine, valider les résultats, et comprendre ce qu’un utilisateur humain ressent vraiment face à une interface. La métaphore du pont en métal du XIXe siècle, évoquée par Olivier Sauvage, est saisissante : les premiers ingénieurs qui ont travaillé avec ce matériau ont simplement reproduit ce qu’ils savaient faire en bois. Ils ont manqué l’essentiel. Beaucoup font de même avec l’IA aujourd’hui. Ce n’est pas sans rappeler le paradoxe de productivité de Solow, formulé en 1987 : « on voit l’ère informatique partout, sauf dans les statistiques de productivité. » La récente étude du NBER (Working Paper n° 34836, février 2026), conduite auprès de près de 6 000 dirigeants aux États-Unis, au Royaume-Uni, en Allemagne et en Australie, confirme que ce paradoxe se répète avec l’IA générative : neuf entreprises sur dix n’ont constaté aucun impact mesurable de l’IA sur leur emploi ou leur productivité au cours des trois dernières années. L’innovation, seul horizon vraiment nouveau Ce qui change fondamentalement, c’est la capacité à innover : tester des concepts qu’on n’aurait pas osé prototyper faute de temps et de budget, explorer plus de pistes, itérer plus vite. « C’est là qu’il faut aller chercher la valeur de ce métier. » Un mauvais ouvrier aura toujours de mauvais outils La conclusion de cet échange est peut-être celle que les formations et les discours sur « l’IA pour tous » négligent le plus : la qualité de l’utilisation d’un outil dépend de la maîtrise du métier sous-jacent. Ce qui fait la différence, c’est la connaissance du métier, l’intuition, la capacité à orienter la machine et surtout le travail de préparation des processus. Un prompt répété à l’identique à chaque session, c’est réinventer l’eau tiède. Un workflow (flux de travail structuré et documenté) efficace, c’est une vraie pratique professionnelle. Ce n’est pas parce que tu as Claude ou un outil de design IA entre les mains que tu vas faire un super site avec une super UX. Tu y arrives parce que tu as les compétences pour comprendre ce qui se passe, pour tester, pour valider, pour te rendre compte que tes utilisateurs comprennent bien ce que tu as fait. — Olivier Sauvage En conclusion sur la conception de sites web avec l’IA Les sites web ne disparaissent pas. L’IA ne remplace pas le designer UX. Les outils IA offrent des gains réels dans le prototypage, la génération d’interfaces et l’exploration créative. Mais la valeur reste chez les professionnels qui savent s’en servir, et non dans les prompts magiques qui génèrent un site en trois minutes. Comme nous l’observons régulièrement sur Visionary Marketing, la réalité de terrain est toujours plus nuancée que les discours à l’emporte-pièce, en bien comme en mal. Pour aller plus loin, retrouvez le blog d’Olivier Sauvage oliviersauvage.com Voir le live en intégralité sur YouTube ▶ Voir le live sur YouTube The post Sites Web, l’IA est omniprésente, mais pas magique appeared first on Marketing and Innovation.

Have you ever been told your labs are "normal"—but you still feel exhausted, gain weight despite doing everything right, struggle with brain fog, poor sleep, low motivation, or simply don't feel like yourself? In this eye-opening episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with endocrinologist and women's health expert Dr. Shamita Trivedi to uncover why "normal" lab results don't always mean optimal health. With nearly 20 years of experience in endocrinology and hormone health, Dr. Trivedi shares how she blends evidence-based medicine with a personalized, integrative approach to help women navigate thyroid dysfunction, perimenopause, menopause, insulin resistance, metabolic health, and hormone optimization. Together, Dr. Anna and Dr. Trivedi discuss the growing epidemic of weight gain, fatigue, and metabolic dysfunction in midlife women—and why traditional medicine often misses the bigger picture. In this episode, you'll discover: • Why "normal" thyroid labs may still leave you feeling exhausted • The difference between normal ranges and optimal hormone levels • How perimenopause creates a state of neuroendocrine vulnerability • The truth about GLP-1 medications and when they're appropriate • Why hormone replacement should never be one-size-fits-all • The hidden connection between thyroid health, metabolism, and weight gain • How gut health, inflammation, and lifestyle impact every hormone system • What women with premature ovarian insufficiency need to know If you've ever felt dismissed, unheard, or told everything is fine when you know something isn't right, this conversation will empower you to advocate for your health and understand your body on a deeper level. Listen now and discover why optimal health starts beyond "normal."   Key Timestamps 00:00 – Why endocrinology plays a critical role in women's health and hormone optimization. 03:20 – Premature ovarian insufficiency: why early menopause can be devastating and what can be done. 09:15 – Birth control pills versus physiologic hormone replacement in young women. 16:00 – Perimenopause as a period of neuroendocrine and immunologic vulnerability. 22:45 – Why hormone therapy should always be individualized. 28:30 – Weight gain, cardiometabolic changes, and why women "catch up" to men in heart disease risk after menopause. 32:50 – The role of GLP-1 medications: benefits, risks, and common misconceptions. 40:40 – Gut health, inflammation, endocrine disruptors, and the root causes of metabolic dysfunction. 52:10 – Microdosing vs. standard dosing approaches for GLP-1 medications. 58:20 – Can you safely come off GLP-1 medications without regaining weight? 1:08:45 – The thyroid conversation: why so many women are told their labs are normal when they don't feel normal. 1:16:30 – T3, T4, thyroid antibodies, and finding the optimal thyroid range. 1:24:00 – A real patient case study: how hormone and thyroid optimization gave a woman her life back.   Memorable Quotes "I don't look at isolated symptoms. I look for the thread that's tying everything together." — Dr. Shamita Trivedi "This is not your body failing you. This is a normal transition that everybody goes through." — Dr. Shamita Trivedi "Menopause is normal and mandatory. Suffering is optional." — Dr. Anna Cabeca "Your body will tell us what it needs. Our job is to listen." — Dr. Shamita Trivedi "Normal lab values are not always optimal values." — Dr. Shamita Trivedi "We have to treat the woman in front of us—not the lab report." — Dr. Anna Cabeca   Connect With Dr. Shamita Trivedi Website: https://drshamitatrivedi.com Casad Health & Wellness: https://casadhealth.com Instagram: https://www.instagram.com/drtrivedi_hormonedoc   Connect With Dr. Anna Website: https://dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor

Have you ever been told your labs are "normal"—but you still feel exhausted, gain weight despite doing everything right, struggle with brain fog, poor sleep, low motivation, or simply don't feel like yourself? In this eye-opening episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with endocrinologist and women's health expert Dr. Shamita Trivedi to uncover why "normal" lab results don't always mean optimal health. With nearly 20 years of experience in endocrinology and hormone health, Dr. Trivedi shares how she blends evidence-based medicine with a personalized, integrative approach to help women navigate thyroid dysfunction, perimenopause, menopause, insulin resistance, metabolic health, and hormone optimization. Together, Dr. Anna and Dr. Trivedi discuss the growing epidemic of weight gain, fatigue, and metabolic dysfunction in midlife women—and why traditional medicine often misses the bigger picture. In this episode, you'll discover: • Why "normal" thyroid labs may still leave you feeling exhausted • The difference between normal ranges and optimal hormone levels • How perimenopause creates a state of neuroendocrine vulnerability • The truth about GLP-1 medications and when they're appropriate • Why hormone replacement should never be one-size-fits-all • The hidden connection between thyroid health, metabolism, and weight gain • How gut health, inflammation, and lifestyle impact every hormone system • What women with premature ovarian insufficiency need to know If you've ever felt dismissed, unheard, or told everything is fine when you know something isn't right, this conversation will empower you to advocate for your health and understand your body on a deeper level. Listen now and discover why optimal health starts beyond "normal."   Key Timestamps 00:00 – Why endocrinology plays a critical role in women's health and hormone optimization. 03:20 – Premature ovarian insufficiency: why early menopause can be devastating and what can be done. 09:15 – Birth control pills versus physiologic hormone replacement in young women. 16:00 – Perimenopause as a period of neuroendocrine and immunologic vulnerability. 22:45 – Why hormone therapy should always be individualized. 28:30 – Weight gain, cardiometabolic changes, and why women "catch up" to men in heart disease risk after menopause. 32:50 – The role of GLP-1 medications: benefits, risks, and common misconceptions. 40:40 – Gut health, inflammation, endocrine disruptors, and the root causes of metabolic dysfunction. 52:10 – Microdosing vs. standard dosing approaches for GLP-1 medications. 58:20 – Can you safely come off GLP-1 medications without regaining weight? 1:08:45 – The thyroid conversation: why so many women are told their labs are normal when they don't feel normal. 1:16:30 – T3, T4, thyroid antibodies, and finding the optimal thyroid range. 1:24:00 – A real patient case study: how hormone and thyroid optimization gave a woman her life back.   Memorable Quotes "I don't look at isolated symptoms. I look for the thread that's tying everything together." — Dr. Shamita Trivedi "This is not your body failing you. This is a normal transition that everybody goes through." — Dr. Shamita Trivedi "Menopause is normal and mandatory. Suffering is optional." — Dr. Anna Cabeca "Your body will tell us what it needs. Our job is to listen." — Dr. Shamita Trivedi "Normal lab values are not always optimal values." — Dr. Shamita Trivedi "We have to treat the woman in front of us—not the lab report." — Dr. Anna Cabeca   Connect With Dr. Shamita Trivedi Website: https://drshamitatrivedi.com Casad Health & Wellness: https://casadhealth.com Instagram: https://www.instagram.com/drtrivedi_hormonedoc   Connect With Dr. Anna Website: https://dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor

If you've ever been told your thyroid labs are "normal" but you still feel exhausted, cold, constipated, anxious, inflamed, or unable to lose weight, this episode is for you. In this episode of The Thyroid Answers Podcast, Dr. Eric Balcavage explores one of the most misunderstood concepts in thyroid care: the difference between a thyroid lab value being normal and being appropriate for your physiology. He explains why thyroid lab markers such as TSH, Free T4, Free T3, Reverse T3, and thyroid antibodies are often interpreted too simplistically and why normal lab values do not always mean healthy thyroid function. Dr. Balcavage breaks down how stress physiology, inflammation, immune activity, gut dysfunction, sleep disruption, nutrient deficiencies, and overall physiologic state can influence thyroid hormone production and T4-to-T3 conversion. He also explains why many thyroid patterns may actually represent adaptive responses rather than broken physiology. You'll learn how to interpret thyroid labs within the context of symptoms, health history, inflammatory markers, and overall physiologic state, and why focusing solely on optimizing lab values often fails to restore true health and well-being. Whether you're struggling with persistent hypothyroid symptoms despite normal labs or you're trying to better understand your thyroid physiology, this episode provides a deeper framework for understanding what your thyroid labs may really be telling you. In This Episode, You'll Learn: Why normal labs don't always equal healthy thyroid function How to determine if your thyroid labs are actually appropriate for your physiology The role stress, inflammation, and lifestyle factors play in thyroid hormone regulation Why low T3 and poor conversion may be adaptive responses Why thyroid medication doesn't always resolve symptoms What to focus on beyond lab values to support better thyroid health Resources Mentioned:

Why do so many people continue to struggle with thyroid symptoms, hormone imbalances, fatigue, weight gain, digestive issues, and poor health even when their lab work looks "normal"? In this episode of The Thyroid Answers Podcast, Dr. Eric Balcavage sits down with board-certified endocrinologist Dr. Cassie Smith to discuss her new book, Fix Your Gut, Fix Your Hormones, and the critical role gut physiology plays in hormone health. Dr. Smith shares her journey from traditional endocrinology to a more physiology-based approach after recognizing that many of her patients continued to get sicker despite receiving standard medical treatment. Together, they explore how gut health, chronic stress, inflammation, lifestyle factors, and cellular physiology influence hormone production, hormone metabolism, thyroid function, insulin regulation, estrogen balance, and overall health. The conversation highlights why optimizing lab values alone often fails to resolve symptoms and why addressing the underlying physiologic patterns affecting the body may be a more effective path toward lasting health improvements. In This Episode, You'll Learn: Why many patients continue to struggle despite "normal" lab results How gut health influences thyroid hormone conversion and utilization The connection between chronic stress, gut dysfunction, and hormone imbalance Why insulin resistance is often driven by more than just diet The role of the gut microbiome in estrogen metabolism and detoxification How inflammation can affect hormone signaling at the cellular level Why hormone replacement does not always resolve symptoms The importance of addressing lifestyle, sleep, stress, nutrition, and gut function alongside hormone optimization How chronic physiologic strain may contribute to ongoing thyroid and hormone symptoms Why understanding physiology may be more important than chasing lab numbers Key Topics Discussed Gut microbiome and hormone metabolism Thyroid physiology and T4 to T3 conversion Insulin resistance and metabolic dysfunction GLP-1 physiology Estrogen metabolism and the estrobolome Chronic stress and allostatic load Inflammation and cellular hormone signaling Leaky gut and immune activation Functional medicine and root-cause approaches Hormone replacement therapy considerations Lifestyle factors that influence hormone health About Dr. Cassie Smith Dr. Cassie Smith, MD is a dual board-certified endocrinologist, Founder of Modern Endocrine, and Chief Medical Officer of Renthyroid. She also serves on the medical faculty of Evexias Medical, a bioidentical hormone company. Dr. Smith is known for helping patients uncover why they still feel unwell despite "normal" lab results by using a holistic, root-cause approach to gut, metabolic, thyroid, and hormonal health. After completing her fellowship at the Harold Hamm Diabetes Center and being named a Top Doctor by 405 Magazine, Dr. Smith grew frustrated with the limitations of conventional care and built a model focused on treating the whole person—not just symptoms. She is the author of Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… and Why You Still Feel Bad Despite Normal Labs, and through her popular podcast, Hormones, Metabolism, and You, she translates complex endocrinology into practical, actionable guidance. Today, Dr. Smith and her team help thousands of patients each year get to the root cause of gut health issues, hormone imbalances, thyroid disease, and weight resistance. She is licensed to provide telehealth and in-clinic care across 47 states, based in Oklahoma. She is the author of Fix Your Gut, Fix Your Hormones and host of the Hormones, Metabolism, and You podcast. Resources & Links

Calum Raistrick, Niall Darwin (onepunchnaz)APR Health Solutions Peptides: www.aprhealthsolutions.com - code nyleOptimize HRT Clinic: https://members.optimize-hp.com - code nyleMerch: https://www.aykons.com/nylePlease share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'nyle' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘nyle' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comRP Hypertrophy Training App: rpstrength.com/nyle (code nyle)0:00:00 - Intro0:02:04 - University Days & Naive PED Use0:05:03 - Gut Health & The 1.5g Protein Limit0:10:05 - Midsection Vacuum & Classic Weight Caps0:16:24 - The Real Cause of Waist Growth0:19:34 - Total Drug Load vs. Visceral Fat0:22:30 - Conditioning Secrets: Classic vs. Open0:28:28 - Niall's 12-Week Pittsburgh Prep Plan0:32:47 - Compound Tapering & Injection Risks0:35:02 - Extreme Prep Protocols: Martin & Boss0:40:57 - Systemic Stress & "Landing the Plane"0:43:12 - Blowing a Load the Night Before Show0:43:34 - John Meadows' "Grainy Skin" Secrets0:45:45 - Linear Peaking vs. Volatile Refeed Gauging0:48:45 - Strategic Atrophy & Leg Volume Slashes0:50:15 - Quad & Glute Volume Tiers0:52:08 - Tyler Smith's Extreme Leg Volume Slash0:53:19 - Peptide Protocols & Organ Protection0:55:21 - The Elite Client Portfolio0:57:11 - Coaching Content Creator Brandon Harding1:00:03 - Influencer Stress & Off-Season Fat Fear1:01:37 - Off-Season Fat Anxiety1:02:06 - What Makes a Coach Most Anxious?1:04:16 - Bodybuilding Page Tags & Lineups1:05:00 - Analyzing Kyron Holden & Ryan Terry1:06:47 - Managing Cortisol, Stimulants & Sleep1:11:46 - Advanced Peptides: SLU-332 & GC-11:12:44 - T3 Abuse vs. T4 & Sobetirome Replacement1:13:33 - GLP-1 Downsides in Contest Prep1:14:25 - Tirzepatide for Post-Show Reverse Phases1:16:05 - Why GLP-1s Ruin Peak Week1:20:36 - Compounding vs. Research Chemicals1:21:21 - Blood Panels & Wellness Specialists1:23:16 - GH & Insulin in Classic Physique1:24:46 - Insulin Dosing as an Off-Season Support1:25:24 - Nighttime GH Bolus vs. Microdosing1:27:00 - Patrick Tuor's Insulin-GH Synergy Theories1:28:55 - Lantus vs. Rapid-Acting Insulin Placement1:30:40 - Working with Niall Darwen1:31:29 - Height Measurements and Weight Caps1:32:44 - Height Manipulation & Spinal Decompression1:35:03 - Niall's Future Back Density Strategy1:36:26 - Pittsburgh Pro Post-Weigh-In Load1:37:37 - Off-Season Fiber & Gut Linings1:39:19 - Oral Steroid Toxicity & Digestion Dampening1:40:41 - Low-Dose Oral Strategies1:42:06 - 100mg Winstrol Motility Shutdown1:46:09 - Post-Show Recovery Phase vs. Rebound1:48:09 - Systemic Muscle Memory & Cell Sensitivity1:49:05 - Scientific Training Philosophy1:50:53 - Zachariah's 34kg Hypertrophy Miracle1:52:24 - Slow Eccentrics & Mind-Muscle Intent1:54:40 - Hyper-Focus During Sets1:56:53 - Comprehensive Blood Work Markers1:57:58 - Cruising Protocol Adjustments2:00:15 - Dietary Fats with Pre-Workout Insulin2:01:32 - Coaching Dynamics of Close Friends2:05:00 - Eric's Open Division Transition2:06:10 - Regional Coaching: UK Intensity vs. US Volume2:06:36 - Laszlo Karoly's Density & US Shows Strategy2:07:29 - Slow-Twitch vs. Fast-Twitch Muscle Genetics2:12:01 - Building Exceptional Muscle Mass2:14:20 - One Final Message: Back Yourself First

Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/05-06-2026Nesta sexta-feira, analisamos atualizações em endocrinologia reprodutiva, uma revolução na terapia celular oncológica e o papel dos jogos sérios no julgamento clínico. Abordamos as diretrizes atualizadas da American Thyroid Association, que estabelecem valores de referência por trimestre para TSH e T4, priorizando o rastreamento direcionado. Detalhamos os dados promissores da nova terapia CAR-T in vivo da Legend Biotech para linfoma não-Hodgkin, que gera as células de defesa diretamente dentro do corpo do paciente. Por fim, discutimos no Radar um estudo do JAMA que comprova como o jogo eletrônico Night Shift reduziu erros médicos e a subestimativa de traumas em idosos na emergência. Afya News. Informação médica confiável e atualizada no seu tempo.

Why Your Thyroid Is the "Check Engine Light" Your thyroid is the check engine light, not the engine. With Hashimoto's, the real story is happening in your gut, your immune system, and your stress physiology, often years before your thyroid shows it. If you have Hashimoto's and you're only chasing your thyroid numbers, you're missing the bigger question: why is your immune system attacking your thyroid in the first place? In this episode of the Medical Disruptor, I break down what Hashimoto's actually is, what the standard "replace the hormone" approach misses, and why your low-functioning thyroid is often a check engine light for something deeper, including gut health, gluten, infections, chronic stress, and toxins. I'm Dr. E, the NP with the PhD, and I help humans go from medically gaslit to medically empowered. We'll cover leaky gut and the gluten-to-TPO connection, the gut microbiome's role in converting T4 to T3, infections like EBV and H. pylori, how chronic stress and cortisol affect your thyroid, endocrine-disrupting toxins, and the smartest next steps to take before you reach for supplements. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Feeling "normal but not okay"? Grab my free guide to track your symptoms, spot your patterns, and get taken seriously https://freechapter.lpages.co/normal-but-not-okay-handout/ Check us out on social media: https://www.instagram.com/drefratlamandrehttps://www.facebook.com/drefratlamandrehttps://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 00:00 - Introduction 02:28 - Where Standard Treatment Falls Short 04:47 - The Gut, Gluten & Leaky Gut Connection 08:31 - Infections, Stress & Toxins 11:37 - What To Do Next: 5 Smart Steps 13:39 - Supplements That Actually Help Learn more about your ad choices. Visit megaphone.fm/adchoices

In today's podcast episode, I'm joined once again by thyroid expert and author Paul Robinson for a listener-led thyroid Q&A session. After our first thyroid conversation was so well received, I invited members from my Facebook community to submit their biggest thyroid-related questions, and we covered a wide range of topics surrounding hypothyroidism, Hashimoto's, T3 therapy, reverse T3, thyroid labs, symptoms, body temperature, hormone balance, and more. Some of the questions discussed in this episode include: • Is reverse T3 testing important? • How low is too low for TSH? • Why do some people with Hashimoto's struggle to convert T4 into T3? • What do high thyroglobulin and anti-thyroglobulin antibodies mean? • How can you support better T4 to T3 conversion? • Why do some people worsen on natural desiccated thyroid? • Can T3 dosing schedules change as healing occurs? • Can BHRT change thyroid medication needs? • Is there a connection between hypothyroidism, Hashimoto's, and migraines? • Can you still have hypothyroid symptoms with a “normal” body temperature? • What markers can help identify reverse T3 issues when testing is unavailable? • How can symptoms, pulse, blood pressure, and temperature help guide T3 dosing? This conversation is educational, nuanced, and filled with practical insights for those navigating thyroid symptoms and thyroid treatment. Paul Robinson is the author of: • The Thyroid Patient's Manual • Recovering with T3 • The CT3M Handbook Whether you are newly diagnosed, struggling despite “normal labs,” or wanting a deeper understanding of thyroid physiology and treatment approaches, I hope this conversation helps you feel more informed and empowered. Paul Robinson is a thyroid patient and thyroid patient advocate. Paul wrote 'The CT3M Handbook' as a companion book to 'Recovering with T3' to explain more about raising cortisol levels if needed. And Paul wrote his third book ‘The Thyroid Patient's Manual'. This book covers all types of thyroid medications (T4, T4/T3, NDT, and T3). His newest book "Articles on Hypothyroidism" combines the best of what Paul has discovered on his 35 year thyroid journey. Find out more about Paul here; https://paulrobinsonthyroid.com/ YouTube - @RecoveringwithT3 Instagram - / paulrobinsonthyroid Books; The Thyroid patients manual https://a.co/d/9VwgyLx The CT3M handbook https://a.co/d/iR5Zayv Recovering with T3 https://a.co/d/1035MD3

Many people with hypothyroidism or Hashimoto's are surprised when they begin experiencing symptoms like bloating, constipation, food sensitivities, gallstones, fat intolerance, reflux, or elevated cholesterol. These issues are often treated as separate conditions, but they may all be connected through one important physiological relationship: the connection between thyroid function, bile flow, gallbladder health, and digestion. In this episode, Dr. Eric Balcavage explains why thyroid physiology influences far more than metabolism. Thyroid hormone signaling affects stomach acid production, digestive enzymes, gut motility, bile production, gallbladder contraction, cholesterol metabolism, microbiome balance, nutrient absorption, and even the integrity of the gut barrier. When thyroid physiology is altered, digestive function often changes along with it. Dr. Balcavage explores the critical role bile plays in digestion and overall health, including how bile acids function as powerful signaling molecules that influence metabolism, inflammation, blood sugar regulation, thyroid hormone activation, microbiome health, and immune function. He also explains why reduced T4-to-T3 conversion can impair bile production, gallbladder emptying, and bile delivery into the small intestine, creating a cascade of digestive and metabolic symptoms. You'll learn why digestive symptoms, gallbladder problems, dysbiosis, leaky gut, and elevated cholesterol are often downstream effects of chronic stress physiology and reduced thyroid signaling rather than isolated problems. Dr. Balcavage also discusses common bile-support strategies including ox bile, TUDCA, phosphatidylcholine, taurine, glycine, choline, magnesium, and bitters, explaining when they may be helpful and why they often serve as temporary management tools rather than long-term solutions. Most importantly, this episode highlights why addressing the underlying causes of reduced thyroid signaling and chronic physiologic strain is essential for lasting recovery. In This Episode, You'll Learn: Why people with thyroid problems commonly develop gut, bile, and gallbladder issues The important role bile plays beyond fat digestion How bile acids influence metabolism, inflammation, microbiome balance, and thyroid hormone activation Why reduced T4-to-T3 conversion can impair bile production and bile flow The connection between hypothyroidism, elevated cholesterol, and gallbladder dysfunction How altered bile flow contributes to bloating, constipation, food sensitivities, dysbiosis, and leaky gut Why digestive symptoms are often adaptive responses to physiologic stress The relationship between chronic stress, reduced thyroid signaling, and digestive dysfunction When bile-support supplements like ox bile, TUDCA, taurine, glycine, choline, and phosphatidylcholine may be beneficial Why symptom management alone often fails to create long-term improvement The key factors that may be driving reduced thyroid signaling and digestive dysfunction beneath the surface Resources Mentioned:

You've heard about hot flashes. Maybe you've even had them. But the hormone shift that's quietly dismantling your mood, your metabolism, your sleep, and your sense of self? That started years before menopause and most women have no idea. In this solo episode, Dr. Terri DeNeui maps the full three-decade hormone timeline every woman needs to understand: the testosterone loss that begins in your 30s (and its devastating, and overlooked connection to depression), the progesterone decline that hits like a wall in your 40s, and the estrogen fluctuation that makes the late 40s and early 50s the most miserable stretch for many women. She also makes the case for thyroid as the most underdiagnosed piece of the puzzle and explains why a normal TSH doesn't mean your thyroid is actually working. Along the way, she takes on the antidepressant default, sharing her own doctoral research showing that women who optimized their testosterone resolved their depression entirely and the birth control pill habit that well-meaning gynecologists are still prescribing after 40, despite a very real and elevated stroke risk. This episode is for women in their 30s, 40s, and 50s who've been told their labs are fine but know something is wrong and for anyone who wants to understand what's actually happening before settling for symptoms management. What you'll discover: Why testosterone, not estrogen is the first hormone women lose, and what that means for mood, focus, and body composition [04:50] The doctoral research that changed how Dr. Terri thinks about depression in women and antidepressants [05:17] Progesterone: the calming hormone that disappears in your 40s and why heavy, painful cycles are a deficiency not a life sentence [07:19] Why birth control pills after 40 carry serious stroke risk and what to use instead [08:50] The estrogen fluctuation that makes the late 40s and early 50s the hardest stretch for most women [09:43] Why "normal" lab ranges are based on a sick, unhealthy population and where you actually want your numbers [19:44] Thyroid: the most underdiagnosed condition in older women and why TSH alone doesn't tell the full story [16:33] T4 vs. T3 — and the key enzyme most women are quietly losing as they age [17:26] Why women need hormone optimization across the full lifespan not just to manage symptoms during the transition [14:04] The bottom line: your hormones don't just affect how you feel during menopause they shape every decade of your health. Finding a clinician who understands optimization, not just symptom management, changes everything. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

Discover 7 key signs of a slow thyroid and learn how to distinguish between Hashimoto's and general hypothyroidism. Plus, discover natural ways to support thyroid health and address common thyroid problems naturally.

In this Her Stack series episode, I open up about maternal mental health, postpartum anxiety, and the invisible biological load mothers carry long after the six-week checkup is over. This episode is not just for the newly postpartum mother. It is for the mother whose kids are four, eight, fifteen, and still asking herself why she does not feel like herself. I share why motherhood structurally changes the brain, hormones, and nervous system, and why so many mothers are left feeling anxious, foggy, depleted, or unlike themselves without ever being properly screened or supported. I walk you through the science of the postpartum neurosteroid withdrawal, the gray matter changes that persist for years, and the five-system map underneath maternal brain fog. Then I break down the full four-pillar protocol I use with my one-to-one clients: foundational nutrition, lifestyle and biohacking tools, the supplement layer including some of the most under-discussed compounds for the maternal brain, and the advanced peptide layer including Semax, Selank, NAD+, and bioregulators. This is the episode every mother needs. Send it to one. Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity. I TALK ABOUT:  02:00 - My free peptide masterclass for moms next week 04:10 — Why maternal mental health is not just a six-week postpartum issue 06:30 — The numbers every mother should know (and the screening gap that explains everything) 08:20 — How pregnancy structurally changes the brain (Nature Neuroscience, 2017) 11:40 — The neurosteroid withdrawal nobody warned you about, and the FDA's $34,000 drug that proves it is real 13:50 — Pillar 1: DHA, protein, ferritin, blood sugar stability, and methylated Bs for the maternal brain 22:40 — Pillar 2: Protected sleep cycles, morning sunlight, vagal nerve activation, and red light to the brain 28:00 — Yoga nidra and NSDR as the workaround for mothers who cannot engineer a protected sleep cycle 32:45 — Simplifying routines, meals, outfits, and planning to reduce mental load 35:00 — Co-regulation: Why one hour of real adult conversation is medicine 38:40 — Creatine for maternal mental health, depression support, and cognitive fatigue in sleep-deprived moms 40:50 — Saffron and inositol for postpartum mood, anxiety, racing thoughts, and the "can't shut off the brain" symptoms 42:15 — Magnesium L-threonate, glycine, vitamin D, and low-dose methylene blue for sleep, brain fog, mitochondrial support, and nervous system balance 45:25 — Why peptides are an advanced layer and should come after nutrition, lifestyle, and supplement foundations 46:10 — Semax and Selank for anxiety, cortisol support, BDNF, dopamine, brain fog, memory, and maternal brain support 50:00 — NAD+ and bioregulators (Cortagen, Cerluten, Epithalon) for maternal energy, neuronal support, circadian rhythm, melatonin, sleep, and long-term brain health 58:15 — Why postpartum anxiety and depression need different kinds of support, and why SSRIs work for some mothers and not others 1:00:00 — Why lingering symptoms matter and which labs mothers should check RESOURCES: Labs to ask your provider for: TSH, free T3, free T4, reverse T3, ferritin, vitamin D, DHA panel Join The LongHer Life for women-specific guidance on peptides, hormones, and longevity. Free Peptide Masterclass for Moms: Join the waitlist for the next live class. The Her Stack Planner: The first peptide tracking journal built around female biology. Crisis support: 988 in the US, 988 in Canada PRODUCTS MENTIONED: Supplements DHA (omega-3) Creatine monohydrate Saffron (Crocus sativus extract) Inositol (myo + d-chiro blend) Glycine Magnesium L-threonate (BiOptimizers code: BIOHACKINGBRITTANY) Vitamin D Lion's mane mushroom Bacopa monnieri Methylated B vitamins (methylcobalamin, methylfolate, P5P) Methylene blue (low dose, pharmaceutical USP only) Peptides Semax Selank NAD+ options NOVOS code: BIOHACKINGBRITTANY Nuchido TIME+ code: BIOHACKINGBRITTANY Nasal spray (Synchronicity Health code: BIOHACKINGBRITTANY) Bioregulators Cortagen Cerluten Epithalon LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music

Dr. Corey Schuler, PhD(c), FNP, DC, CNS, and director of medical affairs at Allergy Research Group, details his paper “Energy Allocation Resilience and Endocrine Integration” in the International Journal of Molecular Sciences. He introduces the Energy Allocation System (EAS), which emphasizes how the body allocates energy—not just produces it—and links many symptoms to impaired bioenergetics and resilience. They discuss mitochondria as energy generators and cellular signaling hubs, the integrated stress response and endocrine coordination (HPA axis, thyroid, gonads), and mitohormesis/eustress (exercise, fasting, heat/cold, circadian “zeitgebers”). Schuler explains nuanced testing for fatigue (diurnal cortisol, CGM patterns, thyroid markers including T3/reverse T3) and a case of a perimenopausal woman where oral contraceptives and cortisol dysregulation affected glucose patterns. They cover mitochondrial support (removing obstacles like pollutants/antibiotics, triglycerides, carnitine, dietary fats, micronutrients) and pacing/sequencing lifestyle interventions.

Have you been told your thyroid is normal, but you are still gaining weight, losing hair, exhausted by 3 PM, and living in a fog? If you have done everything right, clean eating, consistent exercise, and supplements, and nothing is working, this episode may finally give you the answer you have been looking for. It is not you. It is your thyroid.In this episode, Dr. Shivani Gupta sits down with Dr. Amie Hornaman, functional medicine thyroid specialist, host of The Thyroid and Hormone Fixer Podcast, and author of the new book The Thyroid Fix. Dr. Hornaman spent years being dismissed by six different conventional doctors before a seventh finally diagnosed her with hypothyroidism. Even then, the standard T4-only prescription left her no better. Backed by decades of clinical experience and the science of T3 conversion, reverse T3, and the thyroid-adrenal-hormone triangle, she breaks down exactly why so many women are undertreated and what to do about it.Dr. Hornaman shares her own story of gaining 40 pounds while competing in figure competitions and eating nothing but chicken, broccoli, and asparagus, and how it led her into functional medicine and eventually to building one of the most trusted thyroid practices in the country. Dr. Shivani also shares her personal journey from subclinical hypothyroidism to Armour Thyroid to discovering that even natural NDT was not fully working for her body. If you are a woman over 35 navigating perimenopause, unexplained weight gain, brain fog, or fatigue, and your doctor keeps telling you that you are fine, this episode is for you.WHAT YOU'LL LEARNWhy a normal TSH does not mean your thyroid is optimized, and the 5 tests every woman actually needs to ask for, including reverse T3 and TPO antibodiesThe T4-to-T3 conversion problem: why Synthroid and levothyroxine fail many women, and why T4-only treatment keeps you stuck in a low-energy, weight-gain cycleWhy natural desiccated thyroid like Armour and NP Thyroid is not automatically the answer, and how 80 percent T4 in NDT can still push you into reverse T3 lockdown modeHow perimenopause hormones trigger thyroid dysfunction, and the adrenal-progesterone-estrogen-TBG cascade that most doctors are not addressingThe Ayurvedic and lifestyle foundation: why calming inflammation, supporting digestion, and reducing cortisol are non-negotiables before thyroid hormone replacement can workDr. Hornaman's FIX Method, including the supplement, nutrition, and hormone replacement framework that has helped thousands of women get their lives backRESOURCES MENTIONED:The Inflammation Code (book)Fusionary Formulas Supplements — use code CODE15 for 15% off your first order https://fusionaryformulas.com/?utm_source=Show+Notes&utm_medium=Show+notes+&utm_campaign=Podcast+promo&utm_id=The+Inflammation+Code+Podcast7-Day Inflammation Detox ChallengeWork with Dr. Shivani — Free Discovery Call

Are you exhausted, cold, foggy, gaining weight, or feeling “off” even though your thyroid labs look “normal”? In this episode of The Trim Healthy Podcast, Serene and Pearl welcome back special guest Dr. Amie Hornaman, also known as The Thyroid Fixer, to talk about her new book The Thyroid Fix and why so many women are struggling without getting real answers. Dr. Amie shares her own powerful story of being dismissed and misdiagnosed, explains the difference between “normal” and truly optimal thyroid labs, and unpacks why T4-only medications may not be enough for many women. Together, we talk about Hashimoto's, perimenopause, menopause, cortisol, testosterone, birth control, T2, and why thyroid health is deeply connected to energy, metabolism, mood, sleep, weight, and long-term wellness. This conversation is full of straight talk, hope, and practical insight for women who know something is wrong but have been told everything looks fine. In this episode, we discuss: * Why “normal” thyroid labs may still leave women feeling terrible * Dr. Amie's personal journey with thyroid misdiagnosis * The connection between thyroid, sex hormones, cortisol, and metabolism * Why T4-only thyroid medication may not optimize thyroid health * Hashimoto's, autoimmune risk, and low testosterone * How perimenopause and menopause can impact thyroid function * Birth control's effect on thyroid and hormone health * What T2 is and why it may support metabolism and energy * Why thyroid hormone replacement is not “just another medication” Learn more from Dr. Amie at dramie.com Order The Thyroid Fix at thyroidfixbook.com Learn more about your ad choices. Visit megaphone.fm/adchoices

On today's episode, Elle Russ speaks with Karen about her harrowing thyroid journey. Her story is one of the most extreme and inspiring thyroid recoveries. After years of debilitating hypothyroid symptoms, failed T4-only treatment, crushing fatigue, hair loss, depression, migraines, and being repeatedly dismissed by doctors, Karen's health deteriorated so severely that she was told she could die if things didn't change quickly. Desperate for answers, Karen took her health into her own hands and discovered something most doctors never discuss: some thyroid patients simply do not do well on T4-only medication and may require direct T3 therapy - sometimes in much higher doses than conventional medicine is comfortable with. In this episode, Karen shares her brutal journey through sourcing medication internationally out of desperation, and finally finding the treatment that gave her life back. Today, after transitioning to T3-only therapy, Karen has: all-day stamina dramatically improved mental clarity freedom from constant migraines renewed confidence improved hair growth the ability to travel, hike, plan life again, and fully show up for her marriage and future This is a powerful conversation about perseverance, patient advocacy, medical gaslighting, and the life-changing impact of proper thyroid treatment. If you've ever been told your labs are "normal" while feeling anything but normal…this episode is for you. Learn more about how Elle can help you with your thyroid issues HERE.

Your Free T3 Is in Range — and That's the Problem Women are diagnosed with thyroid conditions at far higher rates than men — but what if the real thyroid crisis isn't being diagnosed at all? In this episode, Dr. Terri breaks down the overlooked, under-tested, and misunderstood reasons why women's thyroid systems fail, and why the standard lab panel almost every clinician runs is only telling half the story. From the gut's central role in hormone conversion, to the three minerals most women are chronically deficient in, to the enzyme that stress quietly dismantles — Dr. Terri maps out a comprehensive picture of thyroid dysfunction that goes far beyond what most patients hear at a routine checkup. If you've ever been told "your thyroid is normal" but you're still cold, fatigued, foggy, or stuck — this episode was made for you. This episode is for women who've been dismissed with a normal TSH, anyone on Synthroid or levothyroxine who's still symptomatic, and clinicians ready to expand their thyroid testing approach. What you'll discover: Why women are more vulnerable to thyroid conversion failure — and how hormones, gut health, and chronic stress all play a compounding role [6:21] The ferritin threshold that makes or breaks T4-to-T3 conversion — and what to do if you fall in the "gray zone" [9:24] How selenium deficiency can cause thyroid cells to literally burst from the inside out — and the direct link to Hashimoto's most doctors miss [15:39] The full comprehensive thyroid panel you should be asking for: TSH, free T4, free T3, and TPO antibodies [21:31] Why a free T3 "within range" is not the same as optimal — and what the bell curve data actually reveals about all-cause mortality risk [22:47] The deiodase enzyme most clinicians never discuss — and why synthetic T4 medications may be making conversion even harder [27:34] If your thyroid labs come back "normal" but you're still symptomatic, the problem isn't you — it's the range. -- The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

This episode is all about lenses, including cine primes, new anamorphic options, and some crazy cine superzooms. Plus, we acquired a new set of lenses of our own. If you enjoy the show, we'd welcome your support on Patreon. It's only $3 per month and helps us keep the show running. You can check it out here: https://www.patreon.com/cameragearpodcast If you prefer to make a one-time donation, you can find us on Buy Me a Coffee: https://buymeacoffee.com/cameragearpodcast  Want to send us a question or comment, or just learn more about the show? Check out our website at https://cameragearpodcast.com, or email us directly at cameragearpodcast@gmail.com. Also, some of the product links in the notes below are affiliate links, which earn us a commission if you make a purchase at no additional cost to you. Notes: I'm Back Proposes a New Shutter Button as Its APS-C Kickstarter Closes-in on $1M [PetaPixel] Fuji XF 70-300 f/4-5.6 R LM OIS WR Lens Sirui IronStar Anamorphic Lenses Sirui Vision Prime T1.4 Cine Lenses NiSi Athena Cine Primes NiSi Jetmag Pro Magnetic Filters NiSi Athena Tuned Primes Viltrox Luna 30-300mm T4.0 Cine Lens Canon Cine-Servo 40-1200mm T5.0-T10.8 Lens

In this episode, Dr. Abby breaks down the gap between traditional thyroid screening and functional thyroid screening. Learn why checking just TSH if not the best approach, the reality behind common thyroid conditions, and the exact nutrients your body needs to thrive.Key Takeaways & Clinical Pearls1. The Essential 5-Part Thyroid Lab PanelChecking only TSH doesn't show the full picture. Dr. Abby recommends requesting these five:TSH: The brain's signal to the thyroid.Free T4: Your inactive storage hormone (cash in the bank).Free T3: Your active metabolic hormone (cash in your pocket).Reverse T3: The body's emergency brake, triggered by high stress or gut issues.Thyroid Antibodies (TPO & TgAb): Markers showing if the immune system is attacking your thyroid.2. Thyroid Conditions ExplainedHypothyroidism: Underactive thyroid function causing low energy, constipation, and a sluggish metabolism.Hyperthyroidism: Overactive thyroid function causing anxiety, a racing heart, and heat intolerance.Hashimoto's: An autoimmune condition that targets the thyroid. Because it is heavily tied to gut health and systemic inflammation, you cannot fully heal it without addressing the gut-immune connection.3. Nutrients to Build & Convert HormonesSelenium: The ultimate converter. Eating 2 Brazil nuts a day provides a clinical dose to help convert T4 into active T3 and calm antibody flares.Zinc: Crucial for TSH production and tissue absorption (always balance with copper).Tyrosine & Iodine: The physical building blocks of thyroid hormone, best sourced from clean fish and sea vegetables.Adrenals / Nervous System: Chronic stress stops active T3 conversion, making stress management foundational for thyroid healing.Connect with Dr. AbbyDr. Abby is accepting new functional health patients for extensive lab reviews, hormone mapping, and lifestyle consulting at Thrive Medical WNY (available in-person and virtually).Practice: Thrive Medical WNYBooking Link: Booking Link Here]Instagram: @dr.abbyborkowski

If you've been told your labs are normal but nothing feels normal - this episode is for you. Dr. Tabatha sits down with Dr. Amie Hornaman, the Thyroid Fixer, to unpack what your labs are missing, why T2 is the forgotten hormone, and what to do about it. Why 'normal' labs do not mean a healthy thyroid.The full thyroid picture: T1, T2, T3, T4 - and why most doctors only test twoT2: the forgotten thyroid hormone and how it supports metabolism without disrupting your natural productionHashimoto's, molecular mimicry, and why gluten removal is not optional for autoimmune thyroid diseaseThe gut-thyroid connection: why healing your gut is required for proper T4-to-T3 conversionThe link between under-optimized thyroid and insulin resistance, heart disease, and Alzheimer'sHow to advocate for yourself and ask for the right labsGet Dr. Amie's book The Thyroid Fix: thyroidfixbook.comSupport your thyroid with Thyro-Lift: shop.fasttofaith.com - use code PODCAST for 20% offScripture: Isaiah 40:29FREE 3-DAY LIVE MASTERCLASS - From Stuck to FreeJoin Dr. Tabatha May 26-28 for three live sessions designed for the woman who has done everything right and still doesn't feel well.Day 1 - Your Body Has Been Waiting Day 2 - Turn Your Healing Into Your Calling Day 3 - Why You're Still Not WellLive at 12PM EST. Same Zoom link all three days. Free to attend. Replay available for registered attendees.Register here: masterclass.fasttofaith.com/fromstucktofree

Hey Rockstars! I have another guest with me on the podcast, Connie Nightingale! Connie is a functional health and performance coach specializing in lab interpretation, hormone balance, and total body optimization. Her approach bridges fitness, nutrition, and root-cause health, helping clients go beyond “normal” labs to truly feel their best.Some topics from today's episode include:⭐️Connie's background as a functional health and performance coach specializing in lab interpretation and hormone balance⭐️How lab ranges are based on population data and may not reflect individual health⭐️The significance of testing timing (female hormones and menstrual cycle phases) for accurate interpretation⭐️The value of monitoring trends over time for better health insights and how to spot hidden health issues using lab trends before symptoms appear⭐️The impact of lifestyle on hormone health, especially during menopause and perimenopause⭐️The dangers of overprescribed hormones and the importance of personalized HRT protocols⭐️Starting with lifestyle modifications before medication adjustments⭐️The importance of taking active participation in health—tracking, questioning providers, and understanding lab data⭐️The potential to reverse or improve health conditions through informed actions and lab insights⭐️Key panels: CBC, CMP, lipid profile, thyroid (including TSH, free T3, free T4, antibodies), sex hormones (estrogen, progesterone, FSH, LH)Join the Kickstart Round 14! Kickstart is a guided group coaching experience designed for busy, high-achieving women over 40 who are done with yo-yo dieting and ready to implement proven, sustainable methods for fat loss and strength—tailored to their individual bodies and lifestyles. https://www.rockthatfitness.com/kickstartIf you have a chance, please rate and review the podcast so more women just like you can learn more about the Rockstar way! I appreciate you for your support and love ❤️Connie's Links:Website: https://www.connienightingale.com/Instagram: https://www.instagram.com/conniebegonnie/YouTube: https://www.youtube.com/channel/UC7duTyr-etc9gaobjJC19TAFacebook: https://www.facebook.com/conniebegonnieRock That Fitness Links:⭐️Link to join Rock That Fitness Membership Today https://www.rockthatfitness.com/rock-that-fitness-membership⭐️Join the Rockstar Fit Chicks Weekly Newsletter  https://rockthatfitness.kit.com/e10d0c66eb⭐️Check Out Our Exclusive Offer for Extensive Lab Work with Marek Health ⁠https://www.rockthatfitness.com/rock-that-fitness-marek-health⭐️Head to the Rock That Fitness Instagram Page https://www.instagram.com/rockthatfitness/ ⭐️Music from Uppbeat (free for Creators!):https://uppbeat.io/t/cruen/we-got-thisLicense code: RBWENWHGXSWXAEUE

If you have ever been told your thyroid is "normal" while you are exhausted, gaining weight, losing hair, constipated, freezing cold, and barely making it through the day, this episode is going to hit a nerve. Because the truth is, thyroid care is still failing women in a big way. Too many doctors are only testing TSH, stopping there, and missing the full picture completely. In this episode, I sit down with my friend Dr. Amie Hornaman to talk about why thyroid treatment is still so broken, especially for women in midlife. We go into one of the most important parts of this whole conversation: advocacy. Because when it comes to thyroid health, no one is coming to save you. You have to know what to ask for, what to test, what patterns to look for, and how to push for better care. If you have been dismissed, under-treated, or told your labs are fine while your body is clearly telling a different story, this episode will give you language, clarity, and a much better understanding of what may actually be going on. In this episode, we cover: Why thyroid care has not improved nearly enough for women Why testing only TSH is not enough The thyroid labs women need to ask for What free T3, free T4, reverse T3, TPO, and Tg antibodies actually tell you Why T4-only thyroid medication often does not work well How reverse T3 can put the brakes on your metabolism Why thyroid dysfunction can affect blood sugar, insulin, fertility, and sex hormones The connection between perimenopause, menopause, and new thyroid issues Why many women are being under-medicated for hypothyroidism How to advocate for yourself and find a practitioner who actually understands thyroid care Who this episode is for This episode is for women who suspect they have a thyroid issue, have already been diagnosed with hypothyroidism or Hashimoto's, or have been told their thyroid is "fine" even though they feel anything but fine. It is especially helpful for women in perimenopause and menopause who are dealing with fatigue, weight gain, brain fog, low mood, constipation, hair loss, or feeling like their body has suddenly stopped working the way it used to.   Dr. Amie Hornaman Grab a copy of Dr. Amies NEW BOOK: The Thyroid Fix: The No-Nonsense Guide to Fix Fatigue, Fogginess, and Fat That Won't Budge on Amazon     Sponsors Try Mito Q Hormone and metabolic control mitoq.com/karenmartel Code: MARTEL10 Get 30% off BATCH Gummies. Go to hellobatch.com/HORMONE and use code HORMONE at checkout. Get 15% off Masszymes By BiOptimzers products at bioptimizers.com/hormone with coupon code HORMONE.     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Diagnosis, workup, and the four-step treatment protocol for thyroid storm. Hosts: Annaliese Elam, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Thyroid_Storm.mp3 Download Leave a Comment Tags: Critica Care, Endocrine, Thyroid Storm Show Notes I. Pathophysiology & Diagnosis Definition: Life-threatening hypermetabolic state resulting from decompensated thyrotoxicosis. Hormonal Profile: Absolute levels of total T₄/T₃ often mirror uncomplicated thyrotoxicosis; storm is driven by rapid rate of rise, increased catecholamine sensitivity, or increased free T₄/T₃ concentrations. Clinical Presentation: Hyperpyrexia (e.g., 104.2°F) Tachycardia/Arrhythmias (e.g., 155 bpm) Altered Mentation: Agitation, delirium, or psychosis; often the primary differentiator between “storm” and “compensated” hyperthyroidism Warm, moist skin Precipitating Events: Infection, trauma, or surgery Parturition Abrupt cessation of antithyroid medications Burch-Wartofsky Point Scale (BWPS): ≥ 45: Highly suggestive of Thyroid Storm 25–44: Suggestive of impending storm < 25: Storm unlikely Note: High sensitivity but low specificity; can be skewed by unrelated febrile illness. II. Laboratory & Ancillary Findings Thyroid Panel: Characteristically low TSH with elevated free T₄ and T₃. Metabolic Abnormalities: Mild hyperglycemia (catecholamine-induced insulin inhibition) Mild hypercalcemia Elevated LFTs and leukocytosis Cardiovascular: EKG may show sinus tachycardia or atrial fibrillation with rapid ventricular response. III. Management: The Four-Step Blocking Strategy Step 1: Sympathetic Blockade (Beta Blockers) Agent of Choice: Propranolol Mechanism: Non-selective blockade; in high doses, inhibits peripheral conversion of T₄ to T₃. Dosing: PO: 60–80 mg every 4–6 hours IV: 0.5–1 mg over 10 minutes Critical Pitfall: Avoid in patients with acute decompensated heart failure with systolic dysfunction; risk of cardiovascular collapse. Step 2: Inhibition of Hormone Synthesis (Thionamides) Agent of Choice: Propylthiouracil (PTU) preferred over Methimazole in life-threatening storm. Mechanism: Blocks synthesis of new hormone and inhibits peripheral T₄-to-T₃ conversion (decreases T₃ by ~45% in 24 hours). Dosing: 200–250 mg PO every 4 hours Step 3: Inhibition of Hormone Release (Iodine) Agents: Potassium iodide (SSKI) or Lugol’s solution Critical Timing: Must wait at least 60 minutes AFTER thionamide administration. Rationale: Immediate iodine administration provides substrate for new hormone synthesis (Wolff-Chaikoff effect bypass), potentially worsening thyrotoxicosis. Step 4: Inhibition of Peripheral Conversion & Adrenal Support Agent: Glucocorticoids (Hydrocortisone) Mechanism: Inhibits peripheral T₄ to T₃ conversion and treats potential relative adrenal insufficiency. Dosing: 300 mg IV loading dose, followed by 100 mg IV every 8 hours IV. Supportive Care & Avoidance Measures Hyperpyrexia Management: Acetaminophen is the standard of care Avoid Aspirin: Salicylates displace thyroid hormone from thyroid-binding globulin (TBG), increasing free T₄/T₃ levels Volume Resuscitation: Aggressive IV fluids; patients are often profoundly dehydrated May require 3–5 liters of isotonic crystalloid per 24 hours Take Home Points I. Diagnostic Essentials Clinical Diagnosis: Based on hyperpyrexia, cardiovascular dysfunction, and altered mentation. Key Differentiator: Altered mentation (agitation, delirium, psychosis) is often the sole finding distinguishing “storm” from “compensated” thyrotoxicosis. Burch-Wartofsky Point Scale (BWPS): ≥ 45: Highly suggestive of storm. 25–44: Suggests impending storm. < 25: Storm unlikely. Note: High sensitivity, low specificity (e.g., hyperthyroid + flu can score > 45). Triggers: Infection, trauma, parturition, or abrupt cessation of antithyroid drugs. II. The Four-Step Blocking Strategy Beta Blockade (Propranolol): Dose: 60–80 mg PO q4–6h or 0.5–1 mg IV over 10 min. Action: Blocks symptoms and inhibits peripheral T4 to T3 conversion. Caution: Avoid in acute decompensated heart failure with systolic dysfunction. Thionamides (PTU): Dose: 200 to 250 mg every four hours. (note: some resources suggest a loading dose beforehand) Action: Preferred over methimazole; blocks new hormone synthesis and peripheral T4 to T3 conversion. Iodine (SSKI/Lugol’s): Timing: Must wait ≥ 60 minutes AFTER thionamide dose. Action: Blocks hormone release. Pitfall: Early iodine provides substrate for new hormone synthesis, worsening the condition. Glucocorticoids (Hydrocortisone): Dose: 300 mg IV load, then 100 mg IV q8h. Action: Blocks conversion and provides adrenal support. III. Critical Supportive Care Hyperpyrexia: Use Acetaminophen. NEVER Use Aspirin: Displaces thyroid hormone from binding proteins, acutely increasing free T4/T3 levels. Volume: Aggressive fluid resuscitation; patients may require 3–5 L/day due to profound dehydration. Read More

Andrea Donsky is a registered holistic nutritionist with 20+ years of experience, a published menopause researcher, the co- founder of Morphus, the host of this podcast, Menopause Reimagined, and the author of Nourishing Menopause (Simon & Schuster) and Unjunk Your Junk Food.In this episode, Andrea sits down with Dr. Amie Hornaman, "The Thyroid Fixer," to unpack what happens to your thyroid in perimenopause and menopause. If you've been told your labs are "normal," but you still feel exhausted, foggy, freezing cold, and like your body isn't your own, this conversation is for you. Dr. Amie introduces a term every woman over 40 should know: thyropause.What you'll learn:Why so many perimenopause symptoms are actually undiagnosed thyroid issuesWhat thyropause is and why Hashimoto's often switches on after 40The five thyroid labs to ask your doctor for (and what to do if they refuse)Why T4-only medications like Synthroid may not be enough on their ownHow to find a provider who actually understands thyroid hormone replacementChapters:0:00   Why your thyroid tanks after 40 (thyropause explained)2:00   Welcome back to Menopause Reimagined & meet Dr. Amie Hornaman5:10   What the thyroid actually does (from hair loss to heart rate)8:45   Hypothyroidism vs hyperthyroidism: which one hits women hardest12:00  Thyropause: the perimenopause and Hashimoto's connection16:15  1 in 8 women? Why the real number is closer to 1 in 419:25  Medically gaslit: Andrea's story of being dismissed by her doctor23:40  The thyroid tests your doctor probably isn't ordering (TSH, free T3, reverse T3, TPO, TG)28:30  T3 vs T4: why Synthroid alone may not be enough33:45  Why you can stay on thyroid medication for life (and why that's okay)38:10  Finding the right dose: the trial-and-error reality42:25  Inside The Thyroid Fix book and Fixer Formulas supplements47:00  Where to find Dr. Amie and grab the bookLinks:The Thyroid Fix: The No-Nonsense Guide to Fix Fatigue, Fogginess, and Fat That Won't Budge https://amzn.to/3PrfxvrLearn more about Dr. Amie Hornaman here: https://dramie.com/Send us Fan Mail ======Morphus: Menopause Reimagined

In this episode of Hope Natural Health, Dr. Erin Ellis talked about the common and frustrating disconnect between "normal" thyroid lab results and the very real symptoms of thyroid dysfunction that many women experience. She dives deep into why the standard TSH screening often misses the full clinical picture and explores the hidden gaps in conventional thyroid testing.   In this episode, you will learn: Why TSH is a brain signal not a thyroid hormone and why a "normal" result doesn't mean your thyroid is functioning optimally. How the body struggles to turn T4 (storage) into Free T3 (active hormone) due to stress, gut issues, and nutrient deficiencies. How chronic stress can signal your body to actively block your thyroid receptors. The importance of testing TPO and TG antibodies to catch autoimmune activity that TSH screens completely overlook. Why "average" isn't the same as "optimal" and how tighter functional ranges can help identify the root cause of fatigue, brain fog, and weight stalls. How cortisol, estrogen, and gut health directly influence your thyroid performance.   Resources Mentioned: The "Why Am I So Tired?" Assessment: A 10-minute clinical framework to help identify your hormone patterns: https://whyamisotired.hopenaturalhealth.com/ Book a discovery call for a comprehensive testing and personalized plan: https://hopenaturalhealth.com/   For more on Dr. Erin: Join The Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here: https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Free Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Bookmark Dr. Erin's Website: www.drerinellis.com Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://booking.hopenaturalhealth.com/widget/form/VUubL7MNYELduwQL8ssI

Save your seat in the free Thyroid and Hormone class https://fixyourthyroid.com/natalie  If you are a woman in midlife who has been told everything is fine when you know in your body that something is NOT fine, this episode is going to change everything. I have Dr. Amie Hornaman, The Thyroid Fixer, back on the show, and we are going somewhere we have never gone before. One in eight women will develop a thyroid condition in her lifetime. Eighty-eight percent of us are metabolically unhealthy. And yet most doctors run ONE test, look at one number, tell us we are normal, and send us home with an antidepressant. Meanwhile we are gaining weight, losing our hair, can't sleep, can't think, can't lose a pound to save our lives, and being told it is just stress, just aging, just menopause. Today we are tearing that apart. Dr. Amie saw SEVEN doctors before she was finally diagnosed. She is now licensed to prescribe thyroid and bioidentical hormones in all 50 states and most of Canada. She built the Better Thyroid and Hormone Institute, hosts The Thyroid (and Hormone) Fixer Podcast, and has helped thousands of women globally finally get answers. We go DEEP on: Why the standard TSH-only test misses almost everyone, and the six tests you need to ask for by name THYROPAUSE: Dr. Amie's term for what happens when thyroid dysfunction collides with perimenopause and menopause (and why so many women are being treated for the wrong one) The T4-only medication trap: why Synthroid and levothyroxine fail an estimated 98% of patients Reverse T3, the silent saboteur that blocks your active thyroid hormone from getting into your cells Natural desiccated thyroid, the controversy, FDA scrutiny of animal-derived medications, and where Dr. Amie stands T2: the FORGOTTEN thyroid hormone with 30+ years of research that burns fat at the mitochondrial level, does not suppress your own thyroid, does not jack up your heart rate, does not require a prescription, and is showing up in studies as a potential anti-obesity treatment What Ozempic, Wegovy, and Mounjaro are actually doing to your thyroid (and why some women lose ZERO weight on GLP-1s no matter how high they push the dose) The estrogen, progesterone, testosterone, cortisol, and insulin connection: why you cannot fix the thyroid without addressing the whole hormonal system Antibody-support strategies: gluten elimination, black cumin seed oil, low-dose naltrexone, and thymosin alpha Iodine titration cautions, medical gaslighting, and what to say when your doctor refuses to run the full panel The Monday morning action plan: exactly what to do this week if you suspect your thyroid is the missing piece This is not a thyroid 101 episode. This is the conversation I wish every midlife woman was given the day her labs came back normal. You are not broken. You are not crazy. And you are not alone. Sign up for the free Thyroid and Hormone class https://fixyourthyroid.com/natalie    Connect with Dr. Amie: Podcast: The Thyroid (and Hormone) Fixer Instagram: @dramiehornaman Book: https://thyroidfixbook.com/ Live lab-review class https://fixyourthyroid.com/natalie  Better Thyroid and Hormone Institute: dramiehornaman.com   APPROXIMATE TIMESTAMPS: 00:00 — The medical gaslighting that is keeping midlife women sick 06:00 — The full thyroid panel: the six tests to ask for by name 12:00 — Introducing THYROPAUSE: where thyroid meets menopause 20:00 — How estrogen, progesterone, testosterone, and cortisol all impact your thyroid 28:00 — Why T4-only medication (Synthroid, levothyroxine) fails 98% of patients 34:00 — Natural desiccated thyroid, FDA scrutiny, and individualized dosing 40:00 — T2: the forgotten thyroid hormone that burns fat without touching your gland 48:00 — Who should consider T2 (and why it does not require a prescription) 52:00 — What Ozempic and the GLP-1s are actually doing to your thyroid 58:00 — How to protect your thyroid if you are currently on a GLP-1 62:00 — Lifestyle non-negotiables: morning sun, protein, resistance training, sleep, blood sugar 67:00 — Your Monday morning action plan if you suspect your thyroid is the missing piece   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube   Learn More About Dr. Amie Hornaman  Instagram ➜ https://www.instagram.com/dramiehornaman Website ➜ https://fixyourthyroid.com/natalie      Thank you to our show sponsors:  MITOQ: Take control of healthy aging and longevity. Get 10% off using code NATALIEJILL at checkout on https://www.mitoq.com/  BIOPTIMIZERS: Get the digestive enzymes I take with every meal here https://www.bioptimizers.com/nataliejill Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Today, I'm joined by the incredible Dr. Amie Hornaman, a leading thyroid expert and author of the brand new book, The Thyroid Fix. In our conversation, Dr. Hornaman opens up about her personal struggle with undiagnosed thyroid disease—a journey marked by frustrating medical gaslighting and the dismissive “you're normal” diagnoses from doctor after doctor. She reveals how that experience led her to become a passionate advocate for women (and men) suffering from thyroid dysfunction and a pioneer in holistic, root-cause approaches to healing. Episode Timestamps: Introduction and show purpose ... 00:00:00 Dr. Hornaman's personal story and medical gaslighting ... 00:05:05 Journey to functional medicine and importance of symptom-based care ... 00:11:00 Recognizing key thyroid-related symptoms ... 00:14:51 Wearables and tracking thyroid-related trends ... 00:17:18 Understanding thyropause and hormone fluctuations after 40 ... 00:19:31 Impact of thyroid function on overall longevity and health ... 00:23:43 T4-only medication debate and need for personalized treatment ... 00:36:19 Why T4-only persists in conventional practice ... 00:40:40 T2, metabolism, mitochondrial health, and iodine ... 00:45:21 GLP-1 medications, thyroid optimization, and weight loss stories ... 00:50:16 Personalization of thyroid numbers and treatment ... 00:53:46 Functional versus conventional thyroid lab ranges ... 00:54:59 Thyroid's connection to mood and mental health ... 00:56:42 When lifestyle alone can't restore thyroid health ... 00:58:39 Biggest myth: TSH and T4-only standard of care ... 01:07:59 Our Amazing Sponsors: O₃RACLE by Wizard Sciences — A daily ozonated oil capsule designed to support immune balance, cellular communication, and antioxidant production without clinics, machines, or complicated routines; learn more at wizardsciences.com and use code NAT15 for 15% off. Quantum Upgrade - Supports nervous system balance without wearables or apps—just effortless, 24/7 quantum energy streaming. With 21+ studies showing measurable improvements in stress and cellular function, it's easy to try for yourself. Visit quantumupgrade.io/NAT and use code NAT15 to start the free 15 day trial. MassZymes by BiOptimizers – A full-spectrum digestive enzyme formula with 4x more protease to help break down protein into usable amino acids so your body actually benefits from what you eat—try it risk-free with a 365-day money-back guarantee and save 15% at bioptimizers.com/bionat with code BIONAT. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Dr. Bill Lawrence Episode

In this powerful episode, Dr. Fiona Lovely welcomes back her friend and colleague, Dr. Amie Hornaman—known globally as "The Thyroid Fixer." Dr. Amie is a functional medicine expert, host of the top-rated The Thyroid Fixer podcast, and author of the new book The Thyroid Fix: The No-Nonsense Guide to Reclaiming Your Health. Together, they pull back the curtain on why conventional medicine continues to fail women when it comes to thyroid and hormone health. Dr. Amie shares her journey of being misdiagnosed and how that fueled her mission to help women stop wishing on a rainbow for their health to improve. She explains why relying solely on TSH and T4 is a dangerous gamble, revealing that the real story lies in free T3 and reverse T3. Listeners will learn why T4-only medication like Synthroid often falls short and how to advocate for proper testing and treatment. The conversation also explores the forgotten thyroid hormone T2, its role in burning fat without losing muscle, and how GLP-1 medications intersect with thyroid function. Dr. Amie provides scripted, respectful language for women to use with their doctors, including a powerful "nuclear option" to ensure their concerns are documented. Episode Highlights: Why TSH is a misleading marker and which two tests truly matter for thyroid health. The problem with T4-only medication and why it can backfire. How to approach your doctor without overwhelming them—three bullet points, no life stories. The fascinating role of T2 in metabolism and weight loss. A candid discussion on thyroid nodules, unnecessary surgeries, and patient advocacy. Tune in to learn how to become the CEO of your own health, because waiting for your doctor to catch up is no longer an option.   Thank you to our sponsors for this episode: Women in perimenopause and menopause talk about wanting the same things — less bloating, no afternoon crash after eating, steady energy. MassZymes is perfect for helping your body's ability to actually process what you eat. MassZymes uses a full-spectrum blend of 18 enzymes. That means you're getting more out of the food you eat. Plus, it works across different stomach acid levels, which can really matter as we age. Here's what you get when you go to bioptimizers.com/lovely and use code LOVELY: 15% off your entire order AND a free bottle of Masszymes — BiOptimizers' best-selling digestive enzyme — added to your order automatically when you use our exclusive code.

If you're dealing with fatigue, brain fog, digestive issues, or stubborn symptoms that won't go away… you've probably been told it's your thyroid. So you test your labs. You adjust medication. You try to "optimize" your numbers. And yet… nothing really changes. In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains why many persistent "thyroid" symptoms are not actually driven by thyroid dysfunction but by immune activation and inflammation. You'll learn how your body shifts into a protective, stress-adaptive state under perceived threat, and how those changes directly impact thyroid physiology. What looks like a thyroid problem on paper is often a signal that your system is overwhelmed… not broken. Dr. Balcavage walks through why chasing lab values or suppressing symptoms can leave people stuck in what he calls "thyroid purgatory," and why real progress requires a different approach entirely. If you've been doing all the "right things" but still don't feel like yourself… this episode will help you understand why—and what to focus on instead. What You'll Learn: • Why many thyroid symptoms are driven by immune activation, not thyroid dysfunction • How inflammation and perceived stress change thyroid physiology • Why TSH, free T4, and free T3 don't tell the whole story • What "thyroid purgatory" is and why so many people get stuck there • How the immune system shifts metabolism under stress or threat • Common hidden stressors (infections, toxins, mold, poor sleep, under-eating, overtraining, chronic stress) • Why symptom suppression and lab manipulation often fall short • The connection between stress, metabolism, and hormone disruption • Why building capacity must come before trying to "fix" the system • How to start reducing load and supporting your body in a more effective way Learn More About Dr. Eric Balcavage Dr. Eric Balcavage is the co-author of The Thyroid Debacle and the creator of: • State-Based Medicine™ • The Adaptive Thyroid Model™ • The Strategic Thyroid Solution™ His work focuses on helping patients and practitioners understand thyroid physiology through the lens of metabolic stress, adaptation, and whole-body regulation. Connect With Dr. Eric Balcavage Website: https://www.drbalcavage.com Instagram: https://www.instagram.com/drericbalcavage Facebook: https://www.facebook.com/drericbalcavage YouTube: https://www.youtube.com/@drericbalcavage If you enjoyed this episode, be sure to subscribe, leave a review, and share it with someone who may be struggling with thyroid issues or chronic fatigue.

What if your “slow metabolism” isn't about calories at all… but a hidden thyroid problem nobody has caught yet? In this eye-opening episode of the Metabolic Freedom Podcast, Ben Azadi sits down with renowned thyroid expert Dr. Amie Hornaman to uncover the real connection between thyroid health, stubborn belly fat, fatigue, hormone dysfunction, and metabolic resistance. Dr. Amie explains why millions of people are being told their labs are “normal” while still struggling with weight gain, brain fog, constipation, hair loss, anxiety, and exhaustion. She reveals why standard thyroid testing often misses the real issue, how reverse T3 can completely shut down fat burning, and why many people feel worse even while taking thyroid medication. Ben and Dr. Amie also break down the dangerous myth of “eat less and exercise more,” the truth about fasting with hypothyroidism, why insulin resistance and thyroid dysfunction go hand in hand, and how hidden inflammation, stress, toxins, and gluten may be sabotaging your metabolism. If you've been doing everything “right” and still can't lose weight or feel good, this conversation may finally explain why.

In this episode, I sit down with Dr. Amie Hornaman, also known as the Thyroid Fixer, to unpack the real reasons so many people struggle with fatigue, weight gain, brain fog, and hormone imbalances without getting clear answers. We dive into her personal journey of being misdiagnosed multiple times, what finally led her to answers, and why so many patients today are still being overlooked in traditional medicine. Together, we discuss what is actually happening beneath the surface when it comes to thyroid function, including the critical difference between T4 and T3, the role of reverse T3, and why a one-size-fits-all approach to treatment often falls short. I also ask the questions so many of you are wondering like how to advocate for yourself with your doctor, what labs truly matter, and how to know if your current treatment is actually working.  Topics We Cover in This Episode:  Why “normal labs” might not mean optimal thyroid function The hidden reason some people never feel better on standard thyroid medication What your body may be doing instead of converting thyroid hormone properly The overlooked factors that could be sabotaging your energy and metabolism Why some people thrive on certain thyroid treatments while others don't How stress, gut health, and nutrients quietly influence your thyroid What most doctors were never taught about thyroid optimization The signs your body is trying to tell you something deeper is off Resources & Links Dr. Amie's Links Facebook: Amie Hornaman Nutrition and Functional Medicine YouTube: Dr. Amie Hornaman Instagram: @dramiehornaman Thyroid Optimization Guide: https://health.dramie.com/thyropause  7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter  Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin 

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with thyroid and hormone specialist Dr. Amie Hornaman to dismantle the standard of care that is leaving millions of women dismissed, misdiagnosed, and under treated. They cover what the full thyroid panel actually looks like, why T4-only therapy fails the vast majority of patients, and how the thyroid is connected to every other hormone system in a woman's body.What happens when a competitive athlete starts gaining weight, losing hair, and can't get a single doctor to take her seriously? Dr. Amie found out in her 20s with 40 pounds of unexplained weight gain, six doctors, six dismissals, and one mentor who finally ran the right tests and changed the course of her life and career. If you've ever been told your thyroid is fine while your body is telling you otherwise, this is the episode you've been waiting for.What You'll LearnWhy testing TSH alone is not a thyroid workup and what the five markers are that actually tell the full storyWhat free T3, free T4, and reverse T3 mean and why reverse T3 is the most dismissed marker in the panelWhat thyroid antibodies TPO and TGA reveal about Hashimoto's and why your doctor's normal range is meaninglessWhy 95% of hypothyroid cases are Hashimoto's and why your antibodies may already be elevated even if your doctor says they are notWhy your GLP-1 will stop working if your thyroid is not optimized firstHow estrogen dominance low progesterone high cortisol insulin resistance and low ferritin all interfere with thyroid functionWhy your insurance-based doctor cannot give you proper thyroid care even if they want toWhat the FDA's move against natural desiccated thyroid is really about and who benefitsWhy testosterone is protective against breast cancer and why women are being denied access to itWhat it actually feels like when your thyroid is optimized and how Dr. Amie gets patients thereEpisode Timeline:00:00 Show Intro01:08 How Dr. Amie Became Dr. Jenn's North Star05:02 Pain to Purpose: 40 Pounds and Six Dismissals08:37 Where Conventional Medicine Gets It Wrong16:58 Why Thyroid Disease Is at Epidemic Levels19:14 The Full Thyroid Panel You Actually Need36:43 Why T4-Only Therapy Fails Almost Everyone40:27 The Hormonal Web Nobody Is Addressing45:32 What Thyroid Optimization Actually Looks Like52:22 The FDA Threat to Natural Desiccated Thyroid59:42 Dr. Jenn's Testosterone Gatekeeping Story01:05:22 The Importance of Prevention in HealthcareFind Dr. Amie Hornaman Website: dramie.com | Book: thyroidfixbook.comTo talk to a member of Dr. Jenn's team and learn more about working privately with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Today, I am thrilled to reconnect with my friend and colleague, Dr. Amie Hornaman, also known as the Thyroid Fixer. She is the founder and CEO of the Advanced Thyroid and Hormone Clinic, host of the Thyroid Fixer podcast, and a sought-after speaker and author. In today's conversation, we discuss her brand-new book, The Thyroid Fix, and explore the current thyroid-related silent epidemic. We dive into mitochondrial dysfunction, thyroid optimization, and the significance of reverse T3, also unpacking the symptoms that impact your digestion and hypothyroidism, environmental triggers, oral contraceptive use, and how it increases your susceptibility and risk for developing hypothyroidism. We also examine natural desiccated thyroid, the effects of iodine supplementation, and Dr. Hornaman shares her top three lifestyle strategies for a healthy thyroid. This is a truly insightful and helpful conversation, especially for those in my community who are struggling with an underactive thyroid- myself included. Stay tuned for more. IN THIS EPISODE, YOU WILL LEARN: How women with hypothyroidism are often misdiagnosed or medically gaslit Why Dr. Hornaman believes that the actual number of Americans with hypothyroidism may be far higher than current statistics suggest What reverse T3 is and why it increases when we are stressed How thyroid function impacts the way that cells produce energy How a low-functioning thyroid can slow digestion and cause constipation Why do some women require more personalized thyroid treatment than standard T4 therapy? How environmental toxins can disrupt thyroid health Why long-term oral contraceptive use could increase the risk of hypothyroidism Some simple lifestyle habits and biohacks to improve stress resilience in women with thyroid dysfunction Bio: Dr. Amie Hornaman Dr. Amie Hornaman, known as The Thyroid Fixer, is the founder of the Advanced Thyroid and Hormone Clinic and host of the top-rated podcast The Thyroid Fixer. She is the author of the thyroid bible, The Thyroid Fix, the last thyroid book you'll ever need to understand fatigue, fogginess, and stubborn weight. Driven by her own experience with misdiagnosis, Dr. Amie helps people optimize their thyroid, reclaim their health, and step fully into the badass humans they were meant to be. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow  Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Amie Hornaman On her website Pre-order a copy of The Thyroid Fix  

Thyroid Symptoms, Normal Labs, and Root Causes: Dr. Kevin Smith on Hashimoto's, Functional Medicine, and Chronic Conditions | Conversations with a Chiropractor Episode Description In this episode of Conversations with a Chiropractor, Dr. Stephanie Wautier sits down with Dr. Kevin Smith, a functional medicine practitioner and founder of the Chronic Conditions Center in Pittsburgh, Pennsylvania. Dr. Smith specializes in helping people better understand the root causes behind chronic health problems, including thyroid dysfunction, gut issues, autoimmunity, chronic pain, inflammation, peripheral neuropathy, insulin resistance, and other complex conditions. This conversation focuses heavily on thyroid health, especially the frustration many people feel when they have symptoms of hypothyroidism, but are told their labs are "normal." Dr. Smith explains why thyroid symptoms can involve far more than a simple TSH reading, and why many cases of hypothyroidism may be connected to Hashimoto's disease, an autoimmune condition that affects the thyroid. Stephanie and Dr. Smith talk through common thyroid symptoms, including fatigue, hair loss, weak nails, digestive changes, sleep issues, brain fog, mood changes, infertility, and skin problems. They also discuss why a deeper look at the body may include the immune system, gut health, liver function, blood sugar, cortisol, sex hormones, inflammation, food sensitivities, unresolved infections, and nutrient status. The episode also explores the difference between managing symptoms and looking for the underlying reasons a person may not feel well. Dr. Smith shares how he uses detailed intake forms, comprehensive lab testing, metabolic questionnaires, food sensitivity testing, lifestyle changes, nutrition, supplements, and retesting to help patients better understand what is happening in their body. This conversation is educational and is not a replacement for personal medical care. If you are dealing with thyroid symptoms, autoimmune concerns, medication questions, or chronic health issues, work with a qualified healthcare provider who can evaluate your individual situation. In This Episode, Discover Common symptoms of hypothyroidism and low thyroid function Why "normal labs" may not tell the whole story The connection between Hashimoto's disease and thyroid dysfunction Why Dr. Smith describes many thyroid issues as immune system issues How the brain, pituitary gland, thyroid, liver, gut, and carrier proteins all play a role in thyroid function Why every cell in the body depends on thyroid hormone for energy regulation How chronic inflammation, blood sugar issues, cortisol, sex hormones, food sensitivities, and infections may affect thyroid physiology Why comprehensive lab testing may reveal patterns missed by basic panels The difference between food allergy testing and food sensitivity testing How lifestyle changes, nutrition, supplements, and retesting fit into functional medicine care Why patients may need to take a more active role in understanding their health Stay Connected & Explore Learn More About Dr. Kevin Smith & Metabolic Solutions: Dr. Kevin Smith / Metabolic Solutions: https://www.metabolicsolutions.net/ Free 2-Minute Metabolic Health Assessment: https://www.metabolicsolutions.net/metabolic-scorecard/ Chronic Conditions Center: https://www.chronicpa.com/ Connect with Conversations with a Chiropractor: Follow Us on YouTube: http://www.youtube.com/@ConversationswithaChiro Follow Dr. Stephanie on Facebook: https://www.facebook.com/wautierwellness Email for show-related inquiries and sponsorships: drstephaniewautier@yahoo.com Want to be a guest on Conversations with a Chiropractor? Send Stephanie Wautier a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/drstephanie Credits Podcast production by Brand|Sound. Start your podcast journey by emailing brandsoundpodcasts@gmail.com. Chapters 00:00 Introduction to Conversations with a Chiropractor 00:56 Meet Dr. Kevin Smith 01:55 Why Thyroid Health Is the Focus 02:15 Common Symptoms of Hypothyroidism 04:01 When Symptoms Persist but Labs Look Normal 05:13 Looking Beyond Basic Thyroid Testing 05:47 Hashimoto's Disease and Autoimmunity 07:15 Why the Immune System Matters in Thyroid Health 08:25 Thyroid Medication, Unresolved Symptoms, and the Bigger Pathway 09:04 The Brain, Pituitary Gland, TSH, T3, and T4 10:37 The Thyroid as the Body's Energy Regulator 11:48 Brain Fog, Mood, Gut Symptoms, and Cellular Energy 13:16 Triggers That Can Disrupt Thyroid Physiology 15:13 Hypothyroidism vs. Hyperthyroidism 16:14 Intake Forms, Questionnaires, and Foundational Labs 18:14 What Dr. Smith Looks for in Lab Work 19:53 Insurance, Coverage, and the Limits of Symptom Management 22:29 Managing Symptoms vs. Looking for Root Causes 23:30 Patients Who Feel Like They Are Out of Options 25:24 Medication Side Effects and Patient Education 27:26 Dr. Google, Food Testing, and Objective Data 29:36 IgG, IgE, and Food Sensitivity Testing 31:48 Delayed Reactions and the Long-Fuse Firecracker Analogy 34:43 Celiac Disease, Crohn's, Colitis, and Autoimmune Patterns 35:48 Treatment Through Lifestyle, Nutrition, and Supplements 37:51 Affordability, Priorities, and Investing in Health 40:23 Owning Your Health and Understanding the Problem 43:26 Chiropractic, Functional Medicine, and Knowing the Right Tool 45:11 How to Find Dr. Kevin Smith 46:26 Working With Patients Outside Pennsylvania 47:34 Final Thoughts and Closing

Low T3 Isn't a Conversion Problem… It's a Protective Response If your thyroid labs show low free T3 and high reverse T3, you've probably been told your body isn't converting thyroid hormone properly. So the solution becomes: add more T3, adjust medication, and try to "optimize" your numbers. But what if your body is doing exactly what it's supposed to do? In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains why low T3 and elevated reverse T3 are often signs of intentional, regulated metabolic downshifting… not dysfunction. You'll learn why thyroid hormone conversion is controlled at the tissue level, how your current physiological state influences what your body does with thyroid hormone, and why treating lab numbers without context often leads to temporary relief instead of long-term results. Dr. Balcavage also breaks down the difference between total and free thyroid hormones, how medication timing can skew lab results, and why ratios only matter when you understand the bigger picture. If you've been chasing "optimal" thyroid numbers but still feel tired, stuck, or unable to lose body fat… this episode will help you understand what your body is actually doing—and why forcing it to do more may be working against you. What You'll Learn: • Why low free T3 and high reverse T3 are often protective responses • The difference between total vs. free T4 and T3 (capacity vs. availability) • How thyroid conversion is regulated by deiodinase enzymes at the tissue level • Why reverse T3 is not a blocker, but a signal of adaptation • How your physiological "state" (resilient, strained, overloaded) impacts metabolism • Why adding more T3 often creates short-term relief, not long-term resolution • How medication timing can distort thyroid lab results • Why lab ratios require proper clinical context • The connection between metabolic demand, stress, and energy production • Where to focus instead: reducing demand and rebuilding capacity (sleep, nutrition, stress) Learn More About Dr. Eric Balcavage Dr. Eric Balcavage is the co-author of The Thyroid Debacle and the creator of: • State-Based Medicine™ • The Adaptive Thyroid Model™ • The Strategic Thyroid Solution™ His work focuses on helping patients and practitioners understand thyroid physiology through the lens of metabolic stress, adaptation, and whole-body regulation. Visit www.drericbalcavage.com to learn more.   Connect With Dr. Eric Balcavage Website: https://www.drbalcavage.com Instagram: https://www.instagram.com/drericbalcavage Facebook: https://www.facebook.com/drericbalcavage YouTube: https://www.youtube.com/@drericbalcavage If you enjoyed this episode, be sure to subscribe, leave a review, and share it with someone who may be struggling with thyroid issues or chronic fatigue.

In this powerful episode, Lisa Fischer sits down with Dr. Amie Hornaman to uncover why so many women are still misdiagnosed, dismissed, or improperly treated for thyroid conditions. From rapid weight gain and medical gaslighting to ineffective treatments like T4-only medications, Dr. Amie shares her personal journey and the science behind what actually works.     You'll learn why standard care often fails, the critical role of T3, and how to advocate for yourself when doctors won't listen. They also dive into the connection between thyroid health, hormones, metabolism, and even autoimmune conditions like Hashimoto's and PCOS.     If you've ever been told "your labs are normal" but still feel exhausted, this episode will open your eyes—and give you actionable solutions to finally feel like yourself again.    

In this podcast interview with Dr. Amie Hornaman, I dive into thyroid health, hypothyroidism, and Hashimoto's, uncovering why so many people feel fatigued, gain weight, and struggle with brain fog despite being told their labs are “normal.” We break down T3 vs T4, root causes of thyroid dysfunction, and the exact functional medicine strategies that actually restore metabolism and energy.I just released another video that walks you through exactly how to lose weight rapidly without wrecking your hormones or crashing your energy.Watch it here: ⁠https://youtu.be/iSpdK2vNjP0⁠GET A CUSTOMIZED WEIGHT LOSS PLAN: Have a free 1-on-1 call with our Expert Nutritionists

Esta madrugada, el MET, el Museo Metropolitano de Arte de Nueva York, ha celebrado su gala benéfica anual para recaudar fondos para el Costume Institute. Por ello, hemos invitado a Inés Lorenzo, directora de Vogue España, para que nos desvela los entresijos tanto del gran evento, como de la alfombra roja previa, que reúne a las celebridades en las emblemáticas escalinatas del museo. También hemos hablado con Carlos Lamela, uno de los arquitectos más prestigiosos de España y cofundador del estudio Lamela, responsable proyectos reconocidos a nivel internacional como el diseño de la T4 de Barajas o una de las remodelaciones del estadio Santiago Bernabéu.

This podcast episode gives nurses a practical, easy-to-apply overview of common thyroid disorders, focusing on how to recognize and manage both hypothyroidism and hyperthyroidism in clinical practice. It reviews key differences in presentation—such as fatigue, weight gain, and cold intolerance in hypothyroidism versus weight loss, tachycardia, and heat intolerance in hyperthyroidism—while connecting these symptoms to underlying physiology. Nurses will learn important medication considerations, including proper administration of levothyroxine and monitoring for adverse effects with methimazole. The episode also highlights critical safety topics like recognizing thyroid storm, interpreting lab values (TSH, T3, T4), and providing effective patient education. With real-world clinical pearls, this episode helps nurses build confidence in managing thyroid conditions across care settings. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!

Formula 1 presenter Steve Jones is the latest guest on a brand new series of the award-winning podcast Fuelling Around. The 49-year-old is best known for being the main presenter of Channel 4's coverage of Formula 1 and previously hosted shows such T4 and X factor USA.Steve joined Vicki and Dave to explain how he likes everything to be just right about his cars, and how he's managed to write 3 books while on the road with the F1 circus!

Most disciplined executives and entrepreneurs aren't struggling with fat loss because of effort or willpower. They're struggling because they're out of sequence—jumping straight to peptides, compounds, and advanced protocols before the three biological levers that actually drive fat loss are even stable.In this episode, Julian Hayes II breaks down the exact three mechanisms that determine whether your body gets lean and stays lean—and how to pull each one in the right direction before layering in anything advanced.You'll walk away understanding why fat loss is a sequencing problem, not a knowledge problem, and what it actually looks like to build a metabolic foundation that performs the way your business does. For executives and entrepreneurs operating in high-stakes environments, this episode connects biology directly to business performance.— Episode Chapter Big Ideas (timing may not be exact) —0:00 – Why disciplined high performers still don't look the part 1:57 – The three biological levers behind sustainable fat loss2:51 – About Julian and Executive Health3:26 – Who this conversation is actually for 4:49 – Lever 1: Nutrient Partitioning: where do your calories actually go?6:04 – The capital allocation analogy: investing in lean tissue vs. storing fat6:50 – The four factors that determine partitioning efficiency12:26 – Practical foundation: how to optimize partitioning before going advanced13:19 – Earning your carbs: the Charles Poliquin philosophy15:30 – GLP-1 receptor agonists and nutrient partitioning15:49 – Testosterone and hormonal optimization: Why hormones make everything go18:06 – Lever 2: Recovery Signaling: Where most high performers self-sabotage19:09 – What recovery signaling actually controls in a deficit19:33 – Cortisol21:02 – Growth hormone22:07 – Thyroid conversion: the T4 to T3 problem nobody talks about24:15 – HRV: your autonomic nervous system's engine light27:07 – Practical recovery: sleep timing and maximizing slow-wave GH pulses28:53 – Protein in a deficit: the primary defense against muscle loss29:39 – Electrolytes, magnesium, and why micronutrients matter more on GLPs32:51 – Advanced layer: CJC-1295 and Ipamorelin34:17 – Exogenous HGH: beyond bodybuilding34:54 – BPC-157 and TB-500: the gateway peptides for recovery35:58 – The 90/95 rule: foundation is the work, advanced tools are the amplifier36:34 – Lever 3: Appetite and Energy Regulation: the compliance lever37:22 – Why fat loss is a compliance problem, not a knowledge problem37:34 – Food noise is biological, not psychological38:51 – What poor appetite regulation actually costs executives40:24 – How aggressive deficits suppress testosterone41:15 – Performance as the feedback loop for energy regulation43:00 – Fiber, gut health, and natural GLP-1 secretion44:06 – Meal timing and circadian biology46:52 – Advanced layer: Semaglutide, Tirzepatide, and Retatrutide explained50:30 – Muscle loss, GI risk, and why lifestyle habits are the real variable51:24 – Genetics and fat loss52:47 – Low-dose Naltrexone54:19 – Thymosin Alpha-1 and emerging peptide research on energy regulation55:36 – Tying it all together: Foundation First, Amplification Second57:01 – The cost of skipping a sequence59:05 – The executive case for fat loss beyond aesthetics1:01:30 – How to work with Julian privately— Connect with Julian and Executive Health —LinkedIn — https://www.linkedin.com/in/julianhayesii/X — https://x.com/thejulianhayesReady to take your health, leadership, and performance to the next level? Book an exploratory call —https://www.executivehealth.io/contactWebsite — https://www.executivehealth.io/***DISCLAIMER: The information shared is not meant to treat or diagnose any condition. This is for educational, informational, and entertainment purposes. The content here is not intended to replace your relationship with your doctor and/or medical practitioner. Consult your provider before making any decisions.

Your metabolism slowing down in midlife isn't just about age.If your energy is lower, your weight isn't responding, and things that used to work no longer do… this may be a signaling issue, not a failure.In this episode, Janell explains how your thyroid regulates metabolism, why many women are told everything looks “normal” while still feeling off, and how stress, gut health, and environment all influence energy and weight.This conversation helps you move out of frustration and into understanding—so you can start supporting your body in a way that actually works.In This Episode, You'll Learn:• Why metabolism changes in midlife aren't just about age• How the thyroid regulates energy and weight• Why TSH alone doesn't tell the full story• The importance of T4 to T3 conversion• How stress and gut health impact metabolism• Why symptoms can persist even with medicationNext Step:If this conversation is resonating and you're starting to see that your metabolism might be responding to something deeper… there are two simple ways to move forward.If you're not quite sure what your body is doing yet, start with the Hormone Clarity Quiz:https://www.thetransformationlife.com/hormonequizIt will help you identify which pattern your body is primarily running right now.And if you're ready to begin supporting your metabolism in a more structured way, the Metabolic Jumpstart walks you through how to stabilize blood sugar, support your nervous system, and rebuild energy step by step:https://www.thetransformationlife.com/metabolic-jumpstartBecause this isn't about doing more…it's about doing what your body actually needs.

Why Thyroid Medication Rarely Fixes Fatigue Many people struggling with fatigue are told the same thing: your thyroid must be low. And if thyroid hormone controls metabolism, then increasing thyroid medication should restore energy… right? But thousands of patients discover something confusing. Their thyroid labs improve after starting medication, yet the fatigue remains. In some cases, the exhaustion actually gets worse. In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains why thyroid medication often fails to resolve fatigue and what may actually be driving low energy levels in the body. You'll learn why fatigue is often not caused by a simple thyroid hormone deficiency, why reduced T4-to-T3 conversion may be an adaptive response, and how metabolic capacity—not just hormone levels—determines how much energy your body can produce. Dr. Balcavage also breaks down the three most common thyroid treatment traps, explains why lab values can be misleading, and shares the better questions patients and practitioners should be asking when fatigue persists despite "optimized" thyroid labs. If you've been chasing lab numbers while still struggling with exhaustion, this episode will help you understand the deeper physiology behind thyroid fatigue and why restoring metabolic capacity is often the real solution. Learn More About Dr. Eric Balcavage Dr. Eric Balcavage is the co-author of The Thyroid Debacle and the creator of: • State-Based Medicine™ • The Adaptive Thyroid Model™ • The Strategic Thyroid Solution™ His work focuses on helping practitioners and patients better understand thyroid physiology, metabolic stress, and the root causes behind chronic health conditions. Resources Website: https://www.drericbalcavage.com Instagram: https://www.instagram.com/drericbalcavage To receive the Thyroid Labs Decoded guide, send Dr. Balcavage a DM on Instagram with the word LABS or request it through the contact form on the website.

What if “normal labs” aren't the same as feeling normal? In this eye-opening episode, we break down thyroidmaxxing—a smarter, more personalized approach to optimizing hypothyroidism treatment that goes far beyond the standard one-size-fits-all model. Because while medications like levothyroxine are considered the gold standard, many patients still struggle with fatigue, weight gain, and brain fog—even when their labs look “fine.”We explore what it really means to optimize your thyroid—from dialing in the right medication (T4, T3, or combination therapy) to identifying your optimal lab ranges, not just “in range.” You'll also learn how factors like stress, nutrition, metabolism, and even other hormones can make or break how you feel day to day—and why a truly effective treatment plan must be individualized to your body.If you've ever been told “your labs are normal” but still don't feel like yourself, this episode is your roadmap. 

What a day for Rory McIlroy (-12). He jumps out to a six-shot lead over Sam Burns (-6) and P. Reed (-6) while Shane Lowry (-5), Tommy Fleetwood (-5), and Justin Rose (-5) sit at T4. We walk you through all of the day's action: Stories of the Day, Down the Leaderboard, Big's Top 10, on-site observations with Soly & Neil, news & notes, and a whole bunch more! Presented by Titleist. Titleist - #1 Ball in Golf High Noon - Sun's Up! Arccos - NLU15 for 15% off at https://www.arccosgolf.com/ Looking to travel this year, check out East Sands Golf Co.: https://www.eastsandsgolf.co/nlu Join us in our support of the Evans Scholars Foundation: https://nolayingup.com/esf The NLU email newsletter: bi-monthly updates on all things NLU: https://newsletter.nolayingup.com/subscribe Join The No Laying Up Nest: https://nolayingup.com/join Learn more about your ad choices. Visit megaphone.fm/adchoices

Writer, comedian, and actor Olivia Lee (Balls of Steel, T4, The Tonight Show with Jay Leno) and writer, actor, podcaster, and comedian Cariad Lloyd (Griefcast, Sara & Cariad's Weirdos Book Club podcasts, Austentatious, and new book Where Did She Go?) for an episode that asks, where even are the neurotypicals?Cariad shares about her days doing character comedy, specifically her alter ego the Sanitary Bag Lady - a woman dressed as a bathroom disposal bag who screams at men about periods - and the night a man in the audience stood up to fight her. Olivia tells us about a perimenopause-induced sleep crisis, a celebrity neighbour's black market melatonin, and no memory of whether she'd dropped her children off at school.Jameela tells the stories of a lamp falling out of the sky and splitting her head open at 19, her caffeine withdrawal hallucinations during her own T4 days, and why marshmallow crocodiles will always be her #1.Plus high speed childbirth, music festival flatulence, 50 hour marathon improv psychosis, and a husband who was still holding his salt beef sandwich when the crash team arrived.You can find Cariad on Instagram at @cariadlloyd. Austentatious perform regularly in London's West End and on tour. Cariad's new children's book Where Did She Go? is out in May 2026 and available for pre-order now.You can find Olivia on Instagram at @olivialeetv. Her special, Mindful Mum "was the first album of its kind, featuring x-rated angry meditation tracks." She is currently performing live comedy, writing scripts and staying away from Planet Organic.Jameela's Substack is A Low Desire To Please, you can also find her on Instagram, TikTok and YouTube.Our consulting producer is Colin Anderson.Wrong Turns was created and produced by Jameela Jamil and Stewart Bailey. Hosted on Acast. See acast.com/privacy for more information.

Your thyroid controls your energy, your metabolism, your testosterone, your mood, and your ability to think clearly. Most doctors are testing it wrong and treating it wrong, and this episode tells you exactly what to do instead. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with McCall McPherson, a physician associate, TEDx speaker, and founder of Modern Thyroid Clinic, Modern Weight Loss, and the advocacy platform Thyroid Nation. McPherson has been honored on the 2024 and 2025 Inc. 5000 lists and named a 2025 Top 500 Inc. Female Founder. She hosts the Modern Thyroid and Wellness podcast and built her entire practice around thyroid care after being failed by conventional medicine while managing her own hypothyroidism. She treats patients nationwide via telemedicine and has become one of the most trusted voices in functional medicine thyroid care. Dave and McCall expose why standard TSH-only testing catches just 1 to 2 percent of actual thyroid variation, why the medication most doctors prescribe (Synthroid/levothyroxine) fails a massive percentage of patients, and why T3 is the active hormone that mainstream medicine has been trained to fear without good reason. They also get into how fluoride in tap water, bromine in American wheat, mold exposure, dairy, gluten, and oxalates directly suppress thyroid function and drive autoimmunity. If you want to optimize your metabolism, protect your mitochondria, support brain optimization, and stop leaving your longevity on the table, thyroid is the first domino. This is essential listening for anyone serious about biohacking, human performance, anti-aging, functional medicine, supplements, sleep optimization, and using smarter not harder strategies to take control of your biology. You'll Learn: Why testing TSH alone misses thyroid dysfunction in the vast majority of people What a full thyroid panel actually includes and the optimal ranges for T4, T3, and reverse T3 Why T4-only medications like Synthroid fail and what works better How low thyroid directly tanks testosterone and libido in both men and women The environmental triggers destroying your thyroid, including fluoride, bromine, mold, and inflammatory foods How Hashimoto's connects to broader autoimmune risk and what drives it into remission Why kids are being misdiagnosed with ADHD when the real issue is hypothyroidism The supplements and cofactors (selenium, zinc, magnesium, ashwagandha, tyrosine) that support thyroid activation How thyroid optimization connects to metabolism, dementia prevention, cardiovascular health, and economic outcomes When to use T3 only vs. a T3/T4 combination, and how to know if your dose is off Thank you to our sponsors! TRU KAVA | Head to trukava.com and use code DAVE10 for 10% off. BEYOND Biohacking Conference 2026 | Register with code DAVE300 for $300 off https://beyondconference.com Our Place | Stop cooking with toxic cookware and upgrade to Our Place today. With a 100-day risk-free trial, plus free shipping and returns, you can experience this game-changing cookware with zero risk. Visit: fromourplace.com/DAVE Use code: DAVE for 10% off sitewide Puori | Go to Puori.com/DAVE or use code DAVE at checkout to get 32% off your Puori Fish Oil subscription. You save more than $18. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: McCall McPherson, Modern Thyroid Clinic, thyroid testing wrong, full thyroid panel, free T3, reverse T3, Synthroid failure, T3 vs T4, Hashimoto's remission, fluoride suppresses thyroid, thyroid low testosterone, thyroid ADHD, thyroid depression, hypothyroidism misdiagnosis, thyroid and metabolism, thyroid hair loss, functional medicine thyroid Resources: • Learn More About McCall's Work At: https://www.modernthyroidclinic.com/ • Get McCall's Thyroid Guide: https://gift.modernthyroidclinic.com/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 01:05 – Intro & Guest Background 02:26 – Dave & McCall's Thyroid Stories 05:26 – How Thyroid Hormones Work 12:51 – Why T4-Only Meds Fall Short 23:05 – Why Thyroid Dysfunction Is So Common 23:59 – Fluoride, Bromine & Environmental Triggers 26:39 – Thyroid & Low Testosterone 27:31 – Optimal Lab Ranges for TSH, T4 & T3 36:58 – Mold, Hashimoto's & Autoimmunity 44:44 – Thyroid, ADHD & Mental Performance 49:38 – Supplements for Thyroid Support 51:52 – Vitamin D & Circadian Rhythms 56:30 – T3 Safety Myths & Medical Misinformation 1:00:16 – Key Takeaways & Where to Get Help See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.