Hypothyroidism

Hypothyroidism is an underactive thyroid that does not produce enough thyroid hormone. It causes symptoms like fatigue, weight gain and cold intolerance, and is diagnosed with blood tests.

The most common cause is Hashimoto's thyroiditis, an autoimmune condition. Surgery, radiation, medications and iodine issues can also cause it.

Fatigue, weight gain, feeling cold, dry skin, hair thinning, constipation, low mood, brain fog and muscle aches are common. Symptoms develop gradually.

Diagnosis is based on blood tests, typically an elevated TSH with low free T4, along with symptoms. Antibody tests identify autoimmune causes.

TSH is thyroid-stimulating hormone, made by the pituitary to signal the thyroid. It is the usual first-line test but does not tell the whole story alone.

A full panel typically includes TSH, free T4, free T3, reverse T3 and thyroid antibodies, giving a more complete picture than TSH alone.

Hashimoto's is an autoimmune condition in which the immune system attacks the thyroid. It is the most common cause of hypothyroidism in the United States.

Levothyroxine (T4) is the standard treatment, and combination T4 and T3 therapy may be considered when appropriate. Medications are prescribed only after evaluation.

T4 is the main hormone the thyroid produces, and it converts to the more active T3 in tissues. Some people do better on T4 alone, while others benefit from combination therapy.

Individual results vary. Many people notice improvement within weeks of reaching the right dose, but finding the optimal dose can take time and repeat testing.

Yes. Evaluation, labs and medication management work well by video visit, in states where Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM holds an active license.

Hypothyroidism can slow metabolism and contribute to weight gain, and treatment often helps. Weight changes are multifactorial, so the plan looks beyond thyroid labs alone.

Yes. Thyroid health matters during pregnancy, and thyroid medication needs can change. Anyone planning pregnancy or pregnant should have thyroid levels checked and managed carefully.

Labs are repeated at intervals and doses are adjusted based on results and symptoms. Follow-up visits track how you are feeling.

Vitality Medicine RX is fee-for-service and does not bill insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and superbills are available on request.

Book a discovery call. We will confirm your state, review your symptoms and history, and outline the next steps.