Thyroid Care

Hypothyroidism is an underactive thyroid, meaning the thyroid does not produce enough thyroid hormone. It can cause fatigue, weight gain, cold intolerance and other symptoms, and is diagnosed with blood tests.

Hashimoto's is an autoimmune condition in which the immune system attacks the thyroid. It is a common cause of hypothyroidism and is identified with thyroid antibody testing.

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

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

T4 and T3 are the main thyroid hormones. T4 is converted to the more active T3 in tissues. Free T4 and free T3 measure the active, available portions.

Reverse T3 is an inactive form of T3. It is sometimes measured when symptoms persist despite normal standard thyroid tests, though its clinical meaning is debated.

Antibodies such as TPO and thyroglobulin antibodies help identify autoimmune thyroid disease such as Hashimoto's, which is a common cause of hypothyroidism.

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. Complex cases are coordinated with endocrinology.

Options may include levothyroxine (T4) and, when appropriate, combination T4 and T3 therapy. Medications are prescribed only when appropriate after an evaluation.

Many thyroid cases can be managed in primary care settings. When thyroid disease is complex, severe or not responding as expected, coordination with an endocrinologist is recommended.

Labs are repeated at intervals and doses are adjusted based on your 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.