Testing the Thyroid can be controversial and confusing as most physicians usually only test TSH to determine thyroid function. They have been trained that it is not usually necessary to do any further testing causing many people become discouraged. They have a normal TSH but continue to have low thyroid symptoms. Additional testing of T4, T3, and reverse T3 is also necessary to fully assess thyroid function. Additionally, testing of thyroid antibodies, TPO and Anti-TG can indicate autoimmune disease. Completion of a thorough patient history along with individualized lab testing are essential to individualize a treatment plan. Everything must be balanced to treat the thyroid conditions properly.
The most important thing to remember with treatment of thyroid disease is to treat each person as an individual. Thyroid disease can’t be approached as a one size fits all therapy. Screening for adrenal dysfunction and unbalanced sex hormones must be done at the same time as screening and testing for thyroid disease. A complete treatment plan is going to also address diet, nutritional deficiencies, stress reduction and toxicity in addition to thyroid replacement medications.