Why You're Still Hypothyroid Even With Normal Labs (And What to Test Instead)
Tue Jan 27 2026
You're exhausted. Your hair is thinning. You can't lose weight no matter what you do. You're cold all the time, your brain feels foggy, and you just don't feel like yourself anymore. So you go to the doctor, convinced something is wrong with your thyroid—and they run a TSH test and tell you everything is "normal."
But you're not fine. You know something is off.
Here's the truth: your body might be screaming "hypothyroid" while your labs say "normal." And that's not because you're imagining things—it's because standard thyroid testing was designed to catch advanced disease.
In this episode, we'll discuss what conventional thyroid testing misses. You'll discover why TSH alone is not an accurate indicator of thyroid health, how your body might be failing to convert T4 into usable T3, what reverse T3 reveals about chronic stress, and why your gut health and oral microbiome might be sabotaging your thyroid function.
You'll learn:
The 6 thyroid tests you should actually be requesting (beyond TSH) How stress, gut dysfunction, and nutrient deficiencies block thyroid hormone from working—even when levels look "normal" Why the gut-thyroid connection is one of the most overlooked factors in thyroid health The emerging role of short-chain fatty acids and the oral microbiome in thyroid function What "optimal" ranges really mean (versus standard reference ranges) If you've been told your thyroid is fine but you still feel terrible, this episode will validate your experience and give you a clear roadmap for what to test next.
More
You're exhausted. Your hair is thinning. You can't lose weight no matter what you do. You're cold all the time, your brain feels foggy, and you just don't feel like yourself anymore. So you go to the doctor, convinced something is wrong with your thyroid—and they run a TSH test and tell you everything is "normal." But you're not fine. You know something is off. Here's the truth: your body might be screaming "hypothyroid" while your labs say "normal." And that's not because you're imagining things—it's because standard thyroid testing was designed to catch advanced disease. In this episode, we'll discuss what conventional thyroid testing misses. You'll discover why TSH alone is not an accurate indicator of thyroid health, how your body might be failing to convert T4 into usable T3, what reverse T3 reveals about chronic stress, and why your gut health and oral microbiome might be sabotaging your thyroid function. You'll learn: The 6 thyroid tests you should actually be requesting (beyond TSH) How stress, gut dysfunction, and nutrient deficiencies block thyroid hormone from working—even when levels look "normal" Why the gut-thyroid connection is one of the most overlooked factors in thyroid health The emerging role of short-chain fatty acids and the oral microbiome in thyroid function What "optimal" ranges really mean (versus standard reference ranges) If you've been told your thyroid is fine but you still feel terrible, this episode will validate your experience and give you a clear roadmap for what to test next.