Diagnostics
A single TSH is the most common thyroid test — and the reason so many people are told they're 'normal' while still feeling awful. Here's the full panel we run, and what each marker tells us.
The Problem
TSH is a pituitary hormone that tells the thyroid to work harder or ease off. It's a useful screen, but it's an indirect signal — not a measurement of how much active hormone is actually reaching your cells. People with the same TSH can feel completely different, and early autoimmune disease can be well underway while TSH still reads 'normal.'
The Panel
A thorough evaluation looks at the whole system:
Together these reveal not just whether you're hypothyroid, but why, and whether you convert T4 to T3 well — which guides treatment choice.
Interpretation
Reference ranges describe a broad population, not your optimal. A result at the edge of 'normal' paired with classic symptoms tells a very different story than the same number in someone who feels great. We interpret your panel alongside your symptoms and history — and use it to decide between levothyroxine, T3/T4 combination, or desiccated thyroid.
Common Questions
Clinical references: American Thyroid Association · Endocrine Society
Keep Exploring
What a full panel adds beyond a single TSH, and when it is worth it.
Looking beyond TSH →Selenium, iodine, ashwagandha — what helps, what can harm.
Fact-check supplements →What the labs are screening for — and how an underactive thyroid is treated.
About hypothyroidism →Why antibody testing belongs in every thorough thyroid evaluation.
About Hashimoto's →One of the options your panel helps us choose between.
About NDT →Stop guessing from a single number. A comprehensive thyroid panel — interpreted against how you feel — is the fastest way to answers. Book a consultation to get started.
Available across California via telehealth · in-person in Chatsworth & Santa Barbara.