Thyroid Issues and Conditions

At Terrain Health, we understand how frustrating thyroid issues can be, and we’re here to help you restore balance from the inside out. 

Your thyroid plays an outsized role in energy, metabolism, mood, and more. When it isn’t working well, it can feel like your whole life is off balance.

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Types of Thyroid Conditions

Hypothyroidism (underactive thyroid)

Hyperthyroidism (overactive thyroid)

Hashimoto’s thyroiditis (autoimmune hypothyroid)

Graves disease (autoimmune hyperthyroid)

Subclinical thyroid dysfunction

Thyroid nodules and goiter

Euthyroid sick syndrome (nonthyroidal illness pattern)

Thyroid problems impact much more than your lab values. They have the potential to reach out across all aspects of your life, your vitality, your weight, your concentration, your disposition, your digestion, and even heat regulation. If someone has said “your labs are fine,” but you still don’t feel quite right, we believe you. We listen.

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Why Underactive Thyroid Issues Linger (and Why it Matters)

Most traditional methods treat only suppression or replacement of hormones. Few thyroid problems, however, have roots that go deeper than that, such as chronic inflammation, nutrient gaps, dysbiosis of the gut, stress, burden of toxins, or immune malfunction.

At Terrain Health, our approach is simple: true progress happens when you identify the causes of your thyroid condition, rather than covering them up with symptoms.

Some common underlying contributors to persistent thyroid issues include:

  • Nutritional deficiencies (such as iodine, zinc, selenium, vitamin D, and iron)
  • Gut disturbances, which compromise absorption and immune modulation
  • Chronic stress and adrenal load
  • Exposure to endocrine-disrupting compounds
  • Defective conversion of T4 to T3
  • Autoimmune reactivity, such as in Hashimoto’s or Graves’

We do know that not all thyroid problems are autoimmune, so individualized care for each patient is always tailored.

Our Approach to Thyroid Issue Treatment

At Terrain Health, our approach towards thyroid disease protocol is based on clarity, customization, and improvement.

Comprehensive Testing and Biomarkers

We initiate with ordering sophisticated labs beyond the simple TSH, such as the free T4, the free T3, the thyroid antibodies (anti-TPO, anti-TG), the reverse T3 (in special cases), the inflammatory markers, micronutrients, and gut markers.

Root-Cause Mapping

Using both lab results and a detailed history, we identify which systems, immune, digestive, hormonal, or detox, are contributing to thyroid dysfunction.

Personalized Plan of Action

Your treatment may include:

  • Targeted nutrition and supplement support
  • Gut restoration protocols
  • Detox support as needed
  • Stress and sleep optimization
  • Low-dose thyroid hormone or combination therapy (only when appropriate and monitored closely)

We do this in partnership with your needs and, when necessary, collaborate with endocrinologists for medication oversight.

Ongoing Support and Monitoring

We monitor trends over time on your lab markers and symptoms, changing your care plan as your body adapts.

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Thyroid Conditions: What to Look for

  • Fatigue or low energy
  • Dizziness or lightheadedness when standing up, unless
  • Weight increase or inability to shed pounds
  • Cold hands and feet or heat sensitivity
  • Broken hair or brittle nails
  • Constriction or slow movement
  • Mood variations or agitation
  • Irregular periods or problems with infertility
  • Sudden tremor or tremulousness  (in hyperthyroid cases)

Since whole-person problems are involved, symptoms are often neglected or misunderstood. That's why our approach is to treat the whole person.

Why Terrain Health?

We look beyond “normal” lab values for what’s best for you

We consider gut, immune, detox, and lifestyle considerations in your care for your thyroid

We treat the whole person, not a number for a TSH

We have science-informed protocols based on benevolence and accountability

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We provide every patient with the best chance to live long, active, and happy lives.

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