Radiance Functional Medicine

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Radiance Functional Medicine We provide an in-depth assessment & evaluation to create personalized treatment plans so you can heal

Most thyroid appointments look like this: TSH ordered, result reviewed, prescription written or unchanged, next appointm...
07/30/2026

Most thyroid appointments look like this: TSH ordered, result reviewed, prescription written or unchanged, next appointment in six months.

A functional medicine thyroid evaluation looks different. Not because we're doing something radical -- because we're asking the questions that don't get asked, running the markers that don't get run, and connecting the results to what the patient is actually experiencing.

Here's exactly what a thyroid workup looks like at Radiance Functional Medicine -- and why each piece of it matters.

If you've been managed for thyroid disease and still don't feel well, this is worth reading all the way through.

Save this and bring it to your next appointment as a reference for what to ask for.

Your thyroid cannot make hormone, convert it, or protect itself from damage without specific nutrients. And most women w...
07/23/2026

Your thyroid cannot make hormone, convert it, or protect itself from damage without specific nutrients. And most women with thyroid dysfunction are deficient in at least one of them.

This is not about taking a thyroid supplement with a green label and a butterfly on it. These are foundational biochemical requirements -- specific enzymes, specific substrates, specific cofactors that the thyroid pathway depends on to function.

When these are depleted -- which they frequently are, especially in women with gut absorption issues, restricted diets, or high stress loads -- the thyroid suffers the consequences regardless of what's showing up on a standard panel.

The infographic below covers the five nutrients I look at as part of every thyroid workup, and exactly why each one matters mechanistically.

Save this. This is the kind of detail that changes the conversation with your practitioner.

If you've been prescribed an antidepressant, an anti-anxiety medication, or an ADHD diagnosis without anyone checking yo...
07/21/2026

If you've been prescribed an antidepressant, an anti-anxiety medication, or an ADHD diagnosis without anyone checking your full thyroid panel first -- you are not alone, and this deserves your attention.

The symptom overlap between thyroid dysfunction and psychiatric conditions is not a coincidence. It's a shared biology. Thyroid hormone directly regulates neurotransmitter synthesis, cerebral blood flow, and the sensitivity of serotonin and dopamine receptors. When thyroid function is impaired, the downstream effects show up in mood, cognition, and anxiety in ways that are clinically indistinguishable from primary psychiatric disorders on a symptom checklist.

The problem is not that mental health treatment was offered. The problem is that a thyroid workup was not done first -- or was done incompletely and the result used to close the investigation.

This is a post worth saving. And worth sharing with someone who has been treated for mood or anxiety without resolution and has never been told this.

20% of the conversion from inactive thyroid hormone to the active form your cells actually use happens in your gut.If yo...
07/20/2026

20% of the conversion from inactive thyroid hormone to the active form your cells actually use happens in your gut.

If your gut microbiome is dysbiotic -- and a significant number of women with thyroid conditions have gut dysfunction -- your thyroid treatment is working at a disadvantage before it even starts.

This is a connection that almost never comes up in a standard thyroid appointment. Gut health and thyroid health get managed in separate specialties, by separate practitioners, with no conversation between them.

In functional medicine, they're part of the same workup -- because the biology doesn't separate them.

Swipe through for the full mechanism. This one explains a lot about why thyroid treatment doesn't always produce the results it should.

Save this and share it with someone managing both thyroid and gut symptoms at the same time.

You are not lazy. You are not making excuses. You are not just anxious or stressed or getting older.There is a specific,...
07/16/2026

You are not lazy. You are not making excuses. You are not just anxious or stressed or getting older.

There is a specific, measurable, physiological reason your hair is thinning. A reason the weight won't move no matter how carefully you eat. A reason the exhaustion is bone-deep in a way that no amount of sleep fully touches.

And a normal TSH does not rule it out.

The experience of undiagnosed or undertreated thyroid dysfunction is one of the most consistently dismissed in women's healthcare. The symptoms are real. The labs just aren't always capturing the full picture.

If this is your experience -- drop a 🙋 below. You are not alone in this, and you are not imagining it.

Hashimoto's is not a thyroid disease. It's an immune system disease that happens to target the thyroid.This distinction ...
07/13/2026

Hashimoto's is not a thyroid disease. It's an immune system disease that happens to target the thyroid.

This distinction matters more than most people realize -- because when you treat Hashimoto's as only a thyroid problem, you're addressing the damage while the cause keeps running.

The thyroid becomes hypothyroid in Hashimoto's because the immune system is producing antibodies that attack thyroid tissue. Over time, that attack degrades the gland's ability to produce hormone. Replacing the hormone with medication addresses the downstream effect. It does nothing about the immune system that's still mounting that attack.

This is why so many women with Hashimoto's who are medicated and "in range" still have symptoms. The immune component hasn't been addressed.

The full picture -- what triggers the immune response, what sustains it, and what can actually calm it -- is what a functional medicine approach to Hashimoto's looks like.
Swipe through for the mechanism. This is the explanation most people never get after their diagnosis.

Save this and share it with someone who was diagnosed with Hashimoto's and handed a prescription with no further explanation.

Your thyroid might be producing exactly the right amount of hormone. The problem is your body isn't converting it into t...
07/10/2026

Your thyroid might be producing exactly the right amount of hormone. The problem is your body isn't converting it into the form your cells can actually use.

This is the piece of the thyroid puzzle that almost never gets explained in a standard appointment -- and it's the reason a meaningful number of women have normal T4 levels and still feel every symptom of hypothyroidism.

T4 is the storage form of thyroid hormone. It's largely inactive. To do anything useful, it has to be converted to T3 -- the active form that enters your cells, activates your metabolism, regulates your body temperature, drives your energy production, and influences your mood and cognition.

That conversion doesn't happen automatically or perfectly in everyone. And the things that impair it are almost entirely lifestyle and environmental -- meaning they're addressable, once you know what you're looking for.

Swipe through for the full breakdown. This post explains more about thyroid function than most people get from their entire diagnosis process.

Save this and share it with someone who's been told their thyroid is "fine" while still feeling the opposite.

Your TSH came back normal. And you still feel exhausted, cold, foggy, and like your body is working against you no matte...
07/08/2026

Your TSH came back normal. And you still feel exhausted, cold, foggy, and like your body is working against you no matter what you do.

Both of those things can be true at the same time. That's not in your head. That's a gap in how thyroid function gets evaluated.

TSH -- thyroid stimulating hormone -- is a signal from your pituitary gland telling the thyroid to produce more hormone. It tells you something about the communication between the pituitary and the thyroid. It tells you almost nothing about whether your cells are actually receiving and using thyroid hormone.

A normal TSH with a low Free T3. A normal TSH with high Reverse T3 blocking active hormone. A normal TSH with antibodies quietly destroying thyroid tissue. All of these produce real symptoms. None of them show up on a standard panel.

This week I'm breaking down the thyroid picture that most appointments miss entirely -- from the conversion problem nobody explains to the nutrients your thyroid can't function without.

If you've been dismissed with a normal TSH while still feeling like this -- swipe through and save this post. You're going to want to come back to this series.

📲 Follow along for the full breakdown this week.

What I actually recommend patients consider adding in summer -- and the specific reasons why, not just "for general well...
07/06/2026

What I actually recommend patients consider adding in summer -- and the specific reasons why, not just "for general wellness."
Summer changes your physiology. Longer days, heat stress, more alcohol at social events, disrupted sleep patterns, more outdoor exposure, more travel. Your supplement needs shift with it.
This is not a universal protocol -- what's right depends on your individual labs, health history, and what you're managing. But these are the six I discuss most consistently with patients heading into summer months.
Screenshot this. And if you want to know which of these are actually worth adding for your specific situation -- that's exactly what we work through together.
Tag a friend who takes the same supplements year-round without adjusting for the season.

Your digestion is predictable at home. Put it on a plane and everything changes.Most people accept travel constipation, ...
07/01/2026

Your digestion is predictable at home. Put it on a plane and everything changes.
Most people accept travel constipation, bloating, and digestive chaos as a normal part of travel. It is common. It is not inevitable, and it's not random.
The gut is highly sensitive to circadian disruption, changes in food composition, altitude, stress, and hydration status -- all of which shift significantly the moment you're in transit. Understanding the mechanisms means you can actually do something about it before it ruins day two of your trip.
Save this before your next flight and tag someone who always comes home from vacation with a digestive disaster.

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Denver, CO

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Monday 10am - 2pm
Tuesday 9:30am - 5pm
Wednesday 10am - 4pm
Thursday 10am - 4pm

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+13033331668

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