
If you're tired, foggy, or gaining weight and your labs say you're fine, we run a full thyroid panel and build a plan around what we find.
“Very thorough and caring staff. Love this place!”

A standard screen usually checks TSH alone. We look at the whole system: how much thyroid hormone you're making, how well your body converts it into the active form, whether your immune system is working against you, and whether you have the nutrients required to make any of it work.
We care for Hashimoto's, hypothyroidism, subclinical thyroid changes, low Free T3, and post-thyroidectomy patients.
One signal from your brain. It can look normal while you still feel unwell.
The signal from your brain telling the thyroid to work.
The active hormone your cells actually use.
The storage form your body converts into T3.
Blocks active hormone, often high under stress.
Screens for Hashimoto’s autoimmunity.
A second autoimmune marker often missed.
A raw material your thyroid needs to make hormone.
Low iron stores impair conversion and cause fatigue.
Required for T4 to convert into active T3.
Some people don't convert T4 to active T3 well, which is one reason you can be treated and still feel exhausted. Depending on your labs, your plan may include T4, a T4/T3 combination such as natural desiccated thyroid, and nutrients that support conversion.
Thyroid symptoms often overlap with gut health and weight, so we look at those too.
We recheck your labs and adjust your dose until your numbers and how you feel line up.

A full thyroid panel and autoimmune markers, so you finally know what’s going on.
Treatment built around your actual levels and symptoms.
Ongoing testing and check-ins as your levels respond.
Maintenance that keeps you stable, part of our longevity approach.
A standard screen usually checks TSH alone, and the "normal range" is wide. It was built to catch disease, not to define how you should feel. A TSH inside the range can still sit alongside low Free T3, high Reverse T3, or active autoimmunity.
Yes. This is one of the most common reasons patients come to us. Levothyroxine is T4 only, and it assumes your body converts it well into active T3. When that conversion is impaired, you can stay symptomatic on a "correct" dose. We’ll review your labs and talk through your options.
It’s a prescription thyroid medication that contains both T4 and T3, rather than T4 alone, closer to what a healthy thyroid produces. It’s one of several options we may consider, depending on your labs and history.
It varies from person to person. We recheck your labs after you start, adjust your dose from there, and keep monitoring once you’re stable.
They’re the raw materials and cofactors thyroid function depends on. You can be on the right medication and still feel unwell if these are depleted.
Yes. We offer in-office and virtual visits. Virtual visits are available to patients located in New Jersey.
We’re a cash-based practice, so care isn’t billed through insurance. Many patients use HSA or FSA funds, and we offer payment plans. Pricing is covered on your free discovery call, before you commit to anything.
Absolutely. Post-thyroidectomy patients are fully dependent on what we prescribe, which makes getting the T4/T3 balance right even more important.