Thyroid Disorders, Hypothryoid Symptoms, Thyroid Treatment | Holtorf Medical Group
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Why am I always tired?

Are you always tired, no matter how much sleep you get? Do you feel like your brain is in a fog? Are you cold when others aren’t? Do you find that you can’t lose or keep weight off despite dieting? You may be suffering from a thyroid deficiency, or hypothyroidism. We can help.

Your thyroid gland is like your body’s gas pedal. When it’s cruising along at the right speed, you feel great. But when it’s not “giving enough gas” – or not producing enough thyroid hormone – you feel like you’re driving in slow motion with one foot on the brake pedal.

If you have low thyroid hormones, you are suffering from a thyroid deficiency, or hypothyroidism. Hypothyroidism is extremely common, but often goes undetected because standard blood tests miss the majority of low thyroid patients. Additionally, many labs still use an outdated range for thyroid hormones.

Even when a patient is diagnosed with hypothyroidism, most doctors treat the disorder improperly or suboptimally with T4-only medications such as Synthroid, Levoxyl, or Levothyroxine. This treatment can cause the patient’s lab results to look “normal” while the patient still feels exhausted or cannot lose weight.

Proper thyroid hormone levels aren’t important only for your energy and metabolism. A number of health conditions are shown to be caused or associated with low tissue thyroid levels, including diabetes, insulin resistance, depression, chronic fatigue syndrome, fibromyalgia, PMS, autoimmune disease, iron deficiency, chronic stress, and chronic pain.

There’s hope!

Fortunately, there is hope, and you can feel better. Doctors at Holtorf Medical Group are specially trained to recognize and treat even the most complex thyroid disorders. By using cutting-edge testing and integrative treatment solutions, we can help you regain the bounce in your step and feel like yourself again.

What are the symptoms of hypothyroidism?

Fatigue and an inability to lose weight are two symptoms commonly experienced by most hypothyroid patients. But there is a wide range of symptoms that occur when the metabolism slows down due to low thyroid hormones.

Are you experiencing any of these symptoms?

  • Fatigue
  • Weight Gain
  • Depression
  • Sensitivity to cold
  • Muscle or joint aches
  • Brain fog, including poor memory and poor concentration
  • Non-refreshing sleep
  • Brittle hair and nails
  • Constipation
  • Shortness of breath (often called “air hunger”)
  • Thinning hair
  • Sensitivity to cold
  • PMS
  • Significantly calloused heels
  • Chronic yeast infections
  • Low libido (sex drive)
  • Infertility
  • And more

What tests do I need?

The TSH (or Thyroid Stimulating Hormone) is the test that most doctors use to screen for hypothyroidism.  But this test actually measures how well the pituitary is “talking” to the thyroid gland, rather than measuring actual thyroid hormones or, more importantly, the level of thyroid activity in the body. Patients are often frustrated because their TSH test results are “normal,” and their doctor tells them nothing is wrong.  This standard testing does not catch 80% of patients who have low thyroid hormone levels.

There’s a better way to measure your thyroid health.

At Holtorf Medical Group, we specialize in comprehensive testing, including Free T4, Free T3, reverse T3, sex hormone binding globulin (SHGB), leptin, computerized measurement of tissue thyroid levels, and basal metabolic rate. These tests can help us determine if you are suffering from hypothyroidism and can help us get you on the road to wellness.

Common (and not so common) treatments

The overwhelming majority of doctors and endocrinologists use Synthroid, which is the inactive thyroid hormone T4, and hope your body converts it to the active thyroid hormone T3. The problem is that the conversion of T4 (the storage hormone) to T3 (the active hormone) can be reduced in anyone with significant stress, depression, history of dieting, insulin resistance, obesity, diabetes, chronic fatigue syndrome, fibromyalgia, autoimmune disease, chronic inflammation, chronic infections, PMS, iron deficiency, and many more conditions. Thus, T3-containing preparations and straight time-released T3 is much more effective for the majority of people. Our treatment options include customized bioidentical thyroid hormone combinations of T4/T3, as well as time released T3.

Our cutting-edge therapies also include the addition of important nutritional supplements that can help regulate thyroid balance, support a healthy metabolism, and improve your weight loss, energy, and mood.

Results can be dramatic for a wide range of conditions with overall increased energy, weight loss, enhanced sense of well-being, resolution of hair loss, improved skin tone, enhanced immunity, and significantly reduced risk for cancer and heart disease.

Ready to get started?

It’s time to get the spring back into your step and start enjoying life again. Holtorf Medical Group can help you get there. Call us today at 877-508-1177 and schedule an appointment with one of our specially trained physicians.

Want to know more?

Understanding your health can greatly improve your chance of successful recovery. Our handouts can give you valuable information to share with your doctor.

Also check out the National Academy of Hypothyroidism, another great information resource!

Scientific studies

Here’s more information for you – and for your doctor.

Recent studies:

Hormone Replacement Therapy in the Geriatric Patient: Current State of the Evidence and Questions for the Future— Estrogen, Progesterone, Testosterone, and Thyroid Hormone Augmentation in Geriatric Clinical Practice: Part 2*

Hormones in Wellness and Disease Prevention: Common Practices, Current State of the Evidence, and Questions for the Future


We’ve helped thousands of patients reclaim their health and start enjoying life again. Here are stories from some of our patients.



"I would like to tell of my extremely positive experience with Dr. Holtorf. I was diagnosed with hypothyroid about 6 years ago. To make a long story short, I was originally placed on Synthroid and did not feel much better..."
Lynda P.
"Dr. Holtorf saved me from a life of misery. I was told by my doctor that I had hyperthyroidism based on a low TSH and was sent to an endocrinologist..."
Scott G.
"Amazing is probably the best description of my experience at Holtorf Medical Group. I almost forgot what it was like to feel this good each and every day...."
Derek S.


Standard Thyroid Tests And Proper Thyroid Dose
Fatigued, Depressed, Difficulty Losing Weight
Been Told Your Thyroid Is Normal?
Reverse T3 Is The Best Measurement Of Tissue Thyroid Level
Reduced Metabolic Rate With Dieting
Tissue Levels Of T3 With T4 Only Perparations
Low Normal Thyroid Levels As A Cause Of Obesity
Reverse T3 Supresses T4-T3 Conversion
Chronic Dieting Suppresses Thryoid Levels
Endocrinological Assessment Of Weight Gain And Obesity
Why Doesn't My Doctor Know This?
Low T3 Decreased TSH
Low Cellular T3
Thyroid And Aging Graph
Thyroid Physiology With Stress
Thyroid Physiology With Out Stress
Are All Chronic Fatigue Syndrome And Fibromyalgia Patients Low Thryoid?
TSH Proves To Be An Unreliable Test For Hypothyroidism


Deiodinases; Understanding Local Control of Thyroid Hormones
Hormones in Wellness and Disease Prevention: Common Practices, Current State of the Evidence, and Questions for the Future
Thyrotropin Suppression by Metformin
Other Studies