Thyroid Optimization
Get answers for fatigue, brain fog, mood shifts, and stubborn weight changes.
If you feel exhausted, foggy, or frustrated by weight changes and mood swings, you do not have to settle. Thyroid issues are common, especially for women, and they are often missed or under-treated.
At W.I.S.H., we provide women’s telehealth thyroid care with a root-cause approach and a plan tailored to your symptoms, labs, and life.
Your thyroid affects how you feel every day
Your thyroid helps regulate:
Metabolism and weight
Energy and temperature regulation
Mood and mental clarity
Digestion
Heart rate and blood pressure
Menstrual health and fertility
Skin, hair, and nail health
When your thyroid does not produce enough hormones (T3 and T4), many body systems slow down. This is known as hypothyroidism.
What is Hashimoto’s thyroiditis?
Hashimoto’s is the most common cause of hypothyroidism in the U.S. It is an autoimmune condition where the immune system attacks the thyroid, leading to inflammation and reduced thyroid hormone production over time.
Because thyroid levels can shift, symptoms can come and go. Some people notice periods where they feel better, then worse again.
Hashimoto’s may be more likely if you have:
A feeling of fullness in the neck or an enlarged thyroid (goiter)
A personal or family history of autoimmune conditions (such as celiac disease, type 1 diabetes, or rheumatoid arthritis)
Fluctuating symptoms that do not fully match “normal” lab results
Common symptoms of low thyroid function
You may recognize:
Persistent fatigue or low energy
Unexplained weight gain or difficulty losing weight
Feeling cold more often than others
Constipation or sluggish digestion
Dry skin, brittle nails, hair thinning, or hair loss
Brain fog, low mood, or depression
Irregular, heavy, or painful periods
Slower heart rate or lower blood pressure
If untreated, hypothyroidism can affect quality of life and may contribute to long-term concerns such as fertility challenges, cardiovascular risk, and bone health.
Our approach at W.I.S.H.
Thyroid care is not only about a single lab value. At W.I.S.H., we use a comprehensive approach so your treatment supports both labs and symptoms.
Your care may include:
Thorough thyroid lab evaluation when appropriate (often including TSH, Free T4, Free T3, thyroid antibodies, and related nutrient markers)
Review of lifestyle factors that impact symptoms, including sleep, stress, nutrition, and gut health
Personalized medication management when indicated (including levothyroxine or combination T3/T4 therapy)
Symptom-focused support for fatigue, weight changes, mood, and menstrual or menopausal concerns
Nutrition guidance to support thyroid function and autoimmune patterns when relevant (including nutrients such as selenium, zinc, vitamin D, and B vitamins, and screening for gluten sensitivity when appropriate)
Ongoing monitoring and adjustments so you feel better, not just “normal on paper”
You will always be part of the decision-making, and you will always know what the plan is.
Living with hypothyroidism or Hashimoto’s does not mean you have to accept chronic fatigue, brain fog, or unwanted weight gain. With the right plan, many patients experience improved energy, clearer thinking, and more stable mood.
Take the first step
If you suspect your thyroid may be affecting how you feel, book an appointment and get a clear plan.
Frequently Asked Questions
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Not necessarily. Many women feel unwell even when results look “normal.” We look at your symptoms, health history, and a full thyroid picture when appropriate, not a single number alone.
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Depending on your symptoms, we may recommend a more complete thyroid evaluation such as TSH, Free T4, Free T3, thyroid antibodies, and related nutrient markers. We only recommend testing that will meaningfully guide your plan.
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Yes. Thyroid care is often well-suited to telehealth. We can review symptoms, order labs when appropriate, manage medications when indicated, and monitor progress with follow-ups. If an in-person exam or imaging is needed, we will guide you on the next steps locally.