A very important organ, the thyroid regulates metabolism in every cell of your body. Many of us recognize the obvious symptoms of hypothyroidism, including depression, dry skin, fatigue, hair loss, weight gain, constipation, and cold intolerance, but mild hypothyroidism can easily go undetected.

In order to thoroughly understand a patient’s thyroid function, I recommend a full panel of hormone testing, including TSH, free and total T4, and free and total T3 as well as a complete patient history. If a patient is diagnosed with hypothyroidism, I prefer to treat with T3 (commonly known as Cytomel) rather than T4 (Synthroid), as T4 is the metaphorical line of football players on the sidelines and T3 the players on the field, winning the game. Likewise, the nation’s leading psychiatrists prefer T3 over T4 in the treatment of depression. Often, a combination of the two hormones is most effective.

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