Looking beyond TSH

Our Philosophy

Your thyroid depends on more than the thyroid gland. How your body converts, transports and uses its hormones decides how you feel.

Three systems

Three systems, one thyroid

Thyroid

Making T4, and in Hashimoto's, the immune system attacking the gland itself.

Body

The gut and liver convert T4 into active T3, while nutrients, blood sugar and the adrenals decide how well that conversion works.

Brain

The brain controls the thyroid through TSH, and it is where low thyroid is felt first: energy, mood and focus.

Thyroid symptoms rarely have one cause. That is why we look at all three.

Thyroid, body and brain: three connected systems Three circles labelled Thyroid, Body and Brain, each joined to the others by two-way arrows. Thyroid T4 · T3 immunity Body gut · liver adrenals Brain energy · mood focus

Five contributing factors

What holds your thyroid back

These five factors affect how your thyroid makes, converts and uses its hormones. We test for the ones your history and results point to.

Factor 1

Nutritional deficiencies

Your thyroid needs iodine to make hormone, selenium and zinc to convert T4 into active T3, and iron and vitamin D to work well. Low levels are common and easy to miss.

What we look at

  • Iron and ferritin
  • Selenium and zinc
  • Iodine
  • Vitamin D and B12

Factor 2

Blood sugar imbalances

Blood sugar swings and insulin resistance strain the adrenals, slow T4 to T3 conversion and fuel inflammation.

What we look at

  • Energy crashes
  • Cravings
  • Weight around the middle
  • Fasting insulin and HbA1c

Factor 3

Adrenal function

Long-term stress raises cortisol, which slows TSH, reduces conversion and increases reverse T3, the "brake" form of the hormone.

What we look at

  • Wired but tired
  • Poor sleep
  • Cortisol rhythm
  • DHEA-S

Factor 4

Gut function

Gut bacteria play a part in activating thyroid hormone, and gut problems affect how well you absorb nutrients and medication. Gut health also influences thyroid autoimmunity.

What we look at

  • Bloating and irregular bowels
  • Food reactions
  • Stool analysis
  • Gut permeability

Factor 5

Liver function

The liver is a major site where T4 is converted into active T3. A sluggish liver can leave you symptomatic on a "normal" dose.

What we look at

  • Liver enzymes
  • Bilirubin
  • Albumin
  • Fatty liver

Why standard testing can miss the picture

TSH is only the start

A standard test usually measures TSH, and sometimes free T4. It doesn't measure how much active T3 you make, reverse T3, or thyroid antibodies.

TSH

The brain's signal to the thyroid. Useful, but it doesn't show what happens next.

Free T4 & T3

How much hormone you make, and how much is converted into the active form.

Reverse T3

The inactive "brake" form, often raised by stress, illness and dieting.

Antibodies

TPO and thyroglobulin antibodies, which show whether Hashimoto's is driving the problem.

Three disciplines

How we work

Functional Medicine

A whole-system approach that asks why your thyroid is struggling, then measures and corrects the drivers.

Functional Neurology

Looking at the brain–thyroid connection, and at how low thyroid affects energy, mood and focus.

Lifestyle Medicine

A dietary protocol, sleep and stress support that keep the gains going long term.

We work alongside your GP and never advise stopping or changing prescribed thyroid medication without their involvement.

Close to home

This approach, close to home in North Wales

From our Llandudno clinic we see people from Conwy, Colwyn Bay, Bangor, Anglesey and North Wales, with online consultations across the UK. The process is the same either way: your profile and history, functional blood chemistry, targeted tests, a written plan and regular reviews.

Not sure where to start?

The Thyroid Profile is an online symptom assessment that scores six areas, from thyroid and gut to blood sugar and adrenals, with an instant personal PDF report. Your £12 is refunded when you book a Discovery Consultation.

Take the Thyroid Profile

Still struggling with your thyroid?

The sooner you understand what is holding your thyroid back, the more can be done.

Book a Discovery Consultation

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