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What if your thyroid labs look “normal,” but you’re still struggling with fatigue, weight gain, hair loss, brain fog, or a metabolism that feels stuck? In this episode of hol+, Dr. Taz MD sits down with Dr. Amie Hornaman, known as The Thyroid Fixer and author of The Thyroid Fix: The No-Nonsense Guide to Fixing Your Fatigue, Fogginess, and Fat That Won’t Budge, to explain how to know if you have hypothyroidism, why a normal TSH test may not always tell the whole story, and which thyroid hormones and lab markers may deserve a closer look.
Dr. Amie shares her own experience of being told by six doctors that everything was normal while she continued gaining weight, losing hair, and struggling with fatigue. She explains how she was eventually diagnosed with hypothyroidism, why Synthroid and levothyroxine did not resolve her symptoms, and what led her to investigate active thyroid hormones like free T3.
Together, Dr. Taz and Dr. Amie break down TSH, free T4, free T3, reverse T3, thyroid antibodies, T4-to-T3 conversion, natural desiccated thyroid, liothyronine, and the role of personalized thyroid treatment.
They also discuss Hashimoto’s, gut health, stress and cortisol, fertility, perimenopause and menopause, hormone replacement therapy, long-term birth control use, weight-loss resistance, and what people using or considering GLP-1 medications should understand about thyroid health.
You’ll learn:
• Why hypothyroidism symptoms can persist even when a TSH test falls within the normal range
• What free T3, free T4, and reverse T3 can reveal about thyroid function
• Why some people continue having symptoms while taking levothyroxine or Synthroid
• How T4-to-T3 conversion affects metabolism and energy
• The relationship between Hashimoto’s, stress, gut health, and women’s hormones
• How thyroid function can intersect with fertility, perimenopause, and menopause
• What Dr. Amie considers when approaching T3, T4, and natural desiccated thyroid
• Why thyroid health may matter when using GLP-1 medications or microdosing GLP-1s
About Dr. Amie Hornaman
Dr. Amie Hornaman is a doctor of clinical nutrition, functional medicine expert, and founder of the Advanced Thyroid and Hormone Clinic. Known as The Thyroid Fixer, she hosts The Thyroid Fixer podcast and is the author of The Thyroid Fix: The No-Nonsense Guide to Fixing Your Fatigue, Fogginess, and Fat That Won’t Budge. Her work focuses on helping people better understand thyroid function, hormone health, laboratory testing, and personalized approaches to thyroid care.
Connect with Dr. Amie Hornaman
- Website: https://dramie.com/
- Book: The Thyroid Fix
About Dr. Taz
Dr. Tasneem Bhatia (Dr. Taz) is a triple board-certified integrative medicine physician,
bestselling author, and founder of hol+ a multi-location integrative medicine practice.
Learn more: https://doctortaz.com/
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Get your copy of The Hormone Shift: Balance Your Body and Thrive Through Midlife and Menopause
Host: Dr. Taz; Edited and Produced by Clip Growth (Producer: Pat Gostek)