Thyroid Optimization Dallas TX | Hypothyroid Treatment | Navara Health

Thyroid Optimization

Thyroid Optimization in Dallas, TX

Comprehensive thyroid evaluation going beyond TSH to the full picture. Free T3, Free T4, Reverse T3, and antibodies. Symptoms-based dosing, ongoing monitoring, and treatment that accounts for how you actually feel, not just where your numbers land on a reference range.

Book a Consultation (469) 653-3124
Full Thyroid Panel Beyond TSH Only $100/mo Add-On to HRT Telehealth Available Standalone or Combined

Why Thyroid Gets Missed

TSH Alone Does Not Tell the Full Story.

The standard approach to thyroid testing in most primary care settings is to run a TSH and, if it falls within the reference range, declare the thyroid normal. For many patients, this misses what is actually going on.

TSH is a pituitary signal, not a direct measurement of thyroid hormone activity. Free T3 is the active thyroid hormone that cells actually use. Reverse T3 can block T3 even when levels appear adequate. Antibodies can indicate autoimmune thyroid disease (Hashimoto's) that TSH will not catch until significant damage has occurred.

At Navara Health, we run the full panel and treat based on your symptoms and your complete picture, not just a single value.

"My TSH was normal for years while I gained weight, lost my hair, and barely had the energy to get through the day. It took a complete panel to find what was actually happening."

Thyroid Symptoms We Address

Fatigue and low energy despite adequate sleep
Unexplained weight gain or difficulty losing weight
Hair thinning or hair loss
Cold intolerance or feeling cold all the time
Brain fog, poor memory, or mental slowness
Dry skin, brittle nails, or coarse hair
Constipation or slow digestion
Depression or mood flatness
Elevated cholesterol not explained by diet
Slow heart rate or low blood pressure
Puffiness around the eyes or face
Symptoms that persist despite a normal TSH

What Gets Tested

Standard Testing vs. What We Run.

Most primary care offices run TSH only or TSH with T4. At Navara Health, we run a full thyroid panel because the additional markers are often where the answers are.

Standard Primary Care Testing
What Most Providers Run
  • TSH (thyroid stimulating hormone)
  • Total T4 (sometimes)

This approach will catch severe thyroid disease but frequently misses subclinical hypothyroidism, conversion issues, and early Hashimoto's.

Navara Health Full Panel
What We Run
  • TSH
  • Free T4 (active precursor)
  • Free T3 (the active hormone cells actually use)
  • Reverse T3 (can block T3 action even when levels appear normal)
  • TPO Antibodies (Hashimoto's marker)
  • Thyroglobulin Antibodies (Hashimoto's marker)

Gold highlighted items are the markers most commonly missed by standard primary care testing.

Treatment Options

Thyroid Treatment at Navara Health.

Treatment approach depends on your specific lab findings, symptoms, and history. Not every thyroid issue requires medication. Your provider will make individualized recommendations based on your full picture. Treatment eligibility is determined at your consultation and is not guaranteed in advance.

Levothyroxine (T4)

Standard thyroid replacement therapy. Appropriate for many patients with hypothyroidism. Dosed based on weight, labs, and symptoms rather than a fixed formula.

Liothyronine (T3)

Direct T3 replacement for patients who do not convert T4 to T3 adequately. Often considered when Free T3 is low or symptoms persist on T4 alone.

Compounded T3/T4 Combination

Customized combination of T3 and T4 from a licensed 503A compounding pharmacy. Used when standard medications are not providing adequate symptom relief.

Desiccated Thyroid (NDT)

Natural desiccated thyroid containing both T3 and T4. Preferred by some patients. Discussed at consultation based on your clinical picture and preference.

How We Approach It

Clinical Principles That Guide Our Protocols.

These are the core principles behind thyroid optimization at Navara Health.

01
Treat the patient, not just the number

If your TSH is in range but you feel terrible, that matters. We prescribe based on symptoms and the full panel, not just whether a value avoids a flag.

02
Check T3 conversion

Some patients convert T4 poorly due to gut issues, stress, selenium deficiency, or inflammation. Reverse T3 can be elevated even when T4 looks normal. We look for this.

03
Screen for Hashimoto's

Hashimoto's is the most common cause of hypothyroidism and is often undiagnosed for years. TPO and thyroglobulin antibodies are included in our standard panel.

04
Thyroid does not operate alone

Thyroid function is interconnected with sex hormones, adrenal function, and metabolic health. This is why thyroid optimization fits naturally alongside HRT and our broader wellness programs.

Pricing

Thyroid Optimization Pricing.

Thyroid optimization is available as a standalone service or as a $100/month add-on to an existing HRT membership. Adding thyroid to an existing hormone membership is the most cost-effective approach for patients already receiving hormone care.

Book a Consultation
Thyroid Services
Thyroid Optimization Add-On
Added to active female or male HRT membership
$100/mo
Standalone Thyroid Consultation
For patients not on an HRT membership
Book for pricing
Hair Loss Lab Panel
Includes full thyroid, hormones, iron, and deficiency markers
$300

Already an HRT member? Adding thyroid optimization for $100/month is the most efficient path. Call us at (469) 653-3124 or ask at your next appointment. Financing available through Cherry.

Common Questions

What Patients Ask Most

My TSH was normal but I still feel bad. Can you help? ▾
Yes. This is one of the most common reasons patients come to Navara Health for thyroid care. A normal TSH does not rule out thyroid dysfunction. Free T3, Reverse T3, and antibodies can all be abnormal while TSH appears normal. We run the full panel and treat based on your complete picture and how you actually feel.
What is Hashimoto's thyroiditis? ▾
Hashimoto's is an autoimmune condition where the immune system attacks the thyroid gland. It is the most common cause of hypothyroidism and is often undiagnosed for years because TSH can remain normal until significant thyroid damage has occurred. TPO and thyroglobulin antibodies are the key markers. We include both in our standard thyroid panel.
What is the difference between T3 and T4? ▾
T4 is the storage form of thyroid hormone the thyroid produces in large quantities. It must be converted to T3 to become active. T3 is the form cells actually use. Some people do not convert T4 to T3 efficiently, which means they can have normal T4 and TSH but inadequate T3 activity at the cellular level. This is why Free T3 is an important part of a complete evaluation.
Is thyroid treatment available via telehealth? ▾
Yes. Thyroid consultations and ongoing management are available via telehealth across Texas through Jessica Boggs, APRN. Jessica is also licensed in CO, FL, IA, OK, VT, VA, WA, and CT. Labs are ordered through Quest Diagnostics and drawn near you. Medication ships directly to your home.
Can I add thyroid to my existing HRT membership? ▾
Yes. Thyroid optimization is available as a $100/month add-on to any active HRT membership at Navara Health. This is the most cost-effective path for existing hormone patients. Call us at (469) 653-3124 or mention it at your next appointment and we will add it to your plan.
Do I have to be on HRT to receive thyroid treatment? ▾
No. Thyroid optimization is available as a standalone service for patients not on an HRT membership. Call us at (469) 653-3124 to discuss standalone thyroid care options and current pricing.

Ready to Start?

Get a Complete Thyroid Evaluation.

Already an HRT member? Add thyroid optimization for $100/month and ask at your next appointment. New patient? Book a consultation and we will start with the full panel. Telehealth available across Texas and in 8 additional states.

Book a Consultation (469) 653-3124

Financing available through Cherry