Thyroid Optimization
Thyroid Optimization in Dallas, TX
Full thyroid evaluation going beyond TSH to the full picture. Free T3, Free T4, and both antibody markers. Symptom-based dosing, ongoing monitoring, and treatment that accounts for how you actually feel, rather than where your numbers land on a reference range. Start Visit $199 with recent labs, or $349 with your full thyroid panel ordered for you.
not TSH alone
recent labs
available
beyond the range
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. A normal free T4 with a low free T3 points to a conversion problem rather than a thyroid that is failing. Antibodies can indicate autoimmune thyroid disease, or 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 rather than 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
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.
- 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.
- TSH
- Free T4, the active precursor
- Free T3, the active hormone cells actually use
- TPO antibodies, a Hashimoto's marker
- Thyroglobulin antibodies, a Hashimoto's marker
- Ferritin, because low iron impairs T4 to T3 conversion
Gold items are the markers most commonly missed by standard primary care testing.
Not sure whether your symptoms are thyroid or hormonal? Take a free three minute assessment and get a validated symptom score. Women's assessment · Men's assessment
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.
Standard thyroid replacement therapy. Appropriate for many patients with hypothyroidism. Dosed based on weight, labs, and symptoms rather than a fixed formula.
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.
Customized combination of T3 and T4 from a licensed 503A compounding pharmacy. Used when standard medications are not providing adequate symptom relief.
How We Approach It
Clinical Principles That Guide Our Protocols.
These are the core principles behind thyroid optimization at Navara Health.
If your TSH is in range but you feel terrible, that matters. We prescribe based on symptoms and the full panel, rather than whether a value avoids a flag.
Some patients convert T4 poorly due to gut issues, stress, selenium deficiency, or inflammation. We read free T3 against free T4 rather than either one alone, and we check ferritin, because low iron impairs the conversion directly.
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.
Thyroid function is interconnected with sex hormones, adrenal function, and metabolic health. This is why thyroid optimization fits naturally alongside hormone therapy and our broader wellness programs.
Pricing
Thyroid Optimization Pricing.
Everyone starts the same way, with a Start Visit. It is $199 if you have labs from the last 90 days, or $349 with your full thyroid panel ordered for you. Both include a 60 to 75 minute Results Review where we go through every number and build your plan. And your prescriptions go to the pharmacy of your choice, on your insurance or at its cash price.
After that, ongoing management is $100 per month if you are already on a Navara Health hormone, testosterone, or weight loss membership, or $149 per month if thyroid is the only thing you see us for.
You do not need to be a hormone patient to be treated for thyroid. If you already are one, adding thyroid is the cheaper path.
Book Your Start VisitThe prices on this page are what you pay. Thyroid medication is filled at the pharmacy of your choice and paid there. If you need a compounded thyroid medication, you get the price before anything is ordered. Prices are subject to change. Navara Health is a cash-pay practice and does not bill insurance. Financing is available through Cherry. HSA and FSA accepted for eligible services. Questions? Text (469) 653-3124.
Supplement Support
What your thyroid runs on.
Selenium, gentle iron, zinc, and thyroid support, the nutrients your thyroid needs to make and convert hormone. Picked by Jessica, shipped by Fullscript.
Common Questions
What Patients Ask Most
Before booking, please review our Patient Policies and Financial Agreement and our Virtual Care and Communication Policies. New patients also complete the General Intake and Consent Form before their appointment. By scheduling, you acknowledge that you have reviewed and agree to these policies.
Laboratory Work
Your full thyroid panel is included. Rechecks, your choice.
Your $349 Start Visit includes the full thyroid panel, ordered and paid for by us. After that, a dose change calls for a recheck at six to eight weeks. When that happens you have three ways to handle it.
Included in the program
Your full baseline thyroid panel: TSH, free T4, free T3, TPO antibodies, thyroglobulin antibodies, and ferritin, plus a CMP and CBC. Ordered, paid for, and scheduled by us. Nothing is billed to you for it.
Use your insurance
We send the order to Quest or LabCorp and they bill your plan directly.
We cannot guarantee coverage. Your plan, your deductible, and how your insurer classifies the test decide what you owe. Insurers frequently deny extended thyroid testing as not medically necessary. Call the number on your card or contact Quest before your draw to confirm.
Bring labs from your PCP
If your primary care provider orders similar testing and it is covered under your plan, bring us the results.
As long as they are current, include the markers we need, and come from an accredited laboratory, we will use them. This is often the least expensive route, and we will tell you exactly what to ask your PCP to order.
Pay cash
We build a bundle of only the markers your situation calls for rather than a full panel.
You get the price before the order is placed, so there are no surprises. A single follow-up marker is often under $30.
Rechecks after a dose change are not optional. Thyroid hormone takes roughly six weeks to reach a steady state, so a dose change without a follow-up panel is a guess. Where a test is required for safe prescribing, we will tell you it is required rather than optional, and treatment continues once it is completed.
How Care Works Here
Start with answers. Stay with a plan.
Every new patient begins the same way. One consultation, the right labs, and a full results visit where we walk through every number and build your plan together. Then you decide how your care continues.
01
Your Start Visit
Your symptoms, your history, your medications and what you have already tried. Your lab order goes out the same day.
02
Your Results Review
Sixty to seventy-five minutes. Every result explained in plain language, what it means for you, and exactly what happens next.
03
You Choose
Membership or pay per visit. Both are laid out below, so you know exactly what you are getting before you book.
Start Visit: $199 with labs from the last 90 days, or $349 with your labs ordered for you. Your Results Review is included either way.
Recommended
Membership
- Your Start Visit counts as your first month. Weight loss programs bill from your first medication order.
- Message your provider, answered the same or next business day
- Refills handled by message, no visit needed
- Dose changes and scheduled follow-ups included
- Six-month labs included in hormone and enclomiphene memberships
- Lab reviews included
For stable patients
Pay Per Visit
- Start Visit paid in full, separately
- No portal messaging with your provider
- Refills at a booked refill visit, $50
- Dose changes and follow-ups, $150 each
- Labs ordered and paid separately
- Lab reviews, $100 each
A forty-minute phone call is a medical visit. It deserves a chart, a real plan, and your provider's full attention, so clinical questions are answered at a scheduled visit or, for members, by message. And membership means you never wait for an appointment to ask.
Booking, pricing or billing questions? Text (469) 653-3124. Medical questions are answered at your visit.
Ready to Start?
Get the full panel.
Start Visit $199 with recent labs, or $349 with your complete thyroid panel: free T3, free T4, both antibody markers, and ferritin. Then $100 a month alongside an existing membership, or $149 a month on its own, with prescriptions sent to your own pharmacy. Reviewed with you by Jessica Boggs, APRN. Virtual care in 9 states.
Financing available through Cherry · Apply in minutes
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Written and clinically reviewed by Jessica Boggs, MSN, APRN, FNP-C, ENP-C, founder of Navara Health. Medical oversight by Simal Patel, MD.
Last reviewed October 17, 2026. This page is general information, not medical advice, and does not create a provider relationship.
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