Monday, November 9, 2026

Normal Thyroid Labs but Still Have Symptoms? 5 Thyroid Patterns to Review | Podcast #485


Told your thyroid labs are normal, but you still feel off? Here are 5 thyroid patterns that often get missed.

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In this episode, Dr. Justin Marchegiani walks through five thyroid lab patterns that can show up as "normal" even when symptoms like hair loss, cold hands and feet, eyebrow thinning, constipation and brain fog are still there. He explains why TSH is a late-stage marker, the functional ranges he uses for TSH, free T4 and free T3, and how antibodies, poor T4 to T3 conversion, cortisol, blood sugar, gut health and key nutrients can all affect thyroid function.

What You'll Learn:

✅ Why TSH is a late-stage marker and can miss early thyroid dysfunction

✅ The functional ranges for TSH, free T4, free T3, total T4 and total T3

✅ Five thyroid patterns that often get missed on a standard lab panel

✅ How TPO and thyroglobulin antibodies can change your thyroid numbers

✅ How cortisol, blood sugar, gut health and nutrients affect thyroid function

✅ How to use basal body temperature as an at-home thyroid clue

📚 Reference:

🔹 https://pubmed.ncbi.nlm.nih.gov/35085102/

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Medical Disclaimer: This content is for educational purposes only and is not intended as medical advice. Please consult your licensed healthcare provider regarding any personal medical concerns.

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