- June 10, 2025
Why “Optimization Land” Isn’t a Fantasy
The Real Way to Actually Fix Your Thyroid (and Why You’re Not a Lost Cause)
If you’re still tired, still foggy, still stuck at the same weight after “normal” labs… the system is broken, not you. The truth is, you’re not crazy, lazy or broken. I hear you, you’re dragging yourself through the day, crashing by 2PM, fighting for every ounce of energy and of course praying your hair won’t end up clogging the shower drain again.
The labs say “normal,” but your life feels anything but. Weight’s glued to your body, no matter how clean you eat or how long you walk.
You’ve seen every “specialist,” even an endocrinologist and no one has answers for you. You leave your appointment with no answers but they do prescribe antidepressants, to tell you to try eat less and exercise more and sleeping pills.
Let me cut straight to the facts:
You’re not a tough case. You’re just missing the right data.
When you finally stop guessing and start optimizing, your thyroid starts working for you—not against you.
🎧 Want the step-by-step?
Listen to the episode on The Thyroid Fixer Podcast that can change your view:
Episode: 516: Thyroid Optimization Is Easy When You Know What You’re Doing
Are “Normal Labs” Sabotaging Your Progress?
Here’s the reality your doctor isn’t telling you:
“Normal” labs mean nothing if they aren’t complete. The lab range isn’t the goal—optimal values are.
Most providers check:
- TSH
- Maybe Total T4
- Then call it a day.
But they ignore Free T3 (the hormone your cells actually use). And they skip Reverse T3, the brakes that literally shuts down your metabolism when it’s elevated.
You cannot optimize what you don’t measure. If Free T3 and Reverse T3 are missing from your lab results? You’re flying blind.
Still not sure?
👉 Download my free lab guide
👉 Decode your results step-by-step
“Symptoms + Labs” = The Only Formula That Works
Let’s say it louder:
You can be in the “normal” range for your labs and still feel like garbage.
Your body doesn’t care what the lab sheet says if you’re still exhausted, constipated, foggy, or spiraling. You need a practitioner who pairs your labs with your lived reality.
The gold standard? Run the full panel: TSH, Free T4, Free T3, Reverse T3, TPO and TGA Antibodies plus your sex hormones, insulin, and blood sugar. Then match that data to how you’re actually feeling.
Don’t let a nurse read your chart and tell you “you’re fine.”
You don’t want normal. You want optimized.
Why T4-Only Therapy Keeps You Sick (Unless You’re a Unicorn)
If you’re still on Synthroid or Levothyroxine and still feel like you’re wading through molasses—here’s why:
T4-only therapy fails 98% of people.
It’s true. The lucky 2%? They’re unicorns. Perfect energy. Thick hair. Zero brain fog. Effortless poops and stable weight. If that’s not you, you need more than just T4.
Raising your Synthroid dose and crossing your fingers is not a strategy—it’s self-sabotage with a prescription pad.
Most people need T3, either in combination (like Armour or NP) or directly (Cytomel, liothyronine). But if your provider refuses to prescribe T3 because of outdated fears (like osteoporosis or AFib), it’s time to fire them.
Not sure where your doc stands? Ask them:
- Will you always test Free T3 and Reverse T3?
- Are you open to adjusting T3 dosing based on symptoms?
- Do you believe T3 is dangerous? (If yes—run.)
Is Your Practitioner Guessing with NDT?
Let’s be real: NDT isn’t a miracle fix either.
Natural desiccated thyroid (Armour, NP, etc.) is about 80% T4 and 20% T3. It works if you convert well. But if your Reverse T3 is high—or you don’t convert T4 to T3 efficiently—upping your NDT dose can make you worse.
You need someone who checks your numbers and adjusts accordingly—not just throws more NDT at the wall to see what sticks.
This isn’t about loyalty to a brand. It’s about what works. And what works is individualized therapy—not guesswork.
Why Hormone Balance Alone Won’t Save You
Let me say this as clearly as possible: You cannot fix your thyroid with hormone pellets and progesterone cream alone. Your sex hormones impact your thyroid, yes. But they’re not a shortcut.
Estrogen dominance can block T3. Low progesterone slows conversion. Low testosterone steals muscle, energy, and motivation.
But if someone’s only treating your hormones and ignoring your thyroid panel? You’re not getting optimized—you’re getting patched.
Hormones + thyroid = the real fix.
Anything less? It’s just a bandaid.
The Nutrients You’re Probably Missing
If no one’s talking to you about nutrient support, they’re skipping a massive part of the healing equation.
Your thyroid needs:
- Iodine (yes, even with Hashimoto’s—don’t panic)
- Selenium (for conversion and antibody protection)
- Magnesium + Vitamin D (cell function + hormone regulation)
- High-quality B vitamins + black cumin seed oil for support and inflammation control
And no, “just eat better” isn’t a plan. You need specific, strategic replenishment based on your labs.
Myth: You’re a Tough Case
Reality: You’ve Been Undersupported
Let’s kill this lie once and for all. You are not a medical mystery.
You are a human with:
- Incomplete labs
- Untreated thyroid issues
- Neglected hormone imbalances
- Nutrient gaps
- And a system that rewards “fine” instead of functioning
You’re not hard to fix—you’ve just never had the right playbook.
And when all of this is addressed together?
You get into Optimization Land.
You lose the weight.
Clear the brain fog.
Get your energy back.
And finally—finally—feel like yourself again.
Ready to Stop Being an Algorithm—and Start Being a Human?
Here’s what you do next:
- Stop accepting “normal.” Demand optimal.
- Leave behind generic care and clinics that cap your treatment.
- Get a real practitioner who listens, tests fully, and treats the whole picture.
This isn’t rocket science. It’s strategy.
Final Thought: Stop Settling. Start Living.
You don’t have to live with “mystery symptoms.” You don’t have to keep Googling at 2AM. You definitely don’t have to accept a diagnosis that doesn’t feel right.
You’re not too complicated. You’re not too far gone. You’re just one right move away from feeling like yourself again.
🧠 Start with the labs.
💪 Support your thyroid and hormones.
🌱 Fix the nutrient gaps.
🎧 And listen to the episode that kicks the door wide open.