160: Hypothyroid Symptoms But Your Labs Look Normal? | Lizzie Ens

Hypothyroidism symptoms with normal labs happen when your thyroid blood work falls inside standard lab ranges but is still far from optimal for your body. You feel exhausted, foggy, cold, and nothing like yourself. Your hair is falling out, your skin is dry, and your voice feels strained by the end of the day. Then your doctor tells you your thyroid is fine. Here's the thing: normal does not mean optimal, and that gap may be exactly why you feel dismissed.

On this episode of The Lizzie Ens Show, Lizzie Ens, functional nutrition coach, business owner, author, and speaker, walks you through the signs of hypothyroidism she sees most often in her clients and lived through herself. Postpartum and breastfeeding, Lizzie assumed her exhaustion was just new mom tiredness until she was diagnosed with subclinical hypothyroidism and a TSH in the 20s. She likes to see TSH between two and three, while standard lab ranges often stretch to five or six. You will learn how TSH, free T3, and free T4 fit together, why you might be colder than everyone around you, how skipping meals slows your metabolism even more, and why magnesium can help with thyroid-related constipation. Lizzie also shares why suppressing your voice and losing touch with your purpose can show up in your thyroid. If your body keeps telling you something is off, it is time to listen from the inside out.

In this episode, you’ll learn:

• Why hypothyroidism symptoms with normal labs are so common, and how standard lab ranges built around what is normal can miss what is actually optimal for your thyroid.
• What subclinical hypothyroidism means, and why Lizzie's TSH in the 20s was so far above the two to three range she likes to see.
• How TSH, free T3, and free T4 work together, including why free T3 is the active thyroid hormone that keeps your metabolism, your inner furnace, running warm.
• The signs of hypothyroidism most women brush off as stress or postpartum, including brain fog, always feeling cold, dry itchy scalp, brittle nails, hair loss, and thinning outer eyebrows.
• Why a low appetite with hypothyroidism leads so many women to skip meals, and how undereating slows your metabolism and digestion even more, often causing constipation.
• How a strained voice and achy throat by the end of the day can point to your thyroid, and why suppressing your voice matters for thyroid healing.
• Why going to bed instead of lounging on the couch supports healing, and how knowing your purpose makes it easier to wake up motivated every morning.

We talk about:

00:00 Can you have hypothyroidism with normal labs

00:38 Postpartum exhaustion that was really my thyroid

01:49 Subclinical hypothyroidism and a TSH in the 20s

02:35 Why your voice feels strained by the end of the day

03:00 Dry skin, brittle nails, and thyroid hair loss

03:37 Why normal thyroid labs are not always optimal

05:00 Why are you always colder than everyone else

05:31 Reading your TSH, free T3, and free T4

06:57 Low mood, anxiety, and brain fog with hypothyroidism

09:00 Skipping meals, slow digestion, and constipation

10:41 How suppressing your voice affects your thyroid

12:00 Why finding your purpose is part of thyroid healing

Ready to stop guessing and start healing at the root? Join Lizzie's 6 Week Undiet You program at https://www.undietyou.com/6-week-undiet-you

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• Website: https://undietyou.com/

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