028 Navigating the Thyroid Treatment Mystery with Inna Topiler

028 Navigating the Thyroid Treatment Mystery with Inna Topiler

The Investigation

Last week we unravelled the mystery of finding underlying issues with the thyroid. We specifically looked at how blood tests should be read to give a clearer picture of the thyroid function.

I got a whole bunch of emails thanking me for the clear explanation but also asking me how they can get the correct tests and what they can do about their numbers.

In this episode, I share a few strategies for getting the right tests done to get the full picture of what your thyroid is doing. I include options that will hopefully help you find someone locally who can help (and who is covered by insurance).

Once you have your numbers, that’s another story. The truth is, every case is different; their symptoms are unique to them. It’s important to look at all levels to determine what is happening and what pathways are driving it. To give you a sense of how different each situation can be, I wanted to share a few of my past clients’ stories with you.

Click play to hear about Cindy, Cara, Melody and Erin and their struggles with underactive thyroid glands.

Case #1 - Cindy:

  • Cindy’s TSH was deemed fine by her doctor despite being low at .5 (optimal range is 1.8-3)
  • She was cold all the time, had trouble losing weight, and felt unwell all the time.
  • Further tests revealed that T4 was low at 4.5 (normal range is 6-12) and her T3 was low at 68 (the optimal range is 100-150).

I suspected that the problem was further ‘upstream’ from the thyroid in the pituitary gland. We supported pituitary function with supplements and within 3 weeks, she was feeling better. It took 6 months to see her levels move back into optimal range, but we did that without treating the thyroid at all.

Case #2 - Cara:

  • Cara’s TSH was elevated at 6.5 (the optimal range is 1.8-3), her Total T4 was 5.5 (ideal is 6-12) and her T3 was 75 (ideal is 100-150). Note that her TSH is high while her T3 and T4 are low.
  • She was often tired, experiencing bad PMS and constipation.
  • She was negative for the Hashimoto’s antibodies.
  • She needed proper thyroid support but wanted a more natural option so she opted for dessicated thyroid extracts or DTE.

After 6 weeks, all of her levels were back in the normal range. And, her very next menstrual cycle was balanced and devoid of those extreme PMS symptoms.

Case #3 - Melody:

  • Melody was already taking Synthroid, a medication to support her thyroid function.
  • Thanks to the medication, her TSH and her T4 were right where they should be.
  • However, she felt tired and often foggy and wondered if it might have to do with her thyroid.
  • Further tests revealed that her T3 was very, very low at 70 (optimal is between 100 - 150) and her free T3 was also low at 2.4 (ideal range is 3 - 4).

I could see immediately that she wasn’t converting her T4 into T3. We knew that the solution was going to involve the liver. She did a liver cleanse and also took supplements to support the conversion of T4 to T3. After 6 weeks of liver support and supplements, Melody had increased energy and improved mental clarity. Test revealed that total T3 was now back in range at 100 and her free T3 was also back in range at 3.1. Her T4 and TSH maintained their healthy levels.

Case #4 - Erin:

  • Erin’s TSH, T3 and T4 were all in the optimal range and she did not have Hashimoto’s.
  • She was seeing classic hypothyroid symptoms like coarser, frizzier hair, thinning of the eyebrows, difficulty sleeping, and brain fog.
  • She also didn’t feel well and wondered if it had to do with her high stress levels.

There was one thyroid test that was missing from her workup that I wanted to run - the reverse T3. Sure enough, it was at 29 when the reference range is 8-24 (optimally it should be under 17). Stress (and the cortisol associated with it) can cause reverse T3 to rise. Helping Erin’s thyroid issue started with stress management techniques including meditation. She also took a natural supplement to lower her cortisol. Erin noticed he symptoms decreasing almost right away and within 2 months her reverse T3 had gone from 29 to 15!

Mysteries Solved

As you can see from these four cases, thyroid was behind all of their health mysteries but solving each one was vastly different. If your thyroid numbers are out of line, make sure you thoroughly investigate what can be at play. It could be a version of hypothyroidism, a thyroid conversion issue, something to do with the pituitary function or a high reverse T3 pattern. The answers (and treatments) are out there and there is hope!

Next Steps

If you have symptoms of a thyroid condition but your lab tests say otherwise, it may be time to look a little deeper to make sure all the labs were run and interpreted properly . I put some links to labs below but I do encourage you to work with a healthcare professional who is willing to help you dig deeper. Your health and well being are worth it.

Eliminating Health Mysteries

For Cara, Cindy, Melody, and Erin we were able to find that missing piece of the health puzzle and help them regain her health. Could this be the missing clue for you or someone in your life? Please share this episode with them so they can feel better too.

Links:

Resources Mentioned:

PS 150

Thyraxis PT

ThyroCNV

Thyroxal

Ferrochel Iron

LABS

https://yourlabwork.com/innatopiler/

Thanks for Listening

If you like what you heard, please rate and review this podcast. Every piece of feedback not only helps me create better shows, it helps more people find this important information.

Never miss an episode - Subscribe NOW to Health Mysteries Solved with host, Inna Topiler on Apple Podcasts, Spotify, Stitcher or Google Podcasts.

Find out more at http://healthmysteriessolved.com

Related Podcast Episodes:

EPISODE #027 Solving the Thyroid Mystery w/ Inna Topiler

EPISODE #023 The Case of Bloating, Gas, and Irregular Bowel Movements

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197 What No One Told You About The Connection of Progesterone, Estrogen, and Hashimoto’s with Dr. Felice Gersh (Part 1)

197 What No One Told You About The Connection of Progesterone, Estrogen, and Hashimoto’s with Dr. Felice Gersh (Part 1)

In this episode of Thyroid Mystery Solved, Inna welcomes back the brilliant Dr. Felice Gersh for a conversation that takes Hashimoto’s and hormones to a whole new level. Together, they dive deep into the role of estrogen and progesterone in regulating the immune system, inflammation, and thyroid health. Most people have only heard the basics about these hormones, but as Dr. Gersh explains, the story goes far beyond reproduction. From Hashimoto’s flares that appear around menstrual cycles to the critical impact of hormones during perimenopause and menopause, this discussion unpacks what most doctors never tell their patients and you are going to be amazed!Dr. Gersh also shines a light on how misconceptions about hormones, especially progesterone, have shaped conventional medicine and why so many women are left without the support they truly need. This episode is part one of a two-part series, and it is filled with insights that will completely change the way you think about hormones and Hashimoto’s.----------For full show notes, please see https://innatopiler.com/podcasts/connection-progesterone-estrogen-and-hashimotos-dr-felice-gersh/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

4 Sep 45min

196 Why Positive Thinking Can Backfire with Hashimoto’s with Anat Peri

196 Why Positive Thinking Can Backfire with Hashimoto’s with Anat Peri

In this powerful episode, Inna is joined by transformational leader and inner child expert Anat Peri to explore an unexpected twist in the Hashimoto’s healing journey. Together, they dive into the case of Jessica, who was doing all the “right” things, following the AIP diet, taking supplements, working on her mindset, but still felt exhausted and stuck. Her symptoms weren’t improving, and her doctor’s solution was to increase her medication yet again.The turning point came when she uncovered something deeper. Jessica was trying so hard to stay positive, think positive, do her affirmations because that is what she was told she should be doing. However by doing that, she was unintentionally overriding her true emotions and it made her feel way worse.Anat explains how this kind of forced positivity can be a detriment because it can actually create stress in the nervous system, keeping the body in a chronic state of fight, flight, or freeze. This episode unpacks how overriding your feelings can actually worsen autoimmune symptoms and why true healing starts with emotional safety.Anat also shares the science behind how the nervous system reacts faster than the conscious mind, how inner child work helps create safety, and why nervous system regulation must come before mindset work can truly be effective. From breathwork to sensation naming to reparenting tools, you’ll learn how to create space for your emotions and support your healing from the inside out.This episode is an essential listen for anyone who has tried it all and still feels like something is missing. It might not be about doing more. It might be about feeling more.For full show notes, please see:https://innatopiler.com/podcasts/positive-thinking-hashimotos-anat-peri/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

24 Juli 54min

195 The Surprising Empath–Thyroid Connection with Kristen Schwartz

195 The Surprising Empath–Thyroid Connection with Kristen Schwartz

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10 Juli 50min

194 Conflicting Hashimoto’s Advice: How To Find Your Path to Healing

194 Conflicting Hashimoto’s Advice: How To Find Your Path to Healing

When you’re living with Hashimoto’s,  it’s easy to end up overwhelmed, especially when you’re getting conflicting advice from different practitioners. In this episode, Inna shares a real-life case where a client was stuck in that very situation, caught between protocols and unsure how to move forward. What helped wasn’t more advice, instead it was learning to trust her own intuition.To explore this idea further, Inna is joined by Karly Ashworth, a transformational coach and intuitive guide who helps people reconnect to their inner voice and find clarity. Together, they talk about how tuning into your intuition can help you navigate confusing symptoms, make better health decisions, and even uncover emotional patterns that might be affecting your thyroid.They dive into what intuition really is (and why we all have it), how it relates to the throat chakra and the thyroid, and why emotional triggers such as indecision or self-doubt can sometimes do just as much damage as physical ones. Karly also shares practical ways to quiet the noise, get grounded, and start recognizing the signals your body is already sending you.Whether you’ve been second-guessing your health decisions or you’ve just felt out of touch with your body, this episode is a powerful reminder that sometimes, the answers you’re looking for aren’t out there but they’re already within.For full show notes, please see (TIM PLEASE ADD LINK)Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

26 Juni 50min

193 Root Canals, Cavities, and Hashimoto’s: What Your Dentist Isn’t Telling You with Dr. Michelle Jorgensen

193 Root Canals, Cavities, and Hashimoto’s: What Your Dentist Isn’t Telling You with Dr. Michelle Jorgensen

When a patient has tried every clean-eating plan, every supplement protocol, and every practitioner,  but is still exhausted, anxious, and foggy  it’s time to look where no one else has. In this episode, Inna teams up with functional dentist Dr. Michelle Jorgensen to explore a very overlooked trigger and aggravator for Hashimoto’s symptoms: your mouth.Through the case of “Cindy,” a Hashimoto’s patient who did everything right but still wasn’t getting better, Inna and Dr. Michelle reveal how hidden dental infections, past root canals, and even the materials used in old dental work can silently drive inflammation and autoimmune flares. What looks like “perfect” dental health on X-rays might actually be masking deep, ongoing issues that most conventional dentists never catch.Dr. Michelle brings her unique insight as a dentist-turned-health detective, showing how problems like cavitations, mixed metals, and even mouth breathing can create a ripple effect on the immune system, the microbiome, and the thyroid. She also explains how to safely investigate and address these issues  and why healing often requires asking the questions no one else is asking.This episode opens a powerful new conversation for anyone with Hashimoto’s who still doesn’t feel well despite doing “everything right” and exactly what you can do to explore what your mouth is trying to tell you.----------For full show notes, please see:https://innatopiler.com/podcasts/root-canals-cavities-hashimotos-dentist-dr-michelle-jorgensen/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

12 Juni 52min

192 The Emotional Root of Chronic Symptoms in Hashimoto’s with Lizzy Swick

192 The Emotional Root of Chronic Symptoms in Hashimoto’s with Lizzy Swick

If you’ve ever felt like you’ve tried everything…very diet, every supplement, every protocol, but your Hashimoto’s symptoms still aren’t budging, this episode might be the missing link. In this tender and deeply personal conversation, Inna sits down with her dear friend and colleague Lizzy Swick, RDN, to explore a part of healing that’s so often overlooked: the emotional and nervous system layer. Lizzy shares her own journey of chronic migraines, pain, and doing all the right things until she discovered that true progress began when she stopped doing more and started feeling more.Together, they unpack what it really means to feel safe in your body and how emotions, past experiences, and the way we push ourselves can quietly drive inflammation, fatigue, and even autoimmunity. You’ll hear practical tools like "rage on the page" journaling, embodiment meditation, and the internal shifts that helped Lizzy finally get relief after years of searching. It’s gentle, honest, and eye-opening in the most beautiful way.This conversation is one that Inna truly hopes you’ll take to heart. It’s not just about healing your thyroid, it’s about healing you. If you’ve been stuck, if nothing is working, or if you’ve ever wondered whether your emotions and nervous system might be part of the puzzle, this episode will feel like a breath of fresh air. Please listen, it might be the turning point you didn’t know you needed.----------For full show notes, please see https://innatopiler.com/podcasts/root-chronic-symptoms-hashimotos-lizzy-swick/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

29 Maj 50min

191 Hashimoto’s and the Hidden Growth You Might Not See Yet

191 Hashimoto’s and the Hidden Growth You Might Not See Yet

When you’re in the thick of it, whether it’s fatigue, brain fog, a flare, or something even bigger, it’s so easy to feel like you’re losing yourself. But what if something deeper is happening beneath the surface? In this heartfelt solo episode, Inna shares a powerful reframe that might just change how you see your Hashimoto’s journey… and your life.Drawing from her own healing path with Hashimoto’s and the ongoing challenges she’s facing with her son Jake’s autism and PANDAS diagnosis, Inna opens up about what it means to go through something and become someone in the process. She shares how surrender, patience, humor, and deep empathy have shaped her, not just as a mom, but as a woman and practitioner.This episode is an invitation to pause and reflect on your own journey, what it’s teaching you, how it’s changing you, and who you’re becoming through it all. If you’ve ever felt alone in your struggles or unsure of your path, this conversation will help you feel seen, grounded, and more hopeful.----------For full show notes, please see https://innatopiler.com/podcasts/hashimotos-hidden-growth/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

15 Maj 22min

190 The Hidden Factor Behind Brain Fog and Fatigue in Hashimoto’s with Inna Topiler

190 The Hidden Factor Behind Brain Fog and Fatigue in Hashimoto’s with Inna Topiler

There’s one hidden factor that could be draining your energy and clouding your brain, and most people with Hashimoto’s have no idea it’s happening.In this episode, Inna reveals the overlooked role that poor blood and lymph flow play in fatigue and brain fog, and very specific things that can make a big difference in how your brain functions and how your body feels.She walks you through the exact steps you can take right now to improve circulation, clear your head, and start feeling better with gentle, doable strategies that actually work for Hashimoto’s. Plus, she dives into the full picture of why energy gets blocked, including deeper layers like blood sugar, mitochondrial inflammation, adrenal rhythm, and nutrient deficiencies. It’s everything you need to understand why you’re still tired and what to do about it.If you’ve been doing everything “right” but still feel off, you need to hear this.----------For full show notes, please see https://innatopiler.com/podcasts/brain-fog-fatigue-hashimotos-inna-topiler/Get ThyroLove - the first all in one bottle multi-nutrient comprehensive formula designed specifically for those with Hashimoto’s at ThyroLove.com - use code “Podcast” to get 10% off and free shipping For more information about everything Hashimoto’s please visit InnaTopiler.comIf you are struggling to lose weight with Hashimoto’s, Inna has a 10 day plan just for you at InnaTopiler.com/jumpstartIf you need help with fatigue or brain fog with Hashimoto’s, please check out Inna’s 9 Day Exhaustion Solution at innatopiler.com/energyIf you don’t yet know your thyroid type, please be sure you sign up for Inna’s next free training at InnaTopiler.com/zoomcall

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