Comprehensive
Thyroid Treatment
Thyroid Treatment When “Normal” Test Results Don’t Explain Your Symptoms
Are you exhausted despite sleeping 8 hours? Struggling with unexplained weight gain? Feeling cold when everyone else is comfortable? Watching your hair thin while your doctor tells you, “Your thyroid tests are normal?”


Understanding Your Thyroid: Small Gland, Enormous Impact
- Metabolism and weight
- Energy levels
- Heart rate
- Body temperature
- Mood and mental clarity
- Hair, skin, and nail health
- Digestive function
- Sleep quality
Why Standard Thyroid Testing Falls Short
Conversion Problems:
Thyroid Antibodies:
Reverse T3:
Nutrient Deficiencies:


A truly complete thyroid assessment includes:
Your thyroid may be small—just two inches across—but this butterfly-shaped gland in your neck influences nearly every cell in your body. It produces hormones that regulate your:
- TSH (Thyroid Stimulating Hormone)
- Free T4 (Inactive thyroid hormone)
- Free T3 (Active thyroid hormone)
- Reverse T3 (Blocks T3 from working)
- Thyroid Antibodies (TPO and TgAb)
- Nutrient testing (Iron/ferritin, selenium, zinc, vitamin D)
Common Thyroid Disorders
Hypothyroidism (Underactive Thyroid)
When your thyroid doesn’t produce enough hormones, your body’s processes slow down, leading to symptoms like:
- Fatigue and low energy
- Weight gain despite not eating more
- Brain fog and poor concentration
- Depression or low mood
- Cold intolerance
- Dry skin and hair loss
- Constipation
- Muscle aches and weakness
Common causes include:
- Hashimoto’s thyroiditis (autoimmune)
- Iodine deficiency
- Chronic stress
- Poor T4-to-T3 conversion
- Radiation treatment
- Certain medications
Hashimoto's Thyroiditis
This autoimmune condition is the most common cause of hypothyroidism in the United States. Your immune system attacks your thyroid, gradually destroying its ability to produce hormones.
Key facts about Hashimoto’s:
- Can be present for years before TSH becomes abnormal
- Often runs in families
- May flare up during times of stress or hormonal change
- Requires testing for thyroid antibodies for proper diagnosis
- May benefit from dietary and lifestyle changes along with medication

Hyperthyroidism (Overactive Thyroid)
When your thyroid produces too much hormone, your body’s processes speed up, causing:
- Unexplained weight loss
- Rapid or irregular heartbeat
- Anxiety, nervousness, irritability
- Excessive sweating
- Heat intolerance
- Tremors in hands
- Sleep problems
- More frequent bowel movements
Common causes include:
- Graves’ disease (autoimmune)
- Thyroid nodules
- Excessive iodine intake
- Thyroiditis (inflammation of the thyroid)
Our Comprehensive Approach to Thyroid Treatment

1. Thorough Diagnosis
Insulin resistance and blood sugar imbalances can:
- TSH, Free T4, Free T3
- Reverse T3
- Thyroid antibodies
- Nutrient testing
2. Personalized Treatment Options
Our functional medicine approach addresses thyroid health through multiple pathways tailored to your unique needs. Beyond conventional treatments, we combine targeted nutritional support, stress management techniques, environmental toxin reduction, and anti-inflammatory dietary strategies that work together to restore thyroid function.
We consider the whole person—not just lab values—and create individualized plans that address root causes while relieving symptoms. This comprehensive strategy allows us to adjust your treatment over time, adapting as your body responds and heals.
Call our New Patient Coordinator
The Thyroid-Adrenal-Gut Connection
Adrenal Function
Your adrenal glands produce stress hormones that directly impact thyroid function:
- Chronic stress can block T4-to-T3 conversion.
- High cortisol can suppress thyroid function.
- Addressing adrenal health is often necessary for complete thyroid recovery.
Blood Sugar Balance
Insulin resistance and blood sugar imbalances can:
- Impair thyroid hormone conversion.
- Increase inflammation.
- Worsen thyroid symptoms.
Gut Health
Your digestive system plays a crucial role in thyroid health:
- About 20% of T4-to-T3 conversion happens in the gut.
- Leaky gut can trigger or worsen autoimmune thyroid conditions.
- Many nutrients essential for thyroid function are absorbed in the gut.


About M. Roxana Cocos, APRN, MSN, FNP-C
Roxana graduated with honors (cum laude) from the University of Texas at Dallas with a Bachelors in Neuroscience as well as from the Texas Woman’s University with a Bachelors in Nursing. In 2011, she completed her education with a Master of Science in Nursing from Texas Woman’s University. She is board certified as a Family Nurse Practitioner through the American Academy of Nurse Practitioners, a proud Fellow of the Academy of Integrative Health and Medicine, and a member of the Academy of Preventive and Innovative Medicine.
As a Family Nurse Practitioner, she has worked in Family Practice, in Primary Care, Urgent Care, Endocrinology, and Functional Medicine giving her a well-rounded foundation of experience in treating patients. She has completed with honors the two-year postgraduate fellowship in Integrative Health and Medicine through the Academy of Integrative Health and Medicine.
Why Patients Choose Our Thyroid Treatment Approach
We listen to symptoms, not just lab results.
We recognize that “normal” isn’t optimal
We treat the whole person, not just the thyroid
Take the First Step Toward True Thyroid Health. Talk to our New Patient Coordinator...
We can also set up your first appointment if you decide we are a good fit for you. Please call us at 972-275-9930 to learn more or fill out the form below, and we will contact you.

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