Comprehensive
Thyroid Treatment

Thyroid Treatment When “Normal” Test Results Don’t Explain Your Symptoms

Are you exhausted or fatigued? Struggling with unexplained weight gain? Experiencing cold extremities? Thinning hair? These and more are symptoms of low thyroid function. Possibly you have had your thyroid checked and your doctor told you, “Your thyroid tests are normal?”

Thousands of people suffer from thyroid symptoms while their standard lab tests come back “within range.” The truth is that conventional thyroid testing often misses critical indicators of thyroid dysfunction.

With extensive training and years of experience in Functional Medicine, Bio-identical Hormone Replacement Therapy, weight management, thyroid health, and more, we practice with a forward-thinking philosophy rooted in precision, prevention, innovation, and longevity.

At iRenewHealth we treat thyroid and hormone dysregulation, metabolic dysfunction, and more. 

Rather than masking symptoms, our mission is to uncover and treat the root causes—offering advanced, integrative care that empowers long-term wellness.

At iRenewHealth, our comprehensive approach to thyroid health includes more extensive testing to uncover the real causes of your symptoms and provide truly effective solutions.

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.

The Benefits of Thyroid Treatment: A Path to Renewed Energy and Health

1. Increased Energy and Reduced Fatigue

One of the most immediate benefits of treating hypothyroidism is a noticeable boost in energy. Fatigue is a hallmark symptom, and with proper hormone replacement therapy, many patients feel more alert, motivated, and capable in their daily lives.

2. Improved Metabolism and Weight Management

An underactive thyroid slows your metabolism, often leading to weight gain and difficulty losing weight. Treatment helps restore normal metabolic function, making it easier to maintain a healthy weight with proper nutrition and activity.

3. Enhanced Mood and Mental Clarity

Hypothyroidism can lead to depression, anxiety, and brain fog. Balancing thyroid hormones can significantly improve emotional well-being, mental focus, and memory.

4. Healthier Skin, Hair, and Nails

Thyroid hormones play a role in cell regeneration and repair. Treatment often leads to improvements in dry skin, thinning hair, and brittle nails, helping patients feel more confident and vibrant.

5. Better Heart and Digestive Health

Untreated hypothyroidism can raise cholesterol levels and affect heart function. It may also slow digestion, causing constipation. Treatment supports a healthier cardiovascular system and improved gut motility.

6. Support for Fertility and Hormonal Balance

For those trying to conceive, untreated hypothyroidism can disrupt menstrual cycles and ovulation. Proper management can restore hormonal balance and improve fertility outcomes.

Call our New Patient Coordinator

She can answer your questions and explain our protocols.

Why Patients Choose Our Thyroid Treatment Approach

We listen to symptoms, not just lab results.

Many of our patients come to us after years of being told their thyroid is “normal” despite debilitating symptoms. We understand that lab values don’t tell the whole story—how you feel matters.

We recognize that “normal” isn’t optimal

The standard lab ranges for thyroid hormones are based on statistical averages, not optimal health. We aim for truly optimal levels that restore your energy, clarity, and well-being.

We treat the whole person, not just the thyroid

Our approach addresses the interconnected nature of your body systems—thyroid, adrenals, gut, immune system—for comprehensive care.

Understanding Your Thyroid: Small Gland, Enormous Impact

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:
  • Metabolism and weight
  • Energy levels
  • Heart rate
  • Body temperature
  • Mood and mental clarity
  • Hair, skin, and nail health
  • Digestive function
  • Sleep quality
When your thyroid isn’t working correctly, it can affect every aspect of your health and quality of life.

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
We also evaluate adrenal function, gut health markers, blood sugar regulation, and food sensitivities that may trigger autoimmune reactions.

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

She can answer your questions and explain our protocols.

Why Standard Thyroid Testing Falls Short

Most doctors rely on a single Thyroid Stimulating Hormone (TSH) test to evaluate thyroid function. If your TSH falls within the “normal range,” you’re typically told your thyroid is fine.
But here’s what those standard tests miss:

Conversion Problems:

Your body must convert the inactive hormone T4 into the active hormone T3. Many people have normal T4 levels but can’t convert it effectively into T3.

Thyroid Antibodies:

You can have an autoimmune attack on your thyroid (like Hashimoto’s disease) for years before your TSH becomes abnormal.

Reverse T3:

This “emergency brake” hormone blocks active T3 from working properly and isn’t measured in standard tests.

Nutrient Deficiencies:

Low levels of iron, selenium, zinc, and other nutrients can impair thyroid function even with “normal” TSH levels.

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)
Without this complete picture, many thyroid conditions go undiagnosed or improperly treated for years.

The Thyroid-Adrenal-Gut Connection

Thyroid problems rarely exist in isolation. Your thyroid health is intimately connected to:

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.

Frequently Asked Questions

Our New Patient Coordinator is able to provide you with any information you need and answer any questions you have. You can contact her at 972-275-9930. Or you can email her at newpatient@irenewhealth.com.

Yes, we do virtual or telemedicine visits so you can see our Provider in the convenience of your home or office and to give you easy access to Functional Medicine care.

Our hours are Monday to Friday 9 am to 5 pm

To schedule an appointment, please contact our New Patient Coordinator at 972-275-9930.

For your appointments, please note that we are an out-of-network provider. This decision allows us more flexibility in providing thorough care tailored to your needs, which often requires more time and varied treatment options than what insurance constraints allow.

If you have a PPO plan, your medical insurance may reimburse a significant portion of your visit costs. Upon request, we can provide you with a superbill for you to submit to your medical insurance for reimbursement. With an HMO plan, your visits may not be covered, but your medical insurance might cover some or all of your laboratory (lab) work expenses. If you want to use any insurance benefits, you will need to check with your insurance company to see if they will reimburse any expenses or cover labs.

Medical insurance policies now often require meeting deductibles before covering any lab costs, often requiring full payment until deductibles are met. To help manage expenses, we have negotiated lower lab prices to ease these costs for our patients and offer substantial savings on lab work costs for self-pay patients.

To understand what your medical insurance covers, contact them and inquire about your coverage for out-of-network medical providers and lab work costs. Depending on their reimbursement rates, our discounted lab program may provide you with significant savings.

We make the best treatment decisions for you, which might not always align with your insurance’s coverage. But we will work with you and do the best we can for you in this respect.

Yes, we accept FSA (Flexible Spending Account) and HSA (Health Savings Account) as payment for visits and supplements purchased.

If you have a PPO plan, your medical insurance may reimburse a significant portion of your visit and lab work costs. Upon request, we can provide you with a superbill for you to submit to your medical insurance for reimbursement. With an HMO plan, your visits may not be covered, but your medical insurance might cover some or all of your laboratory (lab) work expenses. If you want to use any insurance benefits, you will need to check with your insurance company to see if they will reimburse any expenses or cover labs.

Medical insurance policies now often require meeting deductibles before covering any lab costs, often requiring full payment until deductibles are met. To help manage expenses, we have negotiated lower lab prices to ease these costs for our patients and offer substantial savings on lab work costs for self-pay patients.

To understand what your medical insurance covers, contact them and inquire about your coverage for out-of-network medical providers and lab work costs. Depending on their reimbursement rates, our discounted lab program may provide you with significant savings.

Take the First Step Toward True Thyroid Health. Talk to our New Patient Coordinator...

Don’t settle for feeling exhausted, foggy, and unwell. Don’t accept “normal” lab results when your body is clearly telling you something is wrong.
Our comprehensive thyroid care has helped so many people reclaim their energy, mental clarity, healthy weight, and joy in life.
Call us today to learn more about our comprehensive Thyroid Treatment. We are happy to answer all your questions, explain all the details, and give you more information about our providers, protocols, fees, and what may or may not be covered by insurance.

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.

Real answers. Real solutions. Real results. Start your journey to optimal thyroid health at iRenewHealth today.

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