What if my thyroid labs are normal but I still feel awful?

A normal TSH alone does not always mean your thyroid system is working well. You can still have issues with free T4, free T3, reverse T3, antibodies, nutrients, stress or inflammation that create symptoms even when basic labs look fine.

Can you help if I already take levothyroxine but still have symptoms?

Yes. Many women on levothyroxine still feel tired, cold or unwell. This often points to problems with hormone conversion, nutrient status, blood sugar, stress or inflammation that medication by itself does not address.

Could this still be my thyroid even if my antibodies are negative?

You can have thyroid related symptoms even when thyroid antibodies are negative. Conversion issues, low nutrients, chronic stress and other hormone imbalances can all impact how thyroid hormone works in your body.

What is the difference between hypothyroidism and Hashimoto’s?

Hypothyroidism refers to low thyroid hormone levels. Hashimoto’s is an autoimmune disease where the immune system attacks the thyroid gland. Hashimoto’s commonly leads to hypothyroidism over time, and symptoms may appear before standard labs become clearly abnormal.

Why do I have so many symptoms if my doctor says my labs are fine?

Standard testing often includes only TSH and sometimes T4. This can miss problems such as poor T4 to T3 conversion, thyroid antibodies, nutrient deficiencies, blood sugar changes and cortisol imbalances. A more complete assessment can explain persistent symptoms.

What thyroid labs do you run and why?

A comprehensive thyroid workup usually includes TSH, free T4, free T3, reverse T3 and thyroid antibodies, along with ferritin, vitamin D, B12, insulin and metabolic markers. This shows how the thyroid is functioning, how well hormone is converted and whether nutrients or metabolism are contributing to symptoms.

What is thyroid hormone conversion and why does it matter?

Thyroid hormone conversion is the process of changing T4 into the active hormone T3. If your body does not convert T4 efficiently, you can feel hypothyroid even when TSH and T4 are in range. Measuring free T3 and reverse T3 helps identify conversion problems.

Can low iron or low ferritin make thyroid symptoms worse?

Low ferritin can interfere with the production and activation of thyroid hormone. Symptoms such as fatigue, hair loss, feeling cold and brain fog are often linked to low iron stores even when standard iron or hemoglobin tests appear normal.

Can you help if I am trying to get pregnant or planning pregnancy?

Thyroid hormones influence ovulation, implantation and early fetal development. Optimizing thyroid levels, nutrients and blood sugar before conception can support fertility and lower miscarriage risk. Naturopathic thyroid care can be part of preconception planning.

How does stress affect thyroid health?

Chronic stress and high cortisol can reduce T4 to T3 conversion, increase reverse T3 and worsen inflammation. This can worsen fatigue, anxiety and sleep problems even if basic thyroid labs appear normal.

Naturopathic Thyroid Care in Ontario

Told your labs are normal — or still not feeling well on thyroid meds? Reclaim your energy, hormones & fertility with a root-cause thyroid plan.

Your symptoms matter. You deserve care that looks deeper and explains what’s actually going on.

Book my discovery call

Trusted Thyroid Support

Rated #1 Naturopathic Doctor in Whitby (RateMDs)

17 years of thyroid

& hashimoto's experience

Complete thyroid panel testing

Virtual thyroid care for women across Ontario

If you’ve been feeling dismissed, rushed, or told everything looks normal even when you don’t feel like yourself, take a breath.

You’re not imagining your symptoms. You’re not overreacting.

You’re a woman who knows her body better than anyone else, and you deserve care that listens, investigates, and explains what’s really going on.

I help women uncover what is actually driving their symptoms and build a personalized plan that supports energy, fertility, metabolism, mood, and long-term thyroid function.

Where is the Thyroid?

Your thyroid is a small, butterfly-shaped gland in your neck. It influences almost every system in your body. Even small changes can create big shifts in how you feel.

Thyroid Problems Are Common

• 1 in 8 women will be diagnosed in their lifetime
• Many more sit in the grey zone for years before anyone notices
• Symptoms often show up long before TSH changes

• Subclinical hypothyroidism is found in up to 43% of women with infertility

• Hashimoto’s is the cause of about 85% of all hypothyroidism cases

Who I Help

The Diagnosed but Drained

You already have a hypothyroidism diagnosis.

You take your medication.
Your labs might look “fine.”

But you still feel tired, cold, heavy, foggy, or not like yourself. You want answers beyond TSH.

You want a plan that actually helps you feel normal again.

The Hashimoto’s Without Help

You’ve been told you have thyroid antibodies.

But no one has explained what this means or how to treat it.

You want guidance on what triggers flares, how to support your immune system, and what steps can help protect your thyroid long-term.

My Approach:
A Whole-Body, Root-Cause Thyroid Investigation

Your thyroid doesn’t work in isolation. Stress, inflammation, nutrient status, gut health, and immune activity all influence how thyroid hormones are made, converted, and used.

My approach blends in-depth testing with a naturopathic, whole-body lens so you can understand why you feel the way you do.

What We Look At Together

Nutrients that your thyroid needs to work properly

Whether your thyroid is producing enough hormone

How stress or inflammation may be impacting your thyroid

Do you have Hashimoto's Thyroiditis

How well you convert T4 into active T3

Once we know your root pattern, your plan becomes clear and personalized.

Why Women Choose This Approach

You get an explanation of why you feel the way you do
We look beyond basic labs
You receive a plan tailored to your body and lifestyle
Virtual care available anywhere in Ontario
Treatment that includes diet/nutrition, lifestyle and evidence based supplements
Compassionate care that educates & empowers

The Transformation

This isn’t just about fixing thyroid numbers. It’s about restoring a life that feels like your own.

The real transformation begins when you stop asking, why do I still feel off?” and start feeling grounded, clear, and confident in your body again.

Most women who walk through this process say:

Their brain fog has lifted. They can think clearly again.
They’re no longer dragging through the day. Energy feels sustainable.
Anxiety quiets. The nervous system settles.
They finally understand their body and labs—instead of fearing them.
They trust themselves again. They stop outsourcing every answer.
It’s not just relief—it’s reconnection.
By the end of our work together, you won’t just have a plan. You’ll have proof that your body can come back into balance. And that your healing doesn’t have to be hard—just aligned.

Case Studies

Hashimoto’s that went undetected

A woman in her late 20s came in after years of feeling off. Her TSH was always normal, so she was told her thyroid was fine. Still, she noticed creeping weight changes, brain fog, dry skin, and feeling unlike herself. She wanted answers, not another “your labs look good.”

What We Found
A complete thyroid panel showed elevated TPO antibodies. Her thyroid wasn’t underactive yet, but her immune system was already attacking it. She finally had an explanation for why she hadn’t been feeling right.

What We Worked On

Anti-inflammatory nutrition
Vitamin D and selenium
Gut support to calm autoimmunity

Transformation

Within a few months her energy improved, brain fog lifted, and her symptoms became more predictable. Her antibody levels reduced, and she felt in control of her thyroid health for the first time.

Frequently asked questions

I use a full panel: TSH, Free T4, Free T3, reverse T3, anti-TPO and anti-thyroglobulin antibodies. Plus key markers like ferritin, B12, Vitamin D, blood sugar, and inflammation to see the full picture.

Dynacare testing is billed as an out-of-pocket expense, since it’s a private lab. You’ll pay for your tests directly through your patient portal, there’s no additional markup on the cost. Some extended health insurance plans may reimburse part or all of the expense, so it’s worth checking with your provider in advance. Once your requisition is ready, it will be uploaded to your secure patient portal. From there, you can either print it or upload it directly to the Dynacare website. To find the most convenient location, you can visit the Dynacare website and search by postal code.

Next Steps

Discovery Call

During this complimentary phone call we will discuss your health goals and how I would approach helping you. I want to make sure it is a good fit to work together. Click here to book your discovery call

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Your initial appointment is a 60-minute virtual visit where we review your full health history, symptoms, past labs, and concerns. You’ll leave knowing what testing you actually need and the first steps to start feeling better.

Click here to learn more about this appointment

Initial Appointment

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Review of Findings

This is the appointment where everything comes together. We go through your lab results line by line, explain what’s been missed, and connect your symptoms to your numbers. You’ll get a clear diagnosis when appropriate and a personalized plan with nutrition, lifestyle, and evidence-based supplements that fits your real life.

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Follow-up Appointments

These appointments are done generally after you have completed some repeat blood work, at about the 2-3 month mark.

Thyroid Articles

20 Signs You Have Hypothyroidism and What To Do About It

If you’ve been feeling off lately, tired for no reason, foggy, or just not yourself, your thyroid may be involved. Hypothyroidism affects millions of women and often goes undiagnosed for years. Symptoms get brushed off as stress, parenting, aging, or mood issues. What you’re feeling is real. And you can get answers. What Is Hypothyroidism Hypothyroidism happens when your thyroid isn’t making enough thyroid hormone. This small gland in your neck influences almost every syste

Hashimoto’s Disease: A Clear Guide for Women Who Want Answers

Hashimoto’s is an autoimmune process. Your immune system starts mistaking your thyroid for something dangerous. Slowly, quietly, it creates inflammation. Not enough to set off alarms at first. Just enough to interrupt your energy, your warmth, your metabolism, your cycles.

Why Your Thyroid Might Be “Normal” On Paper… But Not Working For You

You can feel hypothyroid even when your TSH is “normal.” • T4 must convert into T3, the hormone that actually drives energy, metabolism, and mood. • Stress and under-eating raise reverse T3, which blocks active thyroid hormone. • Hashimoto’s can be active for years before TSH changes. Symptoms matter: fatigue, weight changes, brain fog, cold hands/feet, mood changes. • A full thyroid workup (TSH, free T4, free T3, rT3, antibodies) gives a clearer picture. • Supporting stress,

My Invitation To You

If you are tired of living in the grey zone or being told everything is fine when it clearly is not, let’s talk.

A simple conversation can open the door to clarity, confidence, and a plan that finally aligns with your body.

Book your free 10 minute call

This call is the first step toward becoming a patient and getting a personalized thyroid plan that actually moves you forward.

Start Now

Dr. Jessica NesbittND