04/10/2026
Your provider checked TSH and maybe T4…
…but that’s not nearly the whole story.
I cannot tell you how many people I see with rising cholesterol, fatigue, constipation, weight struggles, cold hands and feet, hair changes, dry skin, low mood, sluggish digestion, low motivation, or brain fog…
…and they were told their thyroid is “fine.”
Meanwhile, the only labs that were ordered were TSH and T4.
Those markers matter, sure. But they are not enough to understand the full picture.
When I look at thyroid function, I also want to see:
• Free T3 and Total T3
• Reverse T3
• Thyroid antibodies (TPO + TgAb)
• Free T4
• and Thyroid patterns on HTMA
You can absolutely have “normal” standard thyroid labs and still be dealing with subclinical thyroid dysfunction.
And yes… that can show up in your cholesterol.
💡When thyroid function slows down, your body becomes less efficient at clearing LDL cholesterol from the bloodstream. 🤯
Thyroid hormone helps regulate LDL receptors in the liver, bile production, triglyceride clearance, and cholesterol metabolism overall.
So if your thyroid is sluggish, cholesterol can climb even when you are “eating healthy.”
Hypothyroidism and even subclinical hypothyroidism are both associated with higher LDL, triglycerides, and total cholesterol.
I am searching beyond a thyroid hormone production issue - is the brain communicating appropriately? Are cells responding to thyroid hormone? Can thyroid hormone get into your cells? Is there autoimmunity? Are you converting adequately in the liver?
TSH alone will miss these 👆🏻
Your cholesterol story might not just be about food or genetics as you’ve been led to believe.
It might be about thyroid function, stress, digestion, mineral status, inflammation, blood sugar, liver health, and whether your body is actually able to do what it was designed to.
Have you suspected a thyroid issue but you were told it’s “fine”?