02/01/2026
The standard of care approach to Hashimoto’s, practiced by most conventional doctors and endocrinologists, is focused on testing for low levels of TSH (thyroid-stimulating hormone) if a patient presents with a series of known thyroid symptoms.
The issue with this for someone with Hashimoto’s is that it is not a “preventative” test, and a person with Hashimoto’s may appear to have normal TSH levels and be told they are fine… for years.
While I have the utmost respect for the profession of endocrinology and believe that every person who has been diagnosed with Hashimoto’s should see an endocrinologist at least once for a full evaluation and a thyroid ultrasound, many patients with Hashimoto’s end up disappointed with the care they receive from their endocrinologists and conventional doctors.
This is because the conventional medical approach to treating thyroid disease focuses on replenishing thyroid hormone levels with the use of synthetic thyroid medications once the “thyroid has burned itself out” and can no longer produce its own thyroid hormones.
While there is a time and place to see an endocrinologist, I recommend that most people with Hashimoto’s find a functional medicine-minded practitioner who can help dig for root causes and take an individualized approach to treating the condition.
Which of these things has your endocrinologist (or conventional doctor) told you? Which ones do you wish they had told you earlier on in your healing journey?
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