Bioidentical Thyroid Therapy

Introduction: Why Thyroid Conditions Need a New Approach

Thyroid issues often go underdiagnosed or undertreated—despite causing fatigue, weight gain, brain fog, and depression. At Patients Medical in New York City, we specialize in uncovering the root causes of thyroid dysfunction and correcting them with personalized, bioidentical thyroid hormone therapy.

Rather than relying on one-size-fits-all medication like levothyroxine (T4 only), we use compounded thyroid formulations tailored to your unique biology—restoring balance to your metabolism, mood, and energy.

What Is Bioidentical Thyroid Therapy?

Bioidentical Thyroid Therapy uses customized hormone formulations that match the structure of your body’s natural thyroid hormones—T3 (triiodothyronine) and T4 (thyroxine). Unlike standard prescriptions, compounded thyroid medications can be precisely dosed and combined to reflect your actual needs.

At Patients Medical, we compound thyroid medications using:

  • Natural desiccated thyroid (NDT)
  • Custom ratios of T3 and T4
  • Slow-release formulations for consistent absorption
  • Allergy-friendly, dye-free options

Common Symptoms of Thyroid Imbalance

If you’ve been told your labs are “normal” but still feel off, you may have subclinical or functional hypothyroidism. Common symptoms include:

If you’re experiencing any of the above, our team can test for hidden toxins and develop a custom detox plan.

Root Causes: Why Is Your Thyroid Out of Balance?

Functional medicine goes beyond TSH levels to understand why your thyroid is struggling. Common root causes include:

  • Hashimoto’s Thyroiditis: An autoimmune attack on the thyroid
  • Poor T4-to-T3 conversion in the liver or gut
  • Nutritional deficiencies: Selenium, iodine, zinc, tyrosine
  • Chronic stress: Elevates reverse T3, which blocks active T3
  • Leaky gut & inflammation: Disrupt thyroid hormone signaling
  • Toxin exposure: Fluoride, mercury, BPA, and mold impair function
  • Estrogen dominance: Affects thyroid hormone binding and metabolism

Diagnostic Testing We Use

Our comprehensive thyroid evaluation goes far beyond basic labs. At Patients Medical, we assess:

TSH, Free T3, Free T4

Reverse T3 (rT3) – checks for stress-related hormone blockage

Thyroid antibodies (TPO, TgAb) – to detect autoimmune Hashimoto’s

Sex hormone levels (estrogen, progesterone, testosterone)

Cortisol levels and adrenal rhythm

Nutrient levels – iodine, zinc, selenium, iron, B12

Leaky gut and food sensitivities

Heavy metals and endocrine-disrupting toxins

MTHFR and detox genetics

Integrative Thyroid Treatment at Patients Medical

Personalized Thyroid Formulation

We design compounded thyroid prescriptions that may include:

  • Natural desiccated thyroid (porcine-derived)
  • Bioidentical T3 and T4 in custom ratios
  • Slow-release capsules or sublingual troches

All prescriptions are monitored and adjusted based on your labs, metabolism, and symptoms.

Nutritional Therapy

Targeted food plans and supplements to support thyroid healing and hormone production:

  • Anti-inflammatory, gut-healing diets
  • Gluten-free (especially in Hashimoto’s cases)
  • Iodine-rich foods (in proper amounts)
  • Iron, selenium, and zinc-rich meal planning

IV Nutrient Therapy

Customized IV drips may include:

  • B-complex and methylcobalamin (B12)
  • Magnesium and vitamin C
  • Glutathione for detox support

Stress & Adrenal Optimization

Thyroid healing often depends on cortisol balance. We offer:

  • Adaptogenic herbs (ashwagandha, rhodiola)
  • Meditation and guided breathing
  • Acupuncture for adrenal reset

 

Gut & Liver Support

Proper thyroid function requires a healthy gut and detox system. We offer:

  • Leaky gut repair protocols
  • Liver detox and methylation support
  • Elimination diets to reduce inflammatory triggers

Real Case Study: Angela’s Thyroid Comeback

Angela, 46, was taking Synthroid but still felt exhausted, depressed, and cold all the time. Our advanced thyroid panel revealed:

  • Low free T3
  • High reverse T3
  • Positive TPO antibodies

We shifted her from T4-only medication to a compounded T3/T4 blend, added selenium and zinc, and supported her adrenals.
Within 8 weeks, Angela reported better mood, warmer body temperature, and improved energy.

Her TPO antibodies also dropped by 40% in 4 months—indicating less autoimmune inflammation.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

Our detox is science-backed and based on lab testing, nutritional therapy, and medical-grade interventions.

 Programs typically last 4–12 weeks depending on your needs and toxic load.

 Programs typically last 4–12 weeks depending on your needs and toxic load.

 Programs typically last 4–12 weeks depending on your needs and toxic load.

 Programs typically last 4–12 weeks depending on your needs and toxic load.

 Yes. Detoxification can reduce inflammation and support immune balance, which benefits many chronic conditions.

We are out-of-network but provide superbills for reimbursement. Some labs may be partially covered.

We are out-of-network but provide superbills for reimbursement. Some labs may be partially covered.

We are out-of-network but provide superbills for reimbursement. Some labs may be partially covered.

We are out-of-network but provide superbills for reimbursement. Some labs may be partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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