Beyond TSH.
We run a complete panel — TSH, free T3, free T4, reverse T3, and the antibodies (TPO, TgAb) — because additional testing may be appropriate in selected patients. Treatment decisions consider your symptoms, laboratory findings, history, risks, and current guidelines — not one number in isolation.
Who you'll actually see
Your clinician actually knows you.
Kevin Watson, FNP-C — American Association of Nurse Practitioners (AANP) board-certified Family Nurse Practitioner. Based in Twin Falls, Idaho.
Measured, evidence-led care. Every plan is built from your labs, your symptoms, and your goals — not from a template.
Not sure this is the right starting point?
Answer a few questions and we'll match you with the care path — and the clinician — that fits your situation.
If any of this sounds like you.
You were told everything looks fine, but you still feel cold, foggy, or fatigued. Symptoms can have multiple causes — a complete panel plus your history helps sort out whether thyroid is one of them.
Stable dose for years and still not feeling right. Free T3 may be the missing piece — or your conversion isn't doing what we hoped.
Hashimoto's or Graves' in the family. You want a clinician who'll check antibodies — not wait for a textbook presentation.
Four steps. No insurance paperwork.
45-minute video visit. Symptom history, prior labs, prior treatment. Your clinician orders the full panel.
TSH, free T3, free T4, reverse T3, TPO antibodies, thyroglobulin antibodies. Plus iron, vitamin D, B12, and ferritin (they all interact).
If treatment is indicated: T4 alone, T4+T3 combo, or NDT — your clinician walks you through the trade-offs. T3-containing therapy is not appropriate for everyone. Lifestyle and nutritional cofactors addressed alongside.
First recheck at 6 weeks. After we're stable, quarterly cadence. Adjustments happen via portal — no waiting months for an annual visit.
The tools we reach for.
Every plan is built around your labs and your goals. Below are the evidence-based options we draw from — none of them are prescribed by default.
TSH, free T3, free T4, reverse T3, TPO antibodies, thyroglobulin antibodies. The whole conversation, not one number.
First-line for many members. Dose titrated to symptoms and free T4 / TSH targets — not just "in range."
Added when free T3 is low or conversion is poor. Typically dosed twice daily; not for every member, but a real option for those who need it.
Armour, NP Thyroid, or compounded T4/T3. For members who prefer a combination formulation. Lab-driven, like everything else.
Iron, ferritin, selenium, zinc, vitamin D — the building blocks thyroid hormone actually needs. Tested and corrected before assuming therapy is failing.
First labs at 6 weeks post-start or dose change. Then quarterly. Portal messaging in between — no annual-only visits.
“I'd been told my thyroid was fine for a decade. Two months on T3 and I'm warm for the first time since college.”Rachel · 36 · Ketchum, ID
Start here.
$95 first consult. If ongoing treatment is appropriate, medications are routed to your pharmacy; labs at cost. Insurance not accepted — superbills available.