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In this episode of Integrative Medicine with Dr. Leland Stillman, Dr. Stillman welcomes Dr. Amie Hornaman to talk about what happens when lab reports and lived experience do not match. Dr. Hornaman shares how years of “normal” thyroid labs, dramatic weight gain, crushing fatigue, and dismissal from providers pushed her into thyroid specialization. From there, she and Dr. Stillman outline how thyroid hormones affect metabolism, energy, weight, mood, and brain function, and why a single TSH value rarely captures the full story.
They walk through what a more complete thyroid evaluation can include, how to interpret labs in the context of symptoms, and why two patients with the same numbers may need very different plans. You will hear practical discussion about medication options, dosing decisions, and why some people remain symptomatic even on treatment.
They also zoom out to cover the impact of nutrition, stress, sleep, environmental toxins, and lifestyle patterns on thyroid and metabolic health. With a holistic yet medically grounded approach, this episode challenges checkbox thyroid care and illustrates what patient‑centered, integrative thyroid treatment can look like in real life. If you have ever been told “everything looks good” while your body clearly says otherwise, this conversation offers language, concepts, and next steps to help you pursue better answers.
You can find Dr. Amie Hornaman at dramie.com and her new book at thyroidfixbook.com
For Dr. Stillman’s latest article visit here
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