Dr. Kenton Bruice MD

Thyroid Health

Hypothyroidism — Diagnosis & Treatment in Denver

Hypothyroidism is underdiagnosed when relying solely on TSH. Dr. Bruice evaluates the full thyroid panel to identify functional hypothyroidism even when TSH appears normal.

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Common Signs & Symptoms

  • !Persistent fatigue
  • !Unexplained weight gain
  • !Cold intolerance
  • !Hair loss
  • !Dry skin
  • !Constipation
  • !Brain fog
  • !Depression

What Causes This?

  • Hashimoto's thyroiditis
  • Iodine or selenium deficiency
  • Prior thyroid surgery
  • Pituitary dysfunction
  • Poor T4-to-T3 conversion

Treatment Approaches

T4 + T3 Combination

Many patients do better on desiccated thyroid than T4-only medications.

Optimal TSH Target

Dr. Bruice targets TSH in the 1.0–2.0 range for symptom resolution.

Root Cause Treatment

Hashimoto's, nutrient deficiencies, and cortisol imbalances addressed alongside medication.

Frequently Asked Questions

My TSH is normal but I have all the symptoms. What now?

Free T3, Free T4, and Reverse T3 may reveal functional hypothyroidism that TSH alone misses.

Related Topics

Think This Could Be Your Issue?

A proper diagnosis is the first step. Schedule your consultation today.

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