Thyroid & Hashimoto's
Your TSH Is "Normal" But You Still Feel Terrible — We Find Out Why
Fatigue, brain fog, weight gain, and hair loss don't disappear just because your lab numbers look fine. Dr. Rispoli runs the full picture — not just TSH — to uncover what conventional medicine misses.
The Functional Medicine Difference
Conventional Labs Only Tell Part of the Story
Most doctors check only TSH — but that single number can't tell you whether your body is actually converting thyroid hormone, whether antibodies are silently attacking your thyroid, or whether adrenal fatigue is masking the real problem. You can have a 'normal' TSH and still be profoundly hypothyroid at the cellular level.
Dr. Rispoli runs a comprehensive thyroid panel including Free T3, Free T4, Reverse T3, and thyroid antibodies — then layers in adrenal, nutrient, gut, and hormone testing to build a complete picture. The goal isn't to manage your numbers; it's to restore how you actually feel.
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Conditions We Treat
Thyroid Conditions Dr. Rispoli Specializes In
Hashimoto's Thyroiditis
An autoimmune condition where the immune system attacks the thyroid. Dr. Rispoli addresses the immune triggers — leaky gut, food sensitivities, infections — not just the hormone deficiency.
Hypothyroidism
Underactive thyroid causing fatigue, weight gain, cold intolerance, and depression. We identify whether the problem is production, conversion, or cellular resistance.
Subclinical Hypothyroidism
TSH is slightly elevated but 'within range.' You feel terrible but are told you're fine. We take your symptoms seriously and treat the whole person, not just the number.
Thyroid-Adrenal Connection
Chronic stress and adrenal dysfunction directly impair thyroid conversion. We assess and treat both systems together for lasting results.
Thyroid & Gut Dysfunction
Up to 20% of T4-to-T3 conversion happens in the gut. Leaky gut and dysbiosis can sabotage thyroid function even when your thyroid itself is healthy.
Nutrient-Driven Thyroid Dysfunction
Deficiencies in iodine, selenium, zinc, and ferritin are among the most common — and most overlooked — drivers of poor thyroid function and conversion.
Hormone-Thyroid Imbalance
Estrogen dominance, low progesterone, and sex hormone imbalances can bind thyroid hormone and block its action at the cellular level.
Toxin-Driven Thyroid Disruption
Heavy metals, mold toxins, and environmental chemicals are potent thyroid disruptors. We test and address toxic burden as part of every thyroid protocol.
Do You Recognize These?
Symptoms That Point to Thyroid Dysfunction
These symptoms are often dismissed or attributed to aging, stress, or depression — but they frequently have a thyroid root cause that standard testing misses.
Experiencing 3 or more of these symptoms?
Your thyroid may be underperforming even if your TSH is "normal." A free discovery call with Dr. Rispoli can uncover what standard testing misses.
Advanced Functional Testing
The Testing Panel That Finally Gives You Answers
Dr. Rispoli goes far beyond the standard TSH test. This comprehensive panel reveals exactly where your thyroid system is breaking down — and why.
Full Thyroid Panel
TSH, Free T3, Free T4, and Reverse T3. We assess not just production but conversion and cellular availability — the markers most doctors never order.
Thyroid Antibodies (TPO & TgAb)
Detects Hashimoto's and Graves' autoimmune activity years before TSH becomes abnormal. Early identification allows us to halt immune destruction.
Adrenal & Cortisol Testing
A 4-point salivary cortisol panel maps your adrenal rhythm throughout the day. Adrenal dysfunction is one of the most common reasons thyroid treatment fails.
Nutrient Deficiency Panel
Iodine, selenium, zinc, ferritin, vitamin D, and B12 — the essential cofactors for thyroid hormone production and T4-to-T3 conversion.
Gut Microbiome & Leaky Gut
Comprehensive stool analysis and intestinal permeability testing. A compromised gut is a major driver of both Hashimoto's and poor thyroid hormone conversion.
Heavy Metals & Toxin Panel
Mercury, lead, arsenic, and mold toxins are potent thyroid disruptors. We identify and address toxic burden as a core part of thyroid restoration.
Sex Hormone Panel
Estrogen, progesterone, testosterone, and DHEA. Hormone imbalances — especially estrogen dominance — directly impair thyroid hormone binding and action.
Food Sensitivity / IgG Testing
Hidden food reactions — especially to gluten and dairy — are among the most common triggers of Hashimoto's flares and ongoing immune activation.
Our Programs
Personalized Thyroid Restoration Programs
Foundation
Thyroid Reset Program
A 90-day foundational protocol for newly diagnosed hypothyroidism or Hashimoto's. We run the full testing panel, identify your root causes, and build a personalized nutrition, supplement, and lifestyle plan to restore thyroid function.
- Comprehensive thyroid and nutrient testing
- Personalized dietary protocol
- Targeted supplement plan
- Bi-weekly follow-up appointments
Advanced
Hashimoto's Healing Protocol
A 6-month deep-dive for Hashimoto's patients who have tried conventional treatment without success. We address the autoimmune triggers — gut, toxins, infections, food sensitivities — to reduce antibodies and restore immune tolerance.
- Full autoimmune and gut testing
- Elimination and gut-healing diet
- Detoxification support
- Monthly comprehensive reviews
Comprehensive
Total Thyroid & Hormone Balance
Our most comprehensive program for patients with thyroid dysfunction layered with adrenal fatigue, sex hormone imbalance, or metabolic issues. We treat all systems simultaneously for complete hormonal restoration.
- Full thyroid, adrenal, and hormone panel
- Integrated multi-system protocol
- Stress and cortisol management plan
- Ongoing monitoring and adjustments
The Process
How Dr. Rispoli Restores Thyroid Health
Free Discovery Call
A 30-minute phone consultation to review your history, symptoms, and previous lab work. We determine whether Dr. Rispoli's approach is the right fit for you — at no cost.
Comprehensive Testing
We run the full thyroid panel plus adrenal, nutrient, gut, hormone, and toxin testing. This gives us a complete map of where your system is breaking down.
Root-Cause Protocol
Based on your results, Dr. Rispoli builds a personalized plan — targeted nutrition, therapeutic supplements, detox support, and lifestyle changes — designed to address your specific root causes.
Monitor & Optimize
Regular follow-up appointments track your progress, re-test key markers, and fine-tune your protocol. Most patients feel measurable improvement within 60–90 days.
Patient Stories
Real Results From Real Patients
"I had been told my thyroid was 'fine' for years while I gained weight, lost my hair, and could barely get off the couch. Dr. Rispoli ran a full panel, found Hashimoto's antibodies and a severe selenium deficiency, and within three months I felt like myself again."
Michelle T.
Hashimoto's patient, Agoura Hills CA
"My TSH was always in range but I was exhausted and freezing cold every day. Dr. Rispoli discovered my Reverse T3 was sky-high and my adrenals were completely depleted. Treating both changed everything."
Karen L.
Hypothyroidism & adrenal fatigue patient
"After years on Synthroid with no improvement, I finally found out I couldn't convert T4 to T3. Dr. Rispoli switched my protocol and addressed my gut — I lost 18 pounds and my brain fog completely lifted."
Sandra R.
Subclinical hypothyroidism patient
"I was skeptical that food could affect my thyroid, but eliminating gluten dropped my TPO antibodies by half in 90 days. The testing Dr. Rispoli ran was more thorough than anything I'd had in 20 years of conventional care."
Diane M.
Hashimoto's patient, Thousand Oaks CA
Common Questions
Frequently Asked Questions
Get Started
Ready to Finally Get Answers About Your Thyroid?
Stop accepting 'your labs are normal' as an answer when you still feel terrible. Book a free 30-minute discovery call with Dr. Rispoli and find out what's really going on.