Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — functional thyroid testing

Many patients produce sufficient thyroid hormone yet still suffer from classic hypothyroid symptoms. Why? Because standard TSH testing misses the full picture. In this clinical guide, Jim Paoletti explains the functional approach to thyroid assessment — examining T4 production, TBG binding, T4-to-T3 conversion, cortisol interference, ferritin and vitamin D — and outlines exactly which tests are needed for a complete analysis.

Iodine is an essential trace element required for thyroid hormone production, yet many people are unknowingly deficient. While iodised salt and seafood are well-known sources, dairy products, eggs, and seaweed also contribute significantly to daily intake. Changing dietary habits — including reduced milk consumption and the replacement of iodine with bromine in bread production — are quietly lowering iodine intake across the population. This article explains where dietary iodine comes from, why the body needs it, how it is absorbed and excreted, and how at-home urine testing can confirm whether your intake is adequate.