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

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 deficiency is more common than many realise. This guide walks through how to assess iodine status using dietary recall, symptom profiling, and a three-part laboratory panel — including thyroid function, thyroglobulin, and urinary iodine and bromine testing.

The thyroid gland is under constant threat from modern life — oestrogen dominance, chronic stress, iodine and selenium deficiency, heavy metal toxicity and xenoestrogen exposure all suppress its function. This article outlines 7 key action steps you can take to protect your thyroid, from hormone rebalancing and stress reduction to targeted nutritional support and testing.