Why "my TSH is normal but I feel terrible" is the most common sentence in our intakes
Standard NJ endocrinology workup for hypothyroid/Hashimoto''s:
- TSH ✅
- Sometimes free T4 ✅
- Levothyroxine prescription ✅
- "See you in 6 months" ✅
What''s missing — the actual root-cause workup:
- Full thyroid panel: TSH, free T3, free T4, reverse T3, TPO antibodies, TgAb
- Conversion markers: ferritin, selenium, zinc, cortisol rhythm (4-point salivary, not random AM serum)
- Gut workup: GI-MAP for H. pylori, blastocystis, dysbiosis (all directly drive Hashimoto''s flares)
- Mycotoxin panel: ~40% of "treatment-resistant" Hashimoto''s in our Belmar clinic had occult mold exposure
- EBV/HSV/HHV-6 reactivation markers — viral triggers are the silent third of Hashimoto''s cases
- HTMA (hair tissue mineral analysis) — iodine/selenium/lithium ratios
- Genetic context: MTHFR, GST, CBS, COMT — informs detox capacity & supplement choice
The Belmar pattern we saw for 11 years
At Integrative Wellness Group we ran ~600 Hashimoto''s workups across 11 years. The pattern: 3 in 4 had a treatable upstream driver (gut, mold, virus, mineral, stress/cortisol) that standard NJ endocrinology had never tested for. Once you treat the upstream, antibody numbers drop and conversion improves.
What you actually want to ask a NJ "Hashimoto''s doctor"
- Do you run reverse T3 and full antibodies on the first visit?
- Do you correlate with GI-MAP, mycotoxin, and cortisol — or just thyroid in isolation?
- What''s your protocol if antibodies don''t drop in 90 days?
- Do you work with my endo or replace them?
If they can''t answer all four, you''re back where you started.
Where IWG patients in NJ go now
After 2022 we moved to a virtual root-cause model. Same workup, same doctors, ship-to-home lab kits — most NJ Hashimoto''s cases route into Foundation (Foundation includes DNA + full thyroid + gut workup) or Private Concierge for treatment-resistant or multi-system cases.
Talk to Sam first
Text or call Sam: (855) 765-7114 — tell her where you are with your current endo and she''ll route you correctly.
Email Sam · Take the free Root Cause Quiz
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