McCall McPherson explains why their clinic prescribes active thyroid hormones instead of just inactive T4 drugs like levothyroxine. They reject the standard approach of waiting months between dose changes, pushing instead for faster, personalized adjustments to actually resolve symptoms.
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The other thing that we do that's different and unique, especially from, like, a traditional approach, is we use medications with active thyroid hormones in them ubiquitously. I don't think we have a single patient on inactive thyroid medications alone. Those are medications like levothyroxine, Synthroid, tyrosine, unithroid. We see people who do not activate either A, those medications well enough to get their lives back and not have symptoms, or B, they don't activate enough of their own endogenous T4 or inactive hormone to get their lives back and thrive and feel great. The other thing that we do differently that really kind of sets us apart is if you're listening and you have a thyroid condition, you've probably experienced this. You go to your clinician or your doctor and they say, oh, my gosh, you have a thyroid problem. We need to put you on thyroid medication. Come back in, like, three to six months, and we'll see what happens. You let time pass, you get labs, you go back, and they say, well, your labs aren't where they need to be, so we're going to increase your dose. And they increase your dose to the next dose up. And again, it's, we'll see what happens. And so what ends up happening is patients simply increase one dose up or down at each medication change, and it's the we'll see what happens approach that is absolutely not how we practice medicine.