MattinglyMD.com Optimizing thyroid hormone levels is primary and fundamental to restoring physiologic function even before sex hormone adjustments. Clinically low levels of thyroid hormone are often missed and thyroid treatment is often suboptimal. Cold intolerance, low basal body temperature, cold hands/feet, and many nonspecific complaints (malaise, myalgias, irritability, inability to lose weight, mental fog, unhealthy hair/nails, depression, fatigue) signal the necessity for adequate thyroid evaluation and treatment.

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