Thyroid + Mineral Testing
“In range” does not always explain why you still do not feel well.
Maybe your TSH is in range.
Perhaps levothyroxine has moved your numbers
in the right direction.
Yet you are still dealing with fatigue,
hair shedding,
feeling cold,
brain fog,
puffiness,
low stamina
or stubborn weight.
Or you keep wondering whether iron,
minerals,
nutrition
or something beyond the thyroid gland
deserves a closer look.
The goal is not simply more testing. It is choosing the right level of investigation and support to understand what deserves attention next.
Compare Your Options ↓
Look Beyond The Tick Box
If the bloods look reassuring but your symptoms have not changed, the investigation may need a wider lens.
Reference ranges are important. But being inside an interval does not automatically explain why you still feel unwell.
And simply replacing conventional ranges with narrower “functional” ranges can still leave us chasing individual numbers.
My approach is to look at relationships between results, the pattern they create, your symptoms and the wider nutritional and metabolic context.
That can include thyroid production and conversion context, iron, nutrient availability, energy availability, liver and gut health, inflammation and recovery where relevant.
The investigation should reflect that.
A Different Way To Read The Picture
The value is not simply having more markers. It is knowing how to interpret them in context.
I am not interested in finding a tighter range simply so another number can be labelled “sub-optimal”. The aim is to recognise useful patterns, understand the limitations of each test and identify which areas deserve attention next.
Choose Your Starting Point
Choose the level of investigation and strategy you need.
Each route includes personalised professional interpretation,
so you are not left trying to make sense
of a report on your own.
The £300 HTMA option focuses
on mineral and nutritional context.
The £595 Thyroid Lab Review
is the focused thyroid starter
with a 60-minute consultation
and personalised starter plan.
The £995 Comprehensive Thyroid Strategy
combines thyroid testing and HTMA
with a full 90-minute strategy consultation,
written roadmap
and 45-minute follow-up.
Mineral Investigation
HTMA + Personalised Consultation
For those who want a closer look at mineral and nutritional context without beginning with a full thyroid laboratory panel.
Includes
- Hair Tissue Mineral Analysis
- Symptoms + health-history review
- Mineral-pattern interpretation
- Personalised consultation
- Prioritised nutritional next steps
Rather than treating each mineral as a simple high or low, I consider the pattern, relationships and limitations of the test within the wider context of you.
If thyroid symptoms or other blood markers need more direct investigation, additional laboratory testing may be appropriate separately.
HTMA is already included in the £995 Comprehensive Thyroid Strategy and in private coaching where appropriate.
View HTMA + Consultation →
Starter · Thyroid Lab Review
Understand your thyroid picture and know where to start.
For persistent thyroid symptoms when you want a comprehensive thyroid panel, professional interpretation and a focused personalised starter plan.
Includes
- Comprehensive thyroid laboratory panel
- TSH, Free T4 + Free T3
- Reverse T3
- TPO + thyroglobulin antibodies
- Professional pre-consultation analysis
- Symptoms + health-history review
- 60-minute 1:1 consultation
- Personalised starter plan
Outside the UK: phlebotomy is not included. You will need to arrange and pay for a suitable local blood draw.
This is the focused starter. We review the laboratory picture, discuss the findings together during a 60-minute consultation and identify the areas that deserve attention first.
This is not a long-term coaching package or a complete ongoing protocol. It is designed to give you clarity, priorities and a practical place to begin.
View £595 Thyroid Lab Review →
Comprehensive · Thyroid Strategy
Go beyond the lab review and build your personalised strategy.
For those who want the thyroid laboratory picture, mineral and nutritional context and a much more comprehensive personalised starting strategy.
Includes
- Comprehensive thyroid laboratory panel
- TSH, Free T4, Free T3 + Reverse T3
- TPO + thyroglobulin antibodies
- Hair Tissue Mineral Analysis
- Detailed pre-analysis
- Integrated thyroid + mineral review
- Full 90-minute 1:1 consultation
- Personalised nutrition strategy
- Personalised lifestyle priorities
- Supplement strategy where appropriate
- Written implementation roadmap
- 45-minute 1:1 follow-up
Outside the UK: phlebotomy is not included. You will need to arrange and pay for a suitable local blood draw. HTMA itself does not require phlebotomy.
This is not simply two test reports. I bring the thyroid, mineral, symptom and health-history picture together, then use the 90-minute consultation to build your personalised strategy.
You also receive a written roadmap and a 45-minute follow-up to review implementation, answer questions and refine your next priorities.
View £995 Comprehensive Strategy →The £995 Comprehensive Thyroid Strategy goes significantly deeper: thyroid testing + HTMA, a full 90-minute consultation, personalised nutrition and lifestyle strategy, supplement recommendations where appropriate, a written implementation roadmap and a 45-minute follow-up.
Comprehensive Thyroid Testing
The question is not simply, “Is my TSH normal?”
The purpose of broader testing
is to understand more of the thyroid story.
Are you producing enough thyroid hormone?
Is there a pattern suggesting
that conversion deserves attention?
Is physiological stress
or low energy availability
part of the picture?
Are symptoms suggesting
a mismatch between circulating hormone
and tissue response?
Or is thyroid autoimmunity
part of what we need to consider?
That is why I look at the pattern,
not simply one result.
Why We Test
Where in the thyroid picture might the problem be?
Persistent thyroid symptoms
do not always raise
the same question.
A broader panel
gives us more information
to explore where attention
may be most useful,
rather than assuming
every woman has
the same thyroid problem.
Is the thyroid producing enough hormone?
One question is whether
thyroid hormone production itself
appears sluggish.
TSH,
Total T4,
Free T4,
Total T3
and Free T3
help create a broader picture
of thyroid signalling
and circulating hormone availability.
I then consider that picture
alongside symptoms,
medication
and health history.
Is T4 being converted effectively into active T3?
Thyroid hormone production
is only one part
of the story.
Within my Pro-Thyroid framework,
I also look at patterns
that may make me interested
in T4 to T3 conversion
and the wider physiological environment
supporting that process.
This can lead us
to look more closely
at liver function,
digestive health,
nutrient availability,
energy intake
and the wider metabolic picture.
Is physiological stress changing the conversion picture?
Reverse T3
is included as an additional
piece of conversion context
within my framework.
I am interested
in whether a higher Reverse T3 pattern
sits alongside lower T3 availability,
under-fuelling,
illness,
inflammation,
poor recovery
or a higher physiological stress load.
I do not use Reverse T3
as a stand-alone test for stress.
I use it as one piece
of the wider metabolic picture.
Is circulating hormone translating into tissue response?
Sometimes the question
is not simply
how much thyroid hormone
is visible in the blood.
Within my approach,
I also consider
whether symptoms
and metabolic signs
suggest a mismatch
between circulating hormone
and how the body appears
to be responding at tissue level.
Basal temperature,
resting pulse,
energy,
cold intolerance,
recovery
and wider symptoms
form part of that conversation.
I consider this
as an interpretive physiological lens,
rather than diagnosing
thyroid receptor resistance
from a blood test alone.
Is the immune system part of the thyroid picture?
TPO antibodies
and thyroglobulin antibodies
give additional information
when thyroid autoimmunity
is part of the picture.
This can be especially relevant
where symptoms persist,
thyroid markers have changed over time
or Hashimoto’s
is already known or suspected.
The antibody picture
is then considered
alongside thyroid function,
symptoms
and the wider health context.
It is: where in the wider thyroid system does the pattern suggest we should look more closely?
Standard Vs Comprehensive
What changes when we look beyond the first-line screen?
Standard NHS thyroid testing
has an important role
in identifying
and monitoring thyroid disease.
My broader panel
asks a different question:
what additional patterns
become visible
when we look across
signalling,
hormone availability,
conversion
and antibodies together?
An important first-line thyroid assessment.
Primary-care thyroid investigation often begins with TSH. Additional markers may then be added depending on the TSH result, symptoms, medication, previous results and clinical circumstances.
Eight markers. One wider thyroid picture.
Rather than asking one marker to tell the whole thyroid story, I use a broader panel to explore relationships across thyroid signalling, circulating hormone, conversion and thyroid autoimmunity.
How I Interpret The Results
I don’t interpret eight isolated numbers. I look for the story they tell together.
Your thyroid
does not work in isolation.
So I bring the laboratory picture
together with your symptoms,
medication,
health history,
basal metabolic signs
and wider physiological context.
Markers in relationship, not one at a time.
I look at the relationship between TSH, Total and Free T4, Total and Free T3, Reverse T3 and thyroid antibodies. The aim is to understand the pattern, rather than judge the entire thyroid picture from one isolated number.
The laboratory result meets the woman.
Your blood results are considered alongside fatigue, brain fog, cold intolerance, stubborn weight, puffiness, digestion, recovery, basal temperature and resting pulse within my Pro-Thyroid framework.
Output, conversion, tissue response or autoimmunity?
I use the wider picture to explore whether the main area deserving attention appears to involve thyroid hormone production, conversion and availability, physiological stress, tissue-level response or thyroid autoimmunity.
Your thyroid is not working in isolation.
Where relevant, I also consider nutrition and mineral status, energy availability, liver and gut health, inflammation, estrogen metabolism, stress, recovery and the wider cellular environment. The goal is to decide what deserves attention first.
The strategy is knowing what the pattern may be telling us, what deserves attention first and what to do with that information.
Comprehensive Thyroid Testing
The question is not simply, “Is my TSH normal?”
The purpose of broader testing
is to understand more of the thyroid story.
Are you producing enough thyroid hormone?
Is there a pattern suggesting
that conversion deserves attention?
Is physiological stress
or low energy availability
part of the picture?
Are symptoms suggesting
a mismatch between circulating hormone
and tissue response?
Or is thyroid autoimmunity
part of what we need to consider?
That is why I look at the pattern,
not simply one result.
Why We Test
Where in the thyroid picture might the problem be?
Persistent thyroid symptoms
do not always raise
the same question.
A broader panel
gives us more information
to explore where attention
may be most useful,
rather than assuming
every woman has
the same thyroid problem.
Is the thyroid producing enough hormone?
One question is whether
thyroid hormone production itself
appears sluggish.
TSH,
Total T4,
Free T4,
Total T3
and Free T3
help create a broader picture
of thyroid signalling
and circulating hormone availability.
I then consider that picture
alongside symptoms,
medication
and health history.
Is T4 being converted effectively into active T3?
Thyroid hormone production
is only one part
of the story.
Within my Pro-Thyroid framework,
I also look at patterns
that may make me interested
in T4 to T3 conversion
and the wider physiological environment
supporting that process.
This can lead us
to look more closely
at liver function,
digestive health,
nutrient availability,
energy intake
and the wider metabolic picture.
Is physiological stress changing the conversion picture?
Reverse T3
is included as an additional
piece of conversion context
within my framework.
I am interested
in whether a higher Reverse T3 pattern
sits alongside lower T3 availability,
under-fuelling,
illness,
inflammation,
poor recovery
or a higher physiological stress load.
I do not use Reverse T3
as a stand-alone test for stress.
I use it as one piece
of the wider metabolic picture.
Is circulating hormone translating into tissue response?
Sometimes the question
is not simply
how much thyroid hormone
is visible in the blood.
Within my approach,
I also consider
whether symptoms
and metabolic signs
suggest a mismatch
between circulating hormone
and how the body appears
to be responding at tissue level.
Basal temperature,
resting pulse,
energy,
cold intolerance,
recovery
and wider symptoms
form part of that conversation.
I consider this
as an interpretive physiological lens,
rather than diagnosing
thyroid receptor resistance
from a blood test alone.
Is the immune system part of the thyroid picture?
TPO antibodies
and thyroglobulin antibodies
give additional information
when thyroid autoimmunity
is part of the picture.
This can be especially relevant
where symptoms persist,
thyroid markers have changed over time
or Hashimoto’s
is already known or suspected.
The antibody picture
is then considered
alongside thyroid function,
symptoms
and the wider health context.
It is: where in the wider thyroid system does the pattern suggest we should look more closely?
Standard Vs Comprehensive
What changes when we look beyond the first-line screen?
Standard NHS thyroid testing
has an important role
in identifying
and monitoring thyroid disease.
My broader panel
asks a different question:
what additional patterns
become visible
when we look across
signalling,
hormone availability,
conversion
and antibodies together?
An important first-line thyroid assessment.
Primary-care thyroid investigation often begins with TSH. Additional markers may then be added depending on the TSH result, symptoms, medication, previous results and clinical circumstances.
Eight markers. One wider thyroid picture.
Rather than asking one marker to tell the whole thyroid story, I use a broader panel to explore relationships across thyroid signalling, circulating hormone, conversion and thyroid autoimmunity.
How I Interpret The Results
I don’t interpret eight isolated numbers. I look for the story they tell together.
Your thyroid
does not work in isolation.
So I bring the laboratory picture
together with your symptoms,
medication,
health history,
basal metabolic signs
and wider physiological context.
Markers in relationship, not one at a time.
I look at the relationship between TSH, Total and Free T4, Total and Free T3, Reverse T3 and thyroid antibodies. The aim is to understand the pattern, rather than judge the entire thyroid picture from one isolated number.
The laboratory result meets the woman.
Your blood results are considered alongside fatigue, brain fog, cold intolerance, stubborn weight, puffiness, digestion, recovery, basal temperature and resting pulse within my Pro-Thyroid framework.
Output, conversion, tissue response or autoimmunity?
I use the wider picture to explore whether the main area deserving attention appears to involve thyroid hormone production, conversion and availability, physiological stress, tissue-level response or thyroid autoimmunity.
Your thyroid is not working in isolation.
Where relevant, I also consider nutrition and mineral status, energy availability, liver and gut health, inflammation, estrogen metabolism, stress, recovery and the wider cellular environment. The goal is to decide what deserves attention first.
The strategy is knowing what the pattern may be telling us, what deserves attention first and what to do with that information.