Why Your Thyroid Test is Wrong–And What to Do About It.

Do you or someone you love have thyroid disease? Thyroid Disease is Epidemic. Many doctors rely on the TSH Thyroid Test to figure out if their patients are sick or not. But they might be totally wrong. Here's what you need to know about thyroid tests and what to do about this problem.

Thyroid disease is rampant these days and since the thyroid is affects and is affected by many things, including the food you eat and your adrenal glands, it’s important to get informed about this important gland as much as possible.

I’ve struggled with hypothyroidism for years. I started noticing severe fatigue, dry skin, weight gain, and joint pain when I was just 22 years old.

I wasn’t old enough to be feeling that bad. I went to the doctor on a few occasions and described my symptoms telling her I just didn’t feel well.

She blew me off and told me I was perfectly healthy.

Long story short, I was able to begrudgingly get my doctor to run a TSH test. (This is the standard test pretty much all doctors run to test thyroid function. I didn’t have any idea what it was at that point.)

Two days later I received a call.

Low thyroid levels.  Supposedly I had hypothyroidism.
The plan? Start synthroid (that was the first problem, but more on that later).

I started my meds and waited 6 weeks.

I still felt bad.

We tweaked my meds. Waited 6 more weeks.

I still felt bad.

Round and round we went until my search for information (and a new doctor) began.

(Before we get started, I want to let you know that I am not a doctor or any sort of medical professional. All of this information I have gleaned from my own research and should not be used for any sort of diagnostic purposes. Use common sense, do your own research, and talk to your doctor before making any changes to your diet, supplements, or exercise routine.)

TSH: The Useless “Gold Standard” Thyroid Test

In this search for information I’ve learned that the standard TSH test that most doctors rely upon for both diagnosis and treatment does not give a complete picture of what is going on with your thyroid.

You see, TSH, which stands for thyroid stimulating hormone, is actually a test of what the pituitary gland is doing.

That’s right, it isn’t even testing any of your thyroid hormones.

In theory, when your body does not have enough thyroid hormone, your pituitary gland should be releasing TSH to signal to your thyroid that you need to make more (sort of like a wake up call for your thyoid). Those with elevated TSH levels should theoretically have low thyroid levels and those with low TSH levels should have enough (or too much) thyroid.

So, what’s the problem? It seems pretty cut and dry, right?


There are many many reasons why doctors should not diagnose or treat a thyroid patient based on TSH levels.

Some people simply have a malfunctioning pituitary gland and this is why it is not producing TSH. Unfortunately, it is beyond the scope of this post to go into all of the reasons as to why TSH is not an effective marker. You can read countless stories of hypothyroid patients who were not diagnosed for years and years because of doctors who simply tested TSH and refused to listen to symptoms and do further testing.

In theory, the TSH test isn’t so bad. But, in reality it isn’t so good.

What Lab Tests Will Help for Thyroid Problems?

So, if TSH isn’t the best lab test for diagnosing and treating thyroid disorders, what is?

First, I want to confirm—in case you haven’t already guessed—there is no test that can substitute for a doctor who will listen to how you feel.

You need to be seeing a doctor who will listen to you and will place great value in your symptoms when diagnosing and treating you.

Below are the tests that I believe are essential for anyone who is struggling with thyroid problems or believes they may be struggling with thyroid problems.

What to Do About Thyroid Problems

If you have thyroid problems, after getting proper testing here are a few more suggestions for getting your health on track.

1. Find a doctor who will not only complete the appropriate tests, but will also medicate you appropriately. I suggest finding a doctor who is comfortable using natural desiccated thyroid hormones (as opposed to synthroid or levothyroxine). The doctor should be determining medication based off of the above tests as well as how you feel.

2. Cut out gluten. Gluten is highly implicated in autoimmune thyroid disease. 90% of thyroid disorders are autoimmune in nature.

3.  Optimize Vitamin D levels. {From Adrienne. I have been hearing that apparently you need to have good adrenal health before increasing vitamin D so please be careful and don’t self-prescribe. Vitamin D also can reduce Mg so you need to be careful about that as well.}

4.  Read this list of 5 Foods that Can Wreck Your Thyroid – Are you eating any of these?

FREE Thyroid Cookbook and Thyroid Bundle

Right now – through 7/22, you can get a FREE Cookbook with 80+ Recipes that are Gluten-free, Dairy-free, and Soy-free,
plus $1300+ Thyroid resources from 30+ experts.  

Many of these experts whose works are included are people whose advice has really helped me deal with my thyroid issues.
I so wish I had had this resource when I first got sick.

{From Adrienne: This is a seriously important post.  I have been doing a lot of digging into thyroid research recently, for reasons which I will share soon.  So many people have issues with their thyroid and they don’t know where to go or what to do. If you haven’t already, please subscribe to my blog to make sure you get this information.  It’s crucial.

In the meantime, I would highly recommend the following books.  I am not saying this is the advice you should follow (i.e. this isn’t medical advice), but it is very very interesting and was very helpful to me.  By the way, the links to these books are affiliate links, so if you make a purchase after clicking on it I might make a commission. Your support of my blog is much appreciated and helps keep this free resource up and running.  Thanks!}

One of the best books on thyroid health in my opinion.

One of the best books on thyroid health in my opinion.

Why Do I Still Have Thyroid Symptoms?

Don’t sit back and let the doctor dictate to you. Ask questions. Make requests. Be an advocate for yourself!

Luke-Trisha-150x150Trisha Gilkerson is a homeschooling mom to four crazy boys. She blogs with her awesome hubby Luke at Intoxicated on Life where they talk about faith, homeschooling, and health. They’ve authored the Write Through the Bible curriculum and family Bible Studies and have recently released their first healthy living book – Weeding Out Wheat: A Simple Faith Based Guide. They love connecting with their readers, so be sure to follow them on their blogFacebookTwitterGoogle+, and Pinterest.

These comments do not necessarily reflect the opinions of Whole New Mom.


    Speak Your Mind


  1. Hi does this all apply if you have no thyroid. Mine was destroyed by radio iodine treatment in 1995. I cannot find one doctor in the UK who will listen to me. I’m menopausal too and I know both conditions almost bounce off the other. It’s hell. But no one in the medical profession wants to know. My doctor refuses to refer me to an endocrinologist as she doesn’t see the point. Does anyone know a doctor in the UK private or otherwise who knows and understands these matters. Would be so grateful for any info.

  2. If your tsh is abnormal your doctor should test for a full thyroid panel. This is protocol for where I live. Tsh is strictly a screen.

  3. I felt fine and went to my Dr. for a totaly unrelated issue. My Dr. gave me the your 40 and need this blood test. He then told me that I have a thyroid problem – here is script for sinthroyd. After 6 weeks of feeling like crap he gave me another script. After another 6 weeks and feeling like crap another script. I never filled the last script. During this 12 weeks I started doing some research and talking to friends that have legit thyroid issues. Every thing I read and was told – more testing and research is needed. But my Dr. (who is no longer my dr.) told me that all that research was for nothing that he knows best. When you start to read about how everything in our bodies work together it was educational. I still have no new Dr. but I am trying to eat better and move (exercise) more to start. I still feel fine. My sister has been told by her Dr. that her thyroid is large by feel and has had many of the basic test – with her #’s coming back ok. My mother just recently was told that her #’s are off and was asked a bunch of questions (by her Dr- the same as my sister). Come to find out more blood test and my mom is low on Vit. D! She doesn’t drink enough milk- so now takes a vit D supplement and she is now ok.
    Lesson learned- if your dr. doesn’t want to listen to you or ask you a bunch of questions and you know something is wrong or off – find another Dr. and don’t take any pills until all possible tests are done.
    After all we are told that we know our bodies best and that we are our first dr. to say something is not right.

    • I’m glad you are finding answers. The only thing I would add, and this isn’t medical advice, is that I have read in many places that vitamin D can drive Mg down so I take Mg with the D all the time. There is conflicting information out there about vitamin D. Hard to know what to believe. Take care.

  4. An ultrasound shows that I have an enlarged thyroid. My doctor thought that I may have hypothyroidism. He also ran a test for my TSH levels.

    The range is .45- 450 my TSH level was .538
    The ultra sound was multi nodular
    He said that I do not have hypothyroidism. He did not refer me to an endocrinologist but to a surgeon. As I read the posts, my T3, T4, TPO, or TgAB levels have not been tested? I want to respect the doctor’s advice but I’m thinking that I may need a second opinion about my treatment options.

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