Hashimoto’s & hypothyroidism care

Yes. Dr. Madeira is a licensed naturopathic doctor who works with adults with Hashimoto’s thyroiditis and other thyroid disorders, focusing on what may be driving the autoimmune process as well as how your thyroid is functioning. When thyroid hormone medication is appropriate, he discusses options within his state scope of practice or coordinates with your other doctors.

TSH is a useful screening test, but it doesn’t tell the whole story. A fuller thyroid evaluation can include free T4, free T3 and thyroid antibodies (TPO and thyroglobulin antibodies), interpreted alongside your symptoms and history.

Not exactly. Hypothyroidism means an underactive thyroid. Hashimoto’s is an autoimmune condition that is the most common cause of hypothyroidism in the US, but you can have Hashimoto’s antibodies before thyroid function drops, and hypothyroidism can have other causes.

Hashimoto’s is a chronic autoimmune condition. The goal of care is to support thyroid function, address factors that can aggravate autoimmunity, and help you feel and function well over the long term.

Contributors can include genetics, stress, nutrient status, gut health, infections, and environmental exposures such as mold toxins and heavy metals. An individual assessment looks for the factors most relevant to you.

Yes. Dr. Madeira sees adults by secure video who are located in Arizona, Montana or Washington during their visits, and labs can be completed locally.