Persistent fatigue, weight gain, or feeling cold all the time

Thyroid disease in men is significantly underdiagnosed. This happens for two reasons: thyroid symptoms closely overlap with signs of testosterone deficiency, which tends to get more clinical attention in men, and men are simply screened for thyroid problems less often.

At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP includes a comprehensive thyroid evaluation as a standard part of every man's hormonal assessment. She recognizes that persistent fatigue, weight gain, and chronic coldness in men deserve a thorough thyroid investigation - not just a testosterone check.

Her thyroid panel goes well beyond a basic TSH test. It includes:

• Free T3

• Free T4

• Reverse T3

• Thyroid antibodies

This gives a complete picture of how your body is producing, converting, and using thyroid hormones. Poor conversion of T4 to T3 is a particularly common finding that a standard TSH test misses entirely. This means many men experience real hypothyroidism (low thyroid) symptoms even after being told their thyroid is "normal."

Treatment is individualized based on your complete lab results. Medication options include:

• Levothyroxine (T4 replacement)

• Cytomel (T3 replacement)

• Natural desiccated thyroid - such as Armour or NP Thyroid

The goal of dosing is not simply to bring your TSH into a normal range. Instead, it is optimized to achieve the Free T3 level at which you feel and function your best.

Nutritional support is also incorporated alongside any medication management. Key nutrients that support healthy thyroid function include:

• Selenium - aids T4 to T3 conversion

• Zinc

• Iodine

• Vitamin D

The relationship between thyroid function and testosterone is carefully assessed as well. Hypothyroidism can actually suppress testosterone production, compounding the hormonal picture in men who show signs of both deficiencies at the same time.

At Renew Health & Wellness, persistent fatigue and weight gain in men are never automatically assumed to be a testosterone issue. Every patient receives a thorough, multi-hormonal evaluation that includes a full thyroid workup - because the real answer deserves more than a single-hormone explanation.