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We specialize in diagnosing and treating thyroid disorders and providing personalized hormone replacement therapy, with a focus on improving cardiometabolic health and supporting long-term vitality and longevity.

 

Our practice is built on a foundation of evidence-based medicine, scientific rigor, and expert clinical care, ensuring every treatment plan is both safe and effective.

 

With a dedicated and compassionate team, we are committed to delivering the highest quality care while placing your well-being at the center of everything we do, guiding, supporting, and partnering with you at every step of your health journey.

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Why the Thyroid Matters:
The Overlooked Key to Energy, Metabolism, and Feeling Like Yourself Again

If you’re visiting our website, chances are you’re one of the millions of patients who still don’t have answers. You may have been told by your doctor that “your labs are normal,” yet you continue to struggle with fatigue, brain fog, weight changes, hair loss, low energy, or simply not feeling like yourself. You know something isn’t right, but no one seems to be listening.
 
We see this every day.
 
For many patients, the thyroid is the missing piece that has never been fully explained, properly evaluated, or optimized. Being told your results are “normal” does not mean your thyroid is functioning at a level that allows your body to feel well, energized, and balanced.
 
You are not imagining your symptoms, and you are not alone. This clinic exists because we understand what other providers may have overlooked, and we believe you deserve real answers, not dismissal.
 
 
What Is Thyroid Hormone and Why Is It So Important?
The thyroid hormone is one of the most powerful and influential hormones in the human body. It is produced by the thyroid gland, a small, pea-sized gland located in the neck, yet its effects are anything but small.
 
Thyroid hormone:
 
  • Regulates metabolism
  • Controls body temperature
  • Influences weight loss and fat storage
  • Helps lower cholesterol, protecting cardiovascular health
  • Supports brain function, speech, and mental clarity
  • Improves energy production at the cellular level
  • Plays a role in migraines and immune function
 
 
In short, thyroid hormone helps determine how well your entire body functions.
 
 
Low Thyroid Function Often Looks Like “Normal Aging”
 
People with low thyroid function frequently experience:
  • Chronic fatigue and low energy
  • Slower thinking and speech
  • Depression or low mood
  • Weight gain
  • Pain and stiffness
  • Frequent infections or feeling cold
These symptoms are often dismissed as stress, aging, or just part of life. But research and clinical experience show that many of these issues are actually secondary to thyroid insufficiency.
Thyroid hormone is not simply a prescription it is often a necessary replacement for a hormone your body no longer produces or converts efficiently.
Understanding T4 and T3: The Missing Explanation
The thyroid gland primarily produces T4, an inactive hormone. Once T4 enters the bloodstream, it must be converted into T3, the active form that fuels your cells and mitochondria (your body’s energy factories).
 
Here’s the problem:
 
  • As we age, T4 production decreases
  • Conversion of T4 into T3 becomes less efficient
  • Mitochondria receive less usable energy
  • The result is fatigue, brain fog, and low metabolism
 
 
Even if blood tests show “normal” T4 levels, low T3 can still leave you symptomatic.
 
 
Why “Normal” Lab Ranges Aren’t Always Optimal
 
Most physicians rely on population averages when interpreting thyroid labs. But normal does not mean optimal.
 
  • Normal ranges reflect an average population, not how you should feel
  • Middle-aged and older adults often have lower thyroid levels that are still labeled “normal.”
  • Free T3 the active hormone is often overlooked despite being the best indicator of metabolic activity
 
 
Many patients know something is wrong, yet feel dismissed when their concerns don’t match textbook values.
 
 
Synthetic T4 Alone Often Isn’t Enough
 
Most patients diagnosed with thyroid issues are prescribed synthetic T4 only. Unfortunately, many continue to experience symptoms because:
 
  • Their bodies cannot convert T4 into T3 effectively
  • Energy production remains impaired
  • Fatigue, weight gain, hair loss, and brain fog persist
 
 
Studies have shown that combining T4 and T3, especially in natural thyroid formulations, leads to better symptom resolution and improved quality of life.
 
Patients who switch from synthetic T4 alone to balanced thyroid support often notice improvements within days to weeks.
 
 
Hair Loss, Fatigue, Weight Gain, and “Nothing Can Be Done.”
 
Many women are told that hair thinning or loss is untreatable, despite normal thyroid tests. Yet optimizing thyroid levels often:
 
  • Stops hair loss
  • Promotes regrowth
  • Improves hair thickness
 
 
Hormones are chemical messengers, not supplements or vitamins. When they are deficient or imbalanced, the body cannot function properly no matter how “normal” labs appear.
 
 
The Takeaway: You’re Not Imagining This
If no one has listened to you before, this is your validation:
 
  • Persistent symptoms matter
  • Normal labs do not guarantee optimal health
  • The thyroid hormone affects nearly every system in your body
  • Proper evaluation and optimization can restore energy, clarity, and vitality
 
 
Improving thyroid function isn’t about chasing numbers; it’s about helping your body work the way it was designed to.
If you’ve felt unheard, overlooked, or dismissed, you’re not alone, and there are answers. Your health deserves more than “normal.”

Dr. Liqaa Essam Naser, ND, MBChB

© 2026 by Northwest Advanced Thyroid and Hormone Health All Rights Reserved.

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