Thyroid Hormone Therapy Online

Cold hands, slow mornings, brain fog, hair shedding, and stubborn weight can point to a thyroid that needs support. With TBTotal.Health, you can start thyroid hormone therapy online through private video visits, simple labs when needed, and a personalized thyroid hormone replacement therapy plan shipped discreetly to your door.

Who should consider a thyroid evaluation?

If two or more of these have lasted six weeks or longer, it is worth checking your thyroid.

Fatigue and slower thinking
Cold intolerance or low body temperature
Weight gain or difficulty losing weight
Dry skin, hair loss, or brittle nails
Constipation or bloating
Low mood or anxiety
Slower heart rate
Heavy, light, or irregular cycles

These signs do not diagnose on their own. They are a cue to meet with a clinician.

Why thyroid hormone matters

Thyroid hormones set the pace for energy production, temperature regulation, digestion, hair and skin renewal, and mood. Low production or poor conversion from T4 to T3 can affect every system. Hashimoto’s thyroiditis is a common autoimmune driver. Other contributors include nutrient gaps, stress, pregnancy shifts, and certain medications. The right dose and form help you feel well again.

How our telemedicine program works

1) Video intake
Meet a licensed provider who listens first. We review symptoms, history, medications, supplements, sleep, and goals.

2) Labs when needed
Sometimes your provider may require lab work to guide dosing or confirm the cause. If labs are needed, you can use a mailed kit or a nearby draw site. Panels may include TSH, free T4, free T3, thyroid antibodies, CBC, ferritin and iron, B12, vitamin D, and a metabolic panel.

3) Personalized plan
You receive clear instructions on medication type, dose, timing, and everyday interactions to avoid. We also outline simple sleep and nutrition steps that make thyroid hormone replacement therapy work better.

4) Pharmacy shipping
Medications ship from trusted pharmacies with tracking and an easy calendar. If you are stable on a specific brand, we help you maintain continuity.

5) Follow ups
Short video visits check energy, mood, hair and skin, digestion, heart rate, and sleep. Dose changes are small and measured. When appropriate, repeat labs confirm progress.

Dosing and formats we use

Your plan is individualized and may include one or more of the following.

Levothyroxine (T4) once daily
Standard first-line therapy for many adults. Consistent timing on an empty stomach improves absorption.
Liothyronine (T3) in low, split doses
Considered when T3 levels or symptoms suggest poor conversion. Close monitoring is essential.
T4 and T3 combination therapy
A tailored ratio for select clients who do not feel well on T4 alone.
Desiccated thyroid
An option in specific cases under supervision, when clients are stable and prefer this route.

We explain the benefits and tradeoffs for each option and set goals that avoid over- or under-treatment.

What results to expect and when

Most clients follow a predictable pattern.

Weeks 2 to 4
Smoother mornings, less chill, improved regularity
Weeks 6 to 8
Measurable lab change after a dose adjustment, clearer thinking, better skin, and hair renewal
Months 2 to 4
Steadier weight trend and better exercise tolerance when paired with protein-forward meals, strength training, and consistent sleep

Dose changes are usually reassessed every six to eight weeks because TSH and tissue response take time to settle.

How to make thyroid therapy work better

Take your medication at the same time daily on an empty stomach with water
Wait 30 to 60 minutes before coffee or breakfast
Separate calcium, iron, magnesium, fiber supplements, and bile acid binders by at least 4 hours
Hit daily protein targets, hydrate, and include fiber-rich plants
Prioritize 7 to 8 hours of sleep and a regular bedtime
Strength train two to three days per week and walk daily
Correct ferritin, vitamin D, B12, selenium, or iodine only if low

These basics improve absorption, conversion, and day-to-day energy.

Safety and monitoring

Your safety comes first. We review cardiac history, bone health, medications, and screening status before you begin.

We aim for symptom-informed, lab-supported targets, not a single number
Over replacement can raise the heart rate and reduce bone density, especially after menopause
Under replacement leaves symptoms unresolved and can elevate cholesterol
Tell your provider about palpitations, anxiety, tremor, unexplained weight loss, or persistent symptoms so we can adjust early
Pregnancy requires specific targets and closer monitoring. Tell us as soon as you are planning or expecting

We coordinate locally for imaging, cardiology, bone scans, or endocrinology when needed.

Online care vs in clinic

Feature	TBTotal.Health telemedicine	Typical in clinic visit
Access	Private video visit on your schedule	Commute and waiting room
Labs	Mailed kit or local draw when needed	Often fixed lab schedules
Dosing	Adjusted quickly by telehealth	Adjustments tied to office visits
Support	Clear how-to guides and quick messaging	Phone queues and limited hours
Delivery	Discreet home shipping	Retail pickup at crowded counters

Both paths can work. Online care saves time and helps you stay consistent.

FAQs

What is thyroid hormone replacement therapy?
It is prescribed T4, T3, or a T4/T3 combination to restore thyroid hormones to a healthy range and relieve symptoms.

Do I need T3 or is T4 enough?
Many clients do well on T4 alone. A smaller group benefits from adding T3. We decide based on symptoms and labs.

Can I stay on my current brand?
Yes. If you are stable on a preparation, we help you continue it when appropriate.

How soon should I recheck labs after a change?
Six to eight weeks is standard for most dose adjustments.

Can supplements fix low thyroid?
Supplements help only if you are deficient. Avoid high-dose iodine or selenium unless advised.

Start thyroid hormone therapy online

If you are considering thyroid hormone therapy and want a plan that fits your life, start with a simple video visit. We will confirm candidacy, complete any needed labs, and ship your prescription with clear instructions.

Begin your virtual consultation

Feel warmer, think clearer, and move through your day with steady energy.