Fatigue, weight gain, brain fog, hair loss, depression. If your doctor tested "just TSH" and said you're fine, they missed the full picture. We run the complete thyroid panel and treat what we find.
Your thyroid is a butterfly-shaped gland at the base of your neck. It releases hormones that activate and energize nearly every system in your body. When it underperforms, the effects are widespread. According to the American Thyroid Association, over 20 million Americans have thyroid disease, and up to 60% are undiagnosed.
Most doctors test only TSH and call it a day. If it falls in the "normal" range, they tell you nothing is wrong. But a growing body of research shows that TSH alone misses subclinical hypothyroidism, Hashimoto's autoimmune thyroiditis, and T4-to-T3 conversion problems.
We run the full panel: TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies. Then we treat based on how you feel, not just where a number falls on a reference range.
TSH, Free T3, Free T4, Reverse T3, TPO antibodies, and TgAb. This panel reveals the complete picture: conversion issues, autoimmune attack, and subclinical dysfunction that TSH alone will never catch.
Natural desiccated thyroid contains both T4 and T3, the two hormones your thyroid naturally produces. Many patients who felt terrible on levothyroxine alone experience dramatic improvement when switched to NDT.
T3 is the active form of thyroid hormone, the one your cells actually use. Some patients convert T4 to T3 poorly. Adding liothyronine directly can resolve persistent symptoms that T4-only therapy could not.
Hashimoto's thyroiditis is the #1 cause of hypothyroidism. We test antibodies to confirm the diagnosis, then address both the autoimmune inflammation and the resulting hormone deficiency with a combined protocol.
A complete thyroid workup with personalized treatment. We assess your levels in relation to how you feel, not just where a number falls on a lab range.
Select the Focused Hormone Evaluation ($299). Includes a full thyroid panel, hormone testing, metabolic markers, a 60-90 minute consultation with Dr. Strand, and your personalized treatment plan.
Visit any Labcorp location. We test TSH, Free T3, Free T4, Reverse T3, thyroid antibodies (TPO, TgAb), plus hormones, metabolic panel, and inflammatory markers. Results in 3-5 business days.
Meet via telehealth or in-clinic. Dr. Strand explains what your numbers mean in context of your symptoms, identifies the root cause, and recommends the right thyroid medication protocol for you.
Your protocol may include levothyroxine (T4), liothyronine (T3), desiccated thyroid (NDT), or a combination. Medications ship to your door. Most patients continue with a membership ($130/mo) for ongoing monitoring and dosage optimization.
One-time evaluation. Full thyroid panel included.
Every review is from a verified Google patient.
He explains things clearly and thoroughly, never rushing, and makes sure you understand both the "why" and the "what" behind your care.
I'm 75 years old and have dozens of doctors in my life. Dr Strand has been a life-line for me. I can not overstate this doctor's ability.
I've noticed significant improvements in my energy, mood, and overall well-being. I've referred multiple people to this clinic.
Four months later, I've dropped over 30 lbs and feel like I'm genuinely on the right trajectory.
Dr. Strand makes the process simple and easy to follow. He takes the time to walk you through every step.
Broke down and explained every piece of the process to make sure I had a good understanding and felt comfortable.
This is my fourth TRT provider and the first one where I feel I receive the necessary attention and the medical knowledge to optimize my results.
The detail he goes through with you on your lab work is awesome!
I don't think I have had a health care professional actually listen to me in at least the last 20 years.
Great experience with Asymmetric Health.
The doctor explained everything clearly, discussed my options and answered all my questions.
Doctor is knowledgeable and cares about my health.
Common questions from patients considering thyroid evaluation and treatment with asymmetrichealth in Lacey, WA.
Hypothyroidism occurs when your thyroid gland does not produce enough thyroid hormone. Since thyroid hormone regulates metabolism, energy production, body temperature, and brain function, a deficiency affects nearly every system in your body. Symptoms include fatigue, weight gain, brain fog, hair loss, depression, and cold intolerance.
Most doctors only test TSH (thyroid-stimulating hormone). A normal TSH does not mean your thyroid function is optimal. We run a full panel including Free T3, Free T4, Reverse T3, and thyroid antibodies (TPO, TgAb). This reveals subclinical hypothyroidism, autoimmune thyroid disease (Hashimoto's), and T4-to-T3 conversion problems that a TSH-only test will miss.
Depending on your labs and symptoms, Dr. Strand may prescribe levothyroxine (synthetic T4), liothyronine (synthetic T3), desiccated thyroid (NDT, which contains both T4 and T3), or a combination. Many patients who felt terrible on levothyroxine alone improve dramatically when T3 is added or when they switch to desiccated thyroid.
Hashimoto's is an autoimmune condition where your immune system attacks your thyroid gland. It is the most common cause of hypothyroidism in the United States. We test for thyroid antibodies (TPO and TgAb) to identify Hashimoto's, then address both the autoimmune component and the hormone deficiency.
Yes. Your thyroid controls your metabolic rate. When thyroid hormone is low, your body burns fewer calories at rest, stores more fat, and retains water. Many patients who have struggled to lose weight despite diet and exercise find that thyroid optimization is the missing piece.
Most patients notice improved energy and reduced brain fog within 2 to 4 weeks. Full optimization, including improvements in weight, hair, skin, and mood, typically takes 8 to 12 weeks. Dr. Strand monitors your labs and adjusts your dosage until your levels and symptoms are both optimized.
asymmetrichealth is a direct-pay practice. We do not bill insurance, which allows Dr. Strand to order the comprehensive testing and prescribe the medications that actually work for you, without insurance gatekeeping. Many patients submit lab receipts to insurance for partial reimbursement.
Yes. Dr. Strand sees thyroid patients in-clinic in Lacey, WA (serving Olympia, Thurston County, and the South Puget Sound) and via telehealth throughout Washington state. Lab work is completed at any Labcorp location and medications ship directly to your door.
If you've been told your thyroid is fine but you still feel exhausted, foggy, and gaining weight, it's time for a second opinion. Dr. Strand sees patients in Lacey, WA and via telehealth throughout Washington state.
Lacey, WA clinic. Serving Olympia, Thurston County, and all of Washington state via telehealth.
