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Episode 200: Thyroid Recovery Truths: What 200 Episodes Reveal About Labs, Meds, and Real Healing

Thyroid Answers Podcast

Release Date: 06/24/2025

TS Episode 13: Reading Between the Lines of Your Thyroid Labs show art TS Episode 13: Reading Between the Lines of Your Thyroid Labs

Thyroid Answers Podcast

Tired of being told "your labs are normal" while you still feel terrible? This episode will transform you from a passive patient into an informed advocate who understands what comprehensive thyroid testing should include and how to interpret the results.   Dr. Eric Balcavage reveals why most doctors run incomplete thyroid panels and miss critical patterns that explain persistent symptoms. Discover the complete 9-marker thyroid panel you need, including the often-overlooked T3 Uptake that can reveal binding protein issues masquerading as hormone deficiencies.   Learn why "normal"...

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Episode 206: Rebooting Your Thyroid Physiology with Dr. Justin Marchegiani show art Episode 206: Rebooting Your Thyroid Physiology with Dr. Justin Marchegiani

Thyroid Answers Podcast

In episode 206 of the Thyroid Answers Podcast, I interview Dr. Justin Marchegiani regarding his newly released book, The Thyroid Reboot. Topics covered in this episode include: Why is The Thyroid Reboot book different than others? What is driving thyroiditis and hypothyroidism? Is hypothyroidism caused by an immune system out of control or an adaptive response? The impact of stressors on driving thyroiditis and hypothyroidism Starting points for addressing hypothyroidism The role of thyroid antibodies And more... Dr. Justin Marchegiani began his medical career at the University of...

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TS Episode 12: The Real Reason Your Thyroid Medication Isn't Working show art TS Episode 12: The Real Reason Your Thyroid Medication Isn't Working

Thyroid Answers Podcast

If you're taking thyroid medication but still struggling with fatigue, brain fog, and weight gain despite "perfect" lab results, this episode will change everything. Dr. Eric Balcavage reveals why millions of thyroid patients are stuck in "Thyroid Purgatory" - where labs look optimal but symptoms persist - and introduces the groundbreaking concept of cellular hypothyroidism that explains why your cells may be rejecting the thyroid hormones you're taking.   Discover why the Cell Danger Response acts like a cellular security system, blocking thyroid hormone utilization even when blood...

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Episode 205: Understanding Thyroid Labs: What Your Doctor Might Be Missing show art Episode 205: Understanding Thyroid Labs: What Your Doctor Might Be Missing

Thyroid Answers Podcast

In episode 205 of the Thyroid Answers Podcast, Dr. Kelly Halderman returns to discuss Thyroid labs and what your doctor might be missing. In this episode, we cover: Why TSH run by itself can be a misleading test Why both total and free hormones should be run, but often aren't Understanding T3 Uptake Reverse T3: what it is and why it is improtant Thyroid antibodies: the reality behind their presence And more... If you struggle with chronic hypothyroid symptoms despite what you have been told is appropriate or "optimized" Thyroid Hormone Replacement, you must listen to this episode. The...

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Thyroid Shorts 11:  FDA Removal of Dessicated Thyroid Extracts - Why this may not be a bad thing show art Thyroid Shorts 11: FDA Removal of Dessicated Thyroid Extracts - Why this may not be a bad thing

Thyroid Answers Podcast

In this episode, Dr. Eric Balcavage discusses the recent announcement by the FDA to remove dessicated thyroid extracts from the market.   Key Topics Covered: Why this may not be a bad thing. Alternatives to DTE  Why DTE prescriptions can be a slippery slope. Why DTE prescriptions may keep you stuck in thyroid purgatory Why DTE prescription may be contributing to your hypo and hyperthyroid symptoms. And more...

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Episode 204: How The Microbiome Impacts Your health, Immune System, and Thyroid Physiology show art Episode 204: How The Microbiome Impacts Your health, Immune System, and Thyroid Physiology

Thyroid Answers Podcast

Join Dr. Eric Balcavage as he explores the critical relationship between gut health and thyroid function with registered dietitian and microbiome expert Kara Siedman. This episode dives deep into how your microbiome - the collection of bacteria, fungi, and viruses living in your gut - directly impacts thyroid physiology and overall health.   Kara breaks down the complex science into actionable insights, explaining how gut dysbiosis can trigger thyroid dysfunction through inflammatory pathways, intestinal permeability, and disrupted hormone conversion. You'll discover why digestive...

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Thyroid Shorts Episode 10:  Does the Cell Danger Response Apply to Everyone? show art Thyroid Shorts Episode 10: Does the Cell Danger Response Apply to Everyone?

Thyroid Answers Podcast

In this episode, Dr. Eric Balcavage responds to a thoughtful viewer comment that challenges key aspects of his adaptive thyroid physiology model and Cell Danger Response theory. This deep-dive discussion addresses whether his approach applies to every hypothyroidism case, clarifies the 71% improvement statistic, and explores the role of T3 therapy in thyroid treatment.   Key Topics Covered: Does the Cell Danger Response theory apply to all hypothyroidism cases? Clarification of the 71% patient improvement statistic - what it really means Historical use of NDT (Natural Desiccated...

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Episode 203: The Gut-Thyroid Connection: How Your Microbiome Impacts Your Metabolism show art Episode 203: The Gut-Thyroid Connection: How Your Microbiome Impacts Your Metabolism

Thyroid Answers Podcast

In this episode of Thyroid Answers, Dr. Eric Balcavage sits down with functional health coach Anu Simh to explore the critical connection between gut health, thyroid function, and overall metabolism.   What You'll Learn: Why normal TSH doesn't mean optimal thyroid function - and what's really happening at the cellular level  How chronic stress disrupts your gut microbiome and creates a cascade of health issues  The difference between homeostasis and allostatic regulation - and why understanding this changes everything  Why gut protocols often fail long-term (and what's...

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Episode 202: Missing Strategies That May Ignite Your Weight Loss show art Episode 202: Missing Strategies That May Ignite Your Weight Loss

Thyroid Answers Podcast

Dr. Eric Balcavage interviews Nagina Abdullah about why traditional weight loss approaches fail for women with thyroid issues, especially in midlife. Nagina shares her personal journey from yo-yo dieting to losing 40 pounds using metabolism-focused strategies and reveals the framework she's used to help 1600+ women.   Key Topics Covered: Why "calories in, calories out" doesn't work in midlife How perimenopause changes metabolism and increases inflammation  The role of stress, sleep, and under-eating in weight gain  Nagina's "Tested & Perfected Fat Burning Food...

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Episode 201: Radiopharmaceutical Therapy & Theranostics: A New Frontier in Thyroid and Cancer Care show art Episode 201: Radiopharmaceutical Therapy & Theranostics: A New Frontier in Thyroid and Cancer Care

Thyroid Answers Podcast

Join Dr. Eric Balcavage as he explores the cutting-edge world of nuclear medicine with Dr. Munir Ghesani, Chief Medical Officer at United Theranostics. Discover how theranosticsโ€”the fusion of diagnostics and therapeuticsโ€”is revolutionizing cancer treatment, particularly for thyroid conditions. Key Topics Covered: The fascinating history of nuclear medicine, born from thyroid treatment in the 1940s How radioactive iodine therapy works and why it's so effective for thyroid cancer The difference between traditional treatment and modern theranostic approaches Revolutionary redifferentiation...

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Episode Summary

Join Dr. Eric Balcavage and Dr. Kelly Halderman for this milestone 200th episode of Thyroid Answers! This comprehensive discussion covers the evolution of thyroid care, key lessons learned from treating hundreds of patients, and the future of thyroid recovery. Dr. Eric shares his 70% patient recovery rate and explains why the shift from management to recovery is revolutionizing thyroid care.

Key Topics & Timestamps

๐ŸŽ‰ Opening Celebration & Reflection (0:00-10:00)
  • Celebrating 200 episodes and the thyroid recovery revolution
  • Evolution of thyroid conversations on social media
  • The shift from symptom management to root-cause recovery
๐Ÿ“Š The Data Behind Recovery (10:00-35:00)
  • What 70% recovery rate actually looks like for patients
  • Why "normal labs but still sick" is so common
  • Cellular hypothyroidism explained simply
  • Moving away from "optimal lab ranges" obsession
  • Lab interpretation vs. just reading high/low values
๐Ÿ”ฅ Social Media Hot Topics (35:00-65:00)
  • Gut-Thyroid Connection: Starting with foundations, not complex protocols
  • Mind-Body Connection: Subconscious stress and emotional baggage impact
  • Medication Debates: Focus on adequate T4, not chasing T3 optimization
  • Lab Posting in Groups: Questions to ask doctors instead of strangers
  • Stress Management: Practical strategies without getting stressed about stress
  • Nutrition Confusion: Whole food diet 80-85% of the time, avoid food fear
๐Ÿš€ The Future of Thyroid Care (65:00-80:00)
  • Shift from "broken physiology" to "adaptive physiology" model
  • Cell danger response vs. homeostasis understanding
  • Certification program development for practitioners
  • Open rounds for clinicians to learn new interpretation methods
๐Ÿ’ก Key Takeaways for Recovery
  • Your body isn't broken - it's adapting to stress
  • Recovery requires addressing the state you're in (homeostasis vs. allostasis)
  • The elephant in the room is often emotional/mindset issues
  • Forgiveness is one of the most powerful "biohacks"
  • Set boundaries and prioritize your health in your daily schedule

Notable Quotes

  • "Your lab values are rarely ever the actual problem"
  • "You can have values out of the functional range and you're perfectly healthy"
  • "What goes on in your mind has a massive impact on your gut physiology"
  • "If you've tried everything and nothing works, you're not in homeostasis"
  • "The body adapts; it's not broken"

Resources Mentioned

  • The Thyroid Debacle book (co-authored with Dr. Kelly Halderman)
  • Strategic Thyroid Recovery Blueprint (DIY course)
  • MAP Method with Madeline Lowry
  • Emotion Code technique
  • Discovery calls available at Dr. Eric's website

Next Steps for Listeners

  1. Self-Assessment: Consider if you want management or recovery
  2. DIY Option: Thyroid Recovery Blueprint course for a self-guided approach
  3. One-on-One: Schedule a discovery call for a personalized strategy
  4. Future: Certification program will train more practitioners in this model

Dr. Kelly Halderman is a distinguished leader in the field of integrative and precision health, with extensive expertise in functional medicine, nutrigenomics and nutraceutical formulation. She earned her medical doctorate in 2007 and completed a family practice medicine internship at the University of Minnesota in 2009 (license retired). Dr. Halderman also earned a Traditional Naturopathic Degree, a Doctorate in Clinical Nutrition (DCN), is a board-certified clinical nutritionist (CCN) and is working on completing her PhD in Executive Leadership.

Dr. Halderman is a recognized international educator, specializing in innovative approaches to health optimization. She holds certifications in MethylGenetic Nutrition through the Nutrigenetic Research Institute and Functional Neurology and Neurofeedback from the American Functional Neurology Institute. Her commitment to advancing healthcare is demonstrated by her active memberships in leading organizations, including the American Academy of Anti-Aging Medicine, Women in Nutraceuticals, Physicians Committee for Responsible Medicine, Women In Nutraceuticals, Society of Physician Entrepreneurs, and her role as President and founder of The American Association of Nutraceutical Formulators.

Her extensive experience in nutraceutical science includes formulating cutting-edge supplements and educating consumers, practitioners, and professional organizations, such as the NFL Hall of Fame, on novel health solutions. She is also an accomplished author on various topics in functional medicine including Phase 2.5 Detox and The Thyroid Debacle and has her research published in the prestigious journal Aging.

Currently serving as a Clinical Advisor at Premier Research Labs & ExtendingMe, Dr. Halderman continues her mission to empower individuals through proper nutrition and advanced health strategies based on nutrigenomic and epigenetic testing. Her lifelong dedication to health restoration and education exemplifies her unwavering commitment to improving lives through science-based wellness solutions.