Blog

Articles by Dr. André Azevedo on Hashimoto's, hypothyroidism, and Functional Integrative Health — grounded in scientific evidence.

Diagnosis and Lab Tests

TSH, free T3, reverse T3, and antibodies: the tests that reveal what's behind your symptoms, even when your TSH looks normal.

Oct 8, 2026 · 7 min read
Reverse T3: The Lab Test That Became a Trend
No thyroid test has grown as much in recent years as reverse T3, and none is so widely misinterpreted. It usually arrives at the office already with...
Read article →
Sep 29, 2026 · 8 min read
Thyroid Nodules: When to Worry and When Not To
Few sentences are as frightening as "a nodule showed up on your thyroid." The natural reaction is to think of cancer, and most people leave the...
Read article →
Sep 24, 2026 · 6 min read
Anti-TPO and Anti-Thyroglobulin: What These Antibodies Tell You
Few lab results are as alarming as seeing the word "antibody" flagged as abnormal — and few are explained so poorly. A positive anti-TPO doesn't tell...
Read article →
Sep 1, 2026 · 8 min read
Subclinical Hypothyroidism: Treat or Wait?
Subclinical hypothyroidism is now one of the most common topics of debate in the doctor's office, and one of the most likely to lead to rushed decisions. It doesn't...
Read article →
Aug 17, 2026 · 8 min read
T4 and T3: The Difference Between the Thyroid Hormones
T4 is the hormone the thyroid produces in the largest amount, but it works as a reserve: the one doing the actual work inside the cells is T3. Between one...
Read article →
Aug 1, 2026 · 7 min read
Hashimoto's and Infertility: The Connection Few Investigate
Struggling to get pregnant with no apparent cause? Learn what the science shows about thyroid autoimmunity and female fertility.
Read article →
Jul 7, 2026 · 7 min read
Normal TSH but Hypothyroid Symptoms: Why Does This Happen?
Your TSH came back normal, but the fatigue and weight gain won't go away? Learn why this happens and what to look into beyond TSH alone.
Read article →
Jun 6, 2026 · 5 min read
Normal TSH, But Still Every Symptom: What the Conventional Diagnosis Is Missing
T4, T3, reverse T3, anti-TPO, anti-TG — the 5 tests your doctor probably didn't order, and why.
Read article →
📋 Jun 6, 2026 · 3 min read
A Normal TSH Doesn't Mean a Healthy Thyroid: What Your Doctor May Be Missing
Free T4, free T3, reverse T3, anti-TPO, and anti-TG — the markers that make up a complete thyroid panel.
Read article →

Nutrients and Supplementation

Selenium, vitamin D, zinc, and personalized supplementation: what the science really proves about nutrients in Hashimoto's.

Oct 1, 2026 · 7 min read
Low Ferritin: The Test That Explains the Fatigue That's Left Over
There's a group of patients who come to me with the same sentence: "my TSH is under control, my doctor says everything's fine, but I'm still exhausted"....
Read article →
Sep 4, 2026 · 8 min read
Iodine: The Nutrient That Helps Some People and Harms Others
Of all the nutrients linked to the thyroid, iodine is the only one where both too little and too much cause disease — and it's precisely the one most sold by...
Read article →
Jun 24, 2026 · 9 min read
Selenium and Hashimoto's: What the Science Really Shows
You've heard about selenium for the thyroid — but do you know what it actually does? The biochemistry, the studies, and when supplementation makes sense.
Read article →
Jun 6, 2026 · 5 min read
Selenium, Zinc, and Vitamin D in Hashimoto's: What Science Really Proves (and What's Just Hype)
"Selenium cures Hashimoto's"? We separate what the science actually proves from supplement-aisle fads.
Read article →
☀️ Jun 6, 2026 · 3 min read
Vitamin D and Hashimoto's: The Deficiency That Fuels Autoimmunity
Vitamin D is a hormone, not an ordinary vitamin. Learn about the right dose, the forgotten cofactors, and why 1,000 IU/day is often not enough.
Read article →
May 24, 2023 · 2 min read
Personalized Supplementation: Boost Your Health with Individualized Nutrition
Why generic supplements don't work the same way for everyone — and how individualizing them changes the results.
Read article →

Symptoms and Warning Signs

Anxiety, hair loss, menopause — signs that often originate in the thyroid and go unnoticed.

Sep 17, 2026 · 8 min read
Dry Skin and Weak Nails: What Your Thyroid Has to Do With It
The skin is one of the first places where a lack of thyroid hormone shows up — and one of the last places anyone thinks to look. Rough skin that...
Read article →
Sep 15, 2026 · 8 min read
Muscle Aches and Cramps in Hypothyroidism
Your whole body hurts, but nowhere in particular. Your legs feel heavy climbing stairs, cramps wake you up in the middle of the night, the strength to get up disappears...
Read article →
Sep 10, 2026 · 7 min read
High Cholesterol That Won't Come Down? It May Be Your Thyroid
There's a scene that plays out again and again in the office: the person went on a diet, cut out fried food, started walking, took the medication exactly as prescribed — and the cholesterol doesn't...
Read article →
Sep 8, 2026 · 8 min read
Brain Fog: When Forgetfulness Comes From Your Thyroid
Losing a word in the middle of a sentence. Rereading the same paragraph three times without knowing what you read. Walking into a room and forgetting what you came for. Brain fog...
Read article →
Jul 10, 2026 · 6 min read
Hashimoto's and Anxiety: Is There a Link Between the Thyroid and Mental Health?
Anxiety with no clear explanation? Learn what the science shows about the relationship between Hashimoto's, thyroid autoimmunity, and mental health.
Read article →
Jul 10, 2026 · 6 min read
Hair Loss and Hypothyroidism: When the Problem Starts in the Thyroid
Losing too much hair even with "normal" lab results? Learn how the thyroid, Hashimoto's, and hair loss are connected, and what's worth investigating.
Read article →
Jun 6, 2026 · 4 min read
Menopause and Hashimoto's: The Perfect Storm No One Explains to You
Menopause and Hashimoto's aren't just a coincidence happening at the same time — they are conditions that amplify each other. Learn why.
Read article →

Lifestyle and Causes

Gut health, fluoride, GLP-1 drugs, and weight loss: everyday factors that influence the course of Hashimoto's.

Oct 7, 2026 · 8 min read
Stress, Cortisol and the Thyroid: Science vs. Marketing
Fatigue that doesn't improve with rest is one of the most common complaints in the office, and one of the most poorly addressed. People who feel it look for an explanation,...
Read article →
Aug 28, 2026 · 8 min read
Gluten and Hashimoto's: Who Needs to Cut It Out and Who Doesn't
Few questions come up in the office as often as this one: do I need to cut out gluten because of Hashimoto's? The honest answer is that it depends on who...
Read article →
Aug 19, 2026 · 9 min read
Levothyroxine: How to Take It Correctly and What Gets in the Way
Levothyroxine is one of the most sensitive medications there is: a cup of coffee taken with it, calcium at the same time, or an omeprazole tablet can...
Read article →
Jun 6, 2026 · 4 min read
Your Gut Is Feeding Your Hashimoto's — And No One Told You
An altered microbiome, intestinal permeability, and the gut-thyroid axis: what the science shows about their connection to Hashimoto's.
Read article →
Jun 8, 2026 · 6 min read
Could Fluoride Be Harming Your Thyroid? What the Science Really Shows
Water, toothpaste, teas — fluoride is everywhere. Learn what studies show about its relationship with iodine and thyroid function.
Read article →
Jun 6, 2026 · 4 min read
You're Not Imagining It: Why It Feels Almost Impossible to Lose Weight with Hypothyroidism (and What Actually Works)
Dieting, going to the gym, and zero results? Learn why hypothyroidism makes weight loss so hard — and what really works.
Read article →
💉 Jun 6, 2026 · 4 min read
GLP-1 and Your Thyroid: What Every Hashimoto's Patient Needs to Know
Ozempic, Wegovy, Mounjaro — what happens to your TSH and levothyroxine when you take GLP-1 agonists.
Read article →