Private GP & Complementary Therapies. Special interest in Thyroid Health and Functional Medicine

Opening Hours : MON, TUE, THU, FRI: 9:00-12:00 & 13:00-16:00 WED + 1st SAT: 9:00-12:00
  Contact : Tel: 01473 218 373 or 01449 833 833 - email: reception@countryhealth.co.uk

Thyroid Health Clinic

Introduction

The thyroid system plays a critical role in your metabolism. Along with insulin and cortisol, your thyroid hormone is one of the big three hormones that control your metabolism and weight.

The key is the right testing to confirm that a sluggish thyroid is contributing to a stalled metabolism and other problems. Once you know this for sure there are many ways to help correct thyroid problems.

There are so many reasons for low thyroid function, yet we see many patients whose doctors have ignored this problem.

How do we know that a patient has low thyroid function? We ask about symptoms, perform a physical examination, and consider potential causes of thyroid problems. Then we do the right tests.

There is no one perfect way, no one symptom nor test result, that will properly diagnose low thyroid function or hypothyroidism. The key is to look at the whole picture – your symptoms and your blood tests – and then decide.

Most doctors just check something called thyroid-stimulating hormone (TSH) and sometimes your free T4 level, which doesn’t give a full picture of the thyroid. In fact, even the interpretation of this test is incorrect most of the time.

Many doctors think that only a TSH over 5 or 10 is worth treating. Unfortunately, this leaves millions suffering unnecessarily.

The newer guidelines of the American College of Endocrinology consider anybody with a TSH level over 3.0 as hypothyroid. While an improvement, practitioners following these guidelines may still miss many people who have normal test results and a malfunctioning thyroid system.

To get a complete picture, we recommend looking at a wider range of functions:

  • Thyroid-stimulating hormone (TSH), the ideal range is between 1 and 2 m IU/ ml

  • Free T4 and free T3 (the inactive and the active hormone)

  • Thyroid antibodies (TPO), looking for an autoimmune reaction that commonly goes undiagnosed if the other tests are normal, as doctors don’t routinely check this

  • Thyroid-releasing hormone (TRH) stimulation test

  • A 24-hour urine test for free T3, which can be helpful in hard-to-diagnose cases


Besides TSH, Functional Medicine practitioners perform other essential tests including free T3, free T4, and thyroid antibodies. We also look for associated problems such as gluten intolerance, food allergies, and heavy metals, as well as deficiencies of vitamin D, selenium, vitamin A, zinc, and omega-3 fats.

Correcting thyroid problems requires an integrative approach. It involves more than simply taking a thyroid pill. It involves nutritional support, exercise, stress reduction, supplements, reducing inflammation, and sometimes eliminating certain foods and detoxification from heavy metals (such as mercury and lead) and petrochemical toxins (such as pesticides and PCBs).

Autoimmune Thyroiditis: Hashimoto’s and Graves’ disease

About 10% of the worldwide population suffer from a form of over 80 different autoimmune diseases (AID), the common ones being thyroid disease, coeliac disease, rheumatoid diseases, Multiple Sclerosis, and Type 1 diabetes. If you have one AID you are at greater risk to develop another.

Autoimmunity is a loss of immune tolerance.

If you have autoantibodies against your thyroid gland, it can work both ways:

  • Either your thyroid becomes underactive or hypothyroid. This is caused by thyroid peroxidase and thyroglobulin autoantibodies and is called Hashimoto’s thyroiditis.

  • Or you have thyroid-stimulating autoantibodies to the TSH receptor (TSHR) which causes Hyperthyroidism in Graves’ disease

To make it even more complicated, in some Graves’ patients, thyroiditis becomes sufficiently extensive to cure the hyperthyroidism with resultant hypothyroidism. T regulatory cells (Treg) seem to be involved in the natural progression of hyperthyroid Graves’ disease to Hashimoto’s thyroiditis and hypothyroidism in humans. Vitamin D seems to help to improve the function of the Treg cells.

In order for an autoimmune disease to develop, in addition to genes, a trigger, and a leaky gut barrier must be present. Healing the leaky gut can put the autoimmune condition into remission.

An autoimmune paleo diet can bring “phenomenal” results and testing for food intolerances is - as per Dr Wentz - one of the best interventions to reduce autoantibodies.

Choose the Right Thyroid Hormone Replacement

Ultimately, to properly balance a thyroid that is severely out of balance, you will need to go on some type of thyroid hormone replacement therapy.

Altering your diet and your lifestyle will certainly help tremendously, but if your thyroid isn’t functioning properly, you may need to take some additional thyroid hormones to supplement its output.

Traditionally trained doctors prescribe synthetic T4 thyroid hormone called Levothyroxine. But that doesn’t make it the best treatment for everyone. Some people benefit from it, but in some cases the symptoms don’t seem to go away using only T4, even if their tests return to normal. A Functional Medicine practitioner knows is that no one treatment works for everyone. A combination of experience, testing, and trial and error becomes necessary to get any treatment just right.

We have discovered that the majority of our patients benefit from a combination hormone treatment including both T4 and T3. Levothyroxine is just T4, the inactive hormone. Most doctors assume that the body will convert it to T3 and all will be well.

Unfortunately, pesticides, stress, mercury, infections, allergies, and selenium deficiencies can block that process. Since 100 percent of us have pesticides stored in our bodies, we will all likely have some problem with Levothyroxine.

The most common treatment we use is Nature-throid, a prescription drug made from desiccated (dried) porcine thyroid. It contains the full spectrum of thyroid hormones, including T4, T3, and T2 . That last one – T2 – is a little-known product of thyroid metabolism that actually may be very important.

Sometimes the only way to find out if you have a thyroid problem is a short trial of something like Nature thyroid for three months. If you feel better, your symptoms disappear, and you lose weight, it’s the right choice. Once started, you needn’t take it for life.

Sometimes, once all the factors that disturbed your thyroid function have been corrected, you may be able to reduce or discontinue the dose.

Careful monitoring is essential. Taking too much thyroid hormone or taking it if you don’t need it can lead to undesirable side effects, including anxiety, insomnia, palpitations, and, over the long term, bone loss.

The Thyroid Health Club

We have created the Thyroid Health Club to make this easier for you. Small monthly payments provide you with the level of care you need to achieve your goals and save you approx. 10% on our PAYG fees. 

In the first year you will need more regular testing to "fine-tune" your thyroid medication. Once your thyroid function is stable, it is important to keep a regular eye on it.

How to get started - register with our practice

If you want to be looked after in our thyroid health clinic, you first need to register as a patient. Please click on the link below, complete our registration form and post it to:

CountryHealth, Cornwallis Chambers, 23 Great Colman Street, Ipsiwch, IP4 2AN​

We would like to invite all of our patients at least once to our practice for a registration health check and a face-to-face consultation. If this is not possible at all, we can also arrange a telephone consultation - you can book either following this link.

  • Registration Health Check: £ 39
  • 30-minute consultation: £ 125

Use our services when you need them

Once you are registered, we can offer you all of our services. You can either PAYG or subscribe to one of our plans which help to keep cost down.

We recommend to have regular blood tests and based on your results will issue prescriptions that last until the next test is due.

If you want us to take the blood samples in Ipswich
If you want to arrange your own blood samples, e.g. with Medichecks
  • Comprehensive Thyroid Health Report: £ 97
    Please send us your blood results via email to results@countryhealth.co.uk
  • Prescription for thyroid medication included in the Comprehensive Thyroid Health Report - enough until the next test is due. We can send it either to you or the pharmacy
  • Email support: Additional help if you need to.
  • Fee for medication applies. You can pay this directly to the chemist. 

Monthly subscription plans including on-site testing in our practice in Ipswich

We offer two packages that include all you need (apart from the medication cost):

  • Sampling fee: We take a venous blood sample, process it, and send it to the lab with next-day delivery
  • Blood testing fee: the fee for the Thyroid Profile TF2: TSH, FT4 and FT3
  • Comprehensive report: approx. 15 pages, addressing lifestyle modifications, supplement plan and recommendations
  • Your prescription sent either to you or directly to one of our partner chemists
  • E-mail support: if you have a quick question about your medication which can be answered within 15 minutes

Quarterly Testing

In your first year or if your thyroid remains unstable

  • 4 Blood tests per year included: TSH, FT4 FT3
  • Detailed written report of your thyroid results
  • 4 prescriptions for thyroid medication included and sent to you or the pharmacy
  • Blood sampling fee included
  • Quarterly email support included
  • Approx. 10% cheaper than PAYG!
  • 12-month subscription - no auto-renewal
  • Fee for medication applies!
  • Extra fee for antibody testing applies

£ 88.97 / month

No credit card required

Biannual Testing

From your second year and once your thyroid results remain stable

  • 2 Blood tests per year included: TSH, FT4 FT3
  • Detailed written report of your thyroid results
  • 2 prescriptions for thyroid medication included and sent to you or the pharmacy
  • Blood sampling fee included
  • Biannual email support included
  • Approx. 10% cheaper than PAYG!
  • 12 month subscription - no auto-renewal!
  • Fee for medication applies!
  • Extra fee for antibody testing applies

£ 44.97 / month

No credit card required.

Monthly subscription plans without blood testing

This plan is ideal for patients living further afield or international patients who are happy to organise their own blood testing. The test needs to include at least TSH, T4 and T3.

NB: We cannot take responsibility for the accuracy of the blood results - please ensure you use a reputable laboratory. 

We offer two packages that include:

  • Comprehensive report: approx. 15 pages, addressing lifestyle modifications, supplement plan and recommendations
  • Your prescription sent either to you or directly to one of our partner chemists (currently only available for patients in UK and DE)
  • E-mail support: if you have a quick question about your medication which can be answered within 15 minutes

Direct Debit payments are available for clients from the following countries: Austria, Belgium, Cyprus, Estonia, Finland, France, Germany, Greece, Ireland, Italy, Latvia, Luxembourg, Malta, Monaco, the Netherlands, Portugal, San Marino, Slovakia, Slovenia, Spain, Sweden and the United Kingdom.

Quarterly Reports

In your first year or if your thyroid remains unstable

  • You arrange blood testing e.g. via MediChecks 4x/year
  • Please send us your blood results via email to results@countryhealth.co.uk
  • Detailed written report of your provided thyroid results
  • 4 prescriptions for thyroid medication included and sent to you or the pharmacy (only in UK and DE)
  • Quarterly email support included
  • Approx. 10% cheaper than PAYG!
  • 12-month subscription - no auto-renewal
  • You pay the fee for the medication to the chemist
  • You pay MediChecks directly for the blood testing.

£ 56.97 / month

Via Direct Debit - No credit card required

Biannual Reports

From your second year and once your thyroid results remain stable

  • You arrange blood testing e.g. via MediChecks 2x/year
  • Please send us your blood results via email to results@countryhealth.co.uk
  • Detailed written report of your provided thyroid results
  • 2 prescriptions for thyroid medication included and sent to you or the pharmacy (only in UK or DE)
  • Biannual email support included
  • Approx. 10% cheaper than PAYG!
  • 12 month subscription - no auto-renewal!
  • You pay the fee of the medication to the chemist
  • You pay MediChecks directly for the blood testing

£ 28.97 / month

Via Direct Debit - No credit card required.