TSH Explained: 25 Thyroid Questions Your Doctor Never Answered

TSH: The Most Misunderstood Thyroid Lab — 25 Questions, Answered

If you've been told your TSH is "normal" but you still feel exhausted, foggy, inflamed, or hypothyroid — this episode is for you.

In this deep-dive Q&A episode, Dr. Eric Balcavage answers 25 of the most common and misunderstood questions about TSH, the lab marker most often used — and misused — in thyroid care.

You'll learn:

• What TSH actually measures (and what it doesn't)

• Why TSH can go up in some stress states and down in others

• How inflammation, stress, sleep, dieting, and medication timing distort TSH

• Why "normal" TSH doesn't guarantee healthy thyroid function

• How to tell true hypothyroidism from adaptive physiology

• Why chasing TSH often keeps people stuck

• How thyroid medications affect TSH differently (T4 vs T3)

• Why tissue hypothyroidism can exist even when labs look "fine"

This episode is designed for:

• Patients frustrated by "normal labs"

• Clinicians who want better thyroid interpretation

• Anyone trying to understand thyroid physiology beyond numbers

👉 Free Resource: Comment LABS to receive my Thyroid Labs Decoded eBook, where I break down TSH, T4, T3, reverse T3, ratios, antibodies, and medication timing in plain language.

🎧 Listen now and finally understand what your thyroid labs are really telling you.