Conditions · Thyroid & Hashimoto’s

Thyroid & Hashimoto’s care that looks deeper

Exhausted, gaining weight, foggy, cold — but told your thyroid is “fine”? A standard TSH rarely tells the whole story. We run the complete picture and build a plan around the root cause. Start with an initial appointment.

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When “normal” labs and how you feel don’t match

Hashimoto’s is the most common cause of an underactive thyroid — an autoimmune process that can drive fatigue, weight gain, brain fog, hair thinning, cold sensitivity, and low mood long before a basic TSH looks abnormal. Too often patients are told everything is fine and sent home.

At True You, Dr. Hoff takes a root-cause approach: comprehensive thyroid and antibody testing, a look at the whole system driving your symptoms, and a personalized, physician-guided plan to help you feel like yourself again.

Why “normal” isn’t the goal

Why your labs look “fine” but you don’t feel it

The difference is what gets tested — and against which range.

The conventional thyroid visit

  • A single TSH test
  • “Normal range” = anything not flagged
  • Antibodies rarely checked
  • One hormone, one prescription
  • A 10-minute visit

The True You approach

  • Full panel: TSH, free T4, free T3, reverse T3
  • Optimal range — how a healthy thyroid actually reads
  • TPO + thyroglobulin antibodies to catch Hashimoto’s early
  • Root causes: gut, nutrients, stress, and conversion
  • Unhurried time with a physician who monitors over time
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A value can be “in range” yet far from optimal — which is why so many people feel unwell with “normal” thyroid labs.

Signs we hear every week

Tired but wired

Exhausted through the day yet unable to get truly restful sleep.

Weight that won’t move

Doing everything “right” and the scale still won’t budge.

Brain fog & low mood

Cloudy thinking, poor focus, and mood that isn’t like you.

Cold, dry, thinning

Always cold, dry skin, and hair that’s thinning or shedding.

What a True You thyroid work-up includes

Complete thyroid panel

Beyond TSH — free T4, free T3, and reverse T3 to see how your thyroid actually functions.

Hashimoto’s antibodies

TPO and thyroglobulin antibodies to detect the autoimmune driver early.

Root-cause context

Nutrients, gut, stress, and hormones that influence thyroid function.

A physician-guided plan

A personalized plan from Dr. Hoff, monitored and fine-tuned over time.

Thyroid & Hashimoto’s — common questions

My thyroid labs were “normal” — why do I still feel this way?
A single TSH is only part of the picture. We test free T4, free T3, reverse T3, and thyroid antibodies, and look at the whole system — so we can find drivers a basic panel misses and build a plan around them.
Do you test for Hashimoto’s specifically?
Yes. We check TPO and thyroglobulin antibodies, which can reveal Hashimoto’s well before a standard thyroid test looks abnormal, so we can act earlier.
Do you take insurance for thyroid care?
True You is a cash-based practice, so your care isn’t limited by insurance rules on which labs or how much time you get. We’re transparent about costs during your consultation.
How do I get started?
Book an appointment. We’ll talk through what you’re experiencing and outline the right next step for your thyroid work-up.

Ready to feel like yourself again?

Book an appointment with Dr. Hoff’s team in Fredericksburg, VA.

Book an appointment