When your thyroid or hormones feel off - and the numbers don't tell the whole story
Fatigue, brain fog, weight changes, and mood shifts can point to thyroid or hormonal concerns that standard labs don't fully capture. Here's a calmer, clearer place to start.

Thyroid and hormonal symptoms are real even when routine labs come back 'normal.' Conventional testing often checks TSH alone, which can miss the fuller picture of how your thyroid and hormones are actually functioning.
Through her functional medicine practice, Dr. Hwaida Hannoush evaluates appropriate hormonal and thyroid concerns - including Hashimoto's thyroiditis where relevant - in the context of your full history, symptoms, and cardiovascular and metabolic health. Specific conditions, tests, and services are confirmed with you before anything is ordered.
A functional medicine evaluation, grounded in metabolic cardiology
Each concern is evaluated on its own terms - and, where relevant, considered alongside your cardiovascular and metabolic health. No single protocol fits everyone.
Evaluate, don't assume
We look at the patterns your symptoms and history suggest - and select thyroid, hormonal, and metabolic markers that actually inform your decisions, not a generic panel.
Interpret in context
Thyroid function interacts with cholesterol, metabolism, inflammation, and mood. We read your results against your whole picture, not population cutoffs alone.
An individualized plan
Your plan may involve nutrition, lifestyle, targeted support, or coordination with your existing care - built around you, never a single protocol for everyone.
Whom this serves
These concerns often bring people to a functional medicine evaluation. You don't need a formal diagnosis to start asking questions.
- Persistent fatigue, brain fog, or weight changes despite 'normal' labs
- A family or personal history of Hashimoto's or thyroid concerns
- Perimenopause, menopause, or a hormone shift affecting how you feel
- Hair, skin, mood, or temperature changes that feel unexplained
- Thyroid results that don't match your symptoms and leave you unsure
What to expect
A clear, individualized process - never a one-size-fits-all protocol.
- 1A detailed review of your history, symptoms, and any prior labs
- 2Targeted test selection only when it changes your plan
- 3Context-based interpretation and shared decision-making
- 4A personalized plan with follow-up to put it into action
Why these concerns may be considered together
Cardiovascular, metabolic, thyroid, inflammatory, and brain health can influence one another - but they don't share a single cause or a single treatment. We look at the connections that are relevant to you.
High Cholesterol & Heart Risk
Low thyroid function can raise cholesterol - which is why we sometimes consider them together rather than in isolation.
Autoimmune & Inflammatory Health
Hashimoto's is autoimmune in nature. When thyroid and inflammation travel together, understanding both can shape a better plan.
The Lab Lens
See how deeper, individually selected testing helps interpret thyroid and hormonal results in context.
Frequently asked
Curious whether an evaluation of hormonal & thyroid health is right for you?
Request an appointment and select "Hormonal or thyroid concerns" as your reason. We'll help you decide the right next step - no pressure, no unnecessary testing.