In this Q&A episode, Dr. Eric Osansky answers listener questions focused primarily on hypothyroidism, Hashimoto’s, and general thyroid health. He starts with iodine exposure from CT contrast and the nutrients needed for healthy thyroid function, then explores how symptoms like hair loss, fatigue, thinning eyebrows, and temperature changes can overlap with thyroid dysfunction, perimenopause, nutrient deficiencies, and other underlying imbalances. 

Dr. Eric also tackles questions about thyroid hormone replacement, including natural desiccated thyroid versus synthetic options, difficulty tolerating medication changes, thyroid hormone resistance, and whether it’s possible to eventually reduce the need for thyroid medication. He discusses thyroid nodules and goiters, low ferritin, medicinal mushrooms, autoimmune gastritis, secretory IgA, persistent leaky gut, food sensitivities, parasite cleanses, and why identifying underlying triggers is often more important than simply adding more supplements. 

Throughout the episode, Dr. Eric emphasizes that thyroid care needs to be individualized. Lab values, symptoms, immune health, gut health, nutrient status, medications, and the underlying cause of thyroid dysfunction all matter when deciding what steps to take. If you want practical answers to common thyroid questions—and a clearer understanding of what may be influencing your thyroid health—you’ll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky welcomes naturopathic physician Dr. Tricia Pingel for a comprehensive conversation about chronic stress, adrenal health, and nervous system dysregulation. After spending years helping patients with stress and hormone health, Dr. Tricia eventually recognized that she was experiencing significant adrenal dysfunction herself. She shares how decades of performing for others, caring for family members, navigating grief, running a medical practice, and continually pushing through stress eventually took a toll on her physical and emotional health. 

Dr. Tricia explains why supplements and healthy habits can be valuable but may not be enough when the nervous system remains stuck in a chronic fight-or-flight state. She and Dr. Eric discuss boundaries, learning to say no, prioritizing yourself while still caring for others, mindset, nutrition, exercise, functional testing, and the importance of creating a sustainable approach to healing. Dr. Tricia also shares how returning to hip-hop dancing helped her reconnect with joy and regulate her nervous system, and why the most effective stress-management practice may look completely different from one person to another. 

The conversation ultimately highlights that recovering from chronic stress isn't about finding one perfect supplement or protocol. It's about understanding your individual stress response, creating an environment in which your nervous system can thrive, and consistently making choices that support your physical and emotional well-being. Tune in to better understand chronic stress, nervous system dysregulation, and how reconnecting with yourself can become an important part of the healing process. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky concludes his 3-part hormone series by exploring the important relationship between progesterone and thyroid health. While estrogen often receives most of the attention, progesterone also plays a vital role in supporting thyroid hormone sensitivity, reproductive health, immune regulation, sleep, mood, and nervous system function. Dr. Eric explains why symptoms of low progesterone frequently overlap with both hyperthyroidism and hypothyroidism, making proper testing and individualized evaluation essential. 

Dr. Eric discusses how chronic stress, adrenal dysfunction, thyroid imbalances, and hormonal changes during perimenopause and menopause can all contribute to lower progesterone levels. He explains the role progesterone plays in Graves’ disease, Hashimoto’s thyroiditis, fertility, anxiety, insomnia, and menstrual health, while also reviewing common testing options, including serum progesterone and the DUTCH test. Throughout the episode, he emphasizes supporting adrenal health, improving stress resilience, optimizing sleep, and addressing root causes before relying solely on hormone replacement whenever appropriate. 

The episode concludes with practical recommendations for naturally supporting healthy progesterone levels through stress management, nutrition, targeted nutrients, and herbs such as Vitex, while acknowledging that bioidentical progesterone has an important place for some individuals. If you want a clearer, more balanced understanding of the thyroid-progesterone connection and how this hormone influences thyroid and overall health, you'll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky welcomes back bestselling author, nurse practitioner, and women's health expert Cynthia Thurlow to discuss her newest book, The Menopause Gut. Cynthia explains why gut health should be at the center of every conversation about perimenopause and menopause, sharing both the science behind the gut-hormone connection and her own personal journey that inspired the book. Together, they explore how declining estrogen influences immune function, gut permeability, inflammation, and the risk of autoimmune conditions during midlife. 

The conversation dives into the important role of the estrobolome, estrogen metabolism, food sensitivities, detoxification, genetics, and the impact of chronic stress on hormonal health. Cynthia also discusses why symptoms such as hot flashes, weight gain, digestive issues, sleep disturbances, and joint pain shouldn't simply be accepted as "normal aging." Along the way, she shares practical strategies for improving gut health, increasing fiber intake, supporting the vagus nerve, reducing inflammation, and making personalized decisions about hormone replacement therapy (HRT). 

The episode concludes with an empowering message that women don't have to suffer through perimenopause and menopause. By understanding the connection between hormones, the gut microbiome, metabolism, and thyroid health, it's possible to improve symptoms and support long-term wellness. If you want a clearer, more balanced understanding of the menopause-gut connection and how it influences thyroid and overall health, you'll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky explores the complex relationship between estrogen and thyroid health. While estrogen is often associated with reproductive health, it also plays an important role in thyroid hormone activity, immune function, metabolism, and overall hormonal balance. Dr. Eric explains how estrogen can influence thyroid hormone availability through thyroid-binding globulin (TBG), why both high and low estrogen levels can create problems, and how hormonal imbalances may contribute to thyroid symptoms in women with Graves’ disease and Hashimoto’s thyroiditis. 

Dr. Eric also discusses estrogen dominance, progesterone balance, and the connection between estrogen, thyroid autoimmunity, and life stages such as puberty, pregnancy, postpartum, perimenopause, and menopause. He reviews the important role of gut health—particularly the estrobolome and beta-glucuronidase—in estrogen metabolism, along with the impact of chronic stress, xenoestrogens, environmental toxins, liver function, and detoxification. In addition, he explains the pros and cons of various hormone testing methods, including blood testing and the DUTCH test, while highlighting nutrients and supplements that may support healthy estrogen metabolism when appropriate. 

The episode concludes with practical recommendations for supporting both thyroid and estrogen balance through nutrition, stress management, gut health, and personalized testing when needed. If you want a clearer, more balanced understanding of the thyroid-estrogen connection and how hormone balance affects autoimmune thyroid health, you'll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky welcomes Johanna Dahlmann, also known as the "Alopecia Angel," to discuss natural approaches to overcoming hair loss. Johanna shares her personal journey of reversing alopecia areata after being told there was no cure and explains how that experience led her to help thousands of people around the world with autoimmune, hormonal, and other forms of hair loss. Together, they explore why hair loss is often a symptom of deeper underlying imbalances rather than simply a cosmetic concern. 

Johanna discusses many of the commonly overlooked contributors to hair loss, including autoimmune disease, thyroid dysfunction, gut health, environmental toxins, breast implant illness, Botox, nutrient deficiencies, hormonal imbalances, and genetics. She also explains why personalized testing and functional medicine can help identify root causes, while emphasizing that no single diet, supplement, or medication works for everyone. Throughout the conversation, she challenges common myths surrounding hair loss and explains why healing requires an individualized, whole-body approach rather than a one-size-fits-all solution. 

The episode concludes with a discussion about thyroid-related hair loss, realistic expectations for hair regrowth, and why consistency is essential for long-term success. Dr. Eric also shares his perspective on addressing thyroid and autoimmune thyroid conditions as a foundational step for many people experiencing hair loss. If you want a clearer, more balanced understanding of the root causes of hair loss and natural strategies to support healthy hair growth, you'll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky welcomes back Dr. Angela Mazza, a triple board-certified endocrinologist specializing in thyroid health, metabolic medicine, and integrative endocrine care. The discussion centers around two topics Dr. Mazza has recently published journal articles on: iodine and thyroid nodules. Together, they explore why iodine remains one of the most controversial nutrients in thyroid medicine and why individualized care is critical when determining whether supplementation is appropriate. 

Dr. Mazza explains the delicate balance of iodine intake, discussing why both deficiency and excess can create thyroid problems. She also shares her approach to iodine testing, addresses common misconceptions about iodine supplementation, and discusses special considerations for Hashimoto’s thyroiditis, Graves’ disease, pregnancy, and breastfeeding. The conversation then shifts into thyroid nodules, where Dr. Mazza explains the most common causes of nodule formation, the role of inflammation, estrogen, insulin resistance, environmental toxins, and genetics, along with how toxic nodules differ from non-functioning nodules. 

The episode wraps up with an in-depth discussion on goiters, radiofrequency ablation (RFA), thyroid cancer, and modern alternatives to surgery. Dr. Mazza also explains how she evaluates thyroid nodules using ultrasound and shares her perspective on personalized treatment approaches. If you want a clearer, more balanced understanding of iodine, thyroid nodules, and goiters, you’ll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky explores a common question he receives from people with hyperthyroidism: Can I incorporate intermittent fasting? While fasting has been praised for benefits such as weight loss, blood sugar regulation, reduced inflammation, and improved metabolic health, Dr. Eric explains why those with hyperthyroidism and Graves’ disease need to approach fasting differently than the general population. 

Dr. Eric reviews the most common fasting methods, including overnight fasting, 16:8 intermittent fasting, alternate-day fasting, water fasting, and fasting-mimicking diets. He explains how hyperthyroidism creates a catabolic state characterized by increased metabolism, muscle breakdown, and weight loss, making prolonged fasting potentially problematic for some people. He also discusses the important roles of adrenal health, cortisol balance, blood sugar regulation, insulin resistance, and stress when determining whether fasting is appropriate.

Throughout the episode, Dr. Eric emphasizes the importance of individualization. While fasting may offer benefits for certain people, especially those with stable thyroid levels and insulin resistance, it may be counterproductive for others who are actively hyperthyroid, losing weight, struggling with adrenal dysfunction, or experiencing significant symptoms. If you want a balanced, practical perspective on fasting and hyperthyroidism, you’ll get a lot out of this episode. 

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/ 

In this episode, Dr. Eric Osansky welcomes thyroid patient advocate, speaker, and bestselling author Rachel Hill to discuss her book, The Positive Thyroid Pregnancy Book. Drawing from both her personal experiences and years of supporting thyroid patients, Rachel shares practical guidance for navigating fertility, pregnancy, and postpartum health while managing hypothyroidism and Hashimoto’s thyroiditis. While her focus is primarily on hypothyroidism, much of the conversation applies to anyone dealing with thyroid or autoimmune thyroid conditions. 

Together, they explore some of the biggest challenges thyroid patients face when trying to conceive, including infertility, miscarriage risk, thyroid antibody management, medication considerations, and optimizing thyroid hormone levels. Rachel also discusses the importance of tracking thyroid labs throughout pregnancy, reducing thyroid antibodies before conception when possible, supporting gut and immune health, balancing blood sugar, addressing nutrient deficiencies, and understanding the role of hormones, diet, exercise, and environmental toxins in fertility and pregnancy outcomes.

The conversation concludes with practical advice on prenatal supplements, postpartum thyroid health, building a supportive healthcare team, and advocating for yourself throughout the entire pregnancy journey. If you want a clearer understanding of how to prepare for a healthy pregnancy while managing a thyroid condition, you’ll get a lot out of this episode.

Free resources for your thyroid health

Get your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.com

High-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto’ s
Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto’s, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com.

 Do You Want Help Saving Your Thyroid?

Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles 

Watch Dr. Eric’s YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos 

Join Dr. Eric’s Graves’ disease and Hashimoto’s group: https://www.facebook.com/groups/saveyourthyroid 

Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 

Read all of Dr. Eric’s published books: 
http://savemythyroid.com/thyroidbooks 

Work with Dr. Eric: 
https://savemythyroid.com/work-with-dr-eric/