Sound Clinic practitioners screen for thyroid abnormalities through an expanded thyroid panel as treatable dysfunction can exist in the setting of a normal TSH. After review of the labs, the patient's symptoms and any other pertinent history, the practitioner puts together a treatment plan which may include medications, herbs or nutrients. Prescription thyroid replacement may come in the form of compounded (individually dosed), dessicated (made from animal thyroid gland) and synthetic (conventional) preparations. We follow symptoms and labs regularly and make adjustments as needed. Hyperthyroid cases are typically managed in conjunction with an endocrinologist.