COMPENDIUM ON FUNCTIONAL MEDICINE - Flipbook - Page 168
● Other autoimmune conditions (increased risk of thyroid
autoimmunity)
● Unexplained fatigue, weight changes, depression, or
cognitive dysfunction
● Fertility concerns, menstrual irregularities, or pregnancy
complications
● Cardiovascular symptoms without clear etiology
(palpitations, arrhythmias)
● Hyperlipidemia or metabolic dysfunction
● Abnormal physical findings (goiter, thyroid nodules, reflexes
changes)
What to Test: The Tiered Approach
The Rockwell methodology employs a tiered approach to thyroid
testing, balancing comprehensive assessment with clinical
efficiency:
Tier 1: Basic Screening
● TSH
● Free T4
● Free T3
This panel is appropriate for initial screening in most patients with
suspected thyroid dysfunction.
Tier 2: Comprehensive Evaluation
● Tier 1 tests plus:
● TPO Antibodies
● Thyroglobulin Antibodies
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