New Image Thyroid Testing & Treatment
The Thyroid is the body’s foundation for body temperature and cellular metabolic regulation.
As many as 25% of Americans have an under-performing thyroid and most do not know it.
Free T3 and Free T4 Testing
We test all active Thyroid Hormones and Auto-antibodies in EVERY Patient. This includes Reverse T3 when necessary.
Naturethroid & Cytomel
We utilize all FDA-approved Thyroid Treatment including Armour Thyroid, and combination T4/T3 therapies
Nobody should “run cold” all of the time, especially on thyroid treatment. We actively monitor body temperature data.
Thyroid Video Library
Produced by New Image
Medical Director Gregory Zengo, MD
Georgia’s Bio-Identical Thyroid Treatment Headquarters
We use Armour, Naturethroid, Cytomel, and Whatever it Takes to FULLY Treat Your Thyroid and Restore Your Metabolism
They thyroid gland is under an all-out assault from our modern lifestyles. Cases of low thyroid are on the rise and now affect upwards of
20% of people over age 60, and millions of others much earlier in life.
- Stress in all of its forms threatens thyroid hormone production
- Prescription Medications can impair the conversion of the prohormone T4 into the more active T3 hormone.
Poor Diets that lack foods which naturally contain Iodine, Zinc, and Selenium can leave the thyroid gland poorly supported.
- Inaccurate and Outdated testing parameters (like using TSH alone for screening) that are missing thousands of cases of low thyroid. Also, there is a general failure to look for thyroid autoantibodies… the most reliable clue to an under-performing thyroid.
Abnormal thyroid gland function can lead to a number of chronic, unrelenting symptoms like
Intolerance to Cold, especially Cold Hands and Cold Feet
Fatigue and Sluggishness
Unexplained Weight Gain
Loss of Eyebrow Hair
If you have any of these symptoms, even if you have been told your TSH is “normal”, you should get a more detailed thyroid evaluation. Do not suffer in silence for decades.
Dr. Zengo has decades of diagnosing and managing hypothyroid patients of all ages. We use a wide range of testing to diagnose and monitor our patients on therapy. We go beyond simple TSH diagnosis with the addition of Free T4, Free T3, and auto-antibody levels. Other difficult cases can also be managed by tracking Reverse T3 levels periodically. Finally, utilizing body temperature as part of management gives us another important way to track thyroid function that labs alone may miss.
We offer nutritional advice to help optimize thyroid function in borderline cases, where the patient may wish to avoid replacement therapy at first. We do not follow a one-size-fits-all approach. When replacement is needed, we choose from all FDA-approved bio-identical replacement options available, including Armour, NP, NatureThroid, Cytomel (liothyronine T3), in addition to levothyroxine T4.
We work with your primary care provider to manage your thyroid function optimally with attention to all other medications you are currently taking. No thyroid cannot be treated in the absence of this important data. Moreover, checking other related stress-induced hormone imbalances like adrenal, gonadal, sleep cycle, neurotransmitter, and GI “leaky gut” stress will allow us to reduce other stressors to your thyroid. In some cases, this has allowed some patients to discontinue their thyroid replacement medication.
Why Choose New Image to Test and Manage Your Hypothyroidism?
Dr. Zengo has over 15 years’ experience doing detailed thyroid function evaluation and treatment. We are not afraid to properly restore your thyroid function to optimal, not “normal” levels.
At your first visit, we will order our full thyroid function panel. This includes a Free T4, Free T3, Thyroid Peroxidase Antibodies, and sometimes a Reverse T3, in addition to the ever-present TSH. Also at that time, we will discuss your history and symptoms in detail since most patients with low thyroid symptoms also have a bigger issue, Adrenal Fatigue, that also needs to be addressed. This can be easily diagnosed or ruled out with a salivary hormone profile. A patient who has both Hypothyroidism AND Adrenal Fatigue (roughly 2/3 of the hypothyroid patients we see) will not get fully better on thyroid hormone alone. Anyone who tries to treat the thyroid without looking at the adrenal stress response as well is not considering all of the causes of your symptoms.
Moreover, we always include a discussion of nutritional, herbal, and vitamin treatments for borderline low thyroid conditions as well. Dr. Zengo’s extensive prior experience treating hypothyroid in pregnancy has made him a regional consultant for management of hypothyroid in pregnancy. For patients who currently have a thyroid nodule, thyroid cancer, or overactive thyroid, we can manage you in conjunction with your own endocrinologist.
All office visits and thyroid bloodwork are billable to most private insurance. We do not accept Medicare or Medicaid but offer affordable cash live and online visits. We accept HSA cards as well and offer low cost cash visit rates and affordable online visits for patients without insurance or with high deductibles.
Frequently Asked Questions about Thyroid Management
What are some of the other systems that can interfere with thyroid function?
Patients who have symptoms despite being on optimal thyroid treatment should consider testing in these other areas which can also cause symptoms of fatigue.
- Adrenal Stress Curve
- Sex Steroid Imbalances (Menopause, Andropause)
- GI “Leaky Gut” stressors
- The Weight/Brain connection
I am on thyroid treatment and want to transfer care. What do I do?
Please bring your last two rounds of thyroid blood testing and a history of your prescriptions and doses for the past few years. Also bring any supplements that you take on a regular basis.
We also recommend that you check a week of oral wake-up temperatures prior to your visit. This video gives you more information about that.
How often do I need visits and labs?
This is a very individual situation.
Patients who have been stable with no dose change for years will only need an annual visit with labs.
Anyone with a dose change will need follow-up labs and a visit in 6-8 weeks after any dose change.
In many situations, we can do the labs and follow-up visits remotely using our secure online platform.
Do you manage goiters and nodules?
Thyroid function and thyroid gland structure (nodules, enlargement) are often completely unrelated. Luckily, thyroid structure issues are very rare compared to functional issues. We focus primarily on the patients who need their gland function optimized.
If you also have gland enlargement or nodules, we will be happy to collaborate with your surgeon or endocrinologist for your management.