TSH: The Most Misunderstood Thyroid Lab — 25 Questions, Answered If you've been told your TSH is "normal" but you still feel exhausted, foggy, inflamed, or hypothyroid — this episode is for you. In this deep-dive Q&A episode, Dr. Eric Balcavage answers 25 of the most common and misunderstood questions about TSH, the lab marker most often used — and misused — in thyroid care. You'll learn: What TSH actually measures (and what it doesn't) Why TSH can go up in some stress states and down in others How inflammation, stress, sleep, dieting, and medication timing distort TSH Why "normal" TSH doesn't guarantee healthy thyroid function How to tell true hypothyroidism from adaptive physiology Why chasing TSH often keeps people stuck How thyroid medications affect TSH differently (T4 vs T3) Why tissue hypothyroidism can exist even when labs look "fine" This episode is designed for: Patients frustrated by "normal labs" Clinicians who want better thyroid interpretation Anyone trying to understand thyroid physiology beyond numbers 👉 Free Resource: Comment LABS to receive my Thyroid Labs Decoded eBook, where I break down TSH, T4, T3, reverse T3, ratios, antibodies, and medication timing in plain language. 🎧 Listen now and finally understand what your thyroid labs are really telling you.

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