The Evolving Wellness Podcast with Sarah Kleiner Wellness

What to ask for if you suspect your thyroid (and your doctor says you're fine | Dr. Amie Hornaman

September 23, 2026·1h 1m
Episode Description from the Publisher

Sarah Kleiner welcomes Dr. Amie to discuss why many people with hypothyroid symptoms are dismissed after only TSH (and sometimes T4) testing and placed on T4-only medication without improvement. Dr. Amie shares her own journey through multiple doctors before being diagnosed, learning that T4 must convert to active T3, and ultimately finding functional medicine support with more thorough testing and individualized treatment. They discuss tailoring thyroid hormone replacement, how low ferritin and stress can affect tolerance to T3, and how long-term carnivore/ketosis may lower free T3 for some people. They cover thyroid’s links to metabolism, temperature regulation, mood, and long-term risks, address misconceptions about T4 and cancer via reverse T3, and emphasize getting a full thyroid panel and not accepting dismissal. Dr. Amie shares resources, including a quiz at dramy.com/quiz— Connect with Dr Amiehttps://dramie.com/ https://www.youtube.com/dramiehornaman https://www.instagram.com/dramiehornaman/  _________ Sponsored By:→ Bon Charge | Go to https://boncharge.com/products/demi-red-light-device?rfsn=8108115.26608d & use code SARAHKLEINER for 15% off storewide.→ Kēpos | For a limited time, you can get 47% off your first order, PLUS free gifts valued at $62. Go to https://trykepos.com/SARAHKLEINER to claim the offer–your discount will be automatically applied. With their 30-day money back guarantee, you can try it completely risk free. → FERRITIN TERRAIN SUMMIT 2026 – Go to sarahkleinerwellness.com/the-ferritin-terrain-summit-2026 and grab your VIP access. Unlock the full summit experience and dive deeper into the Ferritin Terrain._________Timestamp:00:00 Introduction00:30 Meet Dr Amie03:48 Dismissed by Doctors07:59 T4 Only Pitfalls13:52 Ferritin Stress and T319:14 Carnivore and Thyroid27:57 Silent Epidemic and Risks33:35 Aging Thyroid and Coldness34:31 Ferritin Crash and Free Summit36:12 Thyroid as Body Thermostat38:47 Why T4 Became Standard40:48 Labs to Request and Next Steps46:41 Thyroid, HRT, and GLP Reality55:13 Supplements, Care, and Hope——— This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free -  https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true

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