Not all endocrinologists understand the thyroid – and that's a problem


Hi Reader,


I've been sharing something quite personal in our community lately.

A series of posts documenting my own real-time experience of trying to get my endocrinologist to actually listen to me.

And one of the things that's come up – something I think a lot of people don't realise until they're already in the room – is this:

Getting to see an endocrinologist doesn't automatically mean you'll get the answers you're looking for.

Whether that's your first NHS referral after years of waiting. A second opinion. A private appointment you saved up for. A new specialist in a different city, or a different country entirely.

It doesn't matter how you got there.

Because here's the thing that most of us find out the hard way:

Endocrinology covers a lot of ground. And the thyroid is often not where the expertise lies.

Diabetes. Adrenal conditions. Pituitary disorders. Parathyroid. Reproductive hormones. It's a huge speciality. And a large number of endocrinologists – I'd say a significant proportion – have built their entire career primarily around diabetes management.

Which is important work. But it's not thyroid work.

So you finally get the appointment. You've prepared your questions. You've brought your results. You sit down full of hope.

And you leave feeling exactly the same as you did when you walked in. Maybe worse, because now you've been told – again – that everything looks fine.

I know that feeling. I've sat in that chair.

The exhaustion that isn't just tiredness. The brain that won't quite work the way it used to. The version of yourself you can dimly remember but can't seem to get back to. And a specialist across the desk who doesn't seem to see any of it.

It is not in your head.

And it is not because there are no answers. It's because not all practitioners are equal – and many genuinely don't understand the thyroid as well as you'd expect. This is true whether you're in the UK, Ireland, the US, Australia, or anywhere else in the world. It's a systemic gap, not a local one.

The specific thing to look for – wherever you are – is T3.

A practitioner who understands T3. Who is open to combination therapy. Who doesn't treat a TSH result as the beginning and end of the conversation.

Finding that person can be the difference between years of struggling and finally starting to feel like yourself again.

This is exactly why we've been building the T3-Friendly Practitioners Directory.

A community-sourced, regularly updated list of clinicians who are known to be open to T3 or who actually prescribe it. NHS and private. UK, Ireland, and now the US too – with more countries being added as recommendations come in.

We've just added two new practitioners this week.

And as of now, it's available to every member of the community – not just annual members. I've moved it into its own space so everyone can use it.

We've also got tools like the Doctor Conversation Script Builder, which helps you build a calm, specific, NLP-informed script for your next appointment – framed in a way that's far less likely to put a clinician on the defensive. Because the way you say things in that room genuinely matters.

These are the kinds of resources we're building together. Not because we should have to. But because here we are.

If you're not in the community yet, come and have a look.

There's a free trial open right now – we don't keep this available all the time, so if you've been thinking about it, this is a good moment.

👉 https://www.skool.com/hypothyroid/about

Come and explore. See what's in there. If it feels like your people, stay.

And if you know of a practitioner who should be on that directory – anywhere in the world – just reply to this email. That's how we build this. Together.


HypoThrive With Helen

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