Thyroid

Thyroid

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Thyroid hormone is a metabolic hormone secreted by the thyroid gland that regulates temperature, metabolism and cerebral function. It contributes to energy levels and temperature regulation and body warmth. It increases fat breakdown, resulting in weight loss as well as lower cholesterol. It protects against cardiovascular disease and improves cerebral metabolism, and it helps to prevent cognitive and memory impairment. Thyroid hormone is probably the safest and most beneficial cholesterol- lowering agent, yet it is infrequently used for this! More than any other hormone, the thyroid hormone is most responsible for improvement in energy and reducing fatigue.

We often get calls from patients whose primary care physicians have told them their thyroid is too low or too high. Because this is confusing, let us try to give you a better understanding.

The thyroid gland produces a hormone called T4. The number 4 indicates it has 4 iodine molecules. The body produces an enzyme that removes an iodine molecule and converts the T4 hormone into T3, which is the active form of the thyroid hormone. What is free and circulating in the system, available for the body to use, is the Free T3. It is the Free T3 that has the effect on energy, metabolism and all thyroid functions.

The most common thyroid measurement is the TSH or Thyroid Stimulating Hormone, which stimulates the thyroid gland to produce thyroid hormone. This is a gauge that is opposite of your thyroid production. If the body senses there is enough thyroid present, the TSH will be low. Conversely, if the body senses there isn’t enough thyroid, the TSH goes up, trying to stimulate the thyroid gland to make more thyroid.

Here is part of the confusion. If you doctor says your thyroid is low, do they mean the TSH is low, which indicates that your actual thyroid is high? Or do they mean that your actual thyroid is low, in which case the TSH would be high?

thyroid-gland-renue-health

A second point of confusion, not well understood by many physicians: If your thyroid gland is producing T4 or you are taking thyroid in the form of T4 (most commonly Synthroid® or levothyroxine), the TSH will respond to the presence of T4 and most probably be low or at a number with which your physician is comfortable. However, if the T4 is not converting into T3, the TSH will not reflect this. And if the T4 is not converting into T3, you might have all the symptoms of not having an adequate amount of thyroid since it is the T3 that is the gas in the tank. The only way to assess the Free T3 is to measure it.

Most physicians do not measure Free T3, but only measure TSH. However, as seen above, it is not a full picture of your thyroid function. Most physicians are taught to treat this TSH number and not necessarily listen to how the patient feels (most patients feel better when Free T3 is optimal).

When you supplement with Armour Thyroid or compounded desiccated thyroid, it contains both T4 and T3 in a bio identical form. The T3 gives you the energy early in the cycle while the T4 is converted into T3 for energy mid and late cycle (the cycle is typically about 7-8 hours). If we measure your Free T3 around 4-5 hours after you take your thyroid, we see how well your body is converting the T4 into T3. It is this measurement of Free T3 that is the most reflective of your thyroid levels.

Typically, when your Free T3 is optimal – close to the high end of a normal range – we will see that the TSH will be very low. This is what concerns your physicians. However, if your Free T3 is good and you feel well, without symptoms of too much thyroid (ie: heart palpitations, nervousness), your dose is usually fine, or as we prefer to say, optimal.

At ReNue Health, we always run a FULL Thyroid panel which includes TSH, T3, T4, Free T3 and Free T4 (as well as numerous other labs as they relate to your overall health)

What You May See With Bio-identical Hormone Replacement Therapy


Dr. Rob Kominiarek DO FACOFP is the Medical Director of ReNue Health located in Springboro, Ohio and treats male and female clients from all around the world. Dr. Rob has been specializing in Bio-identical Hormone Replacement since 2002. He can prescribe a therapy that is tailored to your unique needs.

Our focus is on the PREVENTION of the diseases associated with aging. In addition, a healthy lifestyle is important, including healthful eating and meaningful exercise. Along with strategic supplementation, bio-identical hormones are a key ingredient in your recipe for healthy aging.

ReNue Health is located conveniently in Springboro, Ohio with easy access from Dayton International Airport, Cincinnati International Airport or the adjacent Wright Brothers Private Airport (MGY) for those travelling by private aviation. Click here for directions and contact information.

Only one visit is necessary to perform a comprehensive history, interview, and education. Follow up evaluations, adjustments and balancing of hormones are done by phone or written communications and a return visit to Dr. Rob is not necessary. Ongoing testing and adjustment is mandatory and performed through a laboratory convenient to your home.

In addition to the Ohio office, Dr. Rob sees new patients in Salt Lake City, Utah. Appointments for either location can be made by calling the main office number 937.350.5527 for information.

FREQUENTLY ASKED QUESTIONS

INITIAL CONSULTATION

To schedule a consultation simply call 937.350.5527 and one of our team members will assist you. Please complete all Renue Health questionnaires, ordered laboratory and obtain any necessary old medical records before you arrive for your initial consultation. This will allow Dr. Rob and his staff time to compile your biomarkers effectively and efficiently. You will receive an email after you make a consultation appointment that contains a link to our online patient forms. You can then download all of the intake forms, Elite Lifestyle Questionnaire and Nutritional Questionnaire.  http://www.renuehealth.com/request-an-appointment/ Upon completion of your consultation, you will receive a copy of all your biomarkers, relevant data and recommendations on a flash drive. Should you need additional copies of your medical records, a $30 administrative fee will be charged for copies, handling, and postage.

FORMS OF PAYMENT

We require a credit card number at the time of scheduling your consultation. Our administrative team immediately begins creating your portfolio to gather your administrative data and biomarkers. We are already working behind the scene in preparation of your upcoming consultation. This credit card will be used to hold your appointment and will be kept on file and will be used to complete payment for services, unless otherwise specified by you at the time of check out. We accept cash, checks, Visa, MasterCard, Discover, and American Express.

INSURANCE COVERAGE

We do not accept insurance. We will provide you with an itemized bill that you can file with your insurance company. Patients who have out-of-network benefits may or may not be reimbursed. Our office cannot assist you with claim resolution. You may be able to use pre-tax dollars from a Health Savings Account (HSA) or a Flexible Spending Account (FSA) to pay for your fees related to your services from this office. Renue Health nor Dr. Rob nor any of his employees or affiliates is responsible for payment differences or amounts set by your insurance company. Payment amounts vary per insurance provider depending on your agreement with them and this office is not responsible for dictating or making you aware of the terms and agreements between your insurance company and yourself. Please contact your insurance company with any questions or concerns regarding covered amounts and deductibles. All of our services must be paid for at the time the services are delivered.

DISABILTY FORMS

Dr. Rob does not fill out medical disability forms for patients, and does not submit medical records to support disability claims.

CANCELLATION OR RESCHEDULING OF CONSULTATION

Your consultation must be cancelled or rescheduled at least 72 hours (3 business days) prior to your consultation time, or you will be charged $100.00 US for the visit. You may cancel your appointment by calling the office at 937.350.5527 or by email at support@renuehealth.com We currently have a waiting list for consultations and many of our clients are travelling from considerable distances. We ask that if you know that you need to cancel or reschedule, please let us know as soon as possible so that we may offer your consultation time to someone on the current waiting list.

EMERGENCIES AND URGENT CARE

In case of a serious medical emergency, call 911 or go directly to the nearest emergency room. Dr. Rob serves as a medical consultant. Unless we have accepted you as a primary care concierge patient by application and contractual arrangement, we require you have a primary care physician for your urgent care and problems that arise when Dr. Rob is not available. Our staff is available to take your message about your health Monday through Friday 10am-4pm. We are not available outside of these hours. Please allow up to 72 business hours for a return call. In many instances, we may be able to get back to you sooner than that. Another excellent way to contact the Renue Health Team is by emailing us at support@renuehealth.com If you are a concierge patient then you have Dr. Rob's private cell phone number and Team numbers and can feel free to contact him or any of the team members directly.

LABS

We have access to laboratories nationwide to accommodate your needs, whether you live locally or out of state. Some of the specialty labs that we recommend involve blood, stool, urine, or saliva samples and can be done by you in your home. You will be given all lab kits and step-by-step instructions for at-home tests at the time of your consult. Once all of the final lab results are received, we will review them with you at your visit. When we request laboratory tests, it is essential that they be performed promptly. Many tests can take up to 4 weeks to perform and for the results to be returned to us. Please do not delay in completing your tests. Some of the specialized tests may not be considered medically necessary by your insurance carrier, and therefore might not be covered. It is your responsibility to make a follow-up appointment to review your lab results with Dr. Rob. If you are unable to return to our office to review your labs, we are available by Skype, Face time, or telephone.

RETURNS

We do not accept returns of supplements or specialty labs. Specialty lab kits must be used within 3 months.

NUTRITIONAL THERAPY AND SUPPLEMENTS

Nutritional therapy and laboratory/diagnostic testing are integral components of your treatment plan. Test results are used to design your personal health care program as well as uncover the root causes of your medical condition. Nutritional supplements are often recommended and we will help you select and find the highest quality products. The supplements that we recommend at Renue Health are available for purchase from our office. It is possible to have your supplements automatically shipped to your home or office for your convenience.

REFILL POLICY

Refills are granted at the time of your consultation or follow up appointments. When you are running low on your medication, it is a REMINDER that you are probably due for your follow up appointment. I generally prescribe enough medication to last until your next follow up appointment. Supplements are immediately available to you by calling the office, visiting the office, or by ordering directly from the websites.

WEBSITE

Information about Dr. Rob, Renue Health and the focus areas of Renue Health is available on our website at http://www.renuehealth.com and you can learn more about Dr. Rob at http://www.renuehealth.com/about-renue-health/

HOTEL ACCOMMODATIONS

These hotels are conveniently located nearby Renue Health. Hilton Garden Inn
12000 Innovation Way
Miamisburg, OH 45342
937.247.5850
Hampton Inn & Suites
25 Greenwood Ln
Springboro, OH 45066
937.743.2121
Comfort Inn
15 Sharts Rd
Springboro, OH 45066
937.746.0151

WHAT WE TREAT

While the focus of our practice is on the optimization of male performance and health we also do optimize the performance and health of women. Medical conditions we treat and testing we perform:

  • Abdominal Pain
  • Adrenal Fatigue
  • Allergies
  • Athletic Performance
  • Autoimmune Conditions
  • BioIdentical Hormone Replacement
  • Bell's Palsy
  • Carotid Ultrasound with CIMT
  • Cholesterol Management
  • Comprehensive Intracellular Nutrient Testing
  • Comprehensive Laboratory Testing
  • Detoxification Programs
  • DEXA Scan
  • Diabetes
  • Digestive Issues
  • Dysautonomia
  • Fitness Evaluations
  • Flexibility Testing
  • Food Sensitivity Testing
  • Gastric Inflammation
  • Gluten Sensitivities
  • Healthy Aging
  • Heart Attack & Stroke Prevention
  • Hormone Optimization for Men & Women
  • Leaky Gut
  • Low Testosterone (Low T)
  • Medical Body Composition Analysis (mBCA)
  • Men's Health
  • Mental Focus & Clarity
  • MTHFR gene mutations
  • Metabolic Syndrome
  • Neurocognitive Testing for Parkinson's, Alzheimer's, and ADD
  • Nutrition Counseling & Optimization
  • Natural Weight Loss
  • Parasympathetic Overtraining Syndrome
  • POTS Syndrome
  • Strength Testing
  • Sympathetic Overtraining Syndrome
  • Underactive Thyroid
  • VENDYS Vascular Endothelium Testing
  • VO2 Max Testing
  • Women's Health