83: Dr. Saadia Mian: Understanding Thyroid, Hormones, and Metabolism in Midlife

You can have "normal" thyroid labs and still feel exhausted, foggy, stuck with weight changes, or like something is clearly off. That is where a deeper look at thyroid function can start to change the conversation.

In this episode of Hello Hormones with Dr. Saadia Mian, we break down what TSH may be missing, why free T3 can matter so much for how you feel, and how thyroid health connects with metabolism in midlife.

Dr. Saadia Mian is a board-certified endocrinologist with more than 20 years of clinical experience who is also trained in functional medicine. If you have ever been told your thyroid is "fine" but you still do not feel like yourself, this episode will give you a much clearer understanding of what else may be worth looking at.

What's Discussed:

(7:42) Why "normal" labs do not always explain how you feel.

(9:15) Why Dr. Mian often starts with gut health.

(13:55) The thyroid labs she checks and when she orders an ultrasound.

(17:03) The thyroid ranges she considers more optimal.

(19:17) When Hashimoto's may require thyroid medication.

(26:14) Why free T3 matters for thyroid function and metabolism.

(29:25) Why T3 is often left out of conventional thyroid treatment.

(35:23) When the thyroid can look like Hashimoto's despite negative antibodies.