The Thyroid Wake-Up Call: Why “Your TSH Is Fine” Might Be Keeping You Sick

Hello Warriors!

This week’s episode of The Suburban Warrior Podcast is a must-listen if you’ve ever been told, “Your labs are normal” while you still felt exhausted, foggy, depressed, or stuck in a body that no longer feels like yours.

I sat down with McCall McPherson, PA-C—pioneering thyroid, hormone, and metabolic health expert; founder of Modern Thyroid Clinic and Modern Weight Loss, host of Thyroid Nation Radio, TEDx speaker, 2024 Inc. 5000 honoree, and 2025 Top 500 Inc. female founder. In short—she’s a baller!

And let me tell you: this conversation is the thyroid truth bomb so many women need.

McCall shared her own story—how she was already a practicing clinician, yet spent 16 hours a day in bed with classic hypothyroid symptoms… only to be dismissed with, “Your TSH is fine. Eat less, exercise more.” That moment didn’t just change her health. It built a mission: make thyroid care accessible, accurate, and life-giving for women everywhere.

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The Power List: 7 Things We Learned from McCall McPherson

1) TSH alone is not thyroid care
McCall is blunt: managing thyroid with only TSH is like “throwing darts blindfolded.” If you still feel awful, you may simply not have enough information on the labs to treat what’s actually happening.

2) The full thyroid panel everyone deserves
McCall’s “bare minimum” thyroid labs:

• TSH

• Free T4

• Free T3 (the star of the show)

• Reverse T3

• TPO antibodies + Thyroglobulin antibodies (to assess Hashimoto’s)

3) Free T3 is your “gasoline” hormone
Her best analogy: Free T4 is crude oil—it must convert into Free T3 (gasoline) to power your body. Mood, metabolism, digestion, hair, skin, energy, cholesterol, blood sugar—T3 touches it all.

4) Reverse T3 can block your progress—even with “good” T3
You can have a pretty Free T3 number, but if Reverse T3 is high, it can block T3 from doing its job. Translation: you can look “fine” on paper and still feel terrible.

5) Hashimoto’s can improve—even go into remission
McCall separates the two clearly:

• Hashimoto’s (autoimmune attack) can often be reduced and sometimes put into remission with lifestyle + targeted support.

• Hypothyroidism (loss of thyroid function) usually still requires thyroid medication long-term because damaged tissue doesn’t magically grow back.

6) The 3 p.m. crash might be a dosing problem—not your willpower
If you’re taking T3-containing meds (Armour/NP/combination therapy), McCall explains these can peak and drop within hours. Her clinical approach often includes twice-a-day dosing (morning + mid-afternoon) to keep women from crashing right when they need to show up most.

7) GLP-1s may support thyroid autoimmunity—and metabolic repair
McCall shared something fascinating from her clinical experience: GLP-1s often reduce Hashimoto’s antibodies and can help people with long-term thyroid dysfunction finally repair metabolism—not just lose weight fast. But she emphasizes dosing and support matter: “the poison is in the dose.”

Want to go deeper?

McCall and her team at Modern Thyroid Clinic provide care via telemedicine in most states, and they even offer free discovery calls so you can explore if it’s a fit.

Because if you’ve been surviving on “normal labs” and sheer grit… you deserve better.

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Ready to Warrior Up!

Listen to the Full Episode: Suburban Warrior podcast on Apple Podcasts or wherever you get your podcasts.

Thank you for reading—and remember, knowledge is power! If you’re experiencing symptoms, don’t ignore them. There is help (and hope) out there. Stay tuned for our next newsletter to keep transforming your mindset and rocking your inner warrior!