In this episode, Dr. Abby breaks down the gap between traditional thyroid screening and functional thyroid screening. Learn why checking just TSH if not the best approach, the reality behind common thyroid conditions, and the exact nutrients your body needs to thrive.

Key Takeaways & Clinical Pearls

1. The Essential 5-Part Thyroid Lab Panel

Checking only TSH doesn't show the full picture. Dr. Abby recommends requesting these five:

• TSH: The brain's signal to the thyroid.
• Free T4: Your inactive storage hormone (cash in the bank).
• Free T3: Your active metabolic hormone (cash in your pocket).
• Reverse T3: The body's emergency brake, triggered by high stress or gut issues.
• Thyroid Antibodies (TPO & TgAb): Markers showing if the immune system is attacking your thyroid.

2. Thyroid Conditions Explained

• Hypothyroidism: Underactive thyroid function causing low energy, constipation, and a sluggish metabolism.
• Hyperthyroidism: Overactive thyroid function causing anxiety, a racing heart, and heat intolerance.
• Hashimoto’s: An autoimmune condition that targets the thyroid. Because it is heavily tied to gut health and systemic inflammation, you cannot fully heal it without addressing the gut-immune connection.

3. Nutrients to Build & Convert Hormones

• Selenium: The ultimate converter. Eating 2 Brazil nuts a day provides a clinical dose to help convert T4 into active T3 and calm antibody flares.
• Zinc: Crucial for TSH production and tissue absorption (always balance with copper).
• Tyrosine & Iodine: The physical building blocks of thyroid hormone, best sourced from clean fish and sea vegetables.
• Adrenals / Nervous System: Chronic stress stops active T3 conversion, making stress management foundational for thyroid healing.

Connect with Dr. Abby

Dr. Abby is accepting new functional health patients for extensive lab reviews, hormone mapping, and lifestyle consulting at Thrive Medical WNY (available in-person and virtually).

• Practice: Thrive Medical WNY
• Booking Link: Booking Link Here]
• Instagram: @dr.abbyborkowski

In this episode of The Functional Alignment Podcast, Dr. Abby Borkowski pulls back the curtain on the hormone everyone is talking about: GLP-1. Dr. Abby explains how your body is actually its own "GLP-1 factory" and how you can optimize this natural satiety signal through intentional nutrition and lifestyle shifts. You'll learn the four primary jobs of GLP-1—from silencing "food noise" in the brain to slowing digestion in the gut—and walk away with three actionable strategies to boost your levels naturally. Whether you're looking to support metabolic health or simply align your habits with your biology, this episode provides the blueprint for mastering your body’s internal "fullness" signals.

Work 1:1 with Dr. Borkowski at Thrive Medical

In this "Ask Me Anything" episode, Dr. Abby Borkowski pulls questions from her Instagram followers to discuss trending wellness topics, from morning rituals to clinical testing.

Dr. Abby answers top questions from her community regarding common health trends.

• Daily Rituals: High-quality extra virgin olive oil shots provide anti-microbial benefits for the gut microbiome.
• Thyroid Health: A comprehensive panel—including TSH, Free T4, Free T3, and antibodies—is necessary for an accurate health picture.
• Luteal Phase Support: Counteract insulin resistance during the second half of your cycle by pairing "naked carbs" with protein or fiber.
• Cortisol Awareness: Chronic high stress eventually leads to "empty tank" low cortisol; both can cause 2:00 AM–4:00 AM wake-ups.
• Recommended Staples: Dr. Abby favors Equip Foods beef protein and DIY electrolytes made from high-quality sea salt and citrus.
  • EQUIP Foods - code THRIVEMEDICAL

Working with Dr. Abby

Initial consultations last one hour and focus on connecting the dots between your history and current symptoms. Dr. Abby emphasizes that patients must be ready to do the work, as lifestyle implementation is more powerful than any supplement list.

Follow Dr. Abby: @dr.abbyborkowski.