804. Hypothyroidism in Women: Why You're Still Tired

Have you ever been so bone tired that you thought something has to be wrong, only to be told you are just getting older? You are freezing when everyone else is comfortable, your hair is thinning, and the scale keeps creeping up no matter how little you eat or how hard you push yourself. In this episode I explain why this may be your thyroid, why a single TSH test can miss the problem entirely, and why so many women get told their labs are "normal" when they are nowhere near optimal. This one is personal for me. My thyroid crashed after I had my first baby, and I went from training as a college athlete to not being able to carry my son's car seat across a parking lot, all while people kept telling me how great I looked. I spent about six years on thyroid medication, I live with Hashimoto's, and I still have to order and pay for my own thyroid labs because my clinic would not rerun the numbers I have tracked for years. I walk through the full panel I actually look at, why TSH is only the message from your brain and not what your thyroid is doing, and why your T4 has to convert to active T3 before you feel any difference. I also share a client who was 0.2 away from being put on thyroid medication and brought her numbers down without a single thyroid supplement, because we worked on her gut, cortisol, and inflammation instead. If you have been told your thyroid is fine but you know something is off, that is your signal to look deeper than one number. When you are ready to get the full panel run and find out what is actually driving how you feel, book a call with my team. 👉 Schedule your discovery call here: https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map

In this episode I explain why your gut and your hormones are in constant two-way communication, how shifting estrogen in perimenopause slows your digestion and drives that afternoon bloat, and why the probiotics and elimination diets you have been trying may be targeting the wrong thing. Gut issues are not something I talk about from the outside. I live with a sensitive stomach and celiac myself, so I know how frustrating it is to do everything right and still feel awful. I get into how estrogen shapes the bacteria in your gut, how your gut in turn decides how much estrogen stays in your body, and why that feedback loop can leave you puffy, gassy, and suddenly reacting to foods like eggs and salads that never used to bother you. If you are tired of guessing your way through probiotics and powders that never quite work, join me for my FREE gut workshop on Sunday, September 20th at 7PM Central. I will go deeper into the estrogen and gut connection, what to actually test, and simple shifts you can start this week. If you cannot make it live, register anyway and I will send you the replay. Sign up using the link in the show notes. 👉 Register for the free gut workshop here: https://dr-beth-westie.mykajabi.com/the-bloat-workshop 👉 Schedule your discovery call here: https://calendly.com/dr-beth-westie/program-discovery-call

For two weeks a month you feel steady, capable, and grounded, and then somewhere around day 17 a switch flips. A wave of anxiety rolls in that you cannot shake. By day 20 it is a low sense of dread, like a thundercloud parked over you that was not there before. By day 25 your husband slams a cupboard the way he always does, and instead of a mild eye roll you go from zero to a thousand. Then your period starts, the cloud lifts, and you feel like yourself again, until the next month does the exact same thing. In this episode I explain why this pattern repeats, the real difference between PMS and PMDD, and why the luteal phase that is supposed to calm you down can end up doing the opposite. I get honest about why "it's just your hormones" is dismissive and wrong, how progesterone is meant to switch on the calming system in your brain, and why that same system can backfire and leave you feeling the opposite of calm, especially as your hormones get more erratic in your 40s. If your symptoms are timed to your cycle and getting worse year over year, that is your signal that there is a whole system underneath that needs support, not a personality flaw and not something to ride out. When you are ready to find out what is actually driving it and get a step-by-step roadmap built from your own labs, book a free call with my team. 👉 Schedule your free call here: https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map

You have eaten the same yogurt bowl every morning for months. Then, one random Tuesday you eat it again, same bowl, same time, and suddenly you're painfully bloated, your face is flushed, your head is pounding, and a wave of anxiety hits. So, you start a food journal. You cut the berries, then the yogurt, then the coffee, and nothing changes. In this episode I explain why this can be a histamine response, and why estrogen and histamine feed off each other in a loop almost no one talks about. This one is personal for me because I live with it. I get into my own history, from being told for years that I was not allergic to anything to reacting so badly to a single mosquito bite that I wake up scratching in the middle of the night. I also cover why a food sensitivity test is not always the right first step, and the simple daily habit I use to help my body clear histamine out. If you are tired of going from specialist to specialist without anyone connecting the dots, grab my FREE Hormone Cascade Map in the show notes to see how it all links together. And when you are ready to find out whether estrogen is driving your histamine, book a call with my team. 👉 Schedule your discovery call here: Discovery Call 👉 Download your FREE Hormone Cascade Map here: Hormone Cascade Map

It's 3AM and you are wide awake, more alert than you have felt all day, your brain racing through tomorrow's to-do list while you count how many minutes of sleep you might still get. In this episode I explain why so many women snap awake in the middle of the night, and why it often traces back to your cortisol rhythm, your melatonin, and the way progesterone and estrogen shift in perimenopause. If you are tired of running in circles and want to understand what your body actually needs, grab my FREE Hormone Cascade Map in the show notes to see how your hormones all connect. And when you are ready for the next step, book a call with my team to talk through where you are at and how to get your system working better for you. Schedule your discovery call here: https://calendly.com/dr-beth-westie/program-discovery-call Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map

Have you been doing everything right, cutting out the sugar, never missing a workout, counting every calorie, and still watching the scale creep up while your energy and sleep get worse? In this episode, I'm explaining why "eat less, move more" can backfire once your hormones shift in perimenopause and menopause, and what insulin resistance may have to do with the weight that feels stuck around your midsection. If you're tired of being told to just eat less and you're ready to test the right things, book a call with my team to talk through what you've tried, what hasn't worked, and the best next step for your body. And don't forget to grab my FREE Metabolic Testing Guide in the show notes, where I list the exact labs to start with. Books I mention in this episode (I'm not affiliated with any of these authors, I just love the information): 📚 Doing Harm by Maya Dusenbery 📚 Pain and Prejudice by Gabrielle Jackson 📚 Invisible Women by Caroline Criado Perez 👉 Schedule a call with my team here: https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Metabolic Testing Guide here: https://drive.google.com/file/d/1kYdj9pqO6e9VX9nvXDnL2WxaTkVtBWZO/view?usp=sharing

When you're exhausted, foggy, losing hair, and feeling like something is off, it's easy to hear "your labs are fine" and start doubting yourself. In this episode, I'm walking you through the iron deficiency signs that so often get missed, like chewing ice, restless legs, and air hunger, and why a normal hemoglobin does not always mean your iron is actually fine. I'm also getting honest about my own years of being iron deficient, the wild clinical story that changed how I think about absorption, and why simply taking more iron may not move the needle if something deeper is going on. If you're ready to stop guessing and finally understand what your labs are telling you, join me for my FREE Ferritin Workshop on Tuesday, August 18th at 7PM Central. I'll go deeper into testing, thyroid, and gut absorption, and answer your questions live. Can't make it live? Register anyway and I'll send you the replay. Zero commitment, completely free. 👉 Register for the free Ferritin Workshop here: https://dr-beth-westie.mykajabi.com/the-ferritin-workshop 👉 Schedule your discovery call here: https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map

I've read over a thousand labs from women who were told they were "fine"—their numbers looked great, yet they were completely exhausted. The problem? The tests that actually explain chronic fatigue usually aren't the ones being run at your doctor's office. In this episode, I'm sharing the five patterns I see behind exhaustion again and again, the exact labs to test for, and the order I typically see them show up in—from ferritin and thyroid to blood sugar, cortisol, and B12. If you're tired of guessing and want to finally patch the right holes in the right order, head to the show notes to grab my free guide or click the link to schedule a call with my team.   👉 https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map  

If I had just 30 days to fix your sleep, I wouldn't hand you a melatonin or tell you to meditate harder. Perimenopause sleep doesn't break in one place—it breaks in a sequence, and that 2 a.m. wide-awake jolt, the racing mind, the 4 a.m. ceiling-staring are each a different mechanism. In this episode, I'm walking you through the exact order I'd fix it in—what I'd address first, second, and third, and why doing it in the right sequence makes all the difference, especially if nothing has worked for you before. If you're tired of throwing things at the wall and hoping something sticks, go to the show notes and click the link to schedule a call with my team. You don't have to stay stuck!   👉 https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map

When you're tired, bloated, anxious, losing hair, and gaining weight all at once, it's easy to feel paralyzed—where do you even start? In this episode, I'm walking you through the order I actually fix things in when a woman has everything going wrong at the same time, and why sequence matters so much more than most people realize. I'm also getting honest about my own postpartum health crisis, the questions that changed everything for me, and the surprising ways your health can impact even your marriage. If you're ready to stop guessing and finally target the right things in the right order, click the link to schedule a call with my team and take that first step!  👉 https://calendly.com/dr-beth-westie/program-discovery-call 👉 Download your FREE Hormone Cascade Map here: https://dr-beth-westie.mykajabi.com/hormone-cascade-map