Thyroid Testing & Treatment

The thyroid is a small gland in the neck that sets the pace for the whole body. When it works too little, fatigue, weight gain and feeling cold appear; when it works too much, nervousness, palpitations and weight loss. At Clínica Hispana Corazón y Vida in Pasadena we check it with a blood test and treat what we find, in Spanish and without an appointment.

What does thyroid care include?

• Evaluation of symptoms, family history and medications.
• TSH and free T4 tests at the clinic; T3 and antibodies when the provider indicates them.
• Diagnosis of hypothyroidism or hyperthyroidism.
• Starting and adjusting levothyroxine for hypothyroidism.
• Referral to a specialist for hyperthyroidism, nodules or pregnancy.
• Periodic checks to keep the right dose.

Which symptoms suggest a thyroid problem?

• Slow thyroid (hypothyroidism): fatigue, unexplained weight gain, cold intolerance, dry skin, hair loss, constipation, low mood, heavy periods.
• Overactive thyroid (hyperthyroidism): weight loss, palpitations, tremor, sweating, anxiety, insomnia, diarrhea.
• A lump or swelling in the neck, with or without trouble swallowing.

How is the test interpreted?

TSH is the first test: most laboratories use an approximate range of 0.4 to 4.0 mIU/L. A high TSH with low T4 indicates hypothyroidism; a very low TSH with high T4, hyperthyroidism. A borderline result is repeated in a few weeks before treating. No fasting is needed.

What is the treatment like?

For hypothyroidism, levothyroxine is taken on an empty stomach every day, and TSH is repeated six to eight weeks after each dose change. Once stable, the check is every six to twelve months. For hyperthyroidism, management depends on the cause and is coordinated with an endocrinologist.

What is the visit like?

1. Consultation and neck exam.
2. Blood draw at the clinic.
3. Result explained with you and, when appropriate, prescription and instructions.
4. Date of the follow-up to adjust the dose.

Bring previous lab results and, if you already take thyroid medication, its name and dose.

What if it goes untreated?

Untreated hypothyroidism raises cholesterol, worsens depression and, in pregnancy, affects the baby's development. Uncontrolled hyperthyroidism damages the heart and bones. With timely testing and dose adjustment, most patients regain their energy and usual weight.

How much does it cost?

The visit and tests have a direct price, no insurance, in cash or by card. Confirm on WhatsApp at (346) 646-2974.

Where and when?

Walk in at 918 W Southmore Ave, Suite 180, Pasadena, TX 77502, every day from 9 AM to 9 PM.