Get Your Thyroid — and
Your Life — Back on Track

Constant fatigue, difficulty losing weight, brain fog, cold hands and feet, dry skin, hair loss, constipation, depressed moods, and muscle aches may all be signs of an underactive thyroid.

We look beyond TSH alone. Most lab ranges are statistical, not a measure of what’s healthy. A lab tests a large group of people who appear healthy (but those with undiagnosed issues can be included) and sets the “normal” range.

There are consequences: The group isn’t screened carefully. “Apparently healthy” often just means no known diagnosis. The group can include people with undiagnosed or early problems, which widens the range. Thyroid is the classic example: TSH ranges were historically skewed upward by people with early, undiagnosed thyroid disease, and endocrinology groups have debated narrowing them for years. We run comprehensive bloodwork, however, we consider your symptoms, health history and physical examination, in addition to laboratory findings, such as Free T4 and thyroid antibodies, to get a more complete picture. If you have symptoms, they are not “all in your head.”

When appropriate, treatment may include customized bioidentical thyroid hormone that contains both T3 (active) and T4 (inactive).

You can expect an extremely comprehensive initial visit. Expect your visit to last anywhere from 3 – 5 hours depending on whether or not your bloodwork and required diagnostics are completed in advance. At the initial visit, your provider will conduct a thorough review of your clinical symptoms, symptom timeline, current medications and prior treatment, personal and family medical and thyroid history, and comprehensive bloodwork to understand the complete picture so he or she can partner with you to get to the root cause for the best resolution.

Follow-up visits are an important part of your treatment program, particularly in the first year of care. We monitor your symptoms, review hormone and nutrient lab values, and incrementally adjust treatment as needed. Typically, in the first year you can expect up to 3 recheck visits (your first-year monthly membership allows unlimited provider recommended visits and sick visits). In addition to these recheck visits you can expect associated, recommended bloodwork. Year 2 usually begins your care maintenance. Most of our guests require an annual visit and bloodwork as we have partnered on their treatment regimen for optimal energy, immune boosting and good health.

Hotze Health & Wellness Center is committed to providing personalized, comprehensive alternative and integrative medical care that goes beyond conventional approaches. To maintain this high level of service and flexibility in our treatment plans, we operate as an out-of-network provider and do not bill insurance directly.

Insurance Policy

We are not contracted with insurance companies, which includes:

• HMO or PPO plans
• Medicare
• Medicaid
• Tricare
• Any private insurance carriers

This means we do not accept insurance as payment for office visits or treatments. However, at the end of each visit you will receive an itemized invoice (superbill). Some of our patients have successfully submitted these invoices to their insurance companies for potential out-of-network reimbursement. We cannot guarantee your insurance company will reimburse for our services. We encourage you to check with your insurance company regarding their policy on out-of-network alternative, integrative and functional medicine care.

Hotze Health & Wellness Center does accept payment utilizing your FSA and HSA funds. In addition, we also accept Advance Care a third party company who provides medical funding, interest free for 15 months (interest free funding requires an application and specific requirements).