Thyroid Treatment in Florida

Thyroid treatment in Florida at the practice of Jeffrey Dach, MD focuses on one question: why do you still feel unwell, even if your labs look “normal”? Dr. Dach has led TrueMedMD in Davie, Broward County, since 2005. His practice evaluates and treats hypothyroidism, Hashimoto’s thyroiditis, and other thyroid imbalances using a full thyroid lab panel, natural desiccated thyroid (NDT) when clinically appropriate, and nutritional support. Patients visit from Fort Lauderdale, Miami, Boca Raton, and across South Florida. Florida residents farther away may be eligible for telemedicine follow-up.

Thyroid Conditions We Evaluate and Treat

Hypothyroidism (Underactive Thyroid)

Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormone. This slows metabolism and affects energy, weight, temperature regulation, mood, and heart rate. It is the most common reason patients seek hypothyroidism treatment in Florida.

Hashimoto's Thyroiditis

Hashimoto’s is an autoimmune condition in which the immune system gradually damages the thyroid. In the United States it is the most common cause of hypothyroidism. It is identified by elevated thyroid peroxidase (TPO) or thyroglobulin antibodies. Dr. Dach has published on low thyroid and Hashimoto’s disease in pregnancy (Alternative Therapies in Health and Medicine, 2017).

Hyperthyroidism and Graves' Disease (Overactive Thyroid)

Hyperthyroidism means the thyroid produces too much hormone, causing a rapid heartbeat, weight loss, anxiety, heat intolerance, and tremor. Graves’ disease is the most common cause. Evaluation includes TSH, Free T4, Free T3, and thyroid-stimulating antibodies. Conventional options include antithyroid medication, radioactive iodine, and surgery, and are discussed openly so you can make an informed decision. [Dr. Dach to confirm the scope of hyperthyroid care provided in-office versus co-managed with endocrinology.]

Thyroid Nodules and Goiter

Many thyroid nodules are benign and found incidentally on imaging. Dr. Dach spent 25 years as a diagnostic and interventional radiologist, so he brings an imaging-informed perspective to reviewing thyroid ultrasound findings. He also advocates careful judgment to avoid unnecessary treatment, as discussed in his article on the thyroid cancer epidemic of overdiagnosis.

Common Symptoms of Thyroid Imbalance

Thyroid disorders affect millions of Americans, yet many go undiagnosed for years. Recognizing the early symptoms of thyroid disorders is essential for timely intervention and effective thyroid disease management before complications develop or worsen. Comprehensive health screening south florida services can also help identify underlying thyroid imbalances early, supporting more effective treatment and long-term wellness.

Fatigue and Low Energy

Persistent tiredness, sluggishness, or weakness that does not improve with rest.

Unexplained Weight Changes

Weight gain despite no change in eating habits (common with an underactive thyroid), or unintended weight loss (common with an overactive thyroid).

Skin, Hair, and Temperature Sensitivity

Dry skin, thinning hair, brittle nails, loss of the outer eyebrows, or feeling cold (or hot) when others are comfortable.

Mood, Memory, and Heart Rhythm Changes

Brain fog, low mood, anxiety, irritability, slow or racing heartbeat, and changes in menstrual cycles.

These symptoms overlap with other conditions, including low iron, adrenal and cortisol problems, sex hormone imbalance, and sleep disorders. That is why testing matters. For related guidance, see top signs you need a thyroid specialist.

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Meet Dr. Jeffrey Dach

Thyroid Testing: Why TSH Alone Is Often Not Enough

Many patients are told their thyroid is “normal” based on a single TSH result, yet they still have classic symptoms. TSH is a useful screening test. However, research by thyroid researcher Dr. Antonio Bianco and colleagues suggests TSH may not fully reflect thyroid hormone activity in all tissues, particularly in patients taking levothyroxine. Dr. Dach summarizes this research in why TSH alone may be inadequate for thyroid dosing.

A comprehensive thyroid evaluation may include:

  • TSH. The pituitary signal that tells the thyroid to produce hormone.
  • Free T4 and Free T3. The circulating storage hormone and the active hormone.
  • Reverse T3. An inactive form that can rise with stress, illness, or calorie restriction.
  • TPO and thyroglobulin antibodies. The markers used to identify Hashimoto’s.
  • TSI/TRAb. Antibodies checked when Graves’ disease is suspected.
  • Supporting labs. Ferritin, vitamin D, B12, selenium status, and other nutrients involved in thyroid hormone production and conversion.

Learn more about comprehensive medical testing in South Florida.

Thyroid Treatment Options

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Natural Desiccated Thyroid (NDT)

NDT (for example, Armour Thyroid or NP Thyroid) is a prescription medication derived from porcine thyroid gland. It contains both T4 and T3. In a randomized, double-blind crossover trial published in the Journal of Clinical Endocrinology & Metabolism (Hoang et al., 2013), nearly half of hypothyroid patients preferred desiccated thyroid over levothyroxine. Symptom scores were similar between the two. NDT is not right for everyone, and dosing is individualized.

Levothyroxine (T4) and T4/T3 Combination Therapy

Levothyroxine remains the standard first-line treatment recommended by the American Thyroid Association. It works well for many patients. For people who continue to have symptoms despite normal labs on T4 alone, T4/T3 combination therapy may be considered after discussing the benefits and risks.

Nutritional and Lifestyle Support

Thyroid hormone production and conversion depend on iodine, selenium, iron, and zinc. Your plan may address nutrient deficiencies, gut health, inflammation, and dietary triggers relevant to autoimmune thyroid disease. See our nutrient specialist services in Florida. Iodine is used cautiously and only after evaluation, because too much iodine can worsen some thyroid conditions.

Coordinated Hormone Care

Thyroid function interacts with estrogen, progesterone, testosterone, and cortisol. When appropriate, thyroid care is coordinated with bioidentical hormone replacement in Florida.

What to Expect: Your Thyroid Treatment Timeline

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  1. Initial consultation. A detailed history, review of symptoms and prior labs, and a physical exam.
  2. Comprehensive lab testing. A full thyroid panel plus relevant nutrient and hormone markers.
  3. Individualized plan. Medication, when indicated, starts at a conservative dose.
  4. Follow-up in about 6 to 8 weeks. Symptoms, heart rate, and labs are reviewed, and the dose is adjusted gradually.
  5. Ongoing monitoring. Once you are stable, labs are typically rechecked every 6 to 12 months.

Many patients notice changes within several weeks. Reaching an optimal dose often takes a few months, and individual results vary.

Risks, Side Effects, and Who Should Use Caution

Any thyroid hormone, natural or synthetic, can cause side effects if the dose is too high. Signs of over-replacement include palpitations, anxiety, insomnia, sweating, and heat intolerance. Long-term over-replacement may affect heart rhythm and bone density, which is why monitoring matters.

Extra caution or a different approach may be needed if you have:

  • Heart disease, atrial fibrillation, or a history of heart rhythm problems
  • Untreated adrenal insufficiency
  • Pregnancy or plans to become pregnant (thyroid needs change and require close monitoring)
  • Active hyperthyroidism
  • A pork allergy, or religious or dietary restrictions on porcine products (relevant to NDT)
  • Thyroid cancer, which requires coordination with your oncology or endocrinology team

Why Patients Choose Jeffrey Dach, MD for Thyroid Care

  • Decades of medical experience. Dr. Dach is board certified in diagnostic radiology by the American Board of Radiology, with added qualifications in cardiovascular and interventional radiology. He practiced for 25 years at Memorial Regional, Memorial Pembroke, and Memorial West hospitals in South Broward before founding TrueMedMD in 2005. He also served as an Instructor of Radiology at the University of Miami School of Medicine and Jackson Memorial Hospital.
  • A published thyroid author. He wrote Natural Thyroid Toolkit: Hashimoto’s, Graves’, Iodine and Natural Desiccated Thyroid (2023) and contributed to Stop the Thyroid Madness Volume II. He has also lectured on errors in modern thyroid endocrinology at the Orthomolecular Medicine conference in Toronto.
  • Unhurried, listening-first visits. Treatment decisions consider your symptoms and your labs together.
  • Independence. Dr. Dach and TrueMedMD receive no funding from the pharmaceutical industry.

Link: Read Dr. Dach’s full biography

Frequently Asked Questions

What are the most common symptoms of thyroid problems?

Common signs include fatigue, weight changes, hair thinning, dry skin, mood shifts, brain fog, and temperature sensitivity, though symptoms can vary widely from person to person.

Diagnosis typically involves a detailed health history, physical evaluation, and comprehensive blood work measuring multiple thyroid hormones and antibodies to identify imbalances or autoimmune activity affecting function.

The practice addresses a wide range of concerns, including hypothyroidism, hyperthyroidism, Hashimoto’s thyroiditis, Graves’ disease, and other thyroid imbalances that require personalized hormone support and integrative care.

Yes, integrative care may include desiccated natural thyroid hormone, nutritional guidance, and lifestyle strategies that support overall thyroid function alongside, or instead of, synthetic medications when clinically appropriate.

Absolutely. Since the thyroid regulates metabolism, imbalances often lead to unexplained weight changes, persistent tiredness, sluggishness, or restlessness, making proper diagnosis and balanced hormone support truly essential.

Book Your Personalized Thyroid Treatment Plans in Florida Today!

You don’t have to keep guessing why you feel off, tired, or out of balance. Take the first step toward renewed energy, clarity, and well-being with a personalized plan designed just for you. If you’ve been searching for thyroid treatment near me, reach out to schedule your consultation and discover how integrative thyroid treatment in Florida can help you reclaim your health. Your journey to better thyroid wellness starts with one simple conversation, so contact the office today to get started on real, lasting change.

Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice. Individualized treatment plans are determined after consultation and evaluation.

Client Reviews

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Bob Baylinson profile picture
Bob Baylinson
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Susan and the staff are amazing. Very helpful and quick to respond. Dr Dach is great. I always feel confident with his recommendations and he’s always spot on.
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Laura Garcon profile picture
Laura Garcon
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I have been a patient of Dr. Dach for years and am very satisfied with his thorough care and efficient service received from Dr. Dach and his staff: Stephanie, Office Manager, Susan-Holistic Nurse and Jennifer-Physician Associate. Thank you Dr. Dach and staff!
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Mary Jo Giudice profile picture
Mary Jo Giudice
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I am very thankful for Dr. Dach and his staff. I have watched my husband's health improve dramatically by implementing their nutritional council, the taking of recommended supplements and prescription thyroid . The staff is very knowledgeable and readily available to answer questions in this journey of his to better health.
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Tim Lovejoy profile picture
Tim Lovejoy
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This practice is wonderful to work with even for those who live out of state like me. The entire team from the receptionist/office manager Stephanie to Susan a nurse, Jennifer a physician assistant and Dr. Dach are friendly, caring and professional. I’ve been a patient for several years and so pleased with the manner in which they handle my care.
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Lynne Brenner profile picture
Lynne Brenner
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I have trusted Susan, the holistic nurse, in Dr. Dach’s practice since 2009. She is unfailingly well-informed, honest, and professional. Her regular phone calls to just check on my progress and ask if I have any concerns are welcome and always a source of comfort. Anytime I have questions, she reviews all sorts of options with me. There is no other doctor or medical professional in my life that matches this level of faithful, regular, sincere care. I am thankful for Susan and give her my highest recommendation and all my appreciation.
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Brow Queen
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Dr. Dach is amazing and Susan and Stephanie are amazing. I have been in their care for 7+++ years.Proffesional and great customer service and care!!!
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Janet Clippard profile picture
Janet Clippard
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A friend suggested that I pay Dr. Dach a visit because, like her, I spent years on thyroid medication that didn't work for me. Not only did he fix my thyroid problem, but he found the root cause of the whole mess of my problems. Now I am very healthy and some of my allergies even went away. Dr. Dach spent a lot of time with me, not only diagnosing, but mostly informing me why these problems exist and how to take care of them. He is always studying and writing articles and books and he is extremely knowledgable. Anytime I need anything, the staff, Stephanie, and nurse Susan are quick to respond. They are very nice and caring and give all the time and effort needed to make sure everything goes well for me. Several of my friends have now seen Dr. Dach and they are very happy about it. I continue to recommend him. I feel very fortunate to have found this practice.
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G L
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I’ve been working with Dr. Dach and his staff for 12 years now. Maybe a bit longer. We do bloodwork every six months, and tackle any issues that may arise as they patiently and thoroughly walk me through every analysis. My work takes me all over the world, but Dr. Dach and his staff, particularly Susan, his wonderfully responsive holistic nurse, are always able to get any meds needed to wherever I may find myself. I love the individual, customized attention, and have never felt so on top of my health as I have these last dozen years. I appreciate the alternatives to typical prescription meds they find, the quick response time, and the friendliness with which they conduct every correspondence. Cannot recommend the office highly enough. I know Dr. Dach and Susan the best, but they are all just the kindest people.
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Sachit Singh profile picture
Sachit Singh
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I’ve been a patient here for about a year now and the results have been phenomenal. Everyone at the office makes sure you’re properly cared for and in good hands. Stephanie, the office manager, Susan, the holistic nurse, and Jennifer, the doctor who treats me all do an excellent job and work with you on a personal level. They are always available for assistance via email or calls and also are very mindful about the patients personal situations. They truly want the best for you and your health. Give them your effort and commitment as a patient and it will pay off tremendously.
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William Whitehurst profile picture
William Whitehurst
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For several years, I have received guidance from Susan Rothman (Holistic Nurse), Jennifer (Physician Associate), and Stephanie (Office Manager). I began taking natural supplements and a prescribed medication from Dr. Jeffrey Dach, which led to excellent results. I use the team’s medical and health counsel and experience in conjunction with my Primary Care Physician with great results in treating my Hypothyroidism and certain mood challenges. I exercise daily and under Susan’s guidance my healthy diet has put me in very good health. I get thorough blood tests twice a year as prescribed by. Dr. Dach and Dr. Jennifer, that in concert with my Primary Care Physician, monitor my health and proactively keeps me in good health. Over the past several years, I have benefited from the dedicated guidance of Susan Rothman, and Stephanie. Their collective expertise has significantly contributed to my well-being. Under their advisement, I began incorporating natural supplements and a prescribed medication from Dr. Jeffrey Dach into my regimen. This comprehensive approach produced excellent results. I consistently utilize the medical and health counsel provided by this team, alongside the ongoing support of my Primary Care Physician. This collaborative approach has been highly effective in managing my Hypothyroidism as well as addressing certain mood challenges. Guided by Susan, I maintain a healthy diet and commit to daily exercise. At 76 years old, these lifestyle choices placed me in very good health and enhanced my overall quality of life. Twice each year, I undergo comprehensive blood lab tests as prescribed by Dr. Dach and Dr. Jennifer. In collaboration with my Primary Care Physician, these evaluations allow for close monitoring of my health and proactive measures to maintain my well-being. Susan and her team have always promptly responded to all my concerns and questions with professionalism, and I highly recommend joining their organization. It will make a huge difference in improving your quality of life. Bill Whitehurst
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