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Thyroid treatment in South Florida at the practice of Jeffrey Dach, MD starts with one question: why do you still feel unwell? Dr. Dach has treated hypothyroidism, Hashimoto’s thyroiditis and other thyroid disorders at his Davie office in Broward County since 2005. Patients come from Fort Lauderdale, Miami, Boca Raton and communities across Broward, Miami-Dade and Palm Beach counties.
Your first visit includes a detailed history, a review of your prior labs and a comprehensive thyroid panel that goes beyond TSH. If treatment is needed, your plan may include natural desiccated thyroid (NDT), combination T4/T3 therapy or levothyroxine, along with nutrient and lifestyle support. Patients with autoimmune thyroid disease work with an experienced Hashimoto’s specialist who looks at the full picture, not a single number.
Exhaustion that rest does not fix is the most common reason patients call. Low thyroid, low iron and cortisol problems can look alike, so we test for all three. Learn how to tell adrenal fatigue vs thyroid dysfunction.
Weight gain without a change in diet, thinning hair, loss of the outer eyebrows, dry skin and feeling cold are classic signs of hypothyroidism.
A racing heart, tremor, insomnia and weight loss suggest an overactive thyroid or Graves' disease. Thyroid imbalance can also drive anxiety and panic attacks.
Poor memory, depression and low sex drive often improve once thyroid hormone reaches your cells in the right amount.
You have likely heard “your labs look fine” while you still feel exhausted, foggy and heavier than before. This is one of the most common reasons South Florida patients seek a second opinion at our office.
TSH is a pituitary signal, not a measure of the active hormone inside your cells. A person can have a normal TSH and still have low Free T3, high reverse T3 or rising thyroid antibodies. Dr. Dach often sees this pattern in patients on levothyroxine alone: TSH in range, Free T3 at the low end and reverse T3 at the high end. Read more on why a normal TSH doesn’t always mean a healthy thyroid and why you’re still tired on levothyroxine, or Dr. Dach’s chapter on the unreliable TSH lab test.
A meaningful diagnosis starts with the right blood work. Labs are drawn at Quest or Labcorp locations across South Florida, so most patients can test close to home. Your thyroid panel may include:
See the full range of medical testing in South Florida offered at the practice.
Your treatment plan may include:
Overactive thyroid care focuses on calming excess hormone and protecting the heart and bones.
Dr. Dach is a Florida-licensed physician (license ME 0036470) board certified in diagnostic radiology by the American Board of Radiology. He spent 25 years as a radiologist in the Memorial Healthcare System in South Broward, serving Memorial Regional, Memorial Pembroke and Memorial West hospitals, and taught radiology at the University of Miami School of Medicine and Jackson Memorial Hospital. In 2005 he founded TrueMedMD in Davie to focus on natural thyroid and bioidentical hormones. Read his full curriculum vitae.
He is the author of Natural Thyroid Toolkit (2023) and Bioidentical Hormones 101, a contributor to Stop the Thyroid Madness II, and published “Low Thyroid, Hashimoto’s Disease, and Pregnancy” in Alternative Therapies in Health and Medicine (2017). He has lectured on errors in modern thyroid endocrinology. The practice is physician-owned and receives no pharmaceutical funding. For an independent perspective on choosing a doctor, see his article on finding the right thyroid doctor.
Easy to reach from anywhere in South Florida. The office is at 7450 Griffin Road, Suite 190, Davie, FL 33314, in central Broward County. Griffin Road connects directly to I-95, Florida’s Turnpike and I-75, so most patients arrive in 20 to 45 minutes from:
Adults with diagnosed hypothyroidism, Hashimoto’s, Graves’ disease or thyroid nodules, and people with classic symptoms whose standard labs came back normal. Patients who still feel unwell on levothyroxine are among the most common new patients.
Hypothyroidism, Hashimoto’s thyroiditis, hyperthyroidism and Graves’ disease, thyroid nodules and goiter, and patients after thyroidectomy or radioactive iodine. Each plan is individualized, and care is coordinated with your endocrinologist, surgeon or oncologist when needed.
Standard testing often measures only TSH. A full panel adds Free T3, Free T4, reverse T3 and antibodies, and checks iron, vitamin D and cortisol. These markers can reveal poor T4-to-T3 conversion or early autoimmune thyroid disease that TSH alone misses.
Yes, when it is clinically appropriate. NDT contains both T4 and T3. In a 2013 randomized crossover trial in the Journal of Clinical Endocrinology & Metabolism, nearly half of patients preferred desiccated thyroid to levothyroxine. Levothyroxine and T4/T3 combinations are also prescribed.
Many patients notice more energy within 2 to 6 weeks. Labs and symptoms are rechecked about 6 to 8 weeks after starting or changing a dose. Finding the best dose usually takes 2 to 4 months, then labs are typically rechecked every 6 to 12 months. See how often we check thyroid levels.
Too high a dose of any thyroid hormone can cause palpitations, anxiety, insomnia, sweating and heat intolerance. Long-term over-replacement can affect heart rhythm and bone density. Starting low, adjusting slowly and monitoring Free T3 and symptoms keeps these risks low.
People with heart disease or atrial fibrillation, untreated adrenal insufficiency, active hyperthyroidism, pregnancy or planned pregnancy, a pork allergy or dietary restrictions on porcine products, and thyroid cancer patients, who need coordination with their oncology team. Read about whether NDT is safe long term.
The practice is physician-owned and does not participate in insurance networks. Lab work at Quest or Labcorp may be billable to your insurance; ask our staff when you call 954-792-4663.
Yes. An overactive thyroid can cause anxiety and a racing heart, while an underactive thyroid slows metabolism and makes weight loss difficult. Restoring normal thyroid levels often improves both mood and body composition.
Bring your last two years of thyroid labs, a list of medications and supplements with doses, any thyroid ultrasound reports, and a short symptom timeline. Here is our full checklist: what to bring to your first thyroid specialist appointment.
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.
