In this video, Dr Cassie Smith shares ways to improve your health and address common thyroid issues including Hashimoto’s, hypothyroidism, and Graves. Further she explains the importance of checking proper thyroid lab tests (Free T3 and Free T4 levels), the role of the thyroid gland, and how thyroid hormones affect various functions in the body. Additionally she discusses the impact of inflammation, stress, sleep, and other factors on thyroid health. Finally, Dr Cassie Smith summarizes practical steps to optimize your thyroid function and overall well-being.
Relevant timestamps:
00:00 Introduction
04:21 Thyroid Hormones and Cellular Function
4:30 Thyroid Hormones Related to Anxiety & Depression
05:25 How People’s Symptoms, Not Just Labs Matter
08:16 Reverse T3 and Energy Wasting
08:50 Insulin Resistance
11:39 Factors Affecting T3 Absorption
14:10 Diagnosing and Treating Thyroid Disorders
16:12 Body’s Symptoms and Gut Health
17:22 Addressing Inflammation and Root Cause
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Full Transcript
0:00 it’s Dr Cassie Smith and welcome to back
0:03 to the basics a simple approach to
0:06 Health in the modern world I appreciate
0:08 you taking the time to join me today and
0:10 hopefully learn ways that could help you
0:12 improve your health the modern world has
0:14 left little time to focus on health and
0:16 wellness I hope to give you some quick
0:18 and simple ways to be well and live your
0:20 best life hi guys I am excited about our
0:25 podcast episode today so I get so many
0:28 questions and hear so many things things
0:30 about thyroid disease and although I’m
0:32 going to have guests on this podcast
0:34 sometimes I’m going to talk to you guys
0:35 without guests and so I think one of the
0:38 episodes we can definitely do to get
0:40 rolling before we get guess is to talk
0:42 about thyroid disease so I get so many
0:45 questions about it there’s so much
0:46 information out there and so let’s just
0:48 go back to the basics and let’s figure
0:51 out why thyroid disease is such a
0:55 mystical thing and why we can’t figure
0:58 it out as a medical society okay
1:01 so I think that your thyroid and your
1:05 thyroid health is a really good
1:07 representation of your overall health so
1:11 if your gut is inflamed if you have
1:14 insulin resistance if you have diabetes
1:17 if something in your body is not working
1:19 at a cellular level that ultimately
1:22 causes inflammation which affects
1:25 hormones and one of the hormones that’s
1:27 going to affect is your thyroid so there
1:30 are millions of people out there with
1:32 thyroid disorder that don’t feel well
1:35 whether it be Hashimoto or
1:36 hypothyroidism or Graves and although
1:39 they may have normal
1:40 numbers on their lab test they just
1:43 don’t feel well and so today I want to
1:46 kind of talk to you about why is that
1:48 let’s go back to the basic let’s go back
1:50 to free T3 and free T4 and how it gets
1:53 into the cell and why it’s important and
1:56 why doctors and providers and patients
1:58 don’t understand why they don’t feel
2:01 well because their numbers are normal
2:04 okay so I think the easiest way to do
2:07 this is to maybe just start at the very
2:09 beginning okay so how is thyroid hormone
2:12 made so a lot of you know this some of
2:15 you may not but you have a gland in your
2:19 head actually up in your hypothalamus
2:21 that releases something called TR
2:24 thyroid releasing
2:26 hormone that then goes to your pituitary
2:28 gland which is like your
2:30 Central hormon producing gland in your
2:33 body so it’s kind of like the regulator
2:35 it makes a lot of hormones for your
2:36 entire body and it stimulates something
2:38 called TSH thyroid stimulating hormone
2:42 now the thought is that TR is made when
2:45 your body needs thyroid hormone so
2:47 there’s this negative feedback loop
2:48 meaning if your body is like wow I don’t
2:51 have any thyroid hormone right like I’m
2:53 sort of out of gas I need some gas it
2:55 can send the signal to your brain and
2:57 your brain will release TR and and TSH
3:01 which will then go to your thyroid and
3:03 make thyroid hormone become released so
3:06 the TSH goes to your actual thyroid
3:08 gland and it will stimulate the gland to
3:10 make something called free
3:12 T4 it also makes free T3 but we make
3:16 mostly free T4 about
3:18 96% and then they’ll make a little bit
3:20 of T3 and so these hormones are released
3:23 into your bloodstream T4 and T3 and then
3:26 they’re supposed to go to all your cells
3:28 and do the things that thyroid hormone
3:30 does AE control your temperature make
3:34 you not cold help your hair grow help
3:37 your nails grow give you energy make you
3:41 not tired provide energy for cells so
3:43 that they can function so your heart can
3:45 beat so that your metabolism goes they
3:47 help with metabolism so that you don’t
3:50 gain excess amounts of weight they help
3:52 with cardiac contractility so they help
3:55 with lots of different things throughout
3:56 your entire body they’re very important
3:58 for menstrual
4:00 regularities because they can also
4:02 affect estrogen and testosterone and
4:04 women and progesterone and so they can
4:06 cause you to have irregular menstrual
4:09 cycles if they’re
4:10 abnormal the other thing they do a lot
4:12 with is your mood so your
4:14 neurotransmitters they also affect that
4:16 so a lot of people with severe anxiety
4:18 and depression can actually have issues
Thyroid Hormones and Cellular Function
4:21 with their
4:22 thyroid so we have this T4 and T3 that’s
4:26 been made in our thyroid and is released
4:28 and then these are supposed to go to the
Thyroid Hormones Related to Anxiety & Depression
4:30 cells and make all these cells function
4:32 okay now if you look at endocrine
4:37 Society guidelines so this is medicine
4:39 right so this is how we’re taught in
4:40 school medicine tells you okay this is
4:44 what we do this is how we treat these
4:45 people we treat these people by this
4:47 feedback mechanism so if their TSH is in
4:50 the normal range then they’re fine that
4:55 means their brain is sensing everything
4:56 is good and it’s not saying it needs
4:58 more thyroid hormones
5:00 and So based on those guidelines that
5:03 means everything is fine and so they
5:06 they clearly state in the indocin
5:07 society guidelines that a clinical
5:09 scoring system is not needed so what
5:12 does that mean so what that means is
5:15 they don’t care how people feel or at
5:18 least they teach us not to care how you
5:19 feel so I’m sure that a lot of people if
5:21 you’re a provider or if you’re a patient
5:24 you’ve been to a provider and you’ve had
How People’s Symptoms, Not Just Labs Matter
5:27 a million symptoms right I’m TI TI I’m
5:30 gaining weight I don’t feel well I’m
5:33 cold my skin is dry but as a provider
5:37 we’re taught well none of that really
5:39 matters if your labs are in the range
5:42 they’re supposed to be in and that’s a
5:45 problem because how people feel actually
5:47 matters and that should tell us if you
5:50 go back to the basics that something’s
5:52 not working right so if you’re having
5:55 these symptoms why right that’s what’s
5:58 so frustrating like why am I having
5:59 these symptoms obviously I’m having
6:01 these symptoms because at a cellular
6:03 level those cells are not working so my
6:07 Skin’s dry obviously there’s an issue
6:10 with that my metabolism is maybe not
6:13 working like it used to because I’m
6:15 gaining weight I’m super tired why I’m
6:18 not able to make cellular energy like I
6:21 should and so again the question is why
6:25 and if you look at a cellular level a
6:27 lot of times I think it’s because we
6:29 don’t have enough T3 in our blood and
6:32 I’m going to tell you why and then that
6:34 T3 is not going to the cells to give
6:36 them the energy to do what they need to
6:37 do so when you release T4 from the
6:41 thyroid there are things called
6:43 deases which are enzymes that are
6:46 supposed to break
6:47 T4 into T3 because T3 is your active
6:52 thyroid hormone so once you have T4 6:55 that’s converted to T3 that increases
6:58 the level of T3 in your blood because
7:00 remember our thyroid doesn’t make a lot
7:01 of it and then the thought is when you
7:03 have these higher levels of T3 which was
7:05 made from your T4 that the T3 can go to
7:07 the cells and work but let’s talk about
7:11 all the reasons that T4 does not become
7:13 T3 okay so there is one dease well
7:17 there’s actually two that can convert T4 7:22 into something called reverse T3 so
7:25 reverse T3 is bad reverse T3 is an
7:28 inactive thyroid hormone and it doesn’t
7:31 do anything so it’s kind of like just
7:34 floating around but not working so it
7:36 would be like you going and trying to
7:38 put I don’t know e87 gas in a car that
7:42 needs you know High premium octane gas
7:45 it’s not going to work and so if your
7:48 body wastes energy taking your T4 and
7:51 making reverse T3 that’s a problem
7:54 because when that reverse T3 goes to the
7:55 cell and the cell tries to use it it
7:57 says I can’t use this this is not an
8:00 energy source what do I do with this and
8:03 so the question is number one why does
8:05 that happen and number two do you know
8:07 what your reverse T3 levels are so if
8:10 you’re having issues with your thyroid
8:12 and you’re not feeling well one of the
8:13 things you could look at are reverse T3 8:15 levels and if they’re above 12 that’s
Reverse T3 and Energy Wasting
8:18 pretty high and that’s telling me that
8:20 your body is wasting energy you’re using
8:23 these diasis to take your T4 your free
8:26 T4 and convert it to reverse T3 and so
8:29 we need stop that process and we need to
8:31 utilize the ones that convert free T4 8:34 into free
8:36 T3 so what causes this irregular
8:40 conversion unfortunately it’s lots of
8:42 things that people are struggling with
8:44 so insulin resistance insulin is a very
8:47 inflammatory molecule and that will
8:49 cause it 93% of the American population
Insulin Resistance
8:52 are thought to be insulin resistant 93%
8:55 of adults so that means 93% of people
8:58 with thyroid disease likely are having a
9:01 problem making freet T3 out of freet T4 9:06 if you have
9:07 diabetes if you’re on a chronic diet if
9:10 you have toxins that you’re exposed to
9:13 through food or through just your
9:15 environment all of these things can
9:18 upregulate your conversion of free T4 to
9:20 reverse T3 which wastes your body’s
9:24 energy like it’s just a waste of energy
9:26 you can’t do anything with with reverse
9:28 T3 so so that’s one of the issues okay
9:32 so then let’s say that some of the free
9:34 T4 is actually made into free T3 okay
9:36 yay good we have free T3 so now the free
9:39 T3 is floating around the body and it
9:41 goes to the body cell that needs the
9:43 free
9:44 T3 so remember that free
9:47 T3 is it has a receptor and so the cell
9:52 is is on a
9:54 receptor the cell has a receptor I’m
9:56 sorry and the freet T3 has to bind to
9:59 that receptor to come into the cell
10:01 right so every receptor sets in
10:03 something called a lipid by layer a
10:05 lipid by layer is just like what it’s
10:07 stuck in so that the receptor is there
10:09 waiting to receive that hormone that
10:12 lipid by layer is supposed to be very
10:14 very permeable so that receptors can
10:16 just kind of float around and when
10:18 something sticks to the receptor it can
10:19 come through that lipid Bayer and into
10:21 the cell okay now the problem is when
10:24 you have chronic inflammation whether
10:26 that be from your diet from lack of
10:29 sleep from insulin resistance from
10:32 cortisol issues from stress hormone
10:35 issues because your hormones are out of
10:37 whack because you’re on birth control or
10:39 because you’re not sleeping well or
10:41 because they’re just deficient because
10:42 your adrenal gland is using all of its
10:44 energy to actually make cortisol for
10:47 whatever reason if these hormones are
10:49 out of whack then this can affect your
10:52 body and cause inflammation so when we
10:55 have inflammation and things are out of
10:57 balance that lipid bil
10:59 that that receptor is setting in becomes
11:01 very tense and so when the free T3 11:04 actually makes it to the cell and is
11:07 comes to the receptor and says okay I’m
11:09 on the receptor please let me in it’s
11:11 like the door is locked so it’s like you
11:13 go to a door that you want to open like
11:15 let’s say your refrigerator and for
11:16 whatever reason you go to open it it’s
11:18 it’s locked like you cannot get inside
11:21 and so the free T3 is like M I know I
11:23 need to go in there but I can’t get in
11:25 and the question is why well because
11:28 that lipid bilayer
11:29 is very inflamed and so it’s become very
11:32 tense and then the other reason a lot of
11:34 times is because there are actually
11:36 co-factors that you need in order for
Factors Affecting T3 Absorption
11:39 the T3 to go in the cell so fertin is
11:42 one of those and a lot of people are
11:45 deficient in fertin because of our diet
11:48 so even though we eat a lot of red meat
11:51 some people do some people don’t you
11:53 don’t absorb it because your guts
11:55 inflamed and your guts inflamed because
11:58 your thyroids not working or because you
12:00 have insulin resistance or because we’re
12:02 eating toxins there’s so many reasons
12:04 but even though we’re taking these
12:06 nutrients in we’re not necessarily
12:07 absorbing them and then women have
12:09 menstrual cycles every month where they
12:11 bleed and so they need more fertin in
12:13 order to restore and make those red
12:16 blood cells they get rid of and so a lot
12:18 of women have low iron levels or low
12:20 fertin levels and so if they don’t have
12:22 fertin the T3 can’t go into the cell the
12:25 other thing that the cell needs is
12:27 iodine well that’s not true T3 needs
12:30 iodine in order to be made so if you
12:32 have severe iodine deficiency your
12:34 thyroid won’t have enough T3 in the
12:37 thyroid gland to
12:39 produce vitamin D and b12 are also very
12:41 important for this process to help bring
12:43 things into the cell so if all of those
12:46 things aren’t there then the T3 even
12:49 though your body is making it or even
12:50 though we’re giving it to you in the
12:51 form of thyroid medication it’s not
12:54 going to work so you have tons of people
12:58 millions of people in this country
12:59 country who just can’t make thyroid
13:01 hormone the thyroid gland is not working
13:03 you have people who can’t make thyroid
13:04 hormone because they’re they have a
13:05 pituitary issue the brain is not working
13:08 the brain is not producing TSH whether
13:10 that be from radiation to their head
13:12 from prior surgeries from bleeds into
13:15 the pituitary gland so some people just
13:17 cannot make TSH from their brain some
13:20 people cannot make thyroid hormone from
13:23 their thyroid and then a lot of people
13:25 are actually making thyroid hormone but
13:26 they’re so chronically inflamed that
13:29 once they make it it cannot become
13:31 active thyroid hormone so there are
13:34 three issues right there and then for
13:36 those people who
13:37 are you know doing doing okay and they
13:40 can actually make their thyroid hormone
13:42 they’re making T4 and they’re converting
13:43 it to T3 even some of those people have
13:46 issues because when the T3 gets to the
13:48 cell sometimes they can’t come into the
13:49 cell now if you’re a hypothyroid patient
13:52 and you’re taking thyroid medication
13:54 because your thyroid doesn’t work if
13:56 you’re taking mostly T4 containing
13:59 thyroid medication then still your body
14:02 has to convert that to T3 so if you’re
14:04 on Leo thyroxine if you’re on Synthroid
14:06 if you’re on tyent your body still has
14:08 to take that and at a Dias your body
Diagnosing and Treating Thyroid Disorders
14:11 still has to take that and use deases to
14:14 actually convert it to T3 and so if
14:18 that’s not working because you’re
14:19 inflamed or because you know you’re
14:22 you’re if that’s not working because
14:24 you’re inflamed from insulin resistance
14:26 or from you know other disease processes
14:29 then the problem becomes you still don’t
14:32 feel well so this is why it’s important
14:34 sometimes when you have thyroid disorder
14:36 you want to check all thyroid levels you
14:38 want to know what is your TSH what is
14:40 your free T4 what is your free T3 but
14:43 then you also want to know you know if
14:47 your T3 level is low should I be
14:49 incorporating some T3 into my treatment
14:51 protocol so this is something you could
14:53 talk to your provider about like do I
14:54 need some T3 in the form of desiccated
14:57 thyroid or in the form of cytool or in
14:59 some form so that I have more T3 15:01 available so that my body doesn’t have
15:03 to make it out of T4 and then at a
15:06 receptor level making sure okay
15:08 everything that I need from the receptor
15:09 level is present so that when my body
15:11 has that T3 it can be taken into the
15:13 cell so what is my iodine level what is
15:16 my fertin level what is my B12 what is
15:19 my vitamin D all of these are important
15:22 and then if you want to just know in
15:23 general what is the function or the you
15:26 know state of my thyroid like thyroid
15:28 health then what is my TPO level TPO is
15:31 an inflammatory marker of the thyroid
15:33 it’s a really good molecule that will
15:35 tell you how inflamed your thyroid is so
15:38 these are just some of the things that
15:40 you need to think about if you’re one of
15:41 these hypothyroid patients that just
15:43 doesn’t feel well and then my question
15:46 the question I struggled with was why
15:49 why is my thyroid so inflamed why is my
15:51 TPO High Why is my medication not
15:54 working and so then you have to go back
15:56 to okay
15:59 is my gut good am I eating the things I
16:01 should be eating do I have acid reflex
16:05 do I have constipation do I have
16:07 diarrhea do I have gas am I bloated if
16:11 those things are happening to you then
Body’s Symptoms and Gut Health
16:14 that is your body trying to wake you up
16:17 so your body cannot text you or call you
16:20 or let you know hey I don’t like it when
16:22 you eat those Foods right it does it
16:24 through symptoms and so if you are
16:26 somebody who struggles with a lot of GI
16:28 symptoms then that right there is
16:30 probably a lot of the reason you’re
16:31 having problems with your thyroid
16:33 because your body can’t absorb the
16:34 nutrients it needs to and for whatever
16:36 reason you’re eating things that are
16:38 inflaming your gut and when your gut’s
16:40 inflamed it’s going to affect your
16:41 thyroid remember your gut is a
16:45 representation of your overall health as
16:47 is your thyroid so if you are somebody
16:50 who struggles with with GI symptoms then
16:53 we need to start there what’s going on
16:55 with your gut there are stool studies
16:56 you can do or you can just do
16:58 elimination diets yourself there’s a lot
17:01 of things out there that have been
17:02 thought to cause inflammation in your
17:04 gut right so gluten is one of the things
17:08 dairy some people have a lot of issues
17:11 with nuts but there are diets you can go
17:13 on there’s a diet called the autoimmune
17:16 protocol diet the AIP diet which you can
17:18 go on and avoid a lot of things that
17:20 cause inflammation in your gut and then
Addressing Inflammation and Root Cause
17:22 slowly add them back over
17:24 time if it’s not your gut if you don’t
17:27 have any GI issues then let’s like
17:29 further okay what else could be causing
17:31 inflammation are you stressed do you
17:33 have a chronically stressful job do you
17:35 feel like just on edge all the time that
17:38 increases your cortisol cortisol is an
17:40 inflammatory marker if your cortisol is
17:43 really high and you’re a woman it’s
17:44 going to decrease your progesterone when
17:47 your progesterone’s low you’re not going
17:48 to sleep well and you’re going to be
17:50 moody if it’s not stress and you are
17:54 sleeping that’s another thing are you
17:56 sleeping are you getting adequate
17:58 amounts of sleep if not that’s a
18:01 problem what is your insulin level do
18:04 you feel tired after you eat are you
18:08 bloated do you feel like you’ve gained
18:10 weight around your abdomen okay if so
18:12 then is your insulin level normal let’s
18:14 look at that if it’s not we need to fix
18:17 that your fasting insulin should be less
18:19 than five when your insulin’s high it
18:21 drives down your estrogen levels as a
18:23 woman when you have low estrogen you’re
18:25 going to have more sugar Cravings so
18:27 that’s not good either let’s look at
18:29 your testosterone testosterone is
18:31 important in women and men it helps with
18:34 energy it helps with metabolism it helps
18:36 with muscle mass muscle is key in weight
18:39 loss the more muscle you have the higher
18:42 your basic metabolic rate the easier it
18:44 is to lose weight so here are just a few
18:47 things that you can start looking at
18:48 into root causes and if all of those
18:51 things are fine then we go back to the
18:53 very very basic in the root cause which
18:56 is why are my cells not making energy
18:59 efficiently so we go all the way back to
19:01 the KB cycle an ATP an NAD do we need to
19:05 take some NAD do we need glutathione to
19:08 help detoxify things so there are lots
19:11 of things you can actually look at and
19:13 this is just kind of an overall like
19:16 bird’s eye view of the thyroid gland
19:19 but going to a provider and getting a
19:23 your TSH is normal everything is great
19:26 sometimes might not be the best answer
19:29 now if you feel well great not everyone
19:32 needs an extensive lab workup but if you
19:34 are a thyroid patient that’s struggling
19:37 with not feeling well and you’ve been
19:39 told you have normal TSH levels then
19:41 maybe this will give you some insight on
19:43 some other things you could start
19:44 thinking about or have your provider
19:46 look into and think about with you you
19:48 know what is my freet T3 what is my free
19:50 T4 am I making too much reverse T3 am I
19:53 wasting all my energy doing that do I
19:55 have enough iodine to even make T3 on my
19:58 own or to use it do I have enough fertin
20:01 to take my T3 into the cell and actually
20:03 utilize the medicine I’m taking if I’m
20:05 taking T3 medications what does my
20:07 vitamin D and b12 look like you know how
20:10 is my gut do I need to work on that am I
20:13 just stressing myself out and I need to
20:15 work on the stress so that everything
20:17 all the inflammation calms down so that
20:19 I can actually absorb my medicine you
20:20 know am I sleeping well am I exercising
20:23 and moving so there’s so many things you
20:25 can look at going back to the root cause
20:27 and start fixing those things things and
20:29 then as you do that and the inflammation
20:31 in your body goes down if you have
20:34 something like Hashimoto which is
20:35 inflammatory based sometimes that
20:37 inflammation in your thyroid will start
20:39 to go down and as that gets better your
20:41 thyroid may be able to function where it
20:43 couldn’t prior and as it begins to
20:45 function and make those hormones like it
20:47 used to make then there are times when
20:50 people have gotten off thyroid
20:51 medication I’m not saying that you
20:53 should stop your thyroid medication this
20:55 is something you need to talk to your
20:56 provider about and obviously if you’ve
20:58 had your thyroid surgically removed
21:00 that’s never going to be the case but
21:03 there are ways that you can go back to
21:04 think about okay is there something
21:06 causing this thyroid disorder is there
21:09 way I can fix it so that’s a general
21:11 overview I hope that you found that
21:13 helpful if you did we have lots more
21:15 stuff coming on this podcast with
21:17 general information like that I’m also
21:20 working on a thyroid course for you guys
21:23 make sure that if you liked this episode
21:26 you share it with others I hope it can
21:29 be beneficial to you and you may be able
21:31 to benefit other people by sharing it
21:32 with
21:34 them the information presented including
21:37 any materials discussed referenced or
21:39 linked within this podcast are for
21:41 General educational purposes only not
21:44 the practice of medicine no doctor
21:47 patient relationship is formed from you
21:48 listening to this podcast or utilizing
21:51 any of the information provided I am a
21:53 doctor but I am not talking to you as
21:55 your doctor the information provided is
21:58 is not intended to diagnose or treat
22:00 health problems or take the place of the
22:03 professional medical care provided by
22:05 your doctor if you are experiencing any
22:08 health problems including problems you
22:10 believe have been touched upon in any
22:12 respect within this podcast you should
22:14 consult your doctor about the problems
22:16 without delay you may ask your doctor
22:19 whether he or she believes the
22:20 information I have provided would be
22:22 helpful to you but you should still
22:24 consult your doctor immediately and
22:26 follow his or her medical advice as
22:28 you’re treating in phys I’m just here to
22:30 provide you basic knowledge about the
22:32 issues we discuss so you are more aware
22:34 of them and can better discuss them with
22:37 your doctor that’s why we call it back
22:39 to the basics join me on the next
22:42 episode as we continue our journey
22:45 [Music]
Disclaimer
The information presented including any materials discussed, referenced, or linked within this podcast are for general educational purposes only, not the practice of medicine.
No doctor-patient relationship is formed from you listening to this podcast or utilizing any of the information provided.
I am a doctor, but I am not talking to you as your doctor. The information provided is not intended to diagnose or treat health problems or take the place of the professional medical care provided by your doctor.
If you are experiencing any health problems, including problems you believe have been touched upon in any respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor whether he or she believes the information I have provided would be helpful to you, but you should still consult your doctor immediately and follow his or her medical advice as your treating physician.
I’m just here to provide you with basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with your doctor.
That’s why we call it Back to the Basics. Join me on the next episode as we continue our journey.
Dr. Cassie Smith, MD
Board-Certified Endocrinologist · Founder, Modern Endocrine
Dual board-certified in Endocrinology, Diabetes & Metabolism and Internal Medicine, and fellowship-trained at the Harold Hamm Diabetes Center, she is the author of Fix Your Gut, Fix Your Hormones. She treats patients in Oklahoma City and by telehealth across 47 states. Meet Dr. Smith
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Receive the latest updates, health tips, and exclusive offers from Modern Endocrine. Be the first to know about new services, upcoming events, and special promotions designed to support your journey.