Hormones

Hormone Treatment for Thyroid Problems

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Our hormone specialist GMC-registered doctors provide a functional medicine approach to your thyroid health.

Having a thyroid problem is not always an isolated issue. In many cases, our thyroid is influenced by wider factors in the body, and these can impact how thyroid hormones are produced, converted and used.

At Harpal Clinic, our doctors take a detailed and structured approach to assessing thyroid function. They understand your symptoms, review your medical history, plus any blood testing and functional testing in order to guide your treatment.

Consultations can be online, via phone, or in-clinic. Blood testing can take place at our London-based clinic or in your local area.

Get in touch to find out more

Over 40 years of combined clinical experience in thyroid and hormone health.

Thyroid dysfunction is rarely just about the thyroid itself. By

combining functional medicine with specialist hormone care,

combining functional medicine with specialist hormone care,

we aim to understand the wider drivers affecting thyroid health and treat them in a more precise way.

Dr Harpal Bains

MBBS, DFSRH, PGCAestMed (Dist)

As featured in Vogue, GQ, Women’s Health, The Financial Times, and Elle.

Vogue | GQ | Women’s Health | The Sunday Times | Harper’s Bazaar | Liz Earle

Autoimmune conditions – when your body attacks itself

Who can we help?

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We are able to help you if:

  • You are experiencing symptoms of a thyroid disorder
  • You feel like you’ve hit the ceiling with your GP
  • Your symptoms are not alleviated despite maximum or high doses of T4
  • You have autoimmune thyroiditis
  • You have a family history of thyroid disorders
  • Your body has issues converting T4 to the active T3
  • You have other compounding issues like weight gain, menstrual issues, menopause, other autoimmune diseases, are tired all the time, depression, and high-stress lifestyle.

Consultations, fees & what’s included

Our two main consultation types are Focussed & Comprehensive.

Both options follow the same structure and clinical process. The price difference between them reflects the amount of clinical and consultation time allocated to you.

Both include:

  • An initial doctor consultation with detailed assessment and test recommendation
  • Dedicated doctor time for laboratory interpretation and medical report
  • Second consultation to review findings and agree a treatment plan
  • Health coaching with hormone and functional medicine specialists
  • Ongoing doctor Q&A via email through our patient care team

Consultations can be online, via phone, or in-clinic. Blood testing can take place at our London-based clinic or in your local area via one of our providers (Superdrug or Goodbody).

Specialist hormone care and a functional medicine approach to healthcare involves an in-depth analysis of laboratory testing, symptoms and medical history when deciding upon a treatment plan. The consultation pathway fees reflect the level of clinical time required for this analysis, report preparation and ongoing support.

Focused consultation – £495

Designed for patients who would like a targeted assessment of thyroid function through blood testing. This consultation focuses on reviewing your thyroid markers and related hormones, helping determine whether thyroid treatment or bioidentical hormone support may be appropriate as part of your care.

Your report with a treatment plan and second consultation will provide personalised recommendations, which may include thyroid hormones or other bioidentical hormones where appropriate, alongside supplement, lifestyle and nutritional suggestions, with referral to nutritional therapy if needed.

  • Initial consultation (60 minutes)
  • Followed by a second consultation (20 minutes)

Laboratory testing is not included in the consultation fee.


Comprehensive consultation – £795

This consultation is designed for patients who would benefit from a deeper clinical assessment of thyroid health.

It allows your doctor time to review more than one testing panel, which may include areas such as adrenal function, inflammation, gut health, DNA testing or looking at metabolic markers. Your report and second consultation will focus on explaining the findings and developing a structured treatment plan that addresses the broader drivers of thyroid dysfunction, not just thyroid blood test markers alone.

This option is often chosen by patients who may have multiple or more complex symptoms, additional diagnoses alongside thyroid concerns, or who would like a broader functional medicine assessment from the outset.

  • Initial consultation (90 minutes)
  • Followed by a second consultation (30 minutes)

Laboratory testing is not included in the consultation fee.


If you choose to complete testing at our clinic location phlebotomy is included. We can accept external test results from the past 3 months.

View our fees page.

How is our integrative approach different to traditional thyroid management?

  • Our testing is incredibly detailed, taking into account other hormonal parameters that could also cause thyroid-like symptoms. It can include autoimmune as well as genetic testing – as we look at your genetic ability to convert T4 to active T3
  • We assess potential nutritional deficiencies
  • We assess for immune dysfunction, which can include autoimmune diseases where clinically indicated
  • We assess the impact of stress, toxins and other lifestyle factors on thyroid function
  • We will always look to optimise your thyroid function and not merely normalise it based on labs alone – in our experience, ‘normal’ is not always ‘optimal’
  • Our signature patient aftercare support is crucial in the initial phase of thyroid management, or for any of our therapies that use a bespoke health strategy. Many of our Patient Care Team have a clinical or healthcare background in either nursing, health coaching, nutritional therapy and physiotherapy

Bioidentical hormones for thyroid problems

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Symptoms of thyroid problems – how do you know if something is wrong with your thyroid?

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Thyroid hormones are needed for energy production but most importantly metabolism. They also play an essential role in balancing the other hormones our body produces. This means that its dysregulation can impact almost every system in the body!

People suffering from thyroid problems may notice the following symptoms:

  • Tired all the time (TATT)
  • Sluggishness
  • Joint or muscle pain
  • Muscle weakness
  • Depression
  • Dry, scaly skin
  • Thinning and/or brittle hair and nails
  • Weight gain
  • Low libido
  • Feel cold all the time

Bloods tests for thyroid problems

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We don’t just consider your thyroid, but look at how your body is functioning as a whole.

Our blood profiles are very comprehensive and give a good overview of how all your hormonal systems are working.

At your initial consultation we would look to complete a detailed hormone panel looking at thyroid hormones, sex hormones, precursor hormones and other related parameters.

Thereafter, depending on your individual issues, we can look to target the testing more specifically using the following panels:

  • Basic thyroid panel (FT3, FT4, TSH)
  • Advanced thyroid panel (basic thyroid panel + T4 + thyroid antibodies)
  • Comprehensive thyroid panel (advanced thyroid panel + reverse T3)
  • Complete thyroid assessment with genetic testing (comprehensive thyroid panel + DIO2 – Deiodinase 2 genetic test)
  • DIO2 genetic test for those in whom we suspect will require T3 management
You can have your blood sample drawn at our clinic in Central London, or at one of many Superdrug locations across the UK. Call our admin team on 020 7096 5475 to arrange your blood tests at a place near you.

Hormone treatment for thyroid problems – the Harpal way

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Our health strategies for long term thyroid health can include a combination of the following:

Bioidentical thyroid hormones: Our bioidentical hormones can be either generic or compounded bespoke for each patient by specialist pharmacies. These are often derived from natural sources and are molecularly the same structure as your body’s own. These can be used temporarily or long term, depending on your personal situation. We use your blood test results to tailor the dose(s) specifically to your exact requirements.

Disruption to the production of other hormones can have a significant impact on thyroid function. For example, thyroid dysregulation can be closely related to issues postpartum, as oestrogen and progesterone tend to become imbalanced. Thyroid issues can also be heavily associated with low testosterone – in fact, low testosterone can often mask a thyroid issue, and vice versa! This is also addressed during your consultation and managed with bioidentical hormones or supplements.

Supplementation + diet: Our digestive system is a cornerstone for our overall health. Your consultation will include a detailed discussion regarding potential nutrient depletions. We look to replenish vital nutrients that the thyroid gland needs in order to function. Without these, thyroid processes will be disrupted, leading to thyroid dysfunction.

Lifestyle: We consider toxin or radiation exposure, as well as life-stressor implications on health, alongside considering viral or bacterial infections that may have been key triggers in thyroid dysregulation. Our doctors are specialists at identifying the need for viral testing and detoxification. This is important as specific infections can have a negative impact on your body many years later. If you are interested in wider testing we can advise you on the next steps.

Targeted immunomodulation: This is particularly directed at those with Hashimoto’s Thyroiditis and Grave’s disease (autoimmunity). We utilise immunomodulators such as Low Dose Naltrexone (LDN) and Micro-Immunotherapy (MIT) as part of a holistic approach to thyroid management. Autoimmunity can be caused by various factors, which is why we would not only look to correct an inadequate immune response, but also work on the initial cause of your autoimmunity.

Aaliyah, Harpal Clinic

Let's talk about how we can help you

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