“She's up to date on current medical practices, listens attentively, is nonjudgmental and really cares about finding ways to improve your overall health.”
Jackie
Condition · Normal TSH, Still Exhausted
Your TSH Is 'Normal.' You Still Feel Awful. Here's What Was Missed.
TSH-only screening misses free-hormone levels, conversion (reverse T3), and autoimmunity. The complete panel tells the real story.
- 5.0★ patient-rated
- Board-certified NP
- Menopause Society Certified
- HSA/FSA eligible
- Virtual visits
Direct access to your dedicated Provider
Same-week virtual visits, no rushed appointments
Direct provider messaging and texting between visits
Is this you?
Signs we hear about most with normal tsh, still exhausted.
- Exhaustion despite sleep
- Cold hands and feet
- Brain fog
- Hair thinning
- Weight that won't move
- Constipation
- Low mood
- 'Normal labs' from your last workup
What's Included
What's included when we treat normal tsh, still exhausted.
- Complete thyroid panel (TSH, free T3, free T4, reverse T3)
- TPO & thyroglobulin antibody testing
- Conversion & reverse T3 assessment
- Nutrient & gut evaluation
- Personalized care plan
- Direct provider messaging and texting between visits
Your Provider
Erin Phamvan
UCLA BS · Vanderbilt MSN · Menopause Society Certified · IFM-Trained · ReCODE 2.0
Erin is a board-certified nurse practitioner and Menopause Society Certified Practitioner (MSCP) with advanced training through the Institute for Functional Medicine and Apollo Health's ReCODE 2.0 cognitive-prevention protocol.
Patient Reviews
5.0★ on Healthgrades.
"She's up to date on current medical practices, listens attentively, is nonjudgmental and really cares about finding ways to improve your overall health."
"Erin really personalized my care and would sit with me during our visits to make sure every question or concern I had was addressed."
"She listens with pure intention, makes you feel heard and seen, and deeply cares about getting to the root of problems."
Common Questions
Everything you'd ask on the call.
Most primary-care screening tests TSH alone. That misses low free T3, high reverse T3, and autoimmunity — all common causes of the symptoms you're describing. A complete panel gives the real picture.
Care Programs That Address This
Thyroid & Hashimoto's
Choose your state to see specifics — or start with a free 15-min consult.
What patients say
5.0 ★ across patient verified reviews
“I mean it when I say that I found my forever doctor — she genuinely cares about women and seeing them healthy and informed.”
Julia
“Erin really personalized my care and would sit with me during our visits to make sure every question or concern I had was addressed.”
Erin Johnson
“Every single question I had was patiently and comprehensively answered. I left feeling informed, supported, and secure in my treatment.”
Rachel
“Erin is very knowledgeable, and communicates well with patients, addressing concerns in a clear and timely manner.”
Tammy Reid
“She listens with pure intention, makes you feel heard and seen, and deeply cares about getting to the root of problems.”
Jackie S.
“Erin is extremely thorough. She asks all necessary questions to get to the root cause.”
Anonymous
“Erin made me feel as though she'd been seeing me for a long time — kind, informative, and empathetic.”
Sherondia Sullivan
“She takes the time to truly understand my unique situation and make me feel heard.”
Anonymous
“She's very helpful and kind — I'd recommend her for anyone looking for a reliable go-to for women's health.”
Jayne Alexander
“Erin is so knowledgeable and passionate about women's health, and she takes the time to listen.”
Kalie
“She did a great job!”
Val
“Erin is so wonderful, understanding, and knowledgeable — she truly cares about her patients.”
Kaley
“She takes the time to talk through all of your concerns and options — knowledgeable and enthusiastic about her field.”
Becky
“She's up to date on current medical practices, listens attentively, is nonjudgmental and really cares about finding ways to improve your overall health.”
Jackie
“I mean it when I say that I found my forever doctor — she genuinely cares about women and seeing them healthy and informed.”
Julia
“Erin really personalized my care and would sit with me during our visits to make sure every question or concern I had was addressed.”
Erin Johnson
“Every single question I had was patiently and comprehensively answered. I left feeling informed, supported, and secure in my treatment.”
Rachel
“Erin is very knowledgeable, and communicates well with patients, addressing concerns in a clear and timely manner.”
Tammy Reid
“She listens with pure intention, makes you feel heard and seen, and deeply cares about getting to the root of problems.”
Jackie S.
“Erin is extremely thorough. She asks all necessary questions to get to the root cause.”
Anonymous
“Erin made me feel as though she'd been seeing me for a long time — kind, informative, and empathetic.”
Sherondia Sullivan
“She takes the time to truly understand my unique situation and make me feel heard.”
Anonymous
“She's very helpful and kind — I'd recommend her for anyone looking for a reliable go-to for women's health.”
Jayne Alexander
“Erin is so knowledgeable and passionate about women's health, and she takes the time to listen.”
Kalie
“She did a great job!”
Val
“Erin is so wonderful, understanding, and knowledgeable — she truly cares about her patients.”
Kaley
“She takes the time to talk through all of your concerns and options — knowledgeable and enthusiastic about her field.”
Becky
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