Thyroid health plays a foundational role in how we feel and function each day. This small, butterfly-shaped gland influences nearly every major system of the body. When the thyroid is out of balance—even slightly—people often experience changes in metabolism, mood, energy, weight, temperature regulation, and overall hormonal stability.
In coastal communities like Del Mar, thyroid concerns have become increasingly common. Environmental toxins in water supplies, chronic stress associated with fast-paced lifestyles, and nutrient-depleted modern diets can all play a role in thyroid disruption. These factors may contribute to the rise in conditions such as hypothyroidism, Hashimoto’s disease, and subclinical thyroid dysfunction.
At the Stengler Center for Integrative Medicine, we approach thyroid health with a commitment to evidence-based, individualized care. Rather than relying on a single lab marker or symptom, we use comprehensive diagnostic testing, clinical expertise, and a whole-person perspective to identify the root causes of thyroid imbalance. Our integrative model prioritizes nutrition, lifestyle, natural therapies, and—when appropriate—bioidentical thyroid support to restore health safely and effectively.
The thyroid serves as the body’s metabolic command center. When functioning optimally, it:
Because the thyroid interacts with so many organs and systems, even subtle dysfunction can have widespread effects.
To understand thyroid health clearly, it’s essential to recognize the primary hormones involved:
Evaluating all these markers—rather than relying on a single value—provides a clearer understanding of a patient’s true thyroid function.
Hypothyroidism occurs when the thyroid does not produce enough thyroid hormone. Common symptoms include:
Many patients are told their thyroid is “normal” based on limited lab work—even though they exhibit classic symptoms. Integrative practitioners frequently diagnose early-stage or mild hypothyroidism that conventional screening may overlook.
Hashimoto’s is the most common cause of hypothyroidism in the United States. It is an autoimmune condition in which the immune system mistakenly attacks thyroid tissue.
Key integrative considerations include:
In Del Mar, added risk factors may include chronic stress and exposure to coastal pollutants, which can exacerbate autoimmune tendencies.
Subclinical hypothyroidism occurs when patients have symptoms of low thyroid function but their labs fall within “normal” ranges. This is especially common in women, individuals under chronic stress, and those with borderline nutrient deficiencies.
Integrative medicine emphasizes optimal ranges, not simply “normal” ones. Many patients experience relief only when thyroid function is brought into a truly optimal window.
Pregnancy and childbirth place significant demands on the thyroid gland. Some women experience:
Nutrient deficiencies—particularly selenium, iron, and iodine—can contribute to postpartum thyroid instability. An integrative postpartum strategy includes replenishing key nutrients, supporting adrenal balance, optimizing gut health, and using targeted thyroid support when needed.
At the Stengler Center for Integrative Medicine, we assess thyroid health with a full panel, allowing for a more accurate diagnosis and individualized care plan. This includes:
High reverse T3 can block Free T3 from entering cells, often due to stress, inflammation, chronic illness, or low-calorie dieting.
These nutrients are essential for thyroid hormone production and immune balance.
Evaluating cortisol helps determine whether adrenal stress is affecting thyroid hormone conversion—a common issue we see in Del Mar’s high-paced, high-stress demographic.
Nutrition plays a key role in thyroid health. At the Stengler Center, we emphasize nutrient-dense foods that support hormone production and reduce inflammation.
Key nutrients include:
An anti-inflammatory nutrition plan—rich in vegetables, lean proteins, healthy fats, berries, and herbs—helps support autoimmune thyroid conditions and overall metabolic health.
A compromised gut lining can trigger immune activation, contributing to autoimmune thyroiditis.
Probiotics help maintain a healthy microbiome, support immune balance, and improve nutrient absorption.
Approximately 70% of the immune system lies in the gut. When the gut is inflamed, the thyroid often suffers. This is why integrative thyroid care frequently includes gut healing protocols alongside hormone support.
High cortisol levels—often caused by long-term stress—slow the conversion of T4 into active T3. Patients may feel hypothyroid even when labs appear normal.
Simple, restorative practices can help regulate stress hormones:
If a patient has persistent thyroid symptoms despite treatment, we evaluate cortisol to ensure adrenal health is not undermining progress.
Common disruptors include plastics, pesticides, synthetic fragrances, and household chemicals. Simple steps such as using glass containers, natural cleaning products, and organic produce can help.
Saunas—especially infrared—support detoxification and circulation when used appropriately.
Supporting the liver and lymphatic system through cruciferous vegetables, hydration, herbal support, and targeted supplements helps the body process toxins effectively.
Bioidentical thyroid hormones are structurally identical to the hormones the human thyroid naturally produces. Unlike some synthetic medications, bioidentical therapies can include both T4 and T3, allowing for more precise customization.
Research supports T4/T3 combination therapy for individuals who do not adequately convert T4 into active T3—an issue we frequently see in clinical practice.
Bioidentical thyroid replacement may be particularly helpful for:
Compounding allows us to create personalized ratios of T4 and T3 to match a patient’s unique needs.
Advantages include:
Bioidentical hormone therapy is both safe and effective when monitored correctly.
Our approach includes:
Thyroid imbalance can feel overwhelming, especially when symptoms persist despite previous testing or treatment. But with a thorough, integrative, and personalized approach, thyroid conditions are highly manageable—and in many cases, dramatically reversible. When we address the true root causes—nutrient deficiencies, gut health, adrenal imbalance, inflammation, autoimmune triggers, and hormonal disruption—patients often regain the energy, clarity, and vitality they thought they had lost for good.
If you’re experiencing symptoms of thyroid imbalance or want a more comprehensive, integrative approach to your health, the Stengler Center for Integrative Medicine is here to help. Our team supports patients throughout Del Mar, Encinitas, La Jolla, Carlsbad, Rancho Santa Fe, and the greater San Diego region.
📍 324 Encinitas Blvd, Encinitas, CA 92024
📞 Phone: 760-274-2377
📞 Toll-Free: 855.DOC.MARK
📧 Email: clinic@markstengler.com
🌐 Website: https://www.markstengler.com/contact
