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Well Beyond 40

Balancing Hormones and Thyroid Health with Dr. Amie Hornaman

Well Beyond 40

JJ Virgin

Nutrition, Fitness, Health & Fitness

4.51K Ratings

🗓️ 12 June 2026

⏱️ 14 minutes

🧾️ Download transcript

Summary

Could your “normal” labs be missing the real reason you feel exhausted, foggy, or stuck? I’m joined by Dr. Amie Hornaman, known as The Thyroid Fixer, to talk about why so many women over 40 are told their labs are normal while still feeling tired, foggy, inflamed, and unable to lose weight. We dig into thyropause, Hashimoto’s, reverse T3, thyroid medication, and the exact labs women should ask for if they want real answers. My hope is that this episode helps you stop blaming yourself and start testing, advocating, and getting the support your body actually needs. What you’ll learn: (06:28) Why Dr. Amie Hornaman believes “thyropause” deserves more attention for women over 40. (07:56) Why standard thyroid testing often misses what is actually happening inside the body. (11:20) How Hashimoto’s, hormonal shifts, stress, toxins, and autoimmune triggers may contribute to thyroid issues. (13:15) Why TSH alone may not tell the full story of your thyroid health. (14:43) How reverse T3 can push the body into a survival-mode state that slows metabolism. (17:22) Which thyroid labs Dr. Hornaman recommends asking your doctor to run. (24:30) How thyroid symptoms and perimenopause symptoms can overlap and influence one another. (43:35) How GLP-1s, inflammation, and thyroid optimization may intersect when used appropriately. Love the podcast? Here’s what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Full show notes (including all links mentioned): https://jjvirgin.com/thyroidfix If your routine or eating habits have changed recently head to BodyBio.com/JJVIRGIN to start supporting your gut. Mitopure supports the cellular energy that allows your muscles to actually respond and adapt. Mitopure gummies make it simple. Visit https://timeline.com/jjvirgin for 20% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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1:10.3

Terms and conditions apply.

1:13.3

Only 2% of those with hypothyroidism,

1:16.8

and she used the term do well on,

1:19.3

which I, okay, we can argue what is do well on.

1:21.7

I mean, 2% do well on T4 only.

1:25.2

98% need T4 and T3 or sometimes even T3 only. Yeah, well, what I would assume is you'd

1:30.1

actually probably use less overall if you're targeting. So then the next question is, why is your

1:36.2

body struggling to convert T4 to T3? You know, there's so many things that get in the way.

1:42.3

And I equated to running 10 tough mutters in a row because it's

1:45.4

hard for your body to do. Conventional medicine assumes that our body just converts easily. But when

1:51.7

you think about it, estrogen dominance, insulin resistance, what are we at? Like 97% of Americans

1:57.6

are insulin resistant now? It's a crazy high number. There are genetic snips that can get in the way of T4 to T3 conversion.

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