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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

🗓️ 13 May 2026

⏱️ 52 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

Click on a timestamp to play from that location

0:00.0

When was the last time you stopped and listened to your body?

0:03.0

Here's a Holland and Barrett ad break to do just that.

0:06.0

Go on.

0:08.0

Tune in to your body's energy levels.

0:10.0

Is your brain struggling to focus?

0:13.0

Are you about to let out a midday yawn?

0:15.0

Or is your body crying out saying,

0:18.0

You've got to show me love.

0:24.5

We know what your body's asking for.

0:27.2

In store online on the app.

0:29.7

Back Your Body, Holland and Barrett.

0:31.4

We're still not testing properly.

0:35.1

I still see people coming into the clinic with just a TSA.

0:37.3

Many women are told your labs look fine.

0:38.2

Labs are normal.

0:38.9

Labs are fine.

0:40.2

That's what they hear every single day.

0:42.9

Because they are, just like you said, they're looking at the TSA.

0:44.9

Thyroid stimulant hormone.

0:47.0

TSA is a brain hormone.

0:48.3

It's not a thyroid hormone.

1:10.8

So why aren't we looking at the actual thyroid hormones that your thyroid produces that actually have to get to your cells to give you a metabolism and to light up your brain and grow your hair. The standard of care sucks. It's horrible. So please, you don't want the standard of care. It's very, very common for doctors to just say, oh, yeah, well, nothing to see here. It's in the normal range. Meanwhile, the woman could be walking around with a reverse T3 of, let's say, an 18. Her body literally thinks she's lying in

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