Dr. Eric Balcavage

Dr. Eric Balcavage Host of the Thyroid Answers Podcast + co-author of The Thyroid Debacle.

Dr. Eric Balcavage helps patients uncover and heal the root causes of thyroid issues, gut dysfunction, and chronic illness using cellular testing and personalized protocols.

11/20/2025

We're back for another Thyroid Thursday and today we’re tackling some of the biggest myths about Hashimoto’s.

One major misconception is that antibodies determine whether you have Hashimoto’s. That’s simply not true. Up to 30–35% of people with immune-driven thyroiditis have seronegative Hashimoto’s — meaning no antibodies show up on labs, but the immune attack is still happening.

Another myth is that antibodies cause the gland damage, when in reality, it’s your T cells — TH1, TH17, and CD8 — doing most of the destruction. Antibodies are biomarkers, not the cause of the problem.

The third myth is that you can’t recover from Hashimoto’s — that you can only “manage it” forever. But you can recover if you address the real issue: immune dysregulation. That means identifying and removing the root causes driving inflammation — things like gut issues, infections, toxins, emotional stress, or trauma — and supporting your T regulatory cells to restore balance. Recovery isn’t about chasing “optimal” TSH or T3 numbers. It’s about calming the immune system so the thyroid can heal.

If you want a deeper dive into how this works, check out this week’s episode of the Thyroid Answers podcast where I break it all down.

11/19/2025

Hashimoto’s doesn’t just “show up” out of nowhere.
It’s an immune system response driven by chronic cell stress and inflammation.

Medication can help manage labs and symptoms, but it doesn’t answer the real question:
Why is your immune system attacking your thyroid in the first place?

If you want to recover – not just manage your thyroid condition – you have to address what’s driving the stress on your cells and immune system:
👉 What you eat
👉 How you sleep
👉 How you move
👉 Your daily habits
👉 Unresolved emotions and trauma
👉 The stress you normalize but never process

When we calm cell stress and immune activation, we create the conditions for true thyroid recovery – not just better numbers on a lab report.

If you’re ready to dig into the “why” behind your Hashimoto’s and build a real recovery plan, DM me BLUEPRINT and I’ll send you details.


Most people are told: “If you have thyroid antibodies, you have Hashimoto’s. If you don’t, you don’t.”In this episode, I...
11/18/2025

Most people are told: “If you have thyroid antibodies, you have Hashimoto’s. If you don’t, you don’t.”
In this episode, I revisit the idea and show why antibodies are only one piece of a much bigger picture.

Discover how:
✅ Th1 and Th17 T-cells, CD8 T-cells, and low T-regs drive thyroid inflammation and tissue damage

✅ PAMPs (pathogen signals) and DAMPs (cell danger signals) can bind to pattern-recognition receptors [PRRs] on thyroid cells, triggering cytokines and interfeon activity

✅ Antibodies may confirm Hashimoto’s, but their absence doesn’t rule it out (seronegative Hashimoto’s is real)

✅ Addressing the drivers of immune imbalance — gut permeability, sleep debt, oxidative stress, nutrient deficiencies — can help restore tolerance and thyroid function

Interested in listening? Comment “18” and I will DM you the link.

“True thyroid recovery isn’t about chasing perfect lab numbers, it’s about understanding your body and making real, last...
11/17/2025

“True thyroid recovery isn’t about chasing perfect lab numbers, it’s about understanding your body and making real, lasting changes one step at a time.”

That’s the philosophy behind my Thyroid Recovery Blueprint Course. If you’ve been struggling with stubborn symptoms, feeling dismissed, or overwhelmed by conflicting advice, this program was built for you. I guide you through every step, from understanding the real root causes of thyroid dysfunction, like stress, nutrition, gut health, and lifestyle, to giving you practical tools you can use right away.

Inside the course, you’ll find easy-to-follow video modules, downloadable resources, and clear action steps, all designed to empower you to take control of your health. You’ll learn how to track your progress, make sustainable changes, and finally move beyond just “managing” your thyroid… to actually recovering.

You don’t have to keep guessing or go it alone. The Blueprint is your roadmap to feeling better, with real support every step of the way.

DM or comment “blueprint” and I’ll send you the link to get started on your recovery journey!

"True thyroid recovery isn’t about chasing perfect lab numbers, it’s about understanding your body and making real, last...
11/17/2025

"True thyroid recovery isn’t about chasing perfect lab numbers, it’s about understanding your body and making real, lasting changes one step at a time."

That’s the philosophy behind my Thyroid Recovery Blueprint Course. If you’ve been struggling with stubborn symptoms, feeling dismissed, or overwhelmed by conflicting advice, this program was built for you. I guide you through every step, from understanding the real root causes of thyroid dysfunction, like stress, nutrition, gut health, and lifestyle, to giving you practical tools you can use right away.

Inside the course, you’ll find easy-to-follow video modules, downloadable resources, and clear action steps, all designed to empower you to take control of your health. You’ll learn how to track your progress, make sustainable changes, and finally move beyond just “managing” your thyroid… to actually recovering.

You don’t have to keep guessing or go it alone. The Blueprint is your roadmap to feeling better, with real support every step of the way.

DM or comment “blueprint” and I’ll send you the link to get started on your recovery journey!

11/15/2025

Poor-quality sleep doesn’t just make you tired. Research continues to show that disrupted sleep can raise TSH, alter T4 and T3 levels, and impair the conversion of T4 to T3. This isn’t a medication issue. It’s a root-cause issue.

If sleep is sending danger signals through the system, simply adding more T4 won’t fix the problem. Addressing the stressors that interfere with T4-to-T3 conversion is essential for restoring thyroid function and reducing symptoms.

If you want support identifying and improving the factors disrupting your physiology, DM me the word BLUEPRINT for the link to my Thyroid Recovery Blueprint course.

11/14/2025

💤 When sleep is disrupted or inconsistent, your body shifts into a stress state (allostasis), which can reduce T4 to T3 conversion and throw off thyroid hormone balance. Prioritizing better sleep habits helps restore healthy thyroid function and supports overall recovery.

Strengthen your Sleep Fitness with these daily habits:
➡️ Get outside first thing in the morning for natural sunlight to sync your body’s clock
➡️ Prioritize physical activity every day to promote quality sleep
➡️ Cool your bedroom at night to help your brain wind down
➡️ Avoid caffeine after 10 am to reduce sleep disruptions

Consistent sleep habits are a cornerstone of thyroid health.

DM “Blueprint” to receive the Blueprint quiz to help you assess all 18 Fitness Factors so you can identify strengths, spot opportunities, and take action for better health.

11/13/2025

Hey everyone, back with another informative video about your thyroid health.

In this Thyroid Thursday, I’m breaking down how starting estrogen replacement therapy can unexpectedly make hypothyroid symptoms worse — and even lead to being prescribed more thyroid medication. I share a real case of a woman who felt fine on 60 mg of NP Thyroid until her doctor added estrogen therapy. Soon after, she began experiencing more fatigue and brain fog, and her labs showed lower free T3. Her practitioner increased her thyroid meds, but that only made her anxious, irritable, and even more symptomatic.

In this video, I explain how estrogen increases binding globulins in the blood — which can lower the amount of free, active thyroid hormone available. When you add estrogen to someone already dealing with inflammation, Hashimoto’s, or thyroid medication, that shift can create both hypo and hyperthyroid symptoms at the same time. If you’re on thyroid meds and considering hormone therapy, this episode will help you understand what’s happening and why.

11/12/2025

Improving sleep quality is one of the most powerful ways to support healthy T4 to T3 conversion.

Diet and physical activity are important, but sleep often holds the key to real thyroid recovery. If you’re struggling with low T3, take a closer look at your nightly routine.

This week, focus on the basics:
➡️ Limit bright lights and screen time in the evening.
➡️ Slow down your pace before bed—avoid rushing or last-minute tasks.
➡️ Put your phone away at least 30 minutes before sleep.

Small, consistent changes in your sleep habits can drive meaningful improvements in thyroid function.

DM “Blueprint” to receive the Fitness Factors Blueprint, a guided progress track.

Consistency here pays off in better energy, mood, and long-term health.

I’m inviting you to join me for a live Clinician Q&A on Tuesday, November 19 at 2 PM EST.This session is your opportunit...
11/12/2025

I’m inviting you to join me for a live Clinician Q&A on Tuesday, November 19 at 2 PM EST.

This session is your opportunity to:
👉 Bring your toughest thyroid cases and get real answers

👉 Dive into the latest thinking in functional thyroid care

👉 Walk away with practical tools you can use right away

👉 Connect with other clinicians who share your commitment to root-cause healing

If you’re ready for an open, actionable conversation about helping your patients achieve true recovery, I hope you’ll join me.

DM “CLINICIAN” for details or to save your spot!

🚨 EPISODE 210 🚨In this episode of Thyroid Answers, I sit down with pharmacist and bestselling author Dr. Izabella Wentz ...
11/11/2025

🚨 EPISODE 210 🚨

In this episode of Thyroid Answers, I sit down with pharmacist and bestselling author Dr. Izabella Wentz to revisit one of the most misunderstood conditions in modern medicine — Hashimoto’s thyroiditis.

They explore how new research and clinical experience are reshaping what we know about autoimmune thyroid disease, why so many women still struggle with fatigue, weight gain, and brain fog despite “normal” thyroid labs, and what it really takes to recover thyroid function from the inside out.

Dr. Wentz and Dr. Balcavage break down the differences between managing Hashimoto’s with medication and restoring thyroid health through the Adaptive Thyroid Model™, focusing on root causes suc as gut health, inflammation, hormone balance, and stress physiology.

Key Topics:
- What most doctors miss about Hashimoto’s and autoimmune thyroiditis
- The connection between stress, sleep, gut health, and thyroid autoimmunity
- Why “normal labs” can hide ongoing thyroid dysfunction
- How estrogen, cortisol, and inflammation alter thyroid hormone conversion
- The role of diet, supplements, and lifestyle in reversing Hashimoto’s patterns
- How to know if your low T3 is adaptive — not failure
- And more ...

Think Hashimoto’s is just about your thyroid? There’s so much more to the story. Most doctors focus on labs, but what ab...
11/10/2025

Think Hashimoto’s is just about your thyroid?

There’s so much more to the story. Most doctors focus on labs, but what about how you actually feel—or the hidden roles of gut health, stress, and hormones? Real answers go beyond numbers on a page.

We’re breaking it all down with Dr. Izabella Wentz on tomorrow’s Thyroid Answers podcast.
Join us to discover what really matters for healing Hashimoto’s from the inside out—and why it’s time to rethink what you’ve been told.

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19317

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Rejuvagen

Your journey back to health begins at Rejuvagen with Strategic Functional Medicine. Functional medicine is the solution to reduce your symptoms, improve your health and quality of life. Our mission at Rejuvagen is to help our patients move forward and optimize their health using Functional Medicine and healing protocols for thyroid dysfunction, gastrointestinal disorders and other chronic health challenges as a result of cellular stress.