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Bioidentical thyroid treatment for women

Feel better with natural desiccated thyroid to restore energy, metabolism, and mental clarity.
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White Thyroid bottle labeled Capsules, once daily, for oral use only, with a teal 'e' logo.
White Thyroid bottle labeled Capsules, once daily, for oral use only, with a teal 'e' logo.

Restore energy. Support long-term health.

Noticeably better energy and daily drive
Mental clarity, mood stability, and a renewed sense of self
Easier weight management and stronger metabolism
Brighter skin, fuller hair, and a more refreshed look
Noticeably better energy and daily drive
Mental clarity, mood stability, and a renewed sense of self
Easier weight management and stronger metabolism
Brighter skin, fuller hair, and a more refreshed look

What is bioidentical thyroid treatment?

Your thyroid makes two main hormones called T3 and T4. Together, they help regulate energy, mood, metabolism, temperature, and how you feel day to day.

Many women are prescribed synthetic T4 alone, also known as levothyroxine. For many, this is not enough. Your body must convert T4 into the active form, T3. If that conversion is slow or inconsistent, symptoms of low thyroid in women can continue even when lab results look “normal.”

Bioidentical thyroid treatment gives your body both T3 and T4 in forms that work in harmony with your natural chemistry. Natural desiccated thyroid includes both hormones. Many women report more stable energy, better clarity, and improved metabolism when they receive desiccated thyroid instead of synthetic T3 and T4 thyroid medication. This approach supports your body the way it is designed to function.
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A woman in a blue shirt gestures while speaking to an audience in a professional setting.
A woman in a blue shirt gestures while speaking to an audience in a professional setting.

Bioidentical thyroid treatment for women

Thyroid function influences energy, metabolism, and how your entire hormone system performs.

Compounded T3 and T4 thyroid medication.
A single formulation that includes both T3 and T4, prescribed based on your symptoms, labs, and response to treatment.

Personalized thyroid treatment dosing
Your plan adapts to your symptoms, labs, and response so your thyroid optimization treatment evolves with you.

Benefits of bioidentical thyroid treatment

Restore energy

Feel improved reliable energy throughout the day.

Support metabolism and healthy weight

Optimizing thyroid hormones helps you manage weight more effectively.

Improve mental clarity

Reduce brain fog and sharpen focus.

Stabilize mood

Optimized thyroid hormones support emotional well-being.

Support heart and metabolic health

Thyroid hormones help maintain long-term cardiometabolic health.

Improve hair, skin, and sleep

Healthy thyroid levels promote hair growth, hydrated skin, and deeper sleep.

How it works

Our in-house team specializes in hormone optimization and takes the time to understand your symptoms, goals, and history. Doctor-led hormone therapy is the key to real symptom relief, healthy aging, and results that last.
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Start with your story.
Share your symptoms and health history through our online assessment.

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Meet your hormone expert.
Connect online with a licensed provider to discuss your symptoms and goals. If prescribed, treatment can start right away.
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Fem Excel At-Home Hormone Test Kit
Get deeper insights.
After your consult, we’ll send you a simple at-home hormone test kit to measure key biomarkers and fine-tune your care.
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Fem Excel Estradiol Medications
Personalized, ongoing support.

Once your lab results are in, your provider will review your progress and adjust your treatment as needed. We check in every 60 days, and you’ll receive comprehensive blood tests every six months to keep your care truly personalized.


Thousands of women are already experiencing the benefits.
Start your free assessment today.
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85%
report improvement within 2 months*
96%
report improvement within 6 months*
100,000+ patients treated*
Among America’s fastest-growing companies. Voted Top Hormone Provider of 2024 and Hormone Provider of the Year 2025.
*Data taken from 32,795 members responding to symptoms reviews with their Excel Medical providers
Dr. Lorna, a woman with long blonde hair, posing in a white lab coat with her arms crossed.
“Thyroid function is one of the most important, and most frequently overlooked, drivers of how women feel. When it is not fully assessed or properly treated, symptoms can persist even when care is in place.

When thyroid hormones are optimized, we often see a clear shift. Energy improves. Thinking becomes sharper. The body starts responding again. At Fem Excel, treatment is personalized and continuously refined to reflect how you actually feel, not just what standard lab ranges suggest.”

Lorna A. Brudie, DO, FACOG, FACOOG
Medical Director
“Thyroid function is one of the most important, and most frequently overlooked, drivers of how women feel. When it is not fully assessed or properly treated, symptoms can persist even when care is in place.

When thyroid hormones are optimized, we often see a clear shift. Energy improves. Thinking becomes sharper. The body starts responding again. At Fem Excel, treatment is personalized and continuously refined to reflect how you actually feel, not just what standard lab ranges suggest.”
Lorna A. Brudie, DO, FACOG, FACOOG

Medical Director

Related symptoms

Persistent fatigue

If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy.

Memory issues or brain fog

Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function.

Low libido or early vaginal dryness

A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate.

Hair thinning

Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth.

Bone loss or muscle weakness

Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization.

Weight gain

Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy.

If you feel constantly drained, even after rest, low thyroid, testosterone, or progesterone could be the cause. We treat all three to help restore lasting energy.

Trouble with focus, recall, or mental clarity becomes more common after menopause. Our protocol supports cognition by balancing estrogen, testosterone, and thyroid function.

A drop in desire or comfort with intimacy can happen earlier than most women expect. We help restore balance with the right combination of hormones, including testosterone when appropriate.

Shedding or thinning around the part or temples may be an early sign of thyroid dysfunction or testosterone imbalance. We address both to support healthy hair growth.
Low estrogen and testosterone can lead to declining strength and increasing fracture risk. We help protect your bones and muscles through hormone optimization.
Hormonal shifts during perimenopause and menopause often lead to stubborn weight gain, especially around the belly. We address the root cause using thyroid support and full-spectrum hormone therapy.
All symptoms

The Excel Advantage™ membership

$99/month

Get dedicated physician support, regular monitoring, and personalized adjustments so your hormone therapy evolves with you.

  • Access to all treatments
  • Begin care within days
In-house specialists
Trained directly in the Excel Advantage™ protocol.
Integrated treatment
Hormones, metabolic support, and advanced therapies.
Symptom-driven care
Treatment guided by symptoms, not lab numbers alone.
Member access & pricing
Access to advanced treatments with preferred pricing.
Precision monitoring
Regular labs with personalized treatment adjustments.
60-day follow-ups
Provider reviews to refine and optimize treatment.
No commitment required • Cancel anytime • Medications not included

Medically Reviewed

This page was medically reviewed by Peter Fotinos, MD, Chief Medical Officer, and Lorna A. Brudie, DO, FACOG, FACS, Medical Director, Excel Medical. Dr Fotinos and Dr Brudie have nearly 50 years of combined clinical experience in hormone optimization and preventive medicine.
Last reviewed: October 2025
Teal seal: Medically Reviewed by Excel Medical Clinical Team on 22/01/2026.

References

  1. Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the treatment of hypothyroidism. Thyroid. 2014;24(12):1670-1751.
    doi:10.1089/thy.2014.0028 | PMID: 25266247
  2. Wiersinga WM, Duntas L, Fadeyev V, Nygaard B, Vanderpump MPJ. T4 plus T3 combination therapy: is there a true effect? Eur Thyroid J. 2012;1(2):55-71.
    doi:10.1159/000339444 | PMID: 22912574
  3. Hoang TD, Olsen CH, Mai VQ, Clyde PW, Shakir MKM. Desiccated thyroid extract compared with levothyroxine in the treatment of hypothyroidism. J Clin Endocrinol Metab. 2013;98(5):1982-1990.
    doi:10.1210/jc.2012-4107 | PMID: 23539727
  4. Fitzgerald SP, Bean NG, Luciani F. The optimal TSH level for thyroid function is narrower than the reference range suggests. Clin Endocrinol (Oxf). 2020;92(3):277-284.
    doi:10.1111/cen.14146 | PMID: 31782104
  5. Kannan L, Shaw PA, Morley MP, et al. Thyroid dysfunction in patients with metabolic and systemic symptoms. J Clin Endocrinol Metab. 2018;103(2):855-863.
    doi:10.1210/jc.2017-02152 | PMID: 29220438
  6. Fang Y, Wang Y, Gao Y, et al. The association between thyroid function and depression. J Clin Psychiatry. 2008;69(9):1465-1471.
    doi:10.4088/JCP.v69n0914 | PMID: 19192442
  7. Kelly T, Lieberman DZ, Goodwin FK. Thyroid function and its relationship to mood disorders. J Clin Psychopharmacol. 2020;40(6):615-623.
    doi:10.1097/JCP.0000000000001273 | PMID: 33165025
  8. Stipcevic T, Pivac N, Kozarić-Kovačić D, Mück-Šeler D. Thyroid activity in patients with major depression. Neuro Endocrinol Lett. 2014;35(6):505-510.
    PMID: 25433844
  9. Henderson KK, Danzi S, Klein I. Thyroid hormone and cardiovascular function. Circ Heart Fail. 2009;2(3):243-252.
    doi:10.1161/CIRCHEARTFAILURE.108.821405 | PMID: 19808370
  10. Hoermann R, Midgley JEM, Larisch R, Dietrich JW. Integration of peripheral and central regulation of thyroid function. Front Endocrinol (Lausanne). 2015;6:177.
    doi:10.3389/fendo.2015.00177 | PMID: 26635726
  11. Jonklaas J. Optimal thyroid hormone replacement. Endocr Rev. 2020;41(2):bnaa001.
    doi:10.1210/endrev/bnaa001 | PMID: 31943079

Frequently asked questions

More FAQ
Synthetic thyroid medication contains only T4. Natural desiccated thyroid contains both T3 and T4, which can better match how your thyroid functions naturally.
Levothyroxine is T4 only. Your body must convert it to T3. If this conversion is slow, symptoms can continue even with normal labs.
Yes. Many women tolerate a combination of T3 and T4 well because it supports a more natural hormone balance when managed by a licensed provider.
Bloodwork helps guide personalized thyroid dosing, but your provider will explain exactly what is required and how to complete it.
Yes. Balanced thyroid hormones are essential for metabolism, energy, and overall vitality.
More FAQ