Thyroid Answers Podcast

Thyroid Answers podcast is focused on providing answers to the most common questions people who have a thyroid problems and thyroid symptoms need and want answers to. The podcast is hosted by Dr Eric Balcavage and Dr Erica Riggleman. Both are doctors of functional medicine, chiropractors and certified nutrition specialists. Their practices focus on helping people with thyroid conditions improve their symptoms and regain their health using functional medicine.
RSS Feed Subscribe in Apple Podcasts
Thyroid Answers Podcast







All Episodes
Now displaying: 2020
Dec 22, 2020

Dr Eric and Dr Erica answer more of your questions regarding hypothyroidism. If you have questions about hypothyroidism or any aspect of your health, submit the questions to the podcast to

In today's episode the doctors answer listener questions including:

  • Why does blood glucose rise when I do Intermittent fasting?
  • Why is fasting blood glucose high if insulin is low?
  • Are T4 / T3 combo medications bad?
  • Why does Ketogenic diet make me feel worse?
  • It seems like I have to keep increasing T3 medication just like I had to do with T4 medication, WHY?
  • More ...
Nov 26, 2020

In this episode of Thyroid Answers Dr Erica and Dr Eric discuss the significant role the GI Tract has in thyroid physiology, Hashimoto's and Hypothyroidism.

In this podcast the doctors discuss:

  • The link between the GI tract and the Cell Danger Response
  • Malabsorption and hypothyroidism
  • The GI problems causing hypothyroidism
  • Hypothyroidism causing GI dysfunction
  • Evaluating the GI Tract
  • Addressing GI problems improves GI physiology 
  • Food Intolerances
  • Histamine
  • More ...
Nov 10, 2020

In this episode of Thyroid Answers Dr Erica and Dr Eric answer a bunch of listener questions. Some of the questions answered include:

  • When does hypothyroidism start?
  • What causes hypothyroidism?
  • Is fasting bad for those with hypothyroidism?
  • Why do I get low blood sugar episodes on a ketogenic diet?
  • My weight is not budging on ketogenic diet and T4 medication. Can you tell me why?
  • Why do I initially feel better when I start any form of thyroid hormone replacement therapy but then improvement tapers off?
  • Why dose my insomnia seem worse the stronger my dose of THRT?
  • More ...
Oct 27, 2020

In this episode of Thyroid Answers the doctors discuss Postpartum Thyroiditis. While it is thought to impact less than 10% of women, if you are one of them, it can result in a significant impact of your health and quality of life.

Topics covered include:

  • What is Postpartum Thyroiditis
  • What causes Postpartum Thyroiditis
  • What are the signs and symptoms
  • Postpartum Thyroiditis vs Hashimoto's Thyroiditis
  • Postpartum Thyroiditis vs Primary Hypothyroidism
  • Postpartum Thyroiditis symptoms vs "normal" postpartum symptoms
  • How is Postpartum thyroiditis detected
  • More ...
Oct 6, 2020

The TAP team interview medical doctor Leah Austin regarding the challenges medical doctors and patients experience when addressing thyroid disorders, hypothyroidism, and chronic hypothyroid symptoms.

The doctors discuss:

  1. The allopathic approach to hypothyroidism and other disorders
  2. Allopathic Medicine vs Integrative Medicine vs Functional Medicine
  3. The time crisis in allopathic medicine
  4. Managing TSH vs addressing the cause of hypothyroidism
  5. Why medical doctors don't run comprehensive thyroid panels
  6. The mismatch between what thyroid patients want and allopathic do in regard to evaluation and treatment.
  7. The hypothyroid spectrum
  8. More ....

Dr Leah Austin graduated from Newcastle University in Tyne, UK in 2007 and completed her General Practitioner training in 2014. She completed posts in general medicine, orthopaedics, emergency medicine, microbiology, palliative care, genitourinary medicine, obstetrics & gynecology. Since working as a General Practitioner she has gained experience working in the North East, Yorkshire, London, UK and Beijing, China. Working as General Practitioner within the NHS, she became frustrated with time constraints of 10 minute consultations; the ability to manage patients with longstanding (chronic) health problems and really being able to give patients the individualized assessment and care they deserved. Being of mixed ethnic background with Chinese and English, she became fascinated with eastern medicine and the true impact of nutrition, genetics, herbs, environment and lifestyle. With this and her own health/family concerns; led her to study nutrition and qualify as a Nutritional Therapist in September 2017 at the College of Naturopathic Medicine. She now practices in London, UK as an integrative practitioner specializing in exploring the root cause of health problems, chronic, nutrigenomic, hormone and digestive health.




Social media instagram dr.leahaustin


Sep 17, 2020

In this episode of the podcast the doctors interview Cindy Kennedy, MS, FNP-BC. Cindy is a nurse practitioner who practices functional medicine and has a special interest in Lyme Disease.

While there are many things that can trigger hypothyroidism, Lyme disease is being discussed more as a possible trigger for some with hypothyroidism. 

In this episode the following topics are covered:

  • Brief history of Lyme disease?

  • Is Lyme disease at epidemic proportions?

  • Why Lyme disease can be so difficult to treat if not caught early on?

  • What is the association between Lyme and thyroid issues

  • How to address Lyme and hypothyroidism

Cindy loves working with people who need compassion and help dealing with chronic health issues that have gone unresolved with general medical care.  The belief that everyone deserves optimal wellness, is the driving factor behind her starting to practice functional medicine.  Her own struggles with undiagnosed Lyme disease was the very beginning of the journey into the functional medical space.

While working in health care for more than 20 yrs. as a Nurse Practitioner, she began having unexplainable health issues with multiple symptoms.  This is when she became the patient as she started her journey with Lyme disease. Her basic allopathic training was not enough to get to the root of why her body was unable to heal from Lyme disease.

Working on diet, stress reduction, detoxification, sleep strategies and light exercise she realized that just antibiotics and herbs were not going to help her heal. It was the whole-body approach that would make the difference. Because true healing after a chronic illness does not happen overnight, Cindy learned to have patience and belief in the process.

It became time for her to help others and in 2017, she began using podcasting as a way to help people learn more about Lyme disease. Her show, Living With Lyme. Has been well received and has become a wonderful resource for many. This site is available at:

After practicing gynecology for over 20 years, she left to pursue her passion to help others more thoroughly. Studying with the Institute of Functional Medicine and the School of Applied Functional Medicine she and her daughter Kerah, a registered dietitian, opened their functional medicine practice, Pursue Wellness. They work both in person and virtually. The Integrative Health Center and Spa in East Longmeadow, MA, welcomes patients and clients from the New England area.  You can learn more about the center at

Aug 21, 2020

In this episode of the podcast the hosts discuss the common patterns seen in thyroid blood chemistry panels.

The doctors discuss:

  • What a comprehensive thyroid panel looks like
  • The difference between optimal and laboratory reference range
  • Reading labs for high or low vs interpreting lab results
  • The confusion regarding a "comprehensive" panel
  • What the individual thyroid tests represent
  • Common thyroid panel patterns
  • More ....
Jul 22, 2020

In this episode the Thyroid Answers team dig into the hypothyroidism and blood glucose regulation. Many people struggle with some form of blood sugar dysregulation. Some forms include reactive hypoglycemia, hypoglycemia, insulin resistance, pre-diabetes, and diabetes.

The doctors discuss how cellular hypothyroidism is linked to all of these blood sugar regulation disorders and what to do to address both hypothyroidism and blood glucose dysregulation.

Topics covered include:

  • Types of blood sugar problems
  • Optimal fasting glucose levels
  • Role of GI function in glucose control
  • Why people get hangry
  • Why you may always seem hungry and crave sugar
  • The role of thyroid hormone in glucose transport
  • more ...
Jul 8, 2020

In this episode the doctors dig into a deeper discussion into the hypothyroid spectrum. Hypothyroidism often starts long before the thyroid gland loses 90% of its function and TSH and T4 are out of lab range. 

The discussion covers:

  • The Hypothyroid Spectrum - what it is
  • The phases of the hypothyroid spectrum
  • Cellular vs glandular hypothyroidism
  • Why hypothyroidism is linked to so many disorders
  • The cell danger response
  • Thyroid physiology adaptation vs thyroid dysfunction
  • Multi-System Adaptive Disorder
  • More ...


Dr. Erica Riggleman graduated from Logan College in Chesterfield, Missouri with a Doctor of Chiropractic degree as well as a Masters in Nutrition and Human Performance.  She specializes in functional medicine and is a graduate of the American Functional Neurology Institute (AFNI).

Dr. Riggleman regularly teaches post-graduate educational seminars on topics such as functional nutrition, functional medicine, and functional neurology. She hosts a nationally known podcast called Thyroid Answers you can find on iTunes.

Dr. Riggleman enjoys living an active lifestyle indoors and outdoors as well as pursuing a clean and healthy lifestyle with her husband, Dr. Evan Riggleman.

Dr Eric Balcavage is the owner and founder of Rejuvagen, a functional medicine clinic in Chadds Ford, PA. He is nationally recognized speaker and educator on various health related topics including thyroid physiology, bile physiology, detoxification, oxidative stress, methylation and chronic illness.

Dr. Balcavage is a Certified Nutrition Specialist (C.N.S.), a Certified Functional Medicine Practitioner, Board Certified in Integrative Medicine, along with being a licensed Chiropractor in Pennsylvania.

Dr. Balcavage is the co-host of Thyroid Answers Podcast. The podcast focuses on answering the pressing questions those suffering with chronic hypothyroid symptoms can’t get answered elsewhere. You can find his educational Thyroid Thursday videos on Vimeo and Youtube.

Dr Balcavage has made it his mission to change the way medicine looks at hypothyroidism. He is the co-author of the soon to be released book, Thyroid Debacle, The book co-written by Kelly Halderman MD,  addresses the problems with current allopathic and functional medicine approaches to hypothyroidism as well as the solutions to restoring thyroid physiology.

Jun 23, 2020

Have you ever wondered how YOU developed hypothyroidism? Do you question how it is possible if you have a fairly healthy diet and lifestyle?

In episode 72 of Thyroid Answers we talk with the Wholistic Health Boss, Jenn Malecha. Jenn's own history and thyroid challenges led her down the path of becoming a Health Coach.

In this episode we cover:

  • Jenn's story of developing hypothyroidism
  • The importance of your health history and heath timeline in identifying the factors that lead to hypothyroidism
  • Why hypothyroidism is less about an immune system out of control and more about a cell defense and adaptation to excessive cell stress.
  • What creates the excessive stress load
  • How even healthy habits and behaviors may be part of the problem
  • Impact of mold and toxins in causing hashimoto's and hypothyroidism
  • More ...


Jenn Malecha supports busy, health-mind professionals in taking back control of their health by giving them access to the right lab tests and resources so they can find the missing pieces of their health puzzle, actually fix what is wrong and get back to feeling like themselves again.

Using over a decade of personal training experience, training in Functional Diagnostic Nutrition and Transformational Coaching, she creates personalized health-rebuilding programs for clients that are realistic and sustainable for long-lasting results, and that empower clients to be the boss of their own health.

Functional Diagnostic Nutrition Practitioner

Transformational Health Coach

Certified Personal Trainer

P: 619.800.8348


Jun 11, 2020

In Episode 71 the doctors interview Sandra Scheinbaum, Ph.D., IFMCP who is the founder and CEO of Functional Medicine Coaching Academy. Topics discussed in this episode include:
- Definition of Functional Medicine
- Functional vs Integrative vs Allopathic Medicine
- Functional Medicine Doctor vs Health Coach
- Role of a Health Coach
- Foundational concepts of functional medicine
- More ...

If you have ever wondered what a Health Coach is and what the role of a health coach is this will be an important episode to listen to or watch. 

Maybe you know what a health coach is and have thought of being one yourself. Dr Sheinbaum discusses her coaching program and how you too can become a health coach.

Health & wellness practitioner and educator Dr. Sandra Scheinbaum is passionate about transforming our broken healthcare system and empowering people to become CEOs of their own health. She believes that a great health coach is the ally each of us needs to make healthy changes that actually last. With her co-founder Elyse Wagner and in collaboration with The Institute for Functional Medicine, Dr. Scheinbaum founded The Functional Medicine Coaching Academy in 2014. A clinical psychologist for over 35 years, Dr. Scheinbaum is an expert in positive psychology and mind-body medicine, and the author of "Functional Medicine Coaching," "Stop Panic Attacks in 10 Easy Steps," and "How to Give Clients the Skills to Stop Panic Attacks."

Jun 2, 2020

In this episode the doctors interview Tiffany regarding her recovery from thyroid cancer and her journey to helping others recover from thyroid disorders.

Topics covered include:
- What is the 8-week Rock Bottom Thyroid Reset (RBTR)?
- How is RBTR different from other thyroid health diets and protocols?
- What can people expect from the Rock Bottom Thyroid Reset?
- Is it a weight loss plan, a diet for thyroid health, an exercise plan, or a little bit of everything?
- You were diagnosed with thyroid cancer and had to have your thyroid removed. Were there any surprising effects on your health that the doctors didn’t prepare you for?
- How did you decide to become a board-certified nutritionist? What does nutrition have to do with thyroid health?
- How does your thyroid affect other aspects of your health like mood, weight, sleep, and even blood sugar?
- How do you work with clients inside your nutrition consulting business Rock Bottom Wellness?

Tiffany Flaten, M.Ed., MSN, CNS is a thyroid expert in nutrition. As founder of Rock Bottom Wellness, Tiffany helps thyroid patients improve their symptoms through proper nutrition education. She’s helped hundreds of women and men get to the root cause, find a way up from rock bottom, be their own best advocate, and shortcut the path to an amazing life. Rock Bottom Thyroid Treatment: An 8-Week Thyroid Diet for People with “Normal” Thyroid Test Results to Thrive Not Just Survive is Tiffany’s first book. Meet others on the journey to better thyroid health at Book a free Thyroid Breakthrough Session with Tiffany at to get a personalized plan for the next leg of your thyroid journey.

Instagram: @rockbottomwellness


Apr 21, 2020

This episode covers a topic that is plagued with myths and misunderstandings. We interview diet, nutrition, and fitness expert Lacey Dunn.

Topics covered include:

  • What are the best and worst types of training / exercises for those with hypothyroidism?
  • How does exercise impact the Hypothalamus-Pituitary-Thyroid-Adrenal (HPTA) Axis?
  • How do you know what type of exercise is right for you?
  • What are the signs and symptoms of too much or inappropriate exercise?
  • How can you "test yourself before you wreck yourself"?
  • How to balance exercise and recovery
  • More ...

Lacey Dunn is breaking the mold in the “dietitian world” as a fitness professional, bodybuilder, and registered dietitian. Her mission is to educate others on evidence-based nutrition by promoting a healthy, sustainable lifestyle through flexible dieting. She believes that there is no “one size fits all” approach, and that self efficacy in food choice is a driving force for fostering healthy habits and encouraging behavioral change.

Lacey is the owner of a thriving online coaching platform, UpliftFit Nutrition, as well as host and founder of UpliftFit Nutrition radio. Lacey’s goal as a dietitian is to provide the tools that people need in order to achieve a healthy, and balanced diet while simultaneously helping them to grow and thrive in all aspects of their lives. 


Twitter: @laceyadunn


Apr 15, 2020

In this episode the doctors discuss some of the foundational principles of health with the founder of Functional Diagnostic Nutrition, Reed Davis.

Some of the topics discussed include:

  • Physiologic stress and hypothyroidism
  • Metabolic chaos and factors that cause it
  • The impact of internal and external environment
  • Metabolic Typing Diet
  • Foundational principles of health

To receive a free 3 Step Functional Diagnostic Nutrition Guide that explains their program go to


Reed, Holistic Health Practitioner (HHP) and Certified Nutritional Therapist (CNT), is an expert in functional lab testing and holistic lifestyle medicine and Founder of Functional Diagnostic Nutrition® (FDN).  Reed served as the Health Director and Case Manager at a Wellness Center in So. California for over 10 years and now teaches the FDN Course with over 2500 trainees or graduates in 50 countries.  Reed is known as one of the most successful and experienced clinicians in the world today, having provided functional lab assessments to over 10,000 clients. Reed is also a Clinical Advisor for BioHealth Laboratories and lives in the US, teaching the FDN Certification Course and helping his graduates build robust private practices.

Reed Davis, CNT

Founder | Functional Diagnostic Nutrition© Certification Course

Clinical Advisor | BioHealth Laboratory |

Phone: 858-449-7384 | Skype: ReeddavisFDN

Apr 7, 2020

In this episode the discussion focuses on the Hypothyroid and hormones with the "Hormone Guy", Dr Ralph Esposito.

  • The relationship between testosterone, estrogen and thyroid hormone?
  • Why your sex matters when evaluating for hypothyroidism?
  • Common symptoms of hypothyroidism in men?
  • Cellular vs Glandular Hypothyroidism
  • Brain vs body regulation of hormones
  • The therapeutic order of health care
  • More ....


Dr. Esposito is a naturopathic physician and acupuncturist specializing in integrative endocrinology and urology along with men's health. His precise and personalized style utilizes a systems biology and precision medicine approach to medicine.

In addition to advising as a peer reviewer for medical journals, he has authored several medical textbook chapters and has designed education modules for health professionals specifically on urological conditions, male and female hormone dysfunction, hypogonadism, exercise, men’s health and sexual dysfunction.

Dr. Esposito has trained at NYU Integrative and Functional Urology Center. He holds a position as adjunct professor at New York University where he lectures on integrative medicine. Currently, Dr. Esposito practices in NYC.


IG: @dr.ralphesposito

Twitter: @drralphesposito

FB: Dr. Ralph Esposito 

Mar 26, 2020

In this episode the discussion focuses on the Hypothyroid crisis, what it is, and why it may be occurring.

  1. Why many people diagnosed with hypothyroidism continue to struggle with thyroid hormone replacement therapy?
  2. Is hypothyroidism a mistake or a protective mechanism?
  3. How common is hypothyroidism in Ireland?
  4. Thyroid Nutrition Ireland: What it is and its mission.
  5. What are the strategies that must be put in place to help those struggling with hypothyroidism?

Olivia Beck has a well-established clinic in Limerick City, Ireland, with a special interest in Thyroid Health, having released her first recipe e-booklet in 2014 and recently setup Thyroid Nutrition Ireland.  Olivia is currently doing her Master’s Degree in Advanced Nutrition and hopes to continue to educate people on how Nutrition can help to support a thyroid condition. Olivia uses evidence-based research to inform her practice and talks, as well as her belief in walking the walk-in order to inspire others. 



Mar 20, 2020

In this episode of the podcast the doctors interview the Queen of Carnivore aka the Sassy Carnivore, Holly Warner.

In the episode the trio discuss why the carnivore may help help people with hypothyroidism and other autoimmune disorders. Some of the topics covered include:

  1. Why we don't need fiber
  2. How we are getting adequate nutrients when nose to tail, and why the RDA is getting thrown out the window- no we won't get scurvy
  3. Oxalates, how they contribute to Hashimoto's Thyroiditis
  4. Why the Carnivore Diet and Low Oxalate Diet helps our thyroid conversion 
  5. How Carnivore diet changes our microbiome and why that isn't a concern
  6. What supplements I still use and why

Holly Warner is a Functional Medicine Practitioner and Cannabinoid Therapist who specializes in hormone imbalances, bHRT (bio-identical hormone replacement therapy), thyroid/gut/adrenal health, autoimmune disease, LDN therapy, functional genetic testing and clinical/forensic nutrition.  Her approach is rooted in science while combined with a modern holistic perspective. 


Instagram: (her hashtag is #TheSassyCarnivore)


Twitter: @DNA_Gangsta 


Feb 25, 2020
In this episode the doctors interview vascular surgeon Dr Jeff Martinez. Doctor Martinez discusses his story of finding improved health not through allopathic medicine but through the introduction to functional medicine, a world he literally did not know existed until meeting Dr Balcavage.
In this episode the doctors discuss:
  • His journey into dysfunction and disease
  • His introduction to functional medicine and what he calls a parallel universe he didn't realize existed 
  • The dietary changes that resulted in his dramatic improvement of his weight and health
  • How allopathic doctors and are trained and why there is a disconnect between allopathic and functional medicine
  • How allopathic medicine had good intentions but didn't provide improved health
  • The impact of diet and lifestyle modifications can have on health and quality of life
  • The place both allopathic and functional medicine have in health care
Dr Jeff Martinez is a vascular surgeon in San Antonio. He grew up just outside of Dallas. He attended Texas A&M University
and then went to medical school at the University of Texas Health Science Center at San Antonio. He completed his general surgery residency at the same institution and completed a two year fellowship in peripheral vascular surgery. He completed a 3 month mini endovascular fellowship.
He practiced in the US Navy for 8 years and moved to San Antonio to start private practice in 2001. His medical group
is one of the largest single specialty private practice vascular surgery groups in the country. He was President for 3 years. He participated in multiple clinical trials for vascular disease.
He has a wife and two sons. He likes to hunt and fish for hobbies. He is a board member for the Dallas Safari Club South Texas Chapter in San Antonio.
Feb 4, 2020

In this episode, Dr Eric Balcavage interviews nurse practitioner and nutrition expert maverick Cynthia Thurlow on intermittent fasting, time restricted eating and hypothyroidism.

Many people struggling with hypothyroidism have been told that fasting and time restricted eating is unhealthy for them and will make their hypothyroid condition worse. Cynthia explains why fasting and time restricted eating is not only safe for those with hypothyroidism but often beneficial in helping improve thyroid physiology.

Topics covered:

  • Dieting, Time Restricted Eating (TRE), Intermittent Fasting (IF)
  • Calories in vs calories out myth
  • Safest ways to implement TRE and IF
  • How to know if TRE / IF is or isn't working
  • Benefits of fasting
  • How to effectively use fasting to improve thyroid problems
  • Lifestyle modifications that are important to incorporate along with fasting

Cynthia is a sought after entrepreneur, nurse practitioner, nutrition expert and 2x TEDx speaker. She is the founder of Cynthia Thurlow, LLC, co-author of Primal Eating and co-host of Everyday Wellness podcast.





Jan 22, 2020

In this episode the Thyroid Answers team interview pharmacist Dr. Donna Mazzola. In this interview the doctors discuss the various medications used to treat hypothyroidism and the pros and cons of each.

Topics covered include:

  • What are the different thyroid medications on the market and how do they differ?
  • Why might people not experience symptoms relief from synthroid?
  • What is tyrosint? Pros/Cons
  • What is Cytomel? Pros/Cons
  • Glandular products - what are they and why might they be appropriate or not?
  • Interactions and absorption issues… how you can combat them
  • More .....

Donna Mazzola is a Pharmacist who has always had a passion for natural health and preventative care.  After obtaining a Doctorate in Pharmacy, this passion became an obsession as her learnings conflicted with her core beliefs.  Conventional medicine did not have all the answers and she recognized the importance of balance with nutrition and medicine through her own struggles with Hashimotos.  To complement her pharmacy background, Dr. Mazzola is currently pursuing a Master’s of Science in the field of Functional Medicine and Human Nutrition. She currently runs a blog “DrAutoimmunegirl” to share reputable scientific information related to autoimmune disorders. Dr. Mazzola’s mission is to help others identify the root cause of disease and create the balance between nutrition and medicine.

Social info:

Facebook: Drautoimmunegirl

Instagram : Drautoimmungirl


Jan 8, 2020

In this episode of Thyroid Answers Podcast, the doctors discuss the relationship between thyroid hormone regulation and cold intolerance. 

Topics covered include:

  • Does thyroid hormone or lack of thyroid hormone play a role in cold intolerance?
  • How heat is generated in the body?
    • Obligatory thermogenesis vs Facultative thermogenesis
  • What is the role of thyroid hormone in heat generation in the body?
  • Why you are still cold despite normal TSH
  • Cellular hypothyroidism vs glandular hypothyroidism
  • Why thyroid hormone treatment may not help your cold intolerance
  • More ...