Total Health & WellnessTotal Health

Thyroid Care

Thyroid care that goes deeper than one TSH.

Exhausted, cold, foggy, losing hair, gaining weight — and told your thyroid is fine. Most physicals check one marker, TSH. It is genuinely possible for that one number to look acceptable while the rest of your thyroid picture, including autoimmune activity, is clearly abnormal.

  • $299 assessment, credited in full toward your program
  • A full hour with your provider, not fifteen minutes
  • Labs drawn in our own office in Springfield
  • No insurance billing, no contracts, no surprise bill
Teresa greeting a patient at the front desk of the Springfield clinic
  • This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
    Topaz_FineArts · Google
  • Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
    Bird Fox · Google
  • I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
    Autumn M · Google
  • If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
    Shawn Yancey · Google
  • Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
    Cara Erickson · Google
  • Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
    Jimmy Wolfe · Google
  • Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
    Katy Yates · Google
  • I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
    Mel C · Google
  • Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
    BELINDA Gilmore · Google
  • We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
    Kim Bateman · Google
  • My A1c levels dropped from 6.0 to 5.1 over two months on a lchf (Keto) diet.
    CW Powell · Google

In their own words

What an underactive thyroid actually feels like

  • I am tired no matter how much I sleep.”

  • I am cold when nobody else is.”

  • My hair is falling out.”

  • I cannot think clearly through the fog.”

  • I gained weight without changing anything.”

  • My skin is dry and my nails break.”

  • I am constipated and bloated.”

  • My mood has flattened out.”

Every one of these is measurable. None of them is something you have to live with because someone called it normal.

A patient having blood drawn for a full hormone and metabolic panel at the clinic's in-office lab

Drawn at our in-office lab · Walk-in lab draws Mon–Thu 9–3, no appointment needed

What we measure

One marker cannot describe a whole gland

TSH is a signal from your brain, not a measurement of thyroid hormone itself. We test the hormones your body is actually making and converting, plus the antibodies that reveal Hashimoto — the most common cause of low thyroid function, and one a TSH-only check routinely misses.

  • TSH
  • Free T4
  • Free T3
  • Reverse T3
  • TPO antibodies
  • Thyroglobulin antibodies
  • Vitamin D
  • Ferritin
  • The full panel — including testosterone for women.

    Not a single TSH and not an estrogen-only view. Women get testosterone measured too, which most panels never check.

  • We treat your symptoms even when your labs read “normal.”

    Reference ranges are wide and built from a general population. Sitting inside one while feeling terrible is a finding, not a dead end.

How it works

Three steps to a real thyroid answer.

You help build this plan from the first step — you choose how deep the testing goes, you see what came back, and nothing gets treated without you understanding why.

  1. A patient checking in with Mark at the front desk of the Springfield clinic

    Step 01

    Choose your testing depth

    You pick the tier that fits your history, so you are not paying for markers you do not need or missing the ones that matter.

    Simple, full, or Hashimoto

  2. Teresa explaining a set of lab numbers to a patient across her desk

    Step 02

    See how your system connects

    Thyroid, sex hormones, and insulin are connected. Teresa shows you how yours are interacting instead of handing you a lab printout.

    One-hour results review

  3. Teresa shaking hands with a patient on her way out of the clinic

    Step 03

    Start treatment, then confirm it

    Your dose is set to your labs and your symptoms, then rechecked, so progress is measured rather than assumed.

    Rechecked at 90 days

Book the $299 assessment

A $50 deposit reserves your visit and applies to the $299 total.

See everything included in the Total Health Assessment
Teresa Mealy, APRN, FNP, founder and sole clinical provider at Total Health & Wellness

Who you'll actually see

Teresa Mealy, APRN, FNP

There is no rotating staff here. Teresa is the founder and the only clinical provider, which means the person who reads your labs is the same person who builds your thyroid care plan and the same person you see at every follow-up.

“I am only a consultant. YOU are the leader.”
  • APRN, FNP — Family Nurse Practitioner
  • Licensed in Missouri and Florida
  • Medically supervised with a board-certified physician
  • Reads every lab panel herself
More about Teresa and how the clinic started

In their words

Thyroid patients on finally getting an answer

Thyroid problems are among the most commonly missed, and it shows in what patients write afterward. Thyroid patients lead, followed by patients on being heard and tested properly. All quoted exactly.

This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google review · February 2026
  • Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
    Katy Yates · Google · September 2023
  • In making an appointment with Teresa I found out that all my years of odd symptoms were in fact, Hashimotos. Now I am on my journey towards healing and it would never of happened if not for Teresa…
    Nancy Ratterree · Google · December 2019
  • Everyone in the clinic was so kind and considerate. They went out of the way to make me feel welcome. Teresa spoke to me like I was a human. She explained everything from the moment I sat down. She is very easy to talk to…
    Emma Wasson · Google · February 2026
  • I was impressed that Teresa did not open her computer once during my initial meeting with her. She had her full attention on our conversation! She seemed patient to listen to what I needed to share.
    Annette Copeland · Google · January 2026
  • Teresa is so knowledgeable and sweet! Love her passion and willingness to actually listen to my problems instead of “doctors” who only want to prescribe medications that don’t even touch the root issues…
    Carissa Strange · Google · December 2025
  • Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
    Bird Fox · Google · November 2025

Quoted word for word, trimmed only at sentence breaks. 4.9★ across 126 Google reviews as of July 2026. Read them on Google.

Individual results vary. These are personal experiences, not a promise of any particular outcome.

After your assessment

Care that keeps adjusting.

Hormones and metabolism aren't set once and left alone — the dose that's right in month one usually isn't right in month six. Total Health Optimization is how that keeps getting tuned: unlimited visits, labs re-read as they change, and your provider reachable between them.

Total Health Optimization

$499 to start, then $275/qtr

Optimization members unlock better pricing on nearly everything else. If you already spend on supplements and treatments, the savings offset much of the quarterly fee.

  • Wholesale pricing on our own supplement line
  • Members-only peptide pricing
  • Discounted compounded prescriptions
  • A supplement starter pack included
  • A free InBody body-composition scan
  • A direct provider line, Monday–Thursday

No insurance, no contracts, cancel anytime.

Start with the $299 Total Health Assessment — credited in full toward any program you start.

Common questions

Thyroid testing questions, answered plainly.

My TSH was normal. Could I still have a thyroid problem?

Yes, and it is common. TSH is a pituitary signal, not a direct measure of thyroid hormone. Free T3, free T4, reverse T3, and thyroid antibodies can all be abnormal while TSH still reads inside the reference range.

Do you test for Hashimoto?

Yes. We run TPO and thyroglobulin antibodies, which is how Hashimoto is identified. It is the most common cause of hypothyroidism and it is routinely missed when only TSH is checked.

Can thyroid problems cause weight gain and fatigue?

They can, and they often overlap with insulin resistance and sex-hormone changes — which is why we test all three together rather than chasing them one at a time.

Have a question that is not here? Call (417) 771-5277 and talk to a real person.

Ready to feel like yourself again?

It all starts with the $299 Total Health Assessment — a full lab panel, a one-hour results review, and a plan built around you. The fee credits fully toward any program you start.

Reserve your visit with a $50 deposit — applied straight to your $299.

Call nowBook $299 visit