Thyroid testing & hypothyroidism care in Springfield, MO
Thyroid care that goes deeper than one TSH.
Fatigue, feeling cold, thinning hair, and weight changes can occur with an underactive thyroid, but they can also have other causes. Teresa reviews your symptoms, previous results, and medications before deciding what further thyroid testing or treatment is appropriate. Bring the labs you already have — they are part of the conversation.
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
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Start here
What thyroid care actually looks at.
Your thyroid helps regulate energy use, temperature, and many other body functions. Thyroid care combines your history and symptoms with appropriate testing to identify a problem and monitor treatment. These terms describe different parts of that evaluation.
Hypothyroidism
An underactive thyroid
An underactive thyroid that does not make enough thyroid hormone. TSH and free T4 are central to diagnosis; symptoms alone cannot confirm it.
Hashimoto’s
The autoimmune cause
An autoimmune condition and a common cause of hypothyroidism. Antibody testing can help identify it, sometimes before thyroid hormone levels change.
Free T3 / Free T4
The active hormone
T4 is the main hormone the thyroid releases; the body converts some of it to active T3. Free T4 is interpreted with TSH. T3 testing is useful in some situations but is not routinely needed to diagnose hypothyroidism.
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.
Drawn at our in-office lab · Walk-in lab draws Mon–Thu 7:30–2, no appointment needed
What we measure
One marker cannot describe a whole gland
TSH is the usual starting test for thyroid function. Free T4 can clarify the picture, while TPO and thyroglobulin antibodies may help identify Hashimoto’s thyroiditis. We explain what each result can and cannot tell you. Additional markers below are considered in context; more testing is not automatically better, and not every marker is needed for every patient.
TSH
Free T4
Free T3
Reverse T3
TPO antibodies
Thyroglobulin antibodies
Vitamin D
Ferritin
The full thyroid panel — not a lone TSH.
We consider TSH, free T4, and thyroid antibodies in the context of your symptoms and history, and explain when additional testing is useful rather than assuming every marker needs treatment.
A normal TSH does not close the case.
A normal TSH is usually reassuring about thyroid function. If you still feel unwell, we consider other causes and whether your circumstances call for further evaluation.
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.
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
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
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.
Thyroid care sits in an odd gap — too routine for some specialists, too involved for a quick visit. Who you see shapes how deep the testing goes. The honest landscape.
Primary care (PCP)
Where most thyroid symptoms first come up and a TSH gets checked.
Panel depth
Usually TSH alone
Checks antibodies
Rarely
Treats to
Whether TSH is in range
Endocrinologist
The hormone specialist, typically reached by referral for complex cases.
Panel depth
Deeper, case by case
Checks antibodies
When indicated
Treats to
Guideline ranges
Med spa / wellness bar
May sell thyroid support supplements without a real workup.
Panel depth
Minimal, if medical at all
Checks antibodies
No
Treats to
A product, not your labs
Dedicated hormone clinic
Where you are
A practice that reads the full thyroid picture as routine, not exception.
Panel depth
Free T3, free T4, reverse T3
Checks antibodies
Hashimoto’s, routinely
Treats to
How you feel plus the full panel
You don’t always need an endocrinologist, and you don’t need a referral to be seen here. What matters is whether someone runs more than a TSH, checks for the autoimmune cause, and treats how you feel rather than one number in range.
Who qualifies
Should you get your thyroid looked at more closely?
A normal TSH doesn’t mean the question is settled. Whether a deeper look is worth it comes from your symptoms and your history — here is the honest shape of who it tends to fit.
Likely a fit if
You have the classic signs — fatigue, weight gain, cold, hair thinning, brain fog — with a “normal” TSH.
You were diagnosed and medicated but still don’t feel right.
Only a TSH was ever run, and free T3, free T4, and antibodies never were.
Thyroid disease runs in your family and you want the full picture, not a single marker.
Not the right starting point if
You’re pregnant — thyroid matters a lot then, but that testing should be coordinated with your OB.
You’re stable and feel well on current treatment; there may be nothing to change.
You want a specific thyroid drug on demand without testing; that isn’t how it’s prescribed here.
Your symptoms point elsewhere entirely — the same panel usually shows where to look instead.
Not sure a deeper look is warranted? That’s exactly what the assessment and a full thyroid panel are for.
Who you'll actually see
Teresa Mealy, APN
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.”
APN — Advanced Practice Nurse
Licensed in Missouri and Florida
Medically supervised with a board-certified physician
Thyroid problems are among the most commonly missed, and it shows in what patients write afterward about finally being tested properly. All public reviews, quoted exactly as published.
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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
Rated 5 out of 5 stars
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 out of 5 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?
A normal TSH usually indicates normal thyroid function, but persistent symptoms still deserve evaluation. Your history, medications, and circumstances may justify free T4, antibody testing, or another assessment. Thyroid antibodies can be present before hormone levels change. Reverse T3 is not a routine diagnostic test for hypothyroidism, and an abnormal result alone does not establish a need for treatment.
Do you test for Hashimoto?
Yes. TPO and thyroglobulin antibody testing is available when evaluating possible Hashimoto’s thyroiditis. Antibodies help identify an autoimmune cause; TSH and free T4 help show how the thyroid is functioning. Positive antibodies alone do not always mean thyroid hormone treatment is needed.
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.
Often connected to
One system, not separate problems.
These rarely show up alone. Teresa treats them together, in one plan, rather than as separate departments.
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.
