Normal Labs but Still Miserable - Why Symptom Driven Thyroid Care Changes Everything with Brandy Valentino Jessica Strauss and Krystal Adams

What if the reason many thyroid patients still feel unwell is not their labs, but how their symptoms are being interpreted?

Today’s episode is the first installment of a multi-part clinician interview series on the Modern Thyroid Clinic podcast. Host McCall McPherson sits down with three of the clinic’s clinicians, Brandy Valentino, RN, WHNP, CNM, Jessica Strauss, DNP, FNP-C, and Krystal Adams, MSN, FNP-BC, LSO, to help listeners get to know the people behind the care.

Together, they share their personal journeys into medicine, what led them to thyroid and hormone work, and why individualized, symptom-driven care matters so much for thyroid patients. You will also hear candid conversations about medical gaslighting, obesity bias, the limitations of TSH-only testing, and why many people with “normal labs” still feel miserable. Along the way, the episode brings plenty of personality and behind-the-scenes stories, including Brandy’s early inspiration from a care flight helicopter tour, Jessica’s love of travel and Disney, and Krystal’s surprising connection to a military dolphin trainer story.

Episode Highlights

  • Why this clinician interview series was created and what to expect in future parts
  • Brandy’s story of being inspired in third grade by a care flight helicopter visit
  • Brandy’s background in labor and delivery, women’s health, and midwifery
  • How Brandy transitioned into thyroid care after questioning algorithm-based hormone protocols
  • What Brandy finds most meaningful: the “fast forward” moment when patients get their lives back
  • The misconception Brandy wants patients to understand: thyroid care is highly individualized
  • The reality of being dismissed with “it’s not your thyroid” and why that harms patients
  • Jessica’s personal experience of thyroid symptoms despite consistently “normal” TSH
  • How Jessica’s training included a more nuanced view beyond basic thyroid teaching
  • A powerful story: antibodies rising dramatically and an endocrinology response of “nothing different to do”
  • How obesity bias impacts care and how it can delay diagnosis and worsen outcomes
  • Why Modern Thyroid Clinic prioritizes listening, full panels, and patient empowerment
  • Jessica’s favorite part of the work: celebrating symptom improvement and life restoration
  • Jessica’s view: thyroid issues are not a life sentence when treated appropriately
  • Krystal’s early foundation in prevention-focused care and integrative medicine
  • How Krystal’s friend’s thyroid storm and Graves disease helped pull her deeper into thyroid work
  • Why hormones and thyroid must be addressed together, especially in midlife
  • Krystal’s experience diagnosing Hashimoto’s in patients who were never told they had it, even after decades
  • Common misunderstandings: antibodies matter, T3 can be life-changing, lifestyle can amplify results
  • A striking example: a patient’s TSH dropping from around 100 to under 1 with treatment and labs normalizing quickly
  • Behind-the-scenes fun: Hawaii, a huge family, and the military dolphin trainer story

In This Episode, You Will Learn

  • Why many thyroid patients still struggle when care focuses only on TSH
  • How thyroid symptoms can be real even when labs appear “normal” on limited testing
  • Why full thyroid panels and antibody tracking can change clinical decisions and outcomes
  • How gaslighting and obesity bias show up in real healthcare settings
  • Why thyroid and hormones often need to be treated together for best results
  • What “no one size fits all” really means in thyroid medication and dosing
  • Why treating symptoms alongside labs can restore quality of life
  • How thyroid support can become the foundation that makes lifestyle change possible
  • Why patients deserve to feel well in every season of life, including perimenopause and menopause
  • How Modern Thyroid Clinic approaches education, empowerment, and individualized care

Featured Clinicians

Brandy Valentino, RN, WHNP, CNM
Brandy shares her path from labor and delivery and midwifery into thyroid care, including how questioning cookie-cutter algorithms led her to a more personalized, patient-centered approach.

Jessica Strauss, DNP, FNP-CJessica explains how her own symptoms and years of being dismissed shaped her approach to care, and why she is passionate about full thyroid evaluation, belief in patient symptoms, and restoring hope.

Krystal Adams, MSN, FNP-BC, LSOKrystal describes her prevention-focused background, her love of hormone care, and how combining hormone and thyroid optimization can help patients finally feel normal again.

📲 Follow McCall McPherson & Modern Thyroid and Wellness

💻 Website: modernthyroidclinic.com

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Normal Labs but Still Miserable - Why Symptom Driven Thyroid Care Changes Everything with Brandy Valentino Jessica Strauss and Krystal Adams

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In this episode of the podcast, host McCall McPherson engages in a compelling discussion with Shalin Shah, the CEO of Marius Pharmaceuticals, about a significant ....
February 16, 2025 9:58
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Exploring Health and Wellness: Insights from a Casual Chat in Sicily

In this podcast episode, the host, McCall McPherson, delves into a variety of health topics, sharing personal experiences and answering ....
February 16, 2025 9:54
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Unlocking the Potential of Stem Cells: Insights from Dr. Nathan Newman on "Modern Thyroid and Wellness"

In this episode of "Modern Thyroid and Wellness," host McCall McPherson delves into the transformative world of stem cells ....
February 16, 2025 9:58
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Fertility, Pregnancy, and Postpartum Health: The Role of Thyroid Hormones

In this episode, we delve into a highly requested topic: fertility, pregnancy, and postpartum health, with a particular focus on the critical role ....
February 16, 2025 9:59
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The Power of Strength Training for Women: Insights from Dr. Shannon Ritchey

In this episode of our podcast, we had the pleasure of hosting Dr. Shannon Ritchey, a former physical therapist, fitness trainer, ....
February 16, 2025 9:59
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Comprehensive Guide to Women's Hormonal Health and Longevity with Dr. Amy Killen

In this podcast episode, the host welcomed Dr. Amy Killen, a renowned physician specializing in longevity and regenerative medicine ....
February 16, 2025 9:59
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Thriving During the Holiday Season: A Comprehensive Guide to Health and Well-Being

The holiday season, while joyous, often brings a unique set of challenges that can impact our health and well-being. From managing stress ....
February 16, 2025 9:48
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Navigating Thyroid Medications: Insights from McCall McPherson

In this episode of "Modern Thyroid and Wellness," host McCall McPherson dives deep into the intricacies of thyroid medications, focusing on the differences between T4 ...
February 16, 2025 9:47
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Understanding Breast Implant Illness: Insights from Dr. Rob Whitfield on the "Modern Thyroid and Wellness" Podcast

In this episode of the "Modern Thyroid and Wellness" podcast, host McCall McPherson engages in a deep and enlightening conversation ....
February 16, 2025 9:46
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Is Your Thyroid Health Holding You Back from Living Your Best Life?

In this episode of our podcast, we had the pleasure of hosting Gina, an intuitive healer and spiritual coach, who shared ....
February 17, 2025 16:44
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Understanding Hormonal Health in Women with Thyroid Disorders: Insights from McCall McPherson

In this episode of the "Modern Thyroid and Wellness" podcast, host McCall McPherson delves into the intricate relationship ....
February 16, 2025 9:59
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Debunking Myths About GLP-1 Medications: A Comprehensive Guide

In this episode of our podcast, we delve into the fascinating world of GLP-1 medications, exploring their benefits, mechanisms, ....
February 16, 2025 9:59
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The Overlooked Importance of Air Quality: Insights from the "Modern Thyroid and Wellness" Podcast

In this episode of the "Modern Thyroid and Wellness" podcast, host McCall McPherson and guest Mike Feldstein delve into the often-rejected topic of air quality and ....
February 16, 2025 9:59
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The Greatest Turnaround: Jacinda’s Inspiring Weight Loss and Health Transformation

In this episode of our podcast, we had the pleasure of speaking with Jacinda, a patient at the Modern Thyroid Clinic and a participant ....
February 16, 2025 9:42
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GLP-1 Agonists: The Medical Revolution Beyond Weight Loss with Sally Sykes

In this podcast episode, the host from Modern Thyroid Clinic and Modern Weight Loss introduces Sally Sykes, a former attorney ....
February 16, 2025 10:00
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The Hidden Connection Between Thyroid Health and Mental Well-Being

In this episode,McCall McPherson from the Modern Thyroid Clinic and Ainslee, a patient, discuss Ainslee's transformative journey ....
February 16, 2025 10:00
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GLP-1 Agonists: The Medical Revolution Beyond Weight Loss

In this podcast episode, McCall McPherson, a medical professional from the Modern Thyroid Clinic, explores the benefits of GLP-1 agonists, originally developed for diabetes ....
February 16, 2025 10:00
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Graves and Hyperthyroidism Uncovered!

In this podcast episode, McCall McPherson explores the complexities of Graves' disease and hypothyroidism ....
February 16, 2025 10:00
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The Best Strategies for Reducing Thyroid

Hashimoto's disease is an autoimmune condition where the immune system mistakenly attacks the thyroid gland ....
February 17, 2025 16:44
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Is Your Thyroid Really the Problem?

In this enlightening episode, we delve into the complexities of thyroid disorders, focusing on why many patients, ....
February 17, 2025 16:44
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Unmasking the Thyroid: Your Journey to Wellness Starts Here!

In this episode, your host McCall McPherson, a Physician Assistant and Thyroid Expert, shares her personal and professional journey with thyroid conditions, including hypothyroidism ....
February 16, 2025 9:39
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