They may describe exhaustion despite getting enough sleep. Brain fog. Constipation. Changes in their hair or skin. Difficulty maintaining their usual weight. Or simply a sense that their energy, metabolism, and body feel different than they used to.

Not everyone feeling this way needs thyroid medication, but lab results shouldn’t be the end of a conversation either. If this all sounds eerily familiar to you, here are some next steps to take:

1. Ask what was actually tested. Look at the numbers themselves rather than whether the report labeled them normal or abnormal. Review previous thyroid tests to understand your trajectory.
2. Tell your clinician about medications and supplements you’re taking
3. If your symptoms persist, ask what else could reasonably explain them. Sometimes the answer will be thyroid disease, sometimes it will be completely different.

Good medicine isn’t about choosing between the laboratory and the patient. It’s about understanding both. If you want the complete breakdown of what a “normal” thyroid test really means and how to address it, check out my full article here.

—Shamita Triviedi, D.O., women’s health endocrinologist

+Hormone health

• Every woman’s guide to HRT
• Why ovarian health is a vital sign
• The link between your thyroid & sleep apnea
• 5 aspects of a hormone-supporting breakfast

As a busy working mom, my showers are usually get-in-get-out. Then I stepped into my room at the Carriage House in Kohler, Wisconsin — six showerheads, water dialed to the exact degree — and stayed in for ten minutes. Best shower of my life.

It was the perfect intro to a trip where wellness wasn't one treatment or class — it was everything: how I moved, recovered, ate, and spent time outside.

Don’t miss these highlights:

• A sweaty Soul Sculpt Hot class and a round on Whistling Straits, one of the best courses in the country.
• Hot-and-cold therapy, a massage, and an experience in the Ammortal Chamber at Kohler Waters Spa that left me floating.
• A log-cabin lunch overlooking the golf course, plus the famous chocolate terrapins.
• Sculpture-lined walks through town, capped by a coffee or matcha at The Greenhouse (trust me, this solarium space is unreal).

I left with a new idea of what a wellness getaway can be. No need to choose between active and restorative. At Kohler, there's room for both.

At Kohler, Wisconsin, wellness isn't confined to a spa day — it's woven into everything. From a sweaty class to a massage that left me on cloud nine, a stay in Kohler, Wisconsin doesn’t have to be one thing. I left with a whole new idea of what a reset can look like.