Thyroid conditions at Lakewood Primary Care and Wellness are evaluated, diagnosed, treated and monitored by Dr. Rajan Kohli, MD, board certified in Family Medicine and fellowship trained in Functional, Integrative and Regenerative Medicine (A4M), in Dallas, Texas. We test beyond TSH alone when the picture calls for it, treat with proven medication, and follow you with scheduled labs. Medicare and most major insurance are accepted.
Symptoms that bring patients in
An underactive thyroid (hypothyroidism) is the pattern we see most: persistent fatigue, weight gain that resists effort, feeling cold when others are not, constipation, dry skin, thinning hair, brain fog, low mood, and heavy or irregular periods. An overactive thyroid (hyperthyroidism) tends to run the other way — palpitations, unexplained weight loss, heat intolerance, anxiety, tremor and disrupted sleep. Thyroid disease is several times more common in women, and its symptoms overlap heavily with perimenopause — which is exactly why testing matters rather than guessing.
How we test
Screening usually starts with TSH, but a single TSH value can miss the picture. When symptoms or history warrant it, we order a fuller panel: TSH, free T4, free T3, and thyroid antibodies (TPO and thyroglobulin antibodies) to identify Hashimoto's thyroiditis — the most common cause of hypothyroidism in the United States — and Graves' disease. Because thyroid symptoms are rarely one thing, we also look at the neighbors: blood count, iron stores, vitamin B12 and vitamin D, blood sugar, and — where the timeline fits — sex hormones. If we find a thyroid nodule or an enlarged gland, we arrange an ultrasound and, when indicated, referral for biopsy.
How we treat
Treatment is matched to the diagnosis, not a package. For hypothyroidism the standard of care is levothyroxine, dosed carefully and rechecked about 6–8 weeks after any change until you are stable, then monitored once or twice a year. For patients who continue to have symptoms despite normal labs on levothyroxine, we discuss the evidence honestly — including where combination T4/T3 therapy does and does not have support — and make the decision together. Hyperthyroidism, Graves' disease and thyroid nodules are managed in coordination with endocrinology when specialist care is the right answer; part of good primary care is knowing when to refer.
The functional medicine angle — honestly framed
Dr. Kohli's functional and integrative training means the visit does not stop at a prescription. We review the contributing factors that affect how patients with thyroid disease actually feel — iron and B12 status, sleep, blood sugar, medication interactions (including how and when thyroid medication is taken), and hormonal transitions. What we do not do is replace proven treatment with supplements or promise cures. Care is billed to Medicare or your insurance like a normal primary care visit.
Related care under one roof
Because thyroid symptoms overlap with so much else, it helps that one practice can see the whole picture: hormone evaluation and treatment for men and women, medically supervised weight loss, and long-term chronic care for blood pressure, diabetes and cholesterol.
Where we are
Lakewood Primary Care and Wellness is at 8210 Walnut Hill Lane, Professional 1, STE 516, Dallas, TX 75231 — at Walnut Hill and US 75 on the Texas Health Presbyterian Dallas campus, minutes from University Park, Highland Park, Preston Hollow, Lake Highlands and North Dallas. We are accepting new patients, and same-week appointments are usually available.
