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Thyroid Balancing

Message From Dr. Miskell

Low Thyroid can have an adverse effect on so many aspects of your life

Low-functioning thyroid has become all too common.

Our team of highly trained providers excels in diagnosing and treating thyroid issues, employing a comprehensive approach that encompasses both holistic and conventional medical protocols. We stay abreast of the latest medical discoveries and research studies to ensure the highest quality of care.

Regrettably, it’s not uncommon to encounter individuals exhibiting numerous symptoms of thyroid disorders who previously underwent testing only to be reassured that everything is “normal.” In some instances, individuals were prescribed thyroid medication that failed to alleviate their symptoms. At our center, we are dedicated to addressing thyroid concerns with precision and effectiveness.

Personalized and accurate thyroid treatment often leads to noticeable improvements for most patients within days or weeks of initiating the treatment, with a significant majority experiencing substantial enhancement shortly thereafter.

Are you ready to embrace a life of increased well-being, heightened energy, and the opportunity to reclaim the vitality you deserve?

Thyroid Treatment

Getting Your Thyroid Right

Recognized as the master hormone, the thyroid plays a pivotal role in regulating metabolism, body temperature, and various other bodily functions. Its influence extends to energy levels, body weight, and cognitive function.

The thyroid hormone serves a multifaceted purpose, aiding in the elimination of cellular waste, enhancing fat breakdown, promoting healthy hair growth on the scalp and eyebrows, and reducing cholesterol levels and body weight. Crucially, it contributes to preventing cognitive deterioration.

In the realm of women’s health, thyroid hormone is indispensable for fertility. Surprisingly, many women undergoing costly infertility treatments may find that thyroid hormone replacement is the key to addressing their needs.

Our expertise encompasses the treatment of a diverse range of thyroid disorders, including:

  • An under-active thyroid, Hypothyroidism.
  • Hashimoto’s Disease.
  • Other thyroid disorders involving challenges in converting T4 into T3

The most prevalent thyroid disorder we address is hypothyroidism—an underactive thyroid. In essence, hypothyroidism occurs when the thyroid gland fails to produce sufficient thyroid hormone or is unable to effectively utilize the produced hormone, leading to symptoms associated with a sluggish metabolism. If you’re grappling with thyroid-related issues, we’re here to provide comprehensive and tailored solutions.

Thyroid Treatmentd

Hashimoto's Disease

Hashimoto’s, an autoimmune disorder, is a very common cause of Hypothyroidism.

This autoimmune response is triggered by the body perceiving the thyroid gland as an invader, prompting the production of antibodies that launch an attack. The consequences are twofold: a significant drop in thyroid hormone levels, leading to hypothyroidism, and the gland’s release of excess hormones, causing hyperthyroidism spikes. As the antibodies continue their assault, the thyroid may become depleted, further contributing to insufficient hormone production and hypothyroidism.

Affecting approximately 1 in 4 women, Hashimoto’s Disease commonly manifests between ages 45 and 65, although it can occur at other stages of life and also affects men. Detecting this condition accurately necessitates blood tests specifically targeting antibodies, as standard TSH tests may not reveal the autoimmune aspect.

Given its autoimmune nature, relying solely on medication for thyroid treatment may fall short of addressing Hashimoto’s comprehensively. The roots of this disorder may extend to deficiencies in Vitamin D, Cortisol, or DHEA, as well as low levels of Iodine and Selenium. 

While treating it as Hypothyroidism, it is also good to make some lifestyle changes as part of treatment.

Skilled Doctors

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Tailored to You

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"Just after the first visit the difference in my energy level was amazing . I'm retired and I found myself sitting on the couch and taking a nap during the day. After my first doctor visit and shot I redid the whole front flower bed of my house in 2 days which is something I couldn't have done even close to a month ago. The results were amazing I feel like my old self again." - Sue G.


Through thorough laboratory testing and a comprehensive evaluation of your symptoms, we personalize your thyroid treatment to precisely address your unique needs, alleviating adverse symptoms and restoring optimal function. Recognizing that not all individuals respond uniformly to standard thyroid medications, we offer a range of options for Thyroid Replacement, ensuring a tailored approach that effectively addresses any lingering symptoms. Your journey to thyroid health is a customized path, and we are dedicated to finding the solution that best suits your individual requirements.

Symptoms of Low Thyroid

These symptoms vary by individual, you may not have all of these but still have a thyroid condition.


Treatment is simple. Based on your tests and symptoms…

For your Convenience

We do everything we can to make things easy for you.

Most of our appointments are done virtually, making it easy to connect from the comfort of one’s home eliminating the hassle of a commute and tedious waiting times. Telemedicine can liberate you from the constraints of rigid schedules making it easier to avail yourself of our services.

You can do the needed labwork in our office without a set appointment or you can go to a nearby lab if that is easier for you. Your appointments with the Provider are done virtually. If treatment involves a monthly injection, you can stop by our office for about 5 minutes anytime during our extended hours without making an appointment. 

And all of this is done with the lowest possible fees to make it affordable for everyone.

Everything is set up to make it as easy as possible for you to feel better!

HBD Clinics and Lab

Our Locations


2200 Park Bend Drive, Building 1, Suite 201 Austin, Texas 78758
HOURS Mon: 8–4, Tues - Thurs: 7– 4, Fri: 8–12 Noon.
Call our New Patient Coordinator:

San Antonio

21218 Market Ridge, Suite 101 San Antonio, Texas 78258
Mon – Thurs: 8–5,
Fri: 8–12 noon
Phone: 210-305-5077

New Braunfels

598 N Union Ave Suite 300
New Braunfels, Texas 78130
HOURS: Mon–Thurs: 7:00am–4:00pm, Fri 7:20am-12pm
Phone: 830-627-7979


31007 I-10 Suite 115
Boerne, TX 78006
Mon – Thurs: 8–5, Fri: 8–12 noon
Phone: 830-981-9540


1201 Hewitt Drive Suite 105 B Waco, TX 76712
HOURS: Mon: 8:00–3:30, Tues: 6:40–3:30, Wed: 6:40–3:30, Thurs: 6:40–3:30, Fri: 8–12
Clinic Phone: 254-230-4225

Our HBD Lab

Lab address: 1201 Hewitt Drive Suite 204 Waco, TX 76712
HOURS: Mon: 8:00–3:30, Tues: 6:40–3:30, Wed: 6:40–3:30, Thurs: 6:40–3:30, Fri: 8–12
Lab Phone: 254-230-4758

Thyroid Treatment

Life can be so much better!

Combatting symptoms like fatigue, weight gain, and hair loss associated with thyroid issues is well within reach through proper diagnostics and treatment. When these conditions are not diagnosed or treated correctly it can significantly impact your quality of life. The good news is that by seeking the right treatment, you have the potential to feel better, regain energy, shed excess weight, and effectively alleviate other symptoms that may be affecting your well-being.


What They Say

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bio-identical hormones
About Us

Costs and Insurance

We have founded our practice on affordable pricing for exceptional health care.

We have very affordable cash rates for our lab testing…you will be pleasantly surprised!  However, established patients can use insurance for their labs. We cannot verify lab benefits for patients, so we recommend that you know your lab benefits prior to your lab draw.

We are designed as a cash-based practice, but our Billing Manager can provide you with a Superbill to file your own insurance claim.  However, Medicare does not allow this.  We are unable to provide Medicare patients with a Superbill.