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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 excel in diagnosing and treating thyroid issues, employing a comprehensive approach that encompasses both holistic and conventional medical protocols. We use our own lab and keep costs down for our patients. Dr Miskell prides herself as a thyroid doctor who can offer effective thyroid treatment at a better cost than most other clinics here in Austin. Please note that we do not have an endocrinologist on staff, so we do not do surgery or treatment of nodules. But we have spent over 20 years refining our Hormone Replacement Therapy Program and we can handle your Thyroid imbalance, including hypothyroidism and hashimotos.

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?

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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 Practitioners

Our expert Doctors, Physician Assistants, and Nurse Practitioners are highly educated and experienced.

Tailored to You

Your treatment is always customized to each individual based on their lab results, symptoms and history.


We have worked hard to be able to offer our patients very affordable fees and efficient testing and treatment.


"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 lab results and a careful assessment of your symptoms, as well as any history of treatment, we will direct a treatment protocol to address your thyroid condition.  Each month we can reassess and make adjustments to get your Thyroid just right and any unwanted symptoms addressed. 

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

Austin Clinic

2200 Park Bend Drive, Building 1, Suite 201 Austin, Texas 78758
HOURS: Mon: 8:00 AM –4:00 PM,
Tues - Thurs: 7:00 AM – 4:00 PM,
Fri: 8:00 AM – 12:00 PM
Call our New Patient Coordinator:

San Antonio Clinic

21218 Market Ridge, Suite 101
San Antonio, Texas 78258
HOURS: Mon – Thurs: 8:00 AM – 5:00 PM,
Fri: 8:00 AM – 12:00 PM
Phone: 210-305-5077

New Braunfels Clinic

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

Boerne Clinic

31007 I-10 Suite 115
Boerne, TX 78006
HOURS: Mon–Thurs: 8:00 AM – 5:00 PM,
Fri: 8:00 AM - 12:00 PM
Phone: 830-981-9540

Waco Clinic

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

Waco Lab

1201 Hewitt Drive Suite 204
Waco, TX 76712
HOURS: Mon: 8:00 AM – 3:30 PM,
Tues - Thurs: 6:40 AM – 3:30 PM,
Fri: 8:00 AM – 12:00 PM
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

Hormones by Design has hands down changed my life for the better. They have identified health issues that my primary care did not and I am now on the road to better health. I am feeling more and more balanced every day."

Rebecca J Patient

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 Patient

If I could give more than 5 stars, I definitely would! Hormones by Design, has changed my life for the better. I have my energy and drive for life back! It's also one of the nicest places in town, so kind and friendly.

Misty O Patient
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.