Virtual Thyroid & Autoimmune Care
Online Thyroid Doctor
Still Experiencing Symptoms Despite “Normal” Thyroid Labs?
Fatigue, weight changes, hair loss, brain fog, and low energy can overlap with thyroid disease, but they can also have other causes. Get a comprehensive evaluation from a triple board-certified endocrinologist who will review the complete picture, determine whether additional thyroid testing is appropriate, and help you understand what your results actually mean.
Virtual self-pay care in Florida, New York, Minnesota, and Wisconsin. Initial consultation: $435. No referral required.
You May Benefit From a Thyroid Evaluation If
- You’ve been told your thyroid labs are “normal” but your symptoms haven’t improved
- You experience persistent fatigue, brain fog, or low energy that doesn’t match your lifestyle
- Your weight has changed significantly without a clear explanation
- You’ve never been tested for thyroid antibodies, only TSH
- You’re pregnant or planning pregnancy and have a known or suspected thyroid condition
- You want a plan that treats the underlying cause, not just the lab number
Thyroid Dysfunction Often Starts as an Autoimmune Condition
A significant proportion of thyroid disease begins with an autoimmune condition. Hashimoto’s thyroiditis can lead to an underactive thyroid, while Graves’ disease can cause an overactive thyroid.
A comprehensive evaluation may include TPO antibodies and other thyroid antibodies when clinically appropriate, not only TSH. Identifying an autoimmune condition can help clarify the diagnosis and guide appropriate monitoring and treatment.
Lifestyle Factors Matter in Autoimmune Thyroid Care
Medical treatment remains essential when indicated, but comprehensive thyroid care does not have to end with a prescription or dose adjustment. Nutrition, sleep, physical activity, stress, smoking, alcohol use, nutrient status, and metabolic health can contribute to a more or less inflammatory state and affect how a patient feels.
At Apex, lifestyle education complements appropriate medical treatment and supports the patient’s symptoms, metabolic health, and long-term well-being.
Pregnant or Planning Pregnancy? Thyroid Care Should Not Be Delayed.
Thyroid hormone requirements and treatment goals can change during pregnancy, particularly during the first trimester. Patients with known hypothyroidism, Graves’ disease, abnormal thyroid results, or a history of thyroid treatment may need prompt evaluation and closer monitoring.
Dr. Bernal provides specialized thyroid management before and during pregnancy, with treatment and follow-up tailored to each patient’s diagnosis and stage of pregnancy.
Evaluation That Looks at the Whole Picture
- Care directly from a triple board-certified endocrinologist and obesity medicine specialist
- Comprehensive thyroid testing, including TPO and other thyroid antibodies when clinically appropriate, not only TSH
- Review of symptoms, thyroid function, medications, supplements, nutrient status, metabolic health, previous imaging, and other potential contributors
- Evaluation of thyroid and non-thyroid explanations for overlapping symptoms
- Evidence-based medical treatment and lifestyle education
- Ongoing management when needed
We look beyond TSH, without assuming that every symptom is caused by your thyroid.
Ongoing Support When You Need More Than a Consultation
Some thyroid patients benefit from continued medical management, especially when thyroid function is fluctuating, medication is changing, pregnancy requires closer monitoring, or thyroid and metabolic concerns need to be addressed together.
For patients who also want help implementing nutrition, exercise, sleep, stress, and other lifestyle recommendations, the Metabolic Membership combines ongoing endocrinology care with health coaching and accountability.
Meet Dr. María Bernal Riera
Dr. Bernal is a triple board-certified endocrinologist and obesity medicine specialist who helps patients understand complex hormonal and metabolic symptoms that are often addressed separately, or dismissed entirely. She is also principal investigator on ongoing medical research in Graves’ disease, bringing current, evidence-based insight directly into how she evaluates and treats patients. Her approach combines rigorous medical care with a treatment plan designed around each patient’s health and goals.
- Board Certified · Internal Medicine
- Board Certified · Endocrinology
- Board Certified · Obesity Medicine
Specialist Care Designed Around You, Not Insurance Limitations
Apex is a self-pay telemedicine practice and does not bill insurance. This allows for longer appointments and care focused on a comprehensive evaluation, not a rushed lab review.
- Initial comprehensive consultation $435
- Metabolic Membership $225/month
- Available to patients in Florida, New York, Minnesota, Wisconsin
- Referral Not required
If you’ve been searching for Hashimoto’s treatment in Florida, you can be evaluated and managed entirely from home. Care is delivered by telemedicine throughout Florida, New York, Minnesota, and Wisconsin: no waiting room, no commute, no time off work.
Frequently Asked Questions
My TSH was normal. Why would I still need an evaluation?
Standard screening often checks only TSH. A comprehensive evaluation can include antibody testing and a fuller clinical picture that a single lab value doesn’t capture.
Do you test TPO antibodies?
Yes, when clinically appropriate. A comprehensive evaluation may include TPO antibodies and other thyroid antibodies, not only TSH. Identifying an autoimmune condition can help clarify the diagnosis and guide appropriate monitoring and treatment.
Can lifestyle changes help autoimmune thyroid disease?
They can contribute. Medical treatment remains essential when indicated, but nutrition, sleep, physical activity, stress, smoking, alcohol use, nutrient status, and metabolic health can all affect how inflammatory your overall state is and how you feel. At Apex, lifestyle education complements appropriate medical treatment rather than replacing it.
Do you accept insurance?
Apex is a self-pay practice and does not bill insurance directly. Some patients use HSA/FSA funds or submit for out-of-network reimbursement.
Can you see me virtually in my state?
Yes, if you’re located in Florida, New York, Minnesota, or Wisconsin.
Stop Guessing About Your Thyroid
Book a consultation with an online thyroid doctor in Florida who will test past TSH and treat what’s actually driving your symptoms.
Initial comprehensive consultation: $435. No referral required.