3,500+ Patients HelpedHashimoto’s care in Washington, D.C.
Hashimoto’s Treatment, Beyond the Prescription.
Your antibodies are high and TSH levels are climbing, you feel exhausted and foggy, and told to just keep an eye on it.
Hashimoto’s is an autoimmune disease before it is a thyroid one, so the missing hormone is only part of the answer. One clinician tests your whole system to find what’s driving the immune attack, and treats it alongside your medication.
Care led by Snejana Sharkar, FNP, ACNP, RND, and Dr. Isabel Sharkar, NMD
“I cannot remember the last time that my body felt this healthy and balanced. I arrived at Indigo with several autoimmune flares.”
Rina, Indigo Patient- 4.8/5
- patient rating on Google
- 30+
- years of combined clinical expertise
- 30 min
- free discovery call to start
As featured in
When the Immune System Turns on the Thyroid
Hashimoto’s often begins years before the thyroid fails.
Antibodies climb, symptoms come and go, and a TSH that still sits in range means the immune attack goes uninvestigated.
In Hashimoto’s the immune system attacks thyroid tissue, so the symptoms are a mix of low thyroid output and immune activity. Flares, swings between tired and wired, and symptoms that move around the body are common and are often dismissed.
Common Hashimoto’s Symptoms
- Deep fatigue
- Weight gain that won’t shift
- Brain fog and forgetfulness
- Feeling cold all the time
- Hair loss and brittle nails
- Dry skin
- Anxiety or low mood
- Swelling at the front of the neck
- Joint and muscle aches
- Constipation and bloating
- Irregular or heavy cycles
- Trouble conceiving
The Complete Picture
A Complete Picture of Your Hashimoto’s
A TSH test cannot see autoimmunity. We measure the antibodies, the hormones they affect and the systems that keep the immune response going.
We Evaluate
- 01TPO and thyroglobulin antibodies, tracked over time
- 02Complete thyroid panel: TSH, free T4, free T3, reverse T3
- 03Nutrient cofactors: selenium, iodine, zinc, iron, vitamin D
- 04Gut health, intestinal permeability and microbiome balance
- 05Infections linked to thyroid autoimmunity
- 06Blood sugar and insulin patterns
- 07Adrenal function and cortisol rhythm
- 08Sex hormone interplay: estrogen, progesterone, testosterone
- 09Environmental burden: toxins and heavy metals
How It Works
Your Path to Calmer Immunity
01
Advanced Diagnostics & Root-Cause Discovery
Functional and specialty testing maps what has been driving the immune attack:
- Antibody levels and a full thyroid panel
- T4-to-T3 conversion and reverse T3
- Nutrient depletions that limit thyroid function and immune balance
- Gut permeability and microbiome testing
- Viral and other infection markers where indicated
- Blood sugar, adrenal and sex hormone patterns
- Toxin and heavy-metal burden where your history points there
Every protocol begins with your results.
02
Personalized Hashimoto’s Protocol
Your plan is built around your results, your history and your goals:
- Thyroid medication optimized where appropriate
- Immune-calming nutrition
- Selenium, vitamin D and other cofactors brought to target
- Gut repair to reduce the immune load
- Treatment of infections found in testing
- Adrenal and stress-response stabilization
- Sleep and lifestyle foundations
Every protocol is individualized, because no two cases of Hashimoto’s are the same.
03
Ongoing Monitoring & Medication Management
Hashimoto’s moves, so your care adapts as your body responds:
- Antibody trends re-tested alongside the full panel
- Careful dose refinement over time
- Symptom tracking between visits
- Fertility, pregnancy and menopause considerations woven in as needed
We measure progress on your antibodies and your full panel, as well as on how you feel.
04
Long-Term Balance & Prevention
Staying well means protecting the thyroid tissue you have:
- Sustained immune balance
- Nutritional repletion and maintenance
- Strategies to prevent flare-ups
- Watching for the other autoimmune conditions that travel with Hashimoto’s
- Periodic reassessment to catch drift early
The aim is balance that holds for years.
Built for Patients Like You
Indigo Health Clinic was founded with one purpose: to give patients the kind of care we wish we had when we were searching for answers.
Our practice is built on compassion, curiosity, and the belief that healing happens when you’re truly seen, heard, and supported. Our integrative team looks beyond symptoms to understand the full picture, your history, lifestyle, environment, labs, and unique physiology.
A multidisciplinary care team
Trained in naturopathic, integrative, functional, and conventional medicine.
Advanced diagnostics and specialty testing
To locate root causes often missed by standard care.
Medical-grade IV therapy & targeted protocols
Tailored to your needs (immune support, detox, nutrient restoration, energy, gut health, etc.).
Long-term, relationship-based care
We don’t just prescribe; we guide, monitor, and adjust as your healing unfolds.
Patient Stories
In Their Own Words
Hashimoto's, chronic fatigue, autoimmune flares, gut health. These patients came to Indigo for different reasons. Press play and hear what changed. Individual results vary based on health history, condition severity, and personal factors.
Healing Hashimoto's and becoming a mom
Rosie P. · Indigo Patient
1 of 5
More stories
The Indigo Promise
Why Choose Indigo for Hashimoto’s?
The Standard Approach
- Usually TSH-only testing, once a year
- Antibodies tested once, followed by no further investigation as to why
- Levothyroxine and “see you in six to twelve months”
- The autoimmune side of the disease left untreated
- No look at gut, nutrients, infections or adrenal function
- Fatigue and brain fog blamed on something else
- Seven-minute appointments
The Indigo Approach
- A complete thyroid panel with antibodies tracked over time
- The immune drivers investigated and treated
- Medication, nutrition and lifestyle in one protocol
- Gut, infections, nutrients and adrenal function addressed together
- Conversion, absorption and cofactors optimized
- Fertility and pregnancy planned into your care
- Time to be heard at every visit
Starts with a free 30-minute discovery call
3,500+ Patients Helped
What Our Thyroid Patients Say
“I cannot remember the last time that my body felt this healthy and balanced. I arrived at Indigo with several autoimmune flares.”
Rina G.Indigo Patient
Is Indigo Right for You?
We Can Help If You…
If you have a Hashimoto’s diagnosis and a prescription but no plan for the disease itself, this is the place to start. And if it isn’t the right fit, we’ll tell you that on the call.
Take thyroid medication but feel no better
Your dose changes, your symptoms don’t.
Have high antibodies and a “normal” TSH
And were told to come back when the gland fails.
Flare and settle without knowing why
And want the triggers found rather than guessed.
Are trying to conceive, pregnant or in perimenopause
And need care that treats your hormones as one system.
Have a family history of thyroid or autoimmune disease
And want to protect the thyroid tissue you have.
Want a long-term partner in your health
With a clinician who knows your history and a plan that changes as you do.
I founded Indigo because I saw too many patients being dismissed and told their symptoms were stress, aging, or just 'how their body is.'
Commonly Asked Questions
Your Questions Answered
If you’re living with Hashimoto’s, or suspect it, these are the questions we hear most. Yours are welcome on a free discovery call.
What’s the difference between Hashimoto’s and hypothyroidism?
Hypothyroidism means your thyroid isn’t producing enough hormone. Hashimoto’s thyroiditis is the most common cause of it: an autoimmune condition in which the immune system attacks the thyroid gland. The distinction matters because autoimmune thyroid disease calls for more than hormone replacement. Identifying and addressing what drives the immune response is central to how we work.
My antibodies are high but my TSH is normal. Should I do anything?
Yes. High antibodies with a normal TSH is early Hashimoto’s, and it’s the stage where there’s the most opportunity to influence the course, before the gland is damaged. Standard care tends to wait. We would rather find and address the root cause driving the autoimmunity.
Can Hashimoto’s be reversed?
Antibody levels can fall, symptoms can resolve and medication needs can stabilize or reduce when the drivers are addressed. Thyroid tissue that has already been lost does not regrow, which is why acting early matters. We talk about remission and stability rather than cure, and we track both with testing.
Does diet matter in Hashimoto’s?
For most patients it does. For some patients gluten and dairy affect their symptoms and antibody levels, and many notice a change when they’re removed. For others, it's not enough. We test rather than assume, and we build a way of eating you can sustain rather than a list of bans.
What is the link between Epstein-Barr virus and Hashimoto’s?
Epstein-Barr, the common virus that causes mononucleosis and stays in the body for life, is one of the better-studied infections linked to Hashimoto’s. Researchers have found signs of the virus inside the thyroid tissue of most Hashimoto’s patients in some studies. This is still an association rather than proof that the virus causes the disease, but where your history suggests a reactivated infection, we test for it and address it.
How does Hashimoto’s affect fertility and pregnancy?
Thyroid autoimmunity is linked with cycle irregularity, difficulty conceiving and a higher risk of miscarriage, and thyroid needs rise in pregnancy. We treat your thyroid and your hormones as one conversation, and weave fertility or pregnancy goals into your plan from the start.
How soon will I feel better?
Some patients notice change within weeks of the right adjustments. Antibody levels and immune balance move over months. Hashimoto’s recovery is steady rather than instant, and we track it with data as well as how you feel. Individual results vary based on health history, condition severity, and personal factors.
Do you accept insurance?
Indigo is a cash-pay practice. This allows us to spend the time your case actually requires, without insurance constraints dictating your care. Many patients find the investment worthwhile given the depth of evaluation and the results they’ve been unable to achieve elsewhere. For eligible services like provider visits, in-clinic blood draws, and vitamin D injections, we can provide a superbill you may submit to your insurer for possible out-of-network and direct reimbursement.
Getting Started
Your Free Discovery Call
Thirty minutes on the phone with our patient care team, so you can ask your questions and find out whether Indigo is the right fit before you commit to anything.
- 01Book a time that suits youChoose a slot online in under a minute.
- 02Share your storyTell us what you’ve been living with, and ask us anything. We listen first.
- 03Get your path forwardLeave with clear next steps, whether or not they’re with us.
Rather talk now? Call (202) 499 - 7535
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- 30+ Years Expertise
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Water Front Center, 1010 Wisconsin Ave, NW, Suite #660, Washington, D.C. 20007 · (202) 499 - 7535
DISCLAIMER
The information on this page is intended for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Indigo Integrative Health Clinic provides personalized, data-informed care; individual results vary based on health history, condition severity, and personal factors. Functional medicine services are intended to complement, not replace, care from your primary healthcare provider or specialist. Please consult a qualified healthcare provider before making changes to your health protocol.