Living with Hashimoto’s can mean unexplained weight gain and low energy. We provide ongoing care to manage your thyroid health alongside your metabolic goals.

A no-obligation 30-minute call to answer your questions and map out your options.
Tuesdays | 7:00–8:30 PM EST | 30 minutes
If fatigue, weight changes, or brain fog are making daily life harder, you’re not alone — and relief is possible. At SustainMD, we provide personalized hypothyroidism treatment designed for patients living with Hashimoto’s thyroiditis and other thyroid hormone imbalances.
Led by board-certified physician Allison Pope Barbee, MD, our telehealth model offers compassionate, evidence-based care for thyroid health without long waits, rushed appointments, or one-size-fits-all prescriptions. You’ll receive ongoing support to restore balance, manage symptoms, and take back control of your well-being.

Type of Care: Virtual telemedicine-based memberships
Serving Patients In: California, Florida, Maine, North Carolina
Ideal For: Adults experiencing fatigue, weight gain, brain fog, or other symptoms of underactive thyroid or Hashimoto’s disease
First Step: Initial virtual consultation and full thyroid health assessment

Hypothyroidism occurs when your thyroid doesn’t produce enough hormones to regulate your body’s energy, mood, and metabolism. The most common cause is Hashimoto’s thyroiditis, an autoimmune condition where the immune system attacks the thyroid.
At SustainMD, our approach to hashimoto’s disease treatment focuses on identifying root causes, managing symptoms, and creating a sustainable care plan tailored to your needs.
Symptoms may develop slowly but can impact many aspects of daily life, including:
Persistent fatigue or low energy
Weight gain despite little change in diet or activity
Hair thinning or dry skin
Constipation and slowed digestion
Cold intolerance
Depression, anxiety, or mood changes
Brain fog, poor focus, or memory concerns
Irregular or heavy menstrual cycles
What Causes Hashimoto’s Thyroiditis?
Autoimmune response attacking thyroid tissue
Genetic predisposition and family history
Environmental triggers (stress, infections, toxins)
Factors That Worsen Symptoms
Nutrient deficiencies (iron, vitamin D, selenium)
Chronic stress and poor sleep
Metabolic dysfunction or weight changes

At SustainMD, thyroid hormone imbalance treatment goes beyond prescriptions. We combine medical evaluation, lab review, and lifestyle guidance to provide whole-person care.
Comprehensive thyroid testing and diagnosis
Thyroid hormone therapy (if clinically appropriate)
Guidance on diet for Hashimoto’s thyroiditis and lifestyle changes
Support for weight management and metabolism
Stress reduction and mental health strategies
Ongoing monitoring with virtual follow-ups
Whether you need underactive thyroid treatment, hashimoto’s thyroiditis treatment, or medication management, you’ll receive care that adapts to your changing needs.

Doctor-led, personalized care (no rushed or generic visits)
Root-cause exploration, not just symptom suppression
Focus on both physical and emotional health
Accessible care from anywhere in CA, FL, ME, or NC
Continuity of care through our membership model
01.
Review our Membership Plans & Pricing
02.
Select the plan that best fits your needs
03.
Complete your secure online intake form
04.
Book your first virtual visit with Dr. Allison Barbee
05.
Begin your personalized care plan for thyroid balance
Dr. Allison Barbee is a Board-Certified Family Medicine physician with over 20 years of experience managing complex conditions like Hashimoto’s thyroiditis and other autoimmune disorders. She provides patient-centered care that blends medical expertise with compassion, helping patients find long-term stability and relief.
Patient12
Dr. Barbee listens to your concerns, is empathetic and knowledgable. Not once has she made me feel ashamed or less than. She gives practical, reasonable and most importantly, doable recommendations. She uses lifestyle interventions instead of immediately jumping to medications, but will also use medications if you and she believe
Patient11
Dr. Barbee has been a remarkable weight loss physician for me. She distinguished herself by customizing her approach to suit my individual needs. Throughout our sessions, she was incredibly attentive, understanding my specific health concerns and weight loss goals. Dr. Barbee excelled in explaining the details of the medications she
Patient10
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient9
Dr Barbee actually listened to me and was able to diagnose my symptoms and actually treat and control the issue. I can not thank her enough! She was super patient and kind. Something you don’t really see now a days.
A.M.
Dr. Barbee understands that health is not one-size-fits-all. She takes the time to listen, remembers details, and works collaboratively with me as things evolve. The most meaningful part of working with her is feeling truly heard and supported, not just during appointments but overall in my care.
Andrea
The best! I have been a patient of Dr. Barbee’s for years! She has guided and treated me in my worst and best days. Her professionalism is top notch, along with her knowledge of health. You cannot ask for any better care than Dr. Barbee!
Suzanne Layser
Truly a compassionate Doctor- I can’t say enough good things about Dr. Barbee. I felt truly cared for. Dr. Barbee was incredibly compassionate, took the time to really listen, and never made me feel rushed. She asked thoughtful questions and genuinely wanted to understand what I was experiencing. What impressed
Patient8
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient7
Great doctor- Dr. Barbee is a kind and caring doctor. She is the type of person you can talk to and really will listen. She understands your problems and will work with you to solve them. She is very thorough and make sure everything is looked at does not miss
Patient6
Thoughtful, caring and truly helpful-I have been a patient of Dr. Barbee for many years. I have always found her honest and helpful. She works hard to look at root causes, which can take a while to figure out. She is persistent, yet kind. As we age, our bodies change.
We provide hypothyroidism treatment and hashimoto’s thyroiditis care to patients in:
Yes — we provide full evaluation, labs, and ongoing hashimoto’s disease treatment virtually, with prescriptions when needed.
Not always. We determine whether thyroid hormone therapy is appropriate after lab testing and a full health assessment.
Yes — nutrition plays a key role in supporting thyroid health. We provide guidance on an anti-inflammatory, thyroid-friendly diet.
A doctor for Hashimoto’s thyroiditis, such as Dr. Barbee, is trained in family and internal medicine and experienced in autoimmune and hormonal care.
We use blood tests to measure TSH, T3, T4, and thyroid antibodies, along with a full review of your symptoms.