Why CT3M Should be in the Toolkit of Doctors

I've just published two new blog posts on my website. They both discuss CT3M and try to explain why CT3M is important in the correction of partial adrenal insufficiency for thyroid patients.

Here are the links to the video and text blog posts:



Best wishes,


11 Replies

  • Thanks for this Paul. A really interesting read ( and video) and one which I will be printing off and giving to my GP. Let's hope and believe that one day your future vision does come!

  • Thank you for the feedback! I appreciate it.

  • Thank you Paul.....

  • Thank you!!!

  • Very interesting.

    Why, then, am I wired all night if I take my thyroid meds when I go to bed? If I could achieve that level of energy during the day I'd be over the moon!

  • If your meds contain T3 then taking them at bedtime demands more ATP which in turn requires glucose. Bedtime is the lowest time for cortisol and therefore glucose. The result is adrenaline is made to raise glucose - so you are wired. Taking them at night is NOT CT3M. It is not a good match physiologically to what the body would have done when it worked properly.

    You'd have to use a T3 medication and CT3M to get cortisol to have a chance of raising properly.

  • Very clear. Thank you, Paul.

  • You're very welcome Humphrey.

  • I have just ordered your book but in the mean time could you tell me the best times to take my T3. I am on T3 only and take 60. I take 20 6am, 20 2pm and 20 10pm. Should I not take a late dose then please. Thankyou Mandy

  • If it feels OK then it probably is OK. I'd have to see symptoms and signs (which are explained in 'Recovering with T3') to really have any valuable insight. I tend not to do 1-1 with patients on this group as it requires a lot of work over many weeks. I have my own Facebook group called RecoveringWithT3 where I work with patients a lot.

    No one could advise you of dosing suggestions without a lot more information on history, symptoms/signs (which include body temperature, heart rate and blood pressure) measured many times a day and lab test results (which would include as a minimum serum iron, serum ferritin, transferrin saturation %, an adrenal saliva test).

    Best wishes,


  • ok thankyou for your reply.

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