Can anyone explain the following to me in layman's terms. My partner is on NDT and our approach as per STTM approach is to increase by half a grain every two weeks if he is feeling hypothyroid symptoms return. Once we hit the range 2 to 3 grains to increase more slowly, maybe 0.25 grain every two weeks.
However I came across the following in the STTM website:
"Being afraid to raise too quickly can result in a suppression of the feedback loop between the hypothalamus, pituitary and thyroid gland, i.e less messenger hormones are released, making you even more hypothyroid than you began (plus you may experience the results of extra adrenaline).."
I thought if you had had a thyroidectormy and on NDT that you were bypassing the TRH / TSH / T3/T4 loop altogether? i.e. when optimal your TSH is suppressed at about 0.4 and you should be aiming for Free T4 in midrange, Free T3 in upper range?
I understand the impact of adrenal functional, iron etc - but cannot get my head around the hypothalmus, pituitary and thyroid gland loop if you have no thyroid!!
Thanks in advance to anyone who can shed light!