not enough T3 in NDT?

I just stumbled upon this article which explains why some patients may need more T3 than NDT alone can provide, and that sometimes, even supra physiological doses of T3 may be necessary (the title of the article is a bit misleading as it talks about much more than weight loss on Armour):

restartmed.com/armour-thyro...

[EleanorM-G]

Yes, I take extra T3, on top of my NDT.

[Hidden in reply to EleanorM-G]

Interesting! Are your FT3 levels out of range?

[EleanorM-G in reply to Hidden]

It's the only way I can keep my levels in range! (By that, I mean in the upper quarter of the range for T3.)

I've been doing this for about 15yrs, since Dr Peatfield suggested it.

[Hidden in reply to EleanorM-G]

OK, interesting! A follow-up question: do you mean upper quarter of the range for T3 right after you've taken meds, or 24 h after taking any?

[EleanorM-G in reply to Hidden]

I mean when I get my thyroid blood test results, there is a result, then next to it it tells me what the "normal range" is. Most people do best when their T3 is in the upper quarter of that range. So near-ish to the top figure (never over)

Does that make sense?!

[Hidden in reply to EleanorM-G]

Yes. I have been wondering for a while how to achieve that, as my FT3 levels tend to be either midrange or above range...never in the upper quarter of range...

[EleanorM-G in reply to Hidden]

Yes, it can be difficult to strike a balance. How do you feel when you are mid-range? If you feel well, then there is no need to raise it. If you feel there is room for improvement, then you need to start cutting up your pills. (If you aren't already.) I can't get mine any smaller than into quarters....! You get different size pills, so if you want to add a bit more, take what you do now, & also buy a smaller dose T3, then you can get cut up really small? Good luck!

[Hidden in reply to EleanorM-G]

Actually, I was feeling fine on my previous dose, so maybe that is where I need to be...when I raise it, I tend to get some (rather minor, but still) hyper symptoms. Also, I have my labs done 24 h after taking any meds, so it's likely my FT3 levels were much higher the previous day.

Thanks for your input, much appreciated!

[EleanorM-G in reply to Hidden]

Sounds like you were on the right dose for you then.

[Hidden in reply to EleanorM-G]

Yes...on Thyroid-S. Not sure what to think of this drug, though. I like it because it seems to work but, on the other hand, I've never seen a thyroid drug with more fillers and binders...I am not too crazy about some of them, like aluminium...on the other hand, I like the fact that it contains a slow-release substance...I just fail to understand why such a small pill would need +/-20 ingredients...