Hi, I just switched to NDT but feel terrible. I perhaps should have tried to supplement my 175mcg levo with T3 first? Only on getting my medichecks results last week did I discover I had Hashis so although I KNEW I was very sick on levo I did not appreciate I also had Hashis. I have not been gluten free but am taking Vit D 800, Vit C 1000, Selenium 200mcg, Magnesium 350mg (powder), Vitamin B slow release complex and B12 boost spray. Below are my last bloods before starting NDT. Should I now stop and go back to levo and supplement with t3 before making the switch and continue with supplements? A bit scared really as I feel so awful so fast (5 days). Thankyou
THYROID STIMULATING HORMONE 1.79 mIU/L 0.27 - 4.20
FREE THYROXINE 21.79 pmol/L 12.00 - 22.00
TOTAL THYROXINE(T4) 113.3 nmol/L 59.00 - 154.00
FREE T3 3.8 pmol/L 3.10 - 6.80
THYROGLOBULIN ANTIBODY *260.800 IU/mL 0.00 - 115.00
THYROID PEROXIDASE ANTIBODIES*268.4 IU/mL 0.00 - 34.00
VITAMIN B12 393 pmol/L 140.00 - 724.00
FOLATE (SERUM) 10.73 ug/L 3.89 - 26.80
25 OH VITAMIN D 72.89 nmol/L 50.00 - 200.00
CRP - HIGH SENSITIVITY 1.3 mg/L 0.00 - 5.00
FERRITIN *158.5 ug/L 13.00 - 150.00
What daily dose of NDT are you taking?. I am assuming your levo was 175mcg daily?
Hi 1 grain, cut in half taken morning and 4pm. I leave it to dissolve under my tongue and avoid anything else for an hour. Can hardly get off the sofa but I am going to take the dog out now or I will go crazy.
1 grain is equal, in its effect, to approx 100mcg of levo. Also dissolving under the tongue doesn't give you the effect you believe as the molecules in the NDT are too large to be absorbed by the tongue and you'd swallow most, when hormones have to be taken with a full glass of water so they dissolve in the stomach.
Also, I do know that some split doses but there's really no need as you'd have to find a window when your stomach is empty for the second dose, i.e. not to have eaten at least for 3 hours previously. Remember also that this will be a life-long process.
Reading the whole link might be helpful but particularly the response to the question dated January 30, 2002.
web.archive.org/web/2010103...
Usually, when switching from levo to NDT, it is an approx dose from levo to NDT. You stay on this dose for two weeks, (taking note of temp/pulse before beginning) and increase by a small dose (about 1/4 tablet) every two weeks with, hopefully, a slow but steady improvement in your clinical symptoms. (also levo has to slowly leave your system and would take a few weeks).
(I am not medically qualified but have hypothyroidism and have gone through the usual methods when not improving on levo).
If either pulse or temp rises too high, drop to previous dose.
Hi and thank you so much. I will amend my intake and do temp/pulse. I know there are sadly no quick fixes, I just want my life back.
I shall give you a couple of links which may be helpful:
web.archive.org/web/2010103...
web.archive.org/web/2010112...
Yes 175 levo daily, forgot to mention.