'Modern' day doctors are completely unaware of NDT whatsoever.
Older doctors may be aware as it was prescribed for years. It was also used worldwide since 1892 in different form and the only thing that saved hypothyroid people from a horrible death. It is still prescribed today and thankfully can be sourced.
Recently the BTA also followed up with the following, to get it removed from being prescribed just as has been done recently by other organisations with regard to T3.
Before she contacts an Endo email firstname.lastname@example.org and ask for a copy of Dr Toft's Pulse Online article. Highlight the part within it which states how low our TSH can go.
Endocrinologists seem to have passed around rumours that a low or very low TSH is harmful, when it isn't. In fact people who have had thyroid cancer have to have a suppressed TSH and I haven't heard of them developing heart disease or dropping dead.
Is it all based on rumours not fact. I think it is to keep patients with hypo in line and still suffering with the resultant profits for Big Pharma.
Why is it that members on this forum, know more than those who are supposed to be 'educated' in dysfunctions of the thyroid gland. Dr T was President at one time to the BTA and physician to the Queen when she was in Scotland.
6 What is the correct dose of thyroxine and is there any rationale for adding in tri-iodothyronine?
The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range – 0.2-0.5mU/l
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.
But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This ‘exogenous subclinical hyperthyroidism’ is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l). Except:
Even while taking the slightly higher dose of levothyroxine a handful of patients continue to complain that a sense of wellbeing has not been restored. A trial of levothyroxine and tri-iodothyronine is not unreasonable. The dose of levothyroxine should be reduced by 50µg daily and tri iodothyronine in a dose of 10µg (half a tablet) daily added.
While taking both hormones it is important serum TSH is normal and not suppressed.