Moving back to Levo from NDT: Hi, Can anyone... - Thyroid UK

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Moving back to Levo from NDT

Jenna5 profile image
12 Replies

Hi,

Can anyone tell me the safest way to move back to Levo from NDT, currently taking two grains and not feeling great and so much worries me about self-medicating. I knew where I was at more with Levo, whereas with NDT I haven't got a clue

Thanks

Jenna

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Jenna5
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12 Replies
Nanaedake profile image
Nanaedake

I don't take NDT so can't advise on it but if you haven't had your vitamin levels tested yet, I would do that. It seems that some people who felt very unwell are doing better since they checked vitamin levels and optimised them. Then if you decide to make the switch, hopefully you'll be tip top and Levothyroxine will have a better chance of working well.

Jenna5 profile image
Jenna5 in reply toNanaedake

Hi, thanks for your reply. I've had my vitamins checked and on all types for supplements now, levels are getting better, still don't feel better though. I'm not enjoying self-medicating and would rather change back. Hopefully someone can guide me, as decided now I want off NDT asap. :(

Nanaedake profile image
Nanaedake in reply toJenna5

It's good you're getting supplements for vitamin levels. I only take levothyroxine and it took a while to feel better with supplements after many years of feeling unwell. I have to keep an eye on vitamin levels still. What you need to know is the equivalence of NDT to levothyroxine since you should be able to switch back no problem.

It takes about 3 days for T3 to clear your system I think so if you left a little gap of a few days and then started with levothyroxine equivalent to the dose you're on it I would have thought it would be alright. Or you could just start with a lowish dose of levothyroxine after stopping NDT and increase it in a week's time when the T3 that's in NDT has cleared your system.

I think the administrators will have a more definitive answer to your question so I hope they'll be along to answer your question soon.

Jenna5 profile image
Jenna5 in reply toNanaedake

Great, thank you so much, I thought it might be simpler than going onto NDT. One of the admins have just responded so hopefully get an definitive answer soon

Clutter profile image
Clutter

Jenna5,

How much Levothyroxine were you taking before you switched to NDT?

2 grains NDT is equivalent to 130mcg Levothyroxine.

Jenna5 profile image
Jenna5 in reply toClutter

Hi, I was in 150 Levo. Would I just do a straight swap back to that or do I have to do it gradually like when I went onto NDT?

Clutter profile image
Clutter in reply toJenna5

Jenna5,

You can swap straight back. You only had to titrate NDT to get used to the T3.

Jenna5 profile image
Jenna5 in reply toClutter

Great news! I took 1 grain this morning so should I just leave tonight's dose and take 150 Levo tomorrow?

Clutter profile image
Clutter in reply toJenna5

Jenna5,

You could take 75mcg Levothyroxine tonight if you wanted to.

Jenna5 profile image
Jenna5

I think I'll do that. My endo will be over the moon that I'm moving back to Levo, not that I want to give him that satisfaction hehe

lidoplace profile image
lidoplace

If 2 grains are equal to 130 Mcg of Levo perhaps you just needed to take some more NDT ? What is your ft3 level ?

jamesal0 profile image
jamesal0

What are your temps like today, you were probably 1 grain under dosed @ 2 grains NDT if previously 150mcg Levo.

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