switching from T4, T3 to NDT update: Hi guys, I... - Thyroid UK

Thyroid UK
101,699 members116,619 posts

switching from T4, T3 to NDT update

Hi guys, I posted on here 4mths ago about switching my meds however after I posted and got some feedback on the post. I decided to stay on the t4 t3 combo and see how a reduction in t3 would go after talking to the integrated medicine doctor again about my concerns with the big increase of t4 if I changed to ndt at that time. Fast forward 4 mths and I have successfully lowered my t3 and the results are ok. I am now on 75mcg T4 and 37.5mcg t3 my current bloods are :

23 April 2018

FT3 5.7 ( 3.10 – 6.80

FT4 12.8 (12 – 22)

TSH 0.022 ( 0.27 – 4.20 )

RT3 13 ( 10 – 24 )

I saw him again yesterday and he said he thinks I am now in a better position to do the switch over to Bio Thyroid now ,although he thinks I could need to add a little t3 to it down the line.

He said he wants me to start on 1 grain and see how I feel then according to how I feel possibly add in another 1/2 grain if i am symptomatic. He said to re take bloods in 4/5 weeks but he is more interested in how I am feeling rather than what the bloods are..

I think maybe I should go straight to the 1 and 1/2 grains to start? Do I split the doses or take all together? I did not ask him! He has given my 1/2 ,1 and 2 grain tablets to take home with me.

Thanks for any advice ;)

I did post on my original post but do not think it was seen after all this time ;)

12 Replies
oldestnewest

healthunlocked.com/thyroidu...

Perhaps it is this post :-)

Reply

thats the one ;)

1 like
Reply

thats the one ;)

Reply

I have never split doses. The reason being that if I split I would have to find a suitable time to take the second dose and be sure my stomach was empty and it makes life more normal. Go to the date January 30, 2002 on the following link:-

web.archive.org/web/2010103...

Reply

thank you I will take a look ;)

Reply

Never did update this post but things did not work out with the NDT and I went back to t4 t3 combo ;)

Reply

Can you tell me what you mean by things did not work out on the NDT as I am thinking about doing the same thing myself i.e. changing from T4/T3 combo to NDT and I just wondered. Thank you x

Reply

Hi Jaxie28 It did not work out as the ratio in the NDT was not enough t3 for me and my t4 just kept going up whilst my t3 remained low with increases. There was the option to add t3 to the mix but it then meant sourcing NDT and t3 when in UK and just sourcing one is a mammoth task so I went back to the t4 t3 combo.

1 like
Reply

Thank you for replying. I think I’m going to have this issue too as I’m the opposite as in in order to get the amount of T4 I need from NDT, then I’ll have way too much T3 which makes me feel so anxious. It’s so hard to get this situation balanced. I hope you’re doing well now?

Reply

seriously it is a minefield! I was doing great then had a surgery which messed me up. had to stop t3 just weaning back on as we spk.....

1 like
Reply

Thank you x

Reply

how did the surgery affect the thyroid? was the t3 not working anymore? are you only on t4?

Reply

You may also like...