Where to store my NDT? And how to ingest? It’s Thyroid-S from Thailand 🇹🇭

[Kwizzbit]

I’m looking for advice about storing my NDT? Fridge or cupboard?

Also I wondered if chewing or sublingual is essential or whether swallowing is good enough?

Thanks in advance!

[shaws Administrator]

Tablets are not made to be sublingual or chewed.

The method is to take a full dose with one full glass of water and wait an hour before eating.

If your tablets are all together in your pack and once opened are they loose? If so, I'd store them in an airtight container and keep in a cool dark cupboard.

You can start on a dose equal to what you were taking previously and increase by 1/4 tablet every two weeks and take note of your symptoms as they are relieved.

Take pulse/temp before beginning and if either goes too high (sometimes we feel quite hot but temp hasn't changed) drop to previous dose.

[Kwizzbit in reply to shaws]

Thank you for the advice. I have my bp/ pulse monitor and thermometer at the ready! Currently I am on 150 levo but thought that the advice is to take half a "grain" AM and another half "PM" as a standard starting point?

[shaws Administrator in reply to Kwizzbit]

I have never split doses of whatever I've taken. It messes up one's lifestyle as our stomach has to be completely empty and we want a lifestyle that doesn't impede on our daily life. The following is an excerpt and it is from a doctor who was an Adviser to Thyroiduk.org before he died. Go to the date to read the rest of the quote:-

January 30, 2002

Question: I’m hypothyroid and take Armour Thyroid twice a day. My question is about the right time to take it in relation to when I eat. Should I take it two, three, or four hours after I eat? I've read all those times in different places. Thank you very much for your time—and your great website!

Dr. Lowe: As a rule, our patients take thyroid hormone only once per day. An advantage of this one-per-day schedule is that it’s easier to find a window for good intestinal absorption—when the stomach or small intestine doesn’t contain food.

Most of our patients wait at least one hour after taking thyroid hormone before they eat. Or they wait at least two hours after eating before they take thyroid hormone. The two hour wait is a rough estimate of the time it takes for food to pass through the stomach and small intestine. It’s worth noting, however, that several factors can increase the time a patient should wait before taking thyroid hormone.

One factor is being female. Researchers report that on average, the woman’s stomach empties more slowly than the man’s. In a 1998 study, for example, researchers tested how long it took for half of a solid meal to empty from the stomachs of healthy women and men. The average time for women was 86 minutes and for men was 52 minutes.[1] This result is consistent with those of other studies; it suggests that women may benefit by waiting a while longer than men after eating to take thyroid hormone.

Another factor is the slower movement of food and stool through the gastro-intestinal (GI) tract of many patients who have hypothyroidism or thyroid hormone resistance. Doctors often diagnose the sluggish GI function as "constipation-type irritable bowel syndrome."[2,pp.681-687] Until the patient finds a thyroid hormone dose that relieves her constipation, it may be prudent for her to allow more than two hours—maybe three—for food to clear from her stomach and small intestine before taking the hormone.

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

We want as normal a life as possible.