Hi
I usually take my t4/t3 first thing in morning with another 5mcg dose of t3 around 3/4pm. I spoke to another lady in the Thyroid UK Group who has said she takes her t4 first in the morning then waits an hour before taking her first dose of t3, then the last dose of t3 around 3pm. She was advised by an Endo to do this and said she feels better, but she said she doesn’t avoid food around the t3 morning dose and that it’s an hour away from her t4 dose (so no food with the t4)
Would this be ok try? I suffer with Morning IBS and trying to figure out if it’s my meds. I thought you had to take all thyroid meds t4 and t3 away from any food for at least an hour so not sure how this works for the lady I spoke with.
Thanks for any advice 
Paul Robinson and those who follow his protocol believe that you don't need to separate T3 from food or drink. I don't worry too much about it, and it doesn't seem to be a problem for me. I take my T4 at night so generally it's taken away from food. More recent research has shown that the old guidance of taking Levo in the morning isn't necessarily accurate and that in fact there can be benefits from night time dosing. If you have morning IBS problems nighttime T4 dosing might be an option; and as T4 has a far longer half life than T3, and T3 is faster to take effect, there is no need to take them together. But the only person that can judge how you need to take your meds is you yourself, by trial and error.
Hi Maisie Do you take your t4 and t3 separately? And what times? Do you eat with t3?
mistygrey After 9 yrs of taking them together in a single dose, I now take a single dose of T4 at night, and split my T3 x 2 during the day. I can then take 3 other meds in the morning. But I also take a beta blocker 4 x daily which interferes with thyroid functioning, and it's nigh on impossible to keep my T3 away from the first three meds and the four lots of betablockers, as well as avoid food and drink. So I often double up on the betablockers to avoid the T3 as far as possible, and have a relaxed attitude to food and drink. (For my first 30 yrs of mono T4 I slugged it down with coffee and took it whenever - and never felt better lol; but then the menopause came along .....)