is it normal to crash when increasing NDT - Thyroid UK

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is it normal to crash when increasing NDT

dizzy1979
dizzy1979

Hi all, I have recently started thiroyd from thailand after being on thyroxine for many years. i was feeling so much better and increased from 1 gran to 1.5 grains about 5 days ago (after two weeks on 1 grain) however i feel like i have hit a wall running and i have totally crashed and burned. surely the increased should have had a positive effect not negative. no palps or other side effects just the slump. if this is normal how long is it likely to last?

many thanks in advance x

16 Replies
oldestnewest

Maybe too big an increase at once for you. I cannot adjust, up or down, by more than a quarter grain at a time. If it was me I would skip the 1/2 grain for a day then go onto 1/4 grain increase, see if it helps.

dizzy1979
dizzy1979 in reply to fibrolinda

Thank you for replying, is it normal to crash with an increase? Good idea to skip

For a day and then to reduce to a quarter I think I’ll try that. I’ve been like a bear with a sore head all this week and the only thing I can pin point it to is the increase.

HiddenThis reply has been deleted
dizzy1979
dizzy1979 in reply to Hidden

Really? I think because the pills are so small I felt quite comfortable to take the extra half stupidly. Would you suggest reducing to a quarter or continuing as I am in hope the body will adjust? I have taken the higher dose for 5 days I think.

shaws
shawsAdministrator in reply to dizzy1979

I grain of NDT is equal, in its effect, to 100mcg of levothyroxine.

dizzy1979
dizzy1979 in reply to shaws

Thank you I take thiroyd which I believe to be a little weaker the equivalent of 60 or 75mg levo?

shaws
shawsAdministrator in reply to dizzy1979

I assume the doses vary from person to person. I have stated mcg and not mg.

getrealthyroid.com/conversi...

shaws
shawsAdministrator

When on NDT, the recommendation is a 1/4 tablet (I am assuming of 1 grain) every 2 weeks taking note of your symptoms being relieved. Keep an eye on your pulse and temp and if either goes higher, drop to previous dose.

dizzy1979
dizzy1979 in reply to shaws

I shall be reducing to 1.25 grains tomorrow and will stick with that for 2 weeks. I was feeling good on 1 grain but know it will be to low to maintain so thought I’d be ok to increase. It was obv to much to soon. Is it usual to crash with an increase though?

shaws
shawsAdministrator in reply to dizzy1979

All our bodies are different and sometimes it may not be to the actual 'hormone content' but to the fillers/binders within it which might.

I have only ever been able to increase by 1/4 grain at a time. Also make sure that vitamin levels are optimal as ndt can be difficult to increase if everything else isn't in order.

I found that when I first switched to NDT from levo, it was a case of 2 steps forward and one step back but I persevered and definitely do better on it than levo x

dizzy1979
dizzy1979 in reply to NatChap

Thank you for your reply. I definitely feel like I’m going backwards at the moment. How long did it take to feel good?

NatChap
NatChap in reply to dizzy1979

It wasn't a quick fix I'm afraid, at least a year, but that was dealing with cortisol and vitamin problems too.

dizzy1979
dizzy1979 in reply to NatChap

I was hoping for a quick fix but fear I am going to be disappointed. Thank you for replying

NatChap
NatChap in reply to dizzy1979

I don't think there is any such thing when it comes to thyroid health 😕

dizzy1979
dizzy1979 in reply to NatChap

Sad but very true x

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