Take NDT with meals...?: Two doctors prescribing... - Thyroid UK

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Take NDT with meals...?

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6 years ago•6 Replies

Two doctors prescribing NDT, Drs. Dommisse and Mercola, both advocate taking it twice a day AFTER meals, to achieve more stable T3 levels. Has anyone successfully tried this?

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6 Replies

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BadHare6 years ago

In my ignorance, I initially took mine with breakfast, meds, & supplements.

It only began to work when I found out not to, then took it on an empty stomach with water only.

Sometimes I add a little ACV or ascorbic acid to my water, or leave a slice of lemon in overnight, as the weak acid helps digestion & absorption, but no food or other drinks of any kind for over an hour.

• in reply toBadHare6 years ago

Ok, thanks, that's what I thought as most advise against taking NDT with food.

6 years ago

I haven't tried taking NDT with food I take 1 x grain at 6am and another 1 x grain at 2.30 pm well away from food and I feel well without a thyroid.

• in reply to6 years ago

Thanks! Yes, that's what I've heard as well but you see so much conflicting advice out there...

shawsAdministrator6 years ago

I do not believe these two doctors. I don't want to be nasty but why on earth would anyone want to take any chance in which our dose could be reduced (even minutely) by taking it with or after meals. It stands to reason that food could interfere with the uptake - I think that would be common sense. They talk a lot of rubbish and seem to make assumptions.

Why would someone who has hypo want to take NDT after meals???? I certainly would not contemplate any food interfering with the uptake of hormones. As far as I've read is that food interferes with the uptake of hormones.

From Dr Lowe:-

We want to emphasize that our patients use plain T3—not sustained-release or timed-release T3. They take their full dose of T3 on an empty stomach (one hour before a meal, or three hours after) once each day (see Figure 1).When thyroid hormone resistance patients use T3, therapeutic effects from a newly increased dose may occur within several days to a week. It’s reasonable for these patients to reevaluate the inten-sity of their symptoms

"We can’t give a specific starting dose for patients in general. It varies for different patients, depending on their health status,severity of their symptoms, and other factors. Many patients, however, start with what the clinician calculates to be a full replacementdose—one that provides all the thyroid hormone a normal thyroid gland would produce to regulate metabolism. The patient’s doctor should help her calculate an appropriate starting dose.

From the starting dose, the patient gradually increases the thyroid hormone at intervals that may vary from several days to a week or two. She increases her dose based on her doctor’s calculations; the amount of each increase is most often small. Gradually,through these increases, she reaches what we call her “therapeutic window”—the dose at which she has no symptoms of overstimula-tion, and her hypothyroid-like symptoms improve or disappear altogether. In most cases, her therapeutic window involves doses of T3 that would overstimulate people whose cells respond normallyto thyroid hormone.Let us say emphatically, however, that this doesn’t mean that all patients who think they are resistant should take high doses ofT3! Treatment with thyroid hormone must always be individualized

nebula.wsimg.com/e0c9c9ed95...

• in reply toshaws6 years ago

Yes, that's what I've heard as well but was not sure as there is so much conflicting advice...

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