Taking NDT twice a day

[Kazza8]

Hi I am on 4.5 grains of NDT a day and as it’s so expensive I got 3 grains instead of 1.5 with the intention of cutting them. This was not so good as they crumble. So I was wondering if instead of 4.5 at night I take 3 grains every 12 hours.

[SeasideSusie Remembering]

So you're thinking of increasing from 4.5 grains to 6 grains per day? Sorry but that's madness. When titrating NDT once you reach about 2 grains then each increase should be by 1/4 grain only at a time so it's inconceivable that someone who, I assume, has found their sweet spot at 4.5 grains would increase to 6 grains and overmedicate.

[shaws Administrator]

Why not trial 3 grains first. After one or two weeks you could add 1/4 tablet . 6 grains might be too much and it is better if we can increase by small doses. I found this pill splitter good. I take T3 only and I can split this small tablet into four.

amazon.co.uk/Safe-Sound-Pil...

[Kazza8 in reply to shaws]

Thanks, I’ve ordered this but it does look the same as the one I already have. Worth a try before I have to order more 1.5 tabs.

[shaws Administrator in reply to Kazza8]

Yes, it's always good to trial tablets to ensure they work for you and also save you wasting money.

[shaws Administrator in reply to Kazza8]

p.s. It is stated that 1 gr of NDT is approx equal - in its effect - to 100mcg of levothyroxine.

[Gr8Nica]

No, you'd need to take it every 16 hrs.

Since you take 4.5 per day that's 9 per 2 days. 2 days is 48hrs devided by 3 equals 16.

[greygoose in reply to Gr8Nica]

I really don't think that would work with NDT. You need to take the same dose every 24 hours.

[Kazza8 in reply to greygoose]

Yes I didn’t do the maths right, glad I checked on here. Will try the other pill cutter and if still crumbles will ordered some more NDT at 1.5 grains. If only it wasn’t so expensive.

[shaws Administrator in reply to Kazza8]

You might find the following helpful. It is by an Adviser to thyroiduk.org.uk before his accidental death. He only took one blood test for the patient's initial diagnosis and thereafter it was small increases of hormones until symptom-free.

He was against corruption and he stated that levo became No.1 prescription due to 'monetary or other 'gifts' to doctors/endocrinologists.

naturalthyroidsolutions.com...

[Kazza8 in reply to shaws]

Thanks for help, I am feeling fine it’s just it was cheaper to buy 1 x 3 grains rather than 2x 1.5 grains. Hopefully the new pill cutter will work. If not I’ll pay the extra as my health is more important.

[shaws Administrator in reply to Kazza8]

I hope you begin to feel much better soon.

[silverfox7]

I followed Stop the Thyroid Madness to change over to NDT. That told me to go up to two grains then increae in quarters! That wasn’t first mistake! Fortunately I started my thyroid journey on NDT and realised I wasn’t improving as the dose increased so probably now over medicated but I had an appointment coming up pre planned incase I neede it and my over medicated was confirmed and my dose dropped to 1.75 which was spot on and I’d missed it by going up in half grains to 2.

I use a pill cutter and sometimes it’s not asa curate as it can be but then I have a bit of wiggle room, if the half if on the small side I add in the biggest quarter and so on and I never notice the difference ever now when one day in three I take 1.5

[Kazza8 in reply to silverfox7]

Thanks for help