I was prescribed 25mcg of cytomel by a previous functional doctor. Since I am not using this doctor anymore, I wondered if NDT is a better replacement of cytomel? Also, if metavive is the best form of NDT? And finally, if there was a 1:1 ratio between the dosage of cytomel and metavive.
I feel pretty low on energy, hair loss, major weight gain. TSH is normal per recent blood tests. My NHS endo seems to have disappeared since COVID. So wondering if I should take NDT and if so, how much.
Many thanks in advance.
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New2thyroid
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Am a bit confused. Two months ago you were on 25 mcg of levo (T4 meds); now you are on 25 mcg of cytomel (T3 meds) - so did you just switch from T4 to T3 meds two months ago?
Do you have any recent blood results following the change?
Seems likely to me that you haven't been properly medicated for a long time, certainly your results from two months ago weren't great, and this would explain your symptoms. You may well do best on a combination of T4 and T3 meds - but to give these a chance, you need lots of blood testing and incremental dose changes until you find your "sweet spot".
As regards moving to NDT or Metavive - (a) these are different things; (b) NDT is increasingly difficult to get hold of; (c) my understanding is that a number of people who can no longer get NDT have moved to Metavive are happy - but others are moving back to levo and/or lio as Metavive doesn't do it for them ... so you won't know until you try.
But if you can access lio and levo, given the difficulties in accessing NDT, it seems that getting onto a correct dose of one or both of these may be easiest to try first x
Manh thanks for your response fuchsia-pink. I requested my GP for.some comprehensive bloods but she only prescribed a tsh. So a bit frustrated currently. Hence tho8gh could have a combination of 25mcg and NDT. And the only NDT I can see online is Metavive.
Previously, my functional doctor had prescribed me cytomel which worked wonders for me. But since I am not seeing her anymore (got a bit too expensive for me), I am back at the mercy of my GP as my NHS endo doesnt seem to be available since Covid.
I'd recommend getting a basic private blood test of TSH, free T4 and free T3 then. It's not that expensive. Post the results here - in a separate post. Really you are looking for TSH to be well under 2 and free T4 and free T3 to be nice and high in range. That will help you work out how under-medicated you currently are - and help work out what dose may make you feel better.I understand the feeling frustrated - but you need more/better data to get your meds right x
It should be pointed out that Metavive is not NDT and you can't expect it to necessarily perform the way NDT does.
NDT contains a fixed amount of T4 and T3 that is checked during production.
Metavive is a thyroid glandular - using the whole thyroid gland and there is no declared hormone content, there may or may not be, if there is it may differ from batch to batch. If it was NDT it would be a prescription only medication.
Some people have changed from NDT to Metavive and are doing well on it, similarly others who changed did not do well.
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