When taking Natural Desiccated Thyroid it's more about how you feel as there are no ' lab tests ' specifically for NDT and we dose to the relief of clinical symptoms - so how long have you been on this dose and how do you feel you are doing ?
As was the system before the science of blood tests and the rules and guidelines introduced by Big Pharma when they launched their own T3 and T4 synthetic options on the back of NDT in the middle of the last century.
NDT blood tests will not look like synthetic T3 and T4 blood tests and we track on the Free T3 reading :
NDT blood test readings tend to show a low suppressed TSH -
and a T4 likely lower in the range BUT with a T3 significantly higher in the range than when on synthetic T4 monotherapy,
Do you have any bench mark readings from when taking T4 monotherapy so we can compare if NDT ' looks to be ' working better for you ?
So is this blood test is 6 hours post ingestion of the capsule as that puts the blood test at around 3/4 am ?
My fasting blood tests at around 10 / 12 hours - gives me a similar T3 reading - I am not over medicated :
I'm with Graves and post RAI thyroid ablation 2005:
Have always been on NDT since 2014. Past tests have been on 10-12 hour fasts as the results I have posted.
The new doctor said 6 hours after ingestion. I am due for a new blood test so was a bit confused about the timing and her comment about being borderline.
I am coeliac, diabetic and have DH. I had my gangrenous gallbladder removed in an emergency opand since have had problems with diarrhoea.
So I have a lot going on and not feelings so good.
I have all my tests back to 2014 so tomorrow I will complie the results to look at the progression so you can see what has been happening.
I will do the test with 10-12 hour fast to get the new base line.
I have now found a functional doctor closer to home but is a 4 month wait. The doctor who ordered the referral is 120klm from my home where we now live. I live on an island in Redland Bay area.
Thank you for replying it has helped clarify my thoughts.
I need to go to bed as it is 10.18pm and mind a bit fuzzy.
How do you feel. The ratio between your FT4 and FT3 is so low. Your NDT is probably made up differently to the usual ones. Armour, Erfa and Thyroid s. It think that it must contain a lot more T3 for your FT4 to be low too. It all depends on you.
You may be better taking your NDT early am rather than PM. Your ratio T3 to T4 is very high 1.57 . You are on capsules so these contain the ratio they are compounded.
Changed to pm to take capsule as upset stomach am plus was easier to maintain same time each night. My diabetic medication is 12 hours apart so clashed with thyroid taking am. Metformin XR 7am again 7pm.I felt better taking NDT in the evening 2/3 hours after evening meal.
Yes I am on a statin, a standard treatmeny when cholesterol is a little high and a diabetic.
I will ring the compound pharmacy and ask about the mixture they use. I understand it is thyroid USP powder (porcine) and Avicel PH-105 (microcrystalline cellu). Eg Thyroid power 4.2 GM
to match dosage for 40mg capsule. This from old receipt from 2018.
I did a blood test this morning so will see doctor in a week and get more information.
I'm not sure as sometimes, it takes awhile to fall asleep but I have other issues like sinus and tummy issues after gallbladder op. I generally sleep well.I changed to pm because clash of other medication and the slight sick feeling in tummy. My functional doctor I had at that time said it was OK.
My NDT is mixed by a compound pharmacy.
I did have trouble sleeping years ago and it was my cortisol level was through the roof.
My functional doctor worked with a naturopath, so she prescribed treatment, which took 6 months to bring it into the mid range and stabilise, as the doctor wanted. He prefers naturopathic and only uses big pharmaceutical if necessary.Yes, I have had unavoidable stress over a long period, anxiety issues am diabetic and coeliac in the mix.
I usually take magnesium from powder in a drink in the afternoon. I'm trying to sort out my diarrhoea problem at the moment.
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Need a little help with Test results - Hypothyroid
Test Results Now In - Next Step?
I've got my results, need some help with interpretation?
