Hi I know my endo , open minded but says to always try thyroxine, T4 first and if needed then add T3, if no good then NDT. You say your FT3 is "normal" but may be it is low in range,and may be TSH is high. This would denote that NDT might be good. I have to have NDT ( allergy) and T3 as NDT on it`s own not good enough for me.. You need the 3 tests with ranges and consider how you feel,
there are doctors (and endos) doing different things and some would say NDT is the way to go at first, some would do different.
NDT would not make you suffer from T3 'toxicity' anymore than other medications so long that it is used in the right way: increased in the right way and watching for signs/symptoms of toxicity.
It is normal for anyone who takes any T3 (whether on its own or in NDT) to have lower fT4 levels, this is not in itself anything 'bad'.
Different people feel well on different medications/combinations of medications and dosages.
Hi Pettals, Not an easy question? I know some people advocate this and certainly my endo does in certain circumstances. When I went on armour there was no T3, although every one was tested for Free T3 Also I tried different brands etc of thyroxine, T4 all made my heart very bad ( I had heart conditions then but not so seriously) and also caused allergy problems. Without there being T3 I was on 7. 5 grains of armour, not good, but I needed that to have my Hypo tolerable. When T3 existed I reduced armour to 2.6 grains and 20mcg T3. My TSH has always been unmeasurable. No cardios like it but realise the only option and I have just enough thyroid treatment to keep my thyroid reasonable. I hope that helps you. I have T3 on a script have to have a private script for Armour, difficult GP! I never allow thyroid tests in hospital as ignorant doctors have hysterics! Also I am not going to get my endo into trouble ,who is lovely and brilliant.Endo prefers to try T4 then + T3 ( very keen on T3) and then if not tolerated armour etc.
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