It has fallen out of favor but because it's so old many physicians (both old and new) are aware that it exists. For these reasons, dont use these charts as ABSOLUTE guides! This 65mcg of T4 equivalents is slightly lower than the 75mcg of T4 that you may be converting from. This study (2), for instance, compared patients taking NDT and T4 and looked at how these medications influence thyroid labs. Its not usually crazy expensive. Have you checked out this post on muscle pain? = 125 T4. I tried synthetic but I had to go back to Armour Thyroid. Most people who go by this conversion chart end up with a rising TSH and persistent symptoms of hypothyroidism when they transition. Hi Doctor, Im 73 years old and have been on Armour thyroid since I was 50. If you have questions regarding your health you should seek qualified information from a medical professional or your doctor. Thank you. This includes hormones, proteins, additional thyroid hormones, and probably other pre-cursors that we arent aware of. It will lower your TSH and most likely increase your free T3 and free T4 levels depending on the dose. It can only damage the heart if you use excessively high doses. I tried Levo, and Synthroid with Liothyronine but still had all my symptoms so returned to Armour. No problem! I am just now considering this product. Desiccated thyroid is given when the thyroid does not produce enough of this hormone on its own. As of the last 5 years I was taking 145 ? It has been life changing for my deep existential state, lack of physical and mental energy and unrelenting feeling of coldness. Would different NDTs have different outcomes? Ive noticed a small difference in some people but there are plenty who still do very well on it. It works by replacing a thyroid hormone normally made by the body. Vhody smoothies zvisia od toho, o do nich dte. If you wanted to switch to Nature-Throid you would switch over to 1.5 grains (which happens to be 97.5mg). Well, because most doctors would rather underdose you than overdose you. In either event, I would recommend reading this article which outlines the use of T3 during pregnancy: https://www.restartmed.com/using-t3-thyroid-hormone-during-pregnancy-is-it-safe/. Personally I dont think he knows his stuff. my insurance does not pay for it and its about $60 a month but otherwise I would have to spend some time in a rest home because I just couldnt function. I adjusted after a month. Are you referring to the dose or how to actually take the medication? The appearance of angina is an indication for a reduction . Lastly, another important point worth mentioning is that people in this study did NOT experience any negative side effects on either therapy which suggests that Armour (if dosed correctly) is quite safe. This is probably the most important aspect to consider when taking thyroid medication and its not given enough attention by both patients and doctors. I thank you Dr. Childs for all of your informative articles. The usual starting dose is 30 mg Armour Thyroid, with increments of 15 mg every 2 to 3 weeks. because I did not convert T4 to T3 well. The good news is that most of the time these side effects can be mitigated by simply altering how much medication you take (and also how frequently you take it which is discussed below). Like I said, I never felt bad, and now I dont feel any different. Considering compounded thyroid medication to see if there is some relief. After 6 weeks now my blood work-thyroid levels are all severely jacked up! This information is according to the cash price (also confirmed by calling local pharmacies) on goodrx.com. All rights reserved. Her TSH were always low telling MD she had too much T4 in her system, when actually the T3 was not being converted to T4. The docs are hesitant to put me on NDT because they say that it is not a standardized dosage. Because Armour contains T3 it tends to cause a more pronounced and powerful drop in your TSH. If you are already familiar with Armour thyroid then you can skip to the sections below, but if you are new to it then youll want to read this section as well. When taking Armour thyroid you should try to find a dose (typically between 1 and 2 grains per day) that keeps your TSH in the low/healthy range, your free T4 in the middle range, and your free T3 in the higher end of the reference range. FYI I am post menopausal, have autoimmune issues and reactivated EBV. While some individuals may react to the T3 in Armour thyroid there are others who may react to the inactive ingredients inside the medication as well. I have been using Armour for 5 and 1/2 years now and switched from Levo. Iron: Wait at least two hours after taking your thyroid medication. You should avoid taking iron or calcium supplements within four hours of levothyroxine dose - they decrease hormone absorption. Your thoughts? Im not really sure I understand the context. This may cause more of a drop in your TSH than you are used to with other T4-only medications. This concept has become more popular recently as studies have shown that people without a thyroid tend to have lower T3 levels than healthy people if they only take T4. When you take thyroid medication by mouth you are taking one massive dose which is supposed to last all day. Starting out with a dose of around 1/4 of a grain may be ideal. $28 per 30, 60 mg tablets for brand-name Armour Thyroid. Restart Medical LLC. Of course doctors are busy and you are left to figure out how to help yourself get better. Both medications are formulations of Natural Desiccated Thyroid but they are certainly not the same. I was on armour when first treated for hashimotos 25 years ago, I didnt feel good on it, especially regarding depression and brain fog. You can always pay cash for Synthroid even if your insurance wont cover it. I was not able to take Synthroid or levo.I was on Armour for a while but the formula was changed and I just felt different while taking it. NDT is just a medication that contains T3 and T4 thyroid hormone. I don't practice medicine anymore and instead specialize in helping people like YOU who have thyroid problems, hormone imbalances, and weight loss resistance. I had cervical disk problems and had two surgeries excisions where they come in thought the front of the neck. The list includes optimal ranges, normal ranges, and the complete list of tests you need to diagnose and manage thyroid disease correctly! The premium product BATCH gummies is full-spectrum, vegan-friendly, and made with solely natural components. I also happen to formulate the best supplements on the market (well, at least in my opinion!) I am just curious. If you are taking it, how are you responding? You should also test for Hashimotos antibodies (thyroid antibodies) to ensure that you dont have autoimmune thyroiditis which is a common cause of hypothyroidism. Theres nothing inherently bad about it for those with thyroid cancer or those with any thyroid disease, for that matter. Each grain of Armour thyroid contains 38mcg of T4 and 9 mcg of T3. Thyroid hormones play an important role in your overall health. Doing some research, Im finding that Armour can raise your blood sugar. I have been taking Armour for about maybe 9 months now and tho the Dr says my numbers all come back good I dont feel like they are good. Take this medication by mouth as directed by your doctor, usually once daily on an empty stomach, 30 minutes to 1 hour before breakfast. Levo with added T3 does NOT work. The short answer is no. I have recently developed hypothyroid due to Immune Checkpoint Inhibitor treatment for cancer. I was told that NP Thyroid was the original Armour so I was switched to it and it is also much lower in cost.since on NP my dosage has kept being increased to the point that it makes me worry, 255 daily, and I have been gaining a lot of weight.If I go back to Armour would the dosage go down? I eat a clean, whole foods diet. This isnt an exact science but something to consider. Are you thinking about converting between thyroid medications? Would Armour be an easy switch? I dont feel great, weight issues are huge, and I do have to use inhalers. But even they are saying it is my thyroid. #4. The truth is that while many thyroid medications contain similar ingredients the switching process is not as straightforward as you might think. You go on to mention the other NDT available such as Nature-Throid, which unfortunately has now been recalled, but it also contains animal products, porcine. I have been back on it now for about a month and see less hair loss and even some new growth! The two surgeries were only months apart. Thank you Dr. Childs for yhis explaination in laymens terms. Mine goes up and down but recently, all my hair began to fall out and now is totally brittle to the point where I can no longer brush it and it is a huge mat on my head. See the pediatric dosage chart below for details. I love to write and share what I've learned over the years. Hope you can help as docs no zilch- just writing hte prescrip based on tsh. Instead of asking that question, it's better to ask this question: Which thyroid medication is the best for my body? So, T3 absolutely can help with weight loss but it shouldnt be used as a weight-loss therapy. I am normal weight. I have taken Armour Tyroid for years and have had no problems my labs are always good. Queens of the Stone Age will bring Phantogram, Viagra Boys, the Armed, and Savages' Jehnny Beth on their fall North American tour. I tried levothyroxine, synthroid and now tirosint since the surgery and the weight has started coming back and i feel drained. Doctor now treating me has also given up and recently told me, you need to find someone else because I cant seem to help you get better. I dont know much about the consult you are referencing but if you reach out to my team Im sure they can help you out! The oncologist (not an endocrinologist) put me on levothyroxine and that has put all the thyroid numbers back in the middle of normal. You can see that the numbers are shifting away from being T4 centric and giving T3 more value. Four different physicians would not believe, nor check with lab work when my wife suggested that maybe she wasnt converting T3 to T4 and when routine lab values showed low TSH, it was actually a conversion problem.. not a T4 problem.. We are going to talk about switching from T4-only medications (levothyroxine & Synthroid) to NDT medications (Armour thyroid, NP thyroid, etc. Ive been on NP THYROID for two years then they change the formulation of it. Arms, legs, eyebrows abs now my head. I was on Levothyroxine for 30 years and at age 50 I asked to switch to Armour. This resource is dedicated to helping people with thyroid problems, hormone imbalances, and weight loss problems get the help that they need. Is it easy? Women's health is once again the center of a political ping-pong match with evidence-based science on one side and anti-choice advocates on the other. Instead, take note of your symptoms, try to determine what is causing them, and make changes as appropriate. Armour Thyroid is made from animal sources, whereas levothyroxine is synthetic (man-made). My red blood cell count and hemoglobin are now high due to lowered oxygen levels. 130 pounds 57. I am currently taking 100mg of Synthroid. However, taking thyroid supplements without the recommendation of your doctor can create several . It is possible (though it does not happen often) for your immune system to react negatively to these proteins and to trigger an immune response. Want to know why I'm so passionate about these topics? So I try to rest better by getting more of it and better rest by using Melatonin. But not luck. They checked for antibodies and it is not Hashimotos. Thyroid hormone replacement medications like levothyroxine are used to treat hypothyroidism a condition that occurs because your thyroid gland does not produce enough thyroid hormones. From there you can increase your dose every 1-2 weeks as needed. Get my free thyroid downloads, resources, and PDFs here. How do you know if you have antibiody issues to armour thyroid? The larynx and thyroid must be moved aside to get at the discs. Did you notice a rise in your TSH? Thank you for your anticipated response. Hair thinning. Mg & 125 Mg thyroxine. an important role in regulating fat burn and metabolism. This is probably because it contains special ingredients and thyroid hormones not found in other formulations. I take a combo of levothyroxine 75mcg and armour thyroid 30 mg Savings Options. Sitting here writing this I am getting cold. With this regimen, you are still taking a total of 2 grains per day (60 mg + 30mg + 30mg) but its split between 3 doses. They found that T3 was slightly more than 3x more potent than T4 (3) (which is similar to the calculations below). However, adequate dietary iodine is essential for normal thyroid function. Metabolism is determined by measuring the amount of oxygen used by the body over a specific amount of time. No joint pain, nodules are smaller, etc. This chart is better, in my opinion, because it is founded on REAL results and REAL patients. Hopefully, this doesnt come as a surprise to you but Armour thyroid contains animal products. Following that dose, you would take another 1 grain (60mg) around noon (on an empty stomach). My insurance doesnt want to cover it alot. I took Naturethroid for six years without a challenge and during the shortage was switched to WP and then back to Naturethroid in 6/19 when my problems began. And that reason has to do with T3 thyroid hormone. ), 6 Reasons Thyroid Patients Should Take Creatine, And many others depending on the country you live in (these may be referred to as NDT or natural desiccated thyroid hormone). Now my naturethroid is not available. This may be fine for some of you, but I want you to at least be aware of the other formulations as well. You can switch to a different formulation of NDT such as NP thyroid or Nature-throid on a grain-for-grain basis. These may include medications such as Synthroid, levothyroxine, and perhaps Armour thyroid. You just need the doctor to write DAW dispense as written on your prescription and it will force the pharmacy to fill Armour instead of NP thyroid. In my experience, 100mcg of T4 is probably closer to 1.5 grains (or 90mg) or Armour thyroid than the 60mg that most places recommend. Some doctors will suggest that Armour thyroid (and other NDT formulations) should not be used because they contain too much T3 compared to what the body produces naturally. Dr is switching me to T3 only to see how I do which he is only doing because I suggested after binging on all your great info. If you have questions regarding your health you should seek qualified information from a medical professional or your doctor. I started at 90 mcg then eventually now at 120 mcg. Hi.. call Armour and they will help with the cost. Old: 125 mcg Synthroid. That makes T3 about 3x more potent because 3 times 25 is equal to 75. These two are notorious for binding to and inactivating thyroid hormone before it enters your body. Failing to take your medication correctly can cause all sorts of issues and may reduce the total effectiveness of your dose of medication and, in some cases, can render it completely ineffective. Im only taking your multi vitamin now. If you find that you are sensitive to the medication (3) then youll want to start out on a low dose and slowly increase your dose over a prolonged period of time. Youll know if you are sensitive because you may experience side effects such as heart palpitations, a jittery or anxious feeling, or a headache after taking your dose. I am a 56 year old post menopausal woman with slightly low free T4 (1.0, range 0.8-1.8) and free T3 (3.2, range 2.3-4.2) and a TSH of 2.24, range 0.4-4.50 and Reverse T3 of 10. These CBD candies offer a simple and flexible . So every Dr assumes I am healthy. Another important topic to cover as it relates to your dose is converting from other forms of thyroid medications to Armour thyroid. But the reality is that taking these high doses is not helpful and may be harmful. If you run the numbers on NDT you will find that this chart still underdoses you slightly when you transition from T4 to NDT. The logic for using this strategy is simple: A normal thyroid gland, when functioning correctly, secretes a small amount of thyroid hormone constantly throughout the day. The good news is that most people with thyroid-related issues ALSO have low T3 levels. I was also under a lot of stress do to a custody battle for my stepson. Thoughts? I feel worse on it. What do you think of armour versus compounded equivalent of t3/t4? I have been on and off of one type or another of thyroid since I was 11 years old. You can get away with using any of these charts, but you should always be prepared to make adjustments to your thyroid medication based on your lab tests. All rights reserved. I do not feel so good. Yes! Thanks for all your research we that suffer have a hard time researching and figuring out what we need. Splitting your dose is actually very easy and shouldnt cause any issues (as long as you follow all regular precautions when taking your medicine). No problem and glad you found it helpful! Switched from 88 mcg Synthroid w/ 20 mcg Cytomel per day to 120 mcg Armour Thyroid. I just sent a comment, pressed submit and now I dont see the comment. When switching to Armour, what mg should I start with. Sensitive individuals will need doses smaller than 60mg while resistant individuals may need a dose higher than 120mg. If that were true then websites like mine wouldnt need to exist. Ive seen many patients who dont tolerate Armour thyroid but do tolerate Nature-throid and vice versa. This is probably because it contains special ingredients and thyroid hormones not found in other formulations. Having problems with weight gain. It depends on a number of factors including your age and menopause status. I would just like to take the more natural alternative, all else being equal. You can click to enlarge the image here to look at the details. And yes, pharmacists can do this because these medications are considered bioequivalent (10) from the insurance perspective. You should also be aware of how Armour thyroid changes your thyroid lab tests. He feels that dose is too high and it is not good for my heart because my TSH was out of range. Graham Head, 66, who kidnaped and tried to rape two women, was caught after one victim remembered three digits of his car registration. Now after reading about Armour, I decided to try it; my Endocronolgist had no problem changing. Then if we add the 38 mcg of T4 found directly in the NDT in addition to the 36 mcg of T4 equivalents from the T3 component we get a total dose of 74 mcg of T4 equivalents in 1 grain of NDT. I had these symptoms with low thyroid. Need better symptom control? Blood test last week showed not optimal yet but going slow. I have gone up to 90mg in the morning and 60mg in the afternoon and still feel no relief in my symptoms. I am a former Doctor of Osteopathic Medicine (no longer practicing) that now focuses on producing the information you see here while also formulating some of the best supplements on the market (in my HUMBLE opinion) :). In fact, its probably just bringing your metabolism up to what it should be assuming you had a normal and healthy functioning thyroid. Armour thyroid is one of the oldest drugs available to treat hypothyroidism. Rumor, rumor Etc. It still isnt perfect from the perspective of NDT to T4 conversion but its a good starting point. Most patients require 60 to 120 mg/day. After 3 days on Armour my vertigo disappeared! He now has me on 135 mg of Armour and I feel terrible (I slowly weaned off the higher dose). If that is true, then 88 mcg (the new 100mcg equivalent in this table) is also equal to 25mcg of T3. I am on compounded Armour. Recent weight gain A recent change in your weight is going to impact how your body utilizes thyroid hormone. Lets dive into some important facts you should be aware of. When I originally ran into problems with Armour 60mg tablets, I tried to switch to a synthetic. Among thyroid medications, Armour is unique because of the hormones that it contains, how it is sourced, and how it impacts your body. COMMON BRAND NAME (S): Armour Thyroid, Bio-Throid . After being on armour for years- factor three kids later and I admit my over all health a bit neglected (but otherwise fit) My lab work is showing LOW T4, HIGH T3 and TSH of 12! At the end of this 32-week period they then simply asked patients how they felt on the different medications. Armour thyroid is often considered superior and more powerful than those medications because it contains both T4 and T3 (it also contains other ingredients such as calcitonin, T2, and iodine but we wont focus on those for today). Does that mean you should avoid it? With a tsh of .01 to .05, what else can I try? If you are taking Armour thyroid and you find that your TSH is NOT decreasing then that is an indication that your dose is insufficient. In fact, too much iodine can cause hyperthyroidism in some people. Taking your thyroid medication with food has been shown in studies to reduce its absorption (4). Taking a daily pill is simple, but you need to be aware of some possible interactionsfor example, antacids and supplemental iron can interfere with thyroid hormone absorption and should be taken at a different time. Should i be looking for a new doctor or is this a normal process of adjustment? The other group of patients was on thyroid extract first for 16 weeks and then transitioned to levothyroxine for another 16 weeks. Same for me. Im a big fan of Armour thyroid (and other formulations of NDT) and have used it on many, many patients. Was fine on Armour for years. Since then, my fasting blood sugars have risen at least by 20 points! Because Armour is sourced from animal thyroid glands, it also contains additional ingredients which are also found inside of thyroid glands. Usually it should be taken at least 30 to 60 minutes before eating breakfast, or at bedtime (3 or more hours after the evening meal). But, if you have had your thyroid gland removed by surgery or destroyed by RAI then your body isnt producing it anymore. I have tried different brands with same results. Im hesitant to take it seeing that all of my other thyroid levels are pretty much in the middle of their normal ranges. Have you noticed an impact on your patients and do you still recommend NP Thyroid? The house can be 75 degrees (F) and I will freeze. It may also cause a drop in your free T4 levels as well. Eating a balanced diet makes taking supplemental iodine unnecessary. Your thoughts would be greatly appreciated. I am somewhat of a picky eater due to my autism which we think my thyroid caused that too. ), 6 Reasons Thyroid Patients Should Take Creatine, Do GLP-1 Agonists Cause Thyroid Cancer (Wegovy, Saxenda, Victoza, Etc. If you find that youve already tried Nature-throid or NP thyroid and they dont work for you then paying more for Armour thyroid may make sense. (1) Patient age - e.g. One of the downsides to the original chart that I showed is that it is purely theoretical and based on what we believe is happening. The dose can go up to 120 mg a day, depending on your body's needs. It was during this the second disc went that necessitated another disc excision. It had been extremely hard to see me gain back 30lbs. In the beginning, this may mean getting your labs tested every 6-8 weeks. Is .01-.05 ok, for my tsh with armour? Switched to NP Thyroid which helped the hair loss but not the rest (and the pills smelled terrible on the second refill). Once you find a stable and steady dose you may only need to check your dose every 3-4 months (or less frequently). My doctor would like to change my Tyroid medication to Levotyroxine 100 MCG. Even though Armour thyroid may be the right medication for you, you may not tolerate traditional doses. Most people need somewhere between 1 to 2 grains (or 60 to 120mg) per day, and those who are sensitive may only need 1/4 to 1/2 of a grain per day. If you are considering it, what things are preventing you from using it? Each person will require a slightly different dose compared to the next person, even individuals who have the same body weight/metabolism/etc. Check out my own personal health story. If you have questions regarding your health you should seek qualified information from a medical professional or your doctor. You can compare this to other NDT formulations, such as Nature-throid, which is around $8.00 per month for 30 tablets of 60mg: So, thats potentially a savings of around $20 per month (assuming cash price) if you use one formulation over the other. ), T2 Thyroid Hormone Can Help You Lose Weight, The Best Hair Supplements All Contain This One Ingredient, The Worst Supplements To Take For Your Thyroid (Avoid These! This changes what type of thyroid medications you may do best on and your conversion table! This is the chart that you will see in major pharmaceutical textbooks and the chart that most doctors are probably using. I think the most important reason is that T3 is by far the most biologically active thyroid hormone (6). 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