Guest guest Posted August 11, 2011 Report Share Posted August 11, 2011 Hi Sue - I'm maybe not qualified to answer your question as I have just received NDT in the post & was going to wait until later in the month to take them (awaiting blood tests) but this morning I couldn't resist so I've had 1/4 grain twice today. It just seems to me that after reading through the 'how to take NDT' in the files that 1 grain per day is quite a low dose. Did you ever try to up the NDT at any stage? The reason your TSH was so high was just your body trying to stimulate your thyroid to produce more T4 - I'm sure other people here will give a more help as my head is fuzz atm but I'm hoping it disappears with the NDT. Take care, Dot > > Hi, I was taking Natural Desiccated Thyroid - I grain Armour/Naturthroid for over three years and felt fine although the GP was unhappy with my levels. Last year I had problems obtaining my tablets from USA and so used Greater Pharma to obtain Thiroyd 60mg. For some reason I started to feel hypo again and my hair began to fall out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 11, 2011 Report Share Posted August 11, 2011 > > > > Hi, I was taking Natural Desiccated Thyroid - I grain Armour/Naturthroid for over three years and felt fine although the GP was unhappy with my levels. Last year I had problems obtaining my tablets from USA and so used Greater Pharma to obtain Thiroyd 60mg. For some reason I started to feel hypo again and my hair began to fall out. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 It does sound as if it could be something to do with that batch of thyroid. Why not just try again with a different brand - since you don't feel well anyway, you have nothing to lose. I was only on 75mcg of Levo & have started with 2 1/4 grains which is pretty close to 75mcg so it'll be interesting to see at what stage I have palpitations. If you read how to take NDT in the files again & start again. Plus remember there are other factors to take into consideration like what your bloods are - ferritin, copper, D3, magnesium, zinc, B12, folate, potassium. I try to eat foods that contain these each day but I'm getting them checked soon to double check. Also a major factor for me is diet - if I eat foods with sugar, coffee or even too many nuts I feel a very definite dip in energy. Hope you get sorted - let me know how you get on. Dorothy because I used to take 125 of Levothyroxine I maybe should take more - not because I felt unwell. Anyway I got palpitations so went back down to 1 grain (60mg). It was after taking this last batch of Thiroyd for about three months that the problems started. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 Sue, you need to check out the list of associated conditions that need to be treated if your thyroid hormone isn't working. See below: There are MANY reasons and many medical conditions associated with thyroid disease that stop thyroid hormone from getting into the cells, where it does its work. I mention these over and over and over again - ad nauseum - people must be bored with the same old, same old but as each new member joins us, they need to know. The main condition responsible for stopping thyroid hormone from working, is, quite simply, a patients thyroxine dose is too low because the doctor or consultant refuses to increase it, because the serum thyroid function test results appear OK. Sometimes, the thyroxine dose is too high, yet patients still don't feel well. They continue to suffer. Some reasons for this: They may be suffering with low adrenal reserve. The production of T4, its conversion to T3, and the receptor uptake requires a normal amount of adrenal hormones, notably, of course, cortisone. (Excess cortisone can shut production down, however.) This is what happens if the adrenals are not responding properly, and provision of cortisone usually switches it on again. But sometimes it doesn’t. If the illness has been going on for a long time, the enzyme seems to fail. This conversion failure (inexplicably denied by many endocrinologists) means the thyroxine builds up, unconverted. So it doesn’t work, and T4 toxicosis results. This makes the patient feel quite unwell, toxic, often with palpitations and chest pain. If provision of adrenal support doesn’t remedy the situation, the final solution is the use of the active thyroid hormone, already converted, T3 - either synthetic or natural. Then, we have systemic candidiasis. This is where candida albicans, a yeast, which causes skin infections almost anywhere in the body, invades the lining of the lower part of the small intestine and the large intestine. Here, the candida sets up residence in the warmth and the dark, and demands to be fed. Loving sugars and starches, candida can make you suffer terrible sweet cravings. Candida can produce toxins which can cause very many symptoms of exhaustion, headache, general illness, and which interfere with the uptake of thyroid and adrenal treatment. Sometimes the levels - which we usually test for - can be very high, and make successful treatment difficult to achieve until adequately treated. Then there is receptor resistance which could be a culprit. Being hypothyroid for some considerable time may mean the biochemical mechanisms which permit the binding of T3 to the receptors, is downgraded - so the T3 won’t go in. With slow build up of T3, with full adrenal support and adequate vitamins and minerals, the receptors do come on line again. But this can be quite a slow process, and care has to be taken to build the dose up gradually. And then there are Food allergies. The most common food allergy is allergy to gluten, the protein fraction of wheat. The antibody generated by the body, by a process of molecular mimicry, cross reacts with the thyroperoxidase enzyme, (which makes thyroxine) and shuts it down. So allergy to bread can make you hypothyroid. There may be other food allergies with this kind of effect, but information on these is scanty. Certainly allergic response to certain foods can affect adrenal function and imperil thyroid production and uptake. Then we have hormone imbalances. The whole of the endocrine system is linked; each part of it needs the other parts to be operating normally to work properly. An example of this we have seen already, with cortisone. But another example is the operation of sex hormones. The imbalance that occurs at the menopause with progesterone running down, and a relative dominance of oestrogen is a further case in point – oestrogen dominance downgrades production, transportation and uptake of thyroid hormones. This is why hypothyroidism may first appear at the menopause; the symptoms ascribed to this alone, which is then treated – often with extra oestrogen, making the whole thing worse. Deficiency in progesterone most especially needs to be dealt with, since it reverses oestrogen dominance, improves many menopausal symptoms like sweats and mood swings, and reverses osteoporosis. Happily natural progesterone cream is easily obtained: when used it has the added benefit of helping to stabilise adrenal function. Then, we must never forget the possibility of mercury poisoning (through amalgam fillings) - low levels of ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc - all of which, if low, stop the thyroid hormone from being utilised by the cells - these have to be treated. As Dr Peatfield says " When you have been quite unwell for a long time, all these problems have to be dealt with; and since each may affect the other, it all has to be done rather carefully. Contrary to cherished beliefs by much of the medical establishment, the correction of a thyroid deficiency state has a number of complexities and variables, which make the treatment usually quite specific for each person. The balancing of these variables is as much up to you as to me – which is why a check of morning, day and evening temperatures and pulse rates, together with symptoms, good and bad, can be so helpful. Many of you have been ill for a long time, either because you have not been diagnosed, or the treatment leaves you still quite unwell. Those of you who have relatively mild hypothyroidism, and have been diagnosed relatively quickly, may well respond to synthetic thyroxine, the standard treatment. I am therefore unlikely to see you; since if the thyroxine proves satisfactory in use, it is merely a question of dosage. For many of you, the outstanding problem is not that the diagnosis has not been made – although, extraordinarily, this is disgracefully common – but that is has, and the thyroxine treatment doesn’t work. The dose has been altered up and down, and clinical improvement is variable and doesn’t last, in spite of blood tests, which say you are perfectly all right (and therefore you are actually depressed and need this fine antidepressant). The above problems must be eliminated if thyroid hormone isn't working for you. > Hi Dot, Thanks for trying to answer my question. I took 1 grain for around 3 years and felt fine; I did try to up it once because I somehow got the idea that because I used to take 125 of Levothyroxine I maybe should take more - not because I felt unwell. Anyway I got palpitations so went back down to 1 grain (60mg). It was after taking this last batch of Thiroyd for about three months that the problems started. Sue > > > > > > > Hi, I was taking Natural Desiccated Thyroid - I grain Armour/Naturthroid for over three years and felt fine although the GP was unhappy with my levels. Last year I had problems obtaining my tablets from USA and so used Greater Pharma to obtain Thiroyd 60mg. For some reason I started to feel hypo again and my hair began to fall out. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 Hi, Do you really mean FT4 2.2? or 22? 125 mcg T4 is a lot more thyroid hormone than two measly 10 mcg tablets of T3 are likely to provide. I assume he is plans to start with 2 10mcg T3 doses and then ramp up. I am a bit puzzled as to why your endo is simply not trying to reproduce the healthy feeling that you once had on Armour by using a T4/T3 combination that is as close to the level of T4 and T3 that you were on when you were taking Armour - that would seem the logical approach. So, I'm not sure what the rationale is. Clearly, all the bases need to be checked also - iron, B12, folate etc. If I were you I'd also want my TPO and Tg autoantibodies checked to see if my thyroid gland was being gradually destroyed by an autoimmune reaction. Knowing this would help me to understand if I'm likely to need more thyroid hormone over time or not. T3 can be used safely but it is unlikely to be of much use in the dosage your endo is talking about. However, my biggest concern would be that this seems like a big knee jerk reaction given that you have felt really well on natural thyroid. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 > > Hi, > > Do you really mean FT4 2.2? or 22? > > 125 mcg T4 is a lot more thyroid hormone than two measly 10 mcg tablets of T3 are likely to provide. I assume he is plans to start with 2 10mcg T3 doses and then ramp up. > > I am a bit puzzled as to why your endo is simply not trying to reproduce the healthy feeling that you once had on Armour by using a T4/T3 combination that is as close to the level of T4 and T3 that you were on when you were taking Armour - that would seem the logical approach. So, I'm not sure what the rationale is. > > Clearly, all the bases need to be checked also - iron, B12, folate etc. > > If I were you I'd also want my TPO and Tg autoantibodies checked to see if my thyroid gland was being gradually destroyed by an autoimmune reaction. Knowing this would help me to understand if I'm likely to need more thyroid hormone over time or not. > > T3 can be used safely but it is unlikely to be of much use in the dosage your endo is talking about. However, my biggest concern would be that this seems like a big knee jerk reaction given that you have felt really well on natural thyroid. > Hi Sorry my error, I meant 22 not 2.2. I've no idea what the Endocrinologist is trying to do. Its a mystery to me. He seemed nonplussed that I didn't feel well now. I am Type II diabetic as well but this is pretty much under control at present. He asked me what I wanted to do so I said well surely you can tell me what it's best for me to do but that I was thinking of getting another batch of NDT and taking that again. Then he mentioned trying the T3 so I said should I reduce my dosage of T4 and he said he wouldn't be happy for me to take both so I should stop taking it. Are these people really trained to do the job they do? I sometimes wonder... He said that if the T3 didn't work then he wouldn't be able to help me so it doesn't sound as though he is going to up the dosage at all. You wouldn't believe the problem I have had in getting the tablets even from the hospital pharmacy. They could only supply me with 17; are they really so unusual that they don't keep them in stock? Sue Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 12, 2011 Report Share Posted August 12, 2011 > > It does sound as if it could be something to do with that batch of thyroid. Why not just try again with a different brand - since you don't feel well anyway, you have nothing to lose. I was only on 75mcg of Levo & have started with 2 1/4 grains which is pretty close to 75mcg so it'll be interesting to see at what stage I have palpitations. If you read how to take NDT in the files again & start again. Plus remember there are other factors to take into consideration like what your bloods are - ferritin, copper, D3, magnesium, zinc, B12, folate, potassium. I try to eat foods that contain these each day but I'm getting them checked soon to double check. > > Also a major factor for me is diet - if I eat foods with sugar, coffee or even too many nuts I feel a very definite dip in energy. > > Hope you get sorted - let me know how you get on. > > Dorothy > > > because I used to take 125 of Levothyroxine I maybe should take more - not because I felt unwell. Anyway I got palpitations so went back down to 1 grain (60mg). It was after taking this last batch of Thiroyd for about three months that the problems started. > Hi again Dorothy, I read a conversion chart recently which said that 125 mcg was equivalent to approximately 1.5 grain of Armour so I was probably under-medicated before when I was taking just 1 grain. Looking back I think I did used to take 1.5 grains but last year I had a dreadful year; I was diagnosed with breast cancer in August and things just went from bad to worse. I refused chemo because I had very major surgery (11 hour operation) and wasn't recovered enough to have it at the time they wanted me to have it. So at least I know that it wasn't any chemical treatment that caused the drop in thyroid levels. I think with all the trauma I just forgot how much I was supposed to be taking. I think I've almost decided that I will get some more NDT and take 1.5 grains and see what happens. I have to go back to the hospital in 6 weeks but I honestly don't think giving me 20mcg of T3 is going to do anything at all. He said that he wouldn't be able to test for TSH but that didn't matter because it was the T3 that had the most effect. I just get so fed up; why can't they make me feel wide awake and well again? I am diabetic as well so am all too familiar with the sugar slump. The chances of me getting tests for all those things, copper, ferretin etc via my GP is non-existent I would have thought. He gets quite stroppy with me if I show any kind of initiative about any of my health conditions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2011 Report Share Posted August 13, 2011 Hi Sue - I'm so sorry to hear about your episode with cancer & trust that you are now cancer free. That could of course explain your general ill health & why the thyroid medication wasn't working so well. GPs generally do not take well to being told what bloods to check for & I'm afraid my option was to get them done privately. If I were you I would go with the NDT & just try again though I think with your previous history you really ought to be under a DRs guidance -perhaps you could try a private clinic who will treat with NDT - I know it's expensive but I'd rather do without a holiday or something & have my health. Take care & let me know how you get on, Dorothy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 13, 2011 Report Share Posted August 13, 2011 __ Hi again Dorothy, I read a conversion chart recently which said that 125 mcg was equivalent to approximately 1.5 grain of Armour so I was probably under-medicated before when I was taking just 1 grain. There is no way you can try to find the equivalent natural thyroid hormone medication to any amount of levothyroxine. thyroxine is a mainly inactive hormone that does little to nothing on its own until it has converted to the active thyroid hormone T3. With natural thyroid extract, there is also T4, T3, T2, T1 and calcitonin (plus other unspecified enzymes). Never try to do a calculation between natural versus synthetic thyroxine-only. Looking back I think I did used to take 1.5 grains but last year I had a dreadful year; I was diagnosed with breast cancer in August and things just went from bad to worse. I refused chemo because I had very major surgery (11 hour operation) and wasn't recovered enough to have it at the time they wanted me to have it. So at least I know that it wasn't any chemical treatment that caused the drop in thyroid levels. I think with all the trauma I just forgot how much I was supposed to be taking. I think I've almost decided that I will get some more NDT and take 1.5 grains and see what happens. Sorry to hear about your traumatic year Suzie and hope this year will be much better. Please check out the FILES section accessible from the Home Page of this forum web site http://health.groups.com.group/thyroid treatment and click FILES in the Menu. On the Page that opens, click the FOLDER entitled 'All Natural Thyroid Extract' and on the list there, open the document entitled 'How to Use Natural Thyroid Extract' and follow the instructions there and titrate your dose according to what is recommended,. Read everything there so you fully understand what you are doing and why you are doing it. I have to go back to the hospital in 6 weeks but I honestly don't think giving me 20mcg of T3 is going to do anything at all. He said that he wouldn't be able to test for TSH but that didn't matter because it was the T3 that had the most effect. I just get so fed up; why can't they make me feel wide awake and well again? Probably the 20mcgs T3 will not do anything if that dose is not increased, but it is a start and you should be able to increase this very quickly if you have no adverse reaction. There is no point in taking natural thyroid extract if all your body needs is the active T3. There is no point in testing TSH when anybody is taking T3 as your TSH will be suppressed and as long as you take T3, will remain suppressed. Many people do brilliantly on T3 only. Split your dose twice a day because taking too much at one time can cause a peak in the blood a couple to four hours after taking it and the experience for some people can alarm them, so avoid that. The higher your dose goes, the more times you can split the dose throughout the day. Unless you try the experiment Suzie, you will not know whether this will work or not. I am diabetic as well so am all too familiar with the sugar slump. The chances of me getting tests for all those things, copper, ferritin etc via my GP is non-existent I would have thought. He gets quite stroppy with me if I show any kind of initiative about any of my health conditions. With such GP's. don't even give them the chance to be stroppy. Write a letter to him and simply state that you wish your ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc to be tested because if any of these specific minerals and vitamins are found to be low in the reference range, no amount of thyroid hormone is able to be fully utilised at the cellular level. Be one step ahead of him if you feel he is likely to turn round and tell you that there is no connection between these minerals or vitamin levels and hypothyroidism, and print off the following few references to research/studies done to show there is a connection. Enclose it with your letter of request. Send a copy to the Head of Practice and ask for your letter and the enclosure to be placed into your medical notes and then ask him to let you know when these tests can be done. Show your GP that YOU are the boss and that this is YOUR health. Sadly, too many of us allow doctors to run our life and make us afraid to discuss anything with them, but this is our fault. " Low iron/ferritin: Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone (1-4). Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present (1-4)). 1. Dillman E, Gale C, Green W, et al. Hypothermia in iron deficiency due to altered triiodithyroidine metabolism. Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381. 2. SM, PE, Lukaski HC. In vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of dietary fat. Life Sci 1993;53(8):603-9. 3. Zimmermann MB, Köhrle J. The Impact of Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism: Biochemistry and Relevance to Public Health. Thyroid 2002;12(10): 867-78. 4. Beard J, tobin B, Green W. Evidence for Thyroid Hormone Deficiency in Iron-Deficient Anemic Rats. J. Nutr. 1989;119:772-778. Low vitamin B12: http://www.ncbi.nlm.nih.gov/pubmed/18655403 Low vitamin D3: http://www.eje-online.org/cgi/content/abstract/113/3/329 and http://www.goodhormonehealth.com/VitaminD.pdf Low magnesium: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC292768/pdf/jcinvest00264-0105.pdf Low folate: http://www.clinchem.org/cgi/content/full/47/9/1738 and http://www.liebertonline.com/doi/abs/10.1089/thy.1999.9.1163 Low copper http://www.ithyroid.com/copper.htm http://www.drlwilson.com/articles/copper_toxicity_syndrome.htm http://www.ithyroid.com/copper.htm http://www.rjpbcs.com/pdf/2011_2(2)/68.pdf http://ajplegacy.physiology.org/content/171/3/652.extract Low zinc:http://www.istanbul.edu.tr/ffdbiyo/current4/07%20Iham%20AM%C4%B0R.pdf and http://articles.webraydian.com/article1648-Role_of_Zinc_and_Copper_in_Effective_Thyroid_Function.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 14, 2011 Report Share Posted August 14, 2011 > > Hi Sue - I'm so sorry to hear about your episode with cancer & trust that you are now cancer free. That could of course explain your general ill health & why the thyroid medication wasn't working so well. GPs generally do not take well to being told what bloods to check for & I'm afraid my option was to get them done privately. > > If I were you I would go with the NDT & just try again though I think with your previous history you really ought to be under a DRs guidance -perhaps you could try a private clinic who will treat with NDT - I know it's expensive but I'd rather do without a holiday or something & have my health. > > Take care & let me know how you get on, > > Dorothy > Hi Dorothy, thanks for your good wishes. My health has been fine up until the last 3 months or so. I was energetic and getting plenty of exercise and eating really well. Since this last batch of medication I have felt sluggish, depressed, tired, hair falling, craving all the wrong foods, not wanting to do any exercise etc. I wish it was as simple as going without a holiday or something to get the tests done privately but I really can't afford to do this (I struggle to find the money for the NDT plus shipping and customs charges) so I guess I'll have to take pot luck with the T3 and if that doesn't work then try NDT again but using the instructions on here about dosage. Sue Quote Link to comment Share on other sites More sharing options...
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