yearly visit to the endocrine dr tomorrow
Forum: Iodine Supplementation VWT
- yearly visit to the endocrine dr tomorrow by pjc
tomorrow is my appt for my yearly visit to the endo while i have the dr fullest attention what if any specific test should i request? so that i can use the information to adjust the amount of Iodine im taking and supplements
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- [EDIT] Re: yearly visit to the endocrine dr tomorrow ~BSA by Iolite
Generally endocrinologists are woefully uninformed about proper thyroid care. They are generally arrogant and unwilling to order any tests the patient requests or prescribe anything other than synthroid. And if a patient requests desiccated thyroid (aka Armour [it's been reformulated and now contains methylcelluose and is hard for hypos to assimilate.. chew and take digestive enzyme with dose], Naturethroid [also contains methylcellulose], or Canadian Drug company Erfa's Thyroid [yep, it's simply called "thyroid"] [EDIT]which doesn't contain methylcelluose but lactose, instead and can be taken sublingually. http://www.universaldrugstore.com is where a lot of folks in the US get their Erfa thyroid. They make it easy.[/EDIT]) then it is quite likely, the endo will throw a fit and suggest you find another doctor (mine did). If you are lucky to have an informed and open minded endo...GOOD FOR YOU...HANG ON TO HIM/HER. But if not and you're stuck being undertreated, Janie's website (see below...) has a link for good docs. You used to be able to find a list of docs on the www.armourthyroid.com site, but it is no longer an active link. QuackWatch now has a page regarding this site that Forest Labs maintained [EDIT] http://www.quackwatch.com/01QuackeryRelatedTopics/armour.html [/EDIT]
and I wonder if this is why. I hope not. You can also talk to your pharmacist and ask for a list of doctors that prescribe Armour or Naturethroid. Janie also has a link for a draft letter to help you as well.
- TSH But this lab is only for diagnosis of hypopituitary, NOT to diagnose or dose your hypo by.
- Free T4 and Free T3 (note the word “free”–important since it measures what is unbound.)
- Thyroid Antibodies (anti-TPO and TgAb. YOU NEED BOTH.)
- Ferritin (and do empathize FERRITIN to go along with other iron related labwork–all is important)
- Adrenal Cortisol levels (but we strongly recommend saliva tests, not the one time blood test your doctor will do. See below, because you don’t need a prescription)
- B-12 and Folate
- RBC Magnesium and Potassium (rather than serum)
- Vitamin D (25-hydroxyvitamin D lab test…
- …plus others your doctor may recommend.
* Reverse T3 (to be tested when your Free T4 is in the upper part of the range with continuing symptoms. You need to do it at the same time you do free T3 to measure the ratio)
Over the last few years, patients and some wise doctors have identified key information in interpreting lab results. In other words, it’s not always the end of the story just because a lab result falls in the so-called normal range. Even more important is where it falls.
Below are lab tests and information to help you interpret them. Don’t hesitate to share your results with your doctor. To order your own labs, see the link at the bottom of this page.
24-HOUR CORTISOL SALIVA TEST: An at-home test to evaluate your circadian cortisol levels at key times during a 24 hour period. Those will healthy adrenal functionwill have the follow results:
8 am: at the literal top of the range
11 am-noon: in the upper quarter
4-5 pm: mid-range
11 pm to midnight: at the very bottom.
If your results are different, you can find your stage of adrenal fatigue here.
A DHEA above midrange is good, but 8 can mean the adrenals are compensating for a problem.
You will need to be off any adrenal support supplement, any medication containing cortisol, or licorice root for two weeks prior to testing. Avoid food when spitting into vials. If you wear dentures, remove them to prevent denture adhesives from tainting the spit.
AB (Antithyroglobulin) Test: Measures the level of the antibody protein antithyroglobulin in order to discern the presence of Hashimoto’s disease. Generally, if this is above the range, you’ve got the autoimmune thyroid disease Hashi’s. It the result is below the “less than” mark, or in the range provided, you may be fine, but you need to have done the other antibody test as well–the TPO shown below.
ALDOSTERONE test: Measures the adrenal hormone aldosterone which helps regulate levels of sodium and potassium in your body–i.e. it helps you retain needed salt, which in turn helps control your blood pressure, the distribution of fluids in the body, and the balance of electrolytes in your blood. If you are mid-or-below in the range, which is often 4.0 – 31.0 ng/dl , there is reason to be suspicious that your adrenals aren’t producing enough, since healthy adrenals will generally put you in the upper range.
This is best tested in the morning and with no salt intake for 24 hours. Women need to do it in the first week after their period, since rising progesterone can also raise your aldosterone. Center of this range is 17.5.
Testing should not be done with severe illness (aldosterone falls in response to severe illness), during periods of intense stress (aldosterone rises), or right after strenuous exercise (aldosterone rises). Being pregnant can result in doubled amounts of aldosterone.
Women should test their aldosterone in the first week after menstruation when progesterone is the lowest (higher progesterone raises aldosterone)
B-12 lab test: Measures an essential vitamin, B12, which can be low in hypothyroid patients due to low stomach acid. You are looking for an optimal B12 lab result at the top of the range. It is NOT optimal to simply be “in range”. If your range is similar to 180-900, a healthy level is 800 or higher. In the 500-800 range, you can benefit from taking B12 lozenges, specifically Methylcobalamin. It has been shown in studies that patients with labs under 350 are likely to have symptoms, which means the deficiency is very serious and has gone on for a few years undetected. Lab ranges are much too low for B12…in Japan the bottom of the range is 500.
The urine test Urinary Methylmalonic Acid, also called the UMMA, can be added since it is a very sensitive detection and if high, will reveal a true B12 deficiency.
DHEA test: Measures the mother of all steroid & sex hormones. Usually measured in conjunction with the 24 hour adrenal cortisol saliva test. See above.
FERRITIN test: Measures your levels of storage iron, which can be chronically low in hypothyroid patients. If your Ferritin result is less than 50, your levels are too low and can be causing problems…as well as leading you into anemia as you fall lower, which will give you symptoms similar to hypo, such as depression, achiness, fatigue. If you are in the 50′s, you are scooting by. Optimally, patients shoot for 70-90 at the minimum. If your ferritin is much higher, you could have hemochromatosis, a genetic disease in which too much iron is absorbed, or it could be caused by an on-going inflammation, liver disease, alcoholism, diabetes, asthma, or some types of cancer. Or it may be normal for YOU. Men are generally higher than women without having the above problems.
FOLATE test: Also called folic acid, this is a b-vitamin which can be low in hypothyroid patients. Folate is important for prenatal development, as well as your blood cell health. Folate works with B12 in the use and creation of proteins.
FREE T3 LAB TEST: T3 is the active thyroid hormone. Free in front of the T3 means you are measuring what is available and unbound. Those on an optimal amount of desiccated thyroid, with no lingering hypothyroid symptoms and in the presence of healthy adrenals, tend to have a free T3 at the top of the range.
If you are on desiccated thyroid (especially if lower than 3 grains) and find yourself with the free T3 high or above range in the presence of continuing hypothyroid symptoms, or even hyper-like symptoms (anxiety, shakiness), it’s a clue you have adrenal fatigue, aka low cortisol
If not on thyroid medication: 1) If your free T3 is high, you could have Hashimoto’s disease, which will need the two antibodies tests to discern it, or Graves disease, which needs the TSI test. 2) if your free T3 is mid-range or lower, and in the presence of hypothyroid symptoms, you may have hypothyroidism, no matter how low the TSH.
FREE T4 LAB TEST: T4 is the thyroid storage hormone. Free in front of the T4 means you are measuring what is available and unbound. Generally, those on an optimal amount of desiccated thyroid will have a free T4 mid-range or higher when their free T3 is at the top and in the presence of healthy adrenals.
POTASSIUM LAB TEST: Measures the electrolyte mineral Potassium, which is within cells, and has a balance with sodium, which is outside cells. Potassium plays a role in healthy kidney, heart and nervous system function. When potassium is too high, it’s called hyperkalemia; when too low, hypokalemia. It can rise in the presence of low aldosterone, then fall.
RBC MAGNESIUM: Measures the amount of magnesium in your cells, as compared to the less optimal serum results, which only contains less than 1% of your body’s total magnesium. RBC stands for Red Blood Cells and is the most accurate measurement. Thyroid patients can be chronically low in the electrolyte magnesium, which causes a multitude of problems ranging from worsened Mitral Valve Prolapse, less cancer protection, poor muscle development, too much calcium, cramping, and many other chronic conditions. See Janie’s blog post on magnesium. You are looking for an RBC result mid-range or higher.
RENIN LAB TEST: Measures the enzyme hormone that regulates the release of aldosterone and is done in conjunction with the aldosterone test. If renin is high in the range along with a low aldosterone, you have an adrenal cause. If both hormones are low in the range, you have a pituitary problem. Always tested along with Aldosterone to see if your problem is due to the adrenals (primary adrenal insufficiency) or your pituitary (secondary adrenal insufficiency).
REVERSE T3 TEST: This test has to be done at the same time you do the free T3, and you then measure the ratio between the two by dividing the RT3 into the Free T3. The body produces the benign RT3 naturally to rid itself of excess of T4, but in some cases, such as high or low cortisol, it’s made in excess and that excess clogs your cell receptors from receiving regular T3. (See page 162-163 in the STTM book for further detail)
SODIUM test: Measures the levels of the electrolyte sodium, which is outside cells, and has a balance with potassium, which is within cells. Sodium regulates bodily fluid and plays role in major bodily functions.
THYROID PEROXIDASE ANTIBODY (TPO) test: Measures the thyroid antibody TPO, which will be above the normal level in the presence of Hashimoto’s disease. Generally, if this is above the range, you’ve got the autoimmune thyroid disease Hashi’s. It the result is below the “less than” mark, or in the range provided, you may be fine, but you need to have done the other antibody test as well–the AB shown above.
TIBC (Total iron binding capacity) test: measures whether a protein called transferrin, produced by the liver, has the ability to carry iron in the blood. Used to determine anemia or low body iron. It your result is high, and in the absence of chronic disease, you may be anemic.
TSH LAB TEST: Supposedly measures the actual TSH in your body, called the Thyroid Stimulating Hormone, a pituitary hormone messenger. Yup, they are using a pituitary hormone to tell you if you have a thyroid issue.
For example, if your body needs more thyroid hormones, the pituitary gland releases the TSH in order to knock on the door of your thyroid to produce more hormones. So theoretically, the higher the TSH lab test, the more your body is screaming at your thyroid to produce! produce!
Creators of the TSH lab test came up with a ‘range’ that supposedly corresponds with healthy thyroid function. So theoretically, if your TSH lab results are higher than the range, it would imply something is triggering your actual TSH to be a little too active in screaming at your thyroid. That something would be a diseased thyroid, called hypothyroid.
But there are problems with this method of diagnosis. First, you can have a so-called normal result, yet be clearly hypothyroid with symptoms. Why? Because the TSH test cannot measure if all your cells & tissue are receiving the released thyroid hormones. Some may be (thus the normal TSH result) and some may not be (thus your clear symptoms). Second, if you have Hashimoto’s, you lab results can swing between hypo and hyper, & your lab test may be representing the middle of the swing.
The best way to use the TSH lab test is in diagnosing a pituitary problem, not a thyroid problem. A very low TSH with a low free T3 gives away a pituitary issue.
VITAMIN D test: (25-hydroxyvitamin D lab test) measures the level of the hormone vitamin “D”, which plays a role in your immune system and other important actions. 50-80 at the minimum is your goal in the range. Many thyroid patients are low in D due to digestive issues from being undiagnosed or undertreated, plus problems with Celiac or gluten intolerance.
OTHER LAB WORK
ACTH STIM: The ACTH Stimulation test, also called the Cosyntropin test, measures the ability of your adrenals to be stimulated by the ACTH, a pituitary hormone, and is used to diagnose Addison’s or Cushings disease, as well as hypopituitary. Usually done in an out-patient setting and takes only a few hours. A synthetic ACTH is injected into your arm and the response of your plasma cortisol levels are measured.
You’ll need to fast, and the test is usually done in the morning. You cannot be on any cortisol medications or supplements. An ACTH plasma test is often done at the same time ot measure the amount of ACTH being secreted by the pituitary gland.
Your cortisol levels will double if your adrenals are not diseased. The ACTH has not been found to be a good test for the kind of adrenal fatigue manifested by thyroid patients, which is sluggishness, not disease.
T7, TOTAL T3, TOTAL T4, UPTAKE, or any other thyroid labs: useless
Want to order your own labwork?? STTM has created the right ones just for you to discuss with your doctor. Go here: https://sttm.mymedlab.com/
NEED THE MOST LIFE-CHANGING patient-to-patient THYROID BOOK JUST FOR YOURSELF? Go here.
WISH YOU COULD TAKE THIS INFORMATION RIGHT INTO YOUR DOCTOR'S OFFICE? Go here.
WANT TO SEND THE STTM BOOK TO A FRIEND OR LOVED ONE? Gohere.
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by just thinking
Unbelievable that you put that altogether. I'm forever scrounging around for one value or another, wondering where I saw it, and never thinking to put it in one efficient post. Thank you, thank you, thank you!
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- Re: You're welcome, but by Iolite
Janie Bowethorp deserves thanks too. Without her and that website, I'd still be winging it on weak otc grandulars and not have a clue that my ferritin and b12 levels were too low and because of under treatment and non-treatment for my hypothyroidism for so many years, my adrenals were fatigued.
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- Janie is the bomb... by just thinking
that blew holes in so many fiercely protected practices of thyroid management. I cannot express enough gratitude for what she provides. I have her book, and I gift it whenever I can. I gave a copy to my mother, whose friend just had her thyroid removed. My mom says, Oh, she'll never want to read this. Then Mother reads it, astonishes herself by having some of her symptoms explained, mentions it to her friend, and her friend is desperate to read it. "Breaking information by patients, for patients..." What a concept!
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by pjc
wow thanks that is alot of good info i am going to ask wont hurt ...she is pretty open minded to some stuff ...and you know what all i have to say is it is worth a shot lets try it ...if not will have to make changes...
im wondering how to get the"thyriod" from canada ...probally need to do some reading on amour and Naturethroid ...how will that impact my throid long term is it safe and effective etc ...
i just know i shouldnt have to work as hard as i do to have energy and feel good and loose weight ...something isnt as it should be
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow RR by Iolite
Erfa Thyroid is WONDERFUL!!!!!!!!! I've been on it for about a year and a half after the Armour and Naturethroid shortage. Forest Lab pulled Armour off the market to "reformulate" and Naturethroid folks couldn't keep up with the demand. After doing well on the old Armour and then switching to Naturethroid and not being able to do it sublingually -- hypo symptoms returned. And that was even with taking a digestive enzyme with it!!!
Erfa Thyroid is the same exact ingredients as the old Armour before it was reformulated. There is a slight difference in grain size but that's easily handled by upping your dose 1/4 to 1/2 grain. Some folks on Janie's Yahoo group:
http://health.groups.yahoo.com/group/NaturalThyroidHormones report that Erfa is STRONGER and they had to drop down 1/2 to a whole grain!! Which is great because that means they're finally assimilating the thyroid med! (Janie's yahoo group also maintains a file for good docs in US and outside US -- worth taking a look if you need a new doc).
It is SUPER EASY to get Erfa Thyroid. Universal Drugstore has a toll number for you to call or a new patient info form online to fill out, and you can either upload or fax your prescription to them or have your doctor phone it in. I think they'll even take a 'script filled out for "Armour", but to avoid any confusion, just have your doctor request "desiccated thyroid" and the number of grains or milligrams you need. It comes in 1/2 grain (30mg), 1grain (60mg) and 2 grain (125mg). It costs only $7 to ship to the US and takes about 10-15days. You can opt to have it Fed EX'd so it doesn't have to go through customs. I've never had my meds held up and I order my refill 2 months before I have to, but my mom has had hers held up in customs so now she Fed Exs hers. http://www.universaldrugstore.com/medications/erfa
Note: in late 2009 and early 2010, a shortage of prescription U.S. desiccated thyroid occurred due to demand being greater than supply. Additionally, the FDA in all their wisdom shut down production from the two remaining generic suppliers as they prepare to require clinical trials by RLC and Forest. But there are options you can look at with your doctor until this shortage is resolved in your area.
NATURETHROID and WESTHROID are by RLC Labs (formerly Western Research Labs) and identical. (Westhroid used to contain cornstarch). Both have been consistently good products. Ingredients are:
- Colloidal Silicon Dioxide (from mined ore: natural desiccant to protect from moisture and humidity)
- Dicalcium Phosphate (from mined ore, holds tablet together)
- Lactose Monohydrate (traceable amount as part of desiccated thyroid powder USP)
- Magnesium Stearate (from a vegetable source like palm oil; lubricating agent for tablet compress)
- Microcrystalline Cellulose (synthetic fiber base to provide volume & bulk: also binds thyroid hormones, sadly)
- Croscarmellose Sodium (aids in disintegration in stomach and sadly, even more cellulose!)
- Stearic Acid (from vegetable source–typically palm oil; holds ingredients together)
- Opadry II 85F19316 Clear
- Porcine Thyroid Powder, U.S. Pharmacopeia (USP)
Before Naturethroid was reformulated in early 2010, it was stated to contain all the above, but the Opadry was listed as simply Opadry White (Titanium dioxide used as whitening agent, but also contains trace amounts of PEG (polyethylene glycol), Polysorbate 80, and Hydroxypropyl Methycellulose.) It also used to contain:
- Sodium Starch Glycolate (synthetically derived from starch molecule; aids in disintegration in stomach)
- Carnauba Wax (from pores of leaves of Brazilian wax palm tree; provides complete seal of tablet)
- Polyethylene Glycol (PEG) (synthetic; used with Hydroxypropyl Methylcellulose for clear coating)
Note: As compared to Naturethroid before the change, the typical smell of desiccated thyroid is now less intense. The tablets are now stamped with RLC on one side, and N over 1 on the other, whereas before you’d see just NT1 or a reference to the fact that Time Caps Labs (TCL) used to make Naturethroid for RLC Labs. Calcium filler has moved up from 16 mg to 17 mg. RLC states the old contained Magnesium, Potassium, and Sodium (each at less than 1 mg), whereas in the new, potassium is now removed.You may need to chew the tablets up to break down the cellulose, which patients state has now become a problem with the newly formulated Naturethroid.
ARMOUR (Armour was reformulated in 2009, supposedly decreasing the amount of dextrose and increasing cellulose. As a result, numerous patients report problems with it and a return of hypo symptoms. Many are switching to Naturethroid or Canada’s Erfa and are not recommending others use Armour. Others are finding that CHEWING the tablet, or pulverizing it and adding honey, helps). It’s made by Forest Pharmaceuticals. It is made in the following strengths: 1/4, 1/2, 1, 2, 3, 4 and 5 grain tablets. The 3 and 5 grain tabs are scored., One grain is 60 mg and contains 38 mcg. of T4 and 9 mcg. of T3, plus unmeasured amounts of T2, T1 and calcitonin. The latter three are not removed, as rumor occasionally states. Each tablet contains:
- Porcine Thyroid Powder, U.S. Pharmacopeia
- Dextrose, Anhydrous (anhydrous means any water has been removed and makes the tablet more stable)
- Microcrystalline Cellulose, NF
- Sodium Starch Glycolate, NF
- Calcium Stearate NF (stabilizer and lubricant)
- Opadry White (Titanium dioxide used as whitening agent, but also contains trace amounts of PEG (polyethylene glycol), Polysorbate 80, and Hydroxypropyl Methycellulose. See below.) Armour Thyroid does not contain gluten or lactose. But neither do Naturethroid or Westhroid.
THYROID-S is from Sriprasit Pharma Co., Ltd. in Thailand (sister company of Sriprasit Dispensary R.O.P.) Advertising states that Sriprasit Pharma is “a leading importer of pharmaceutical products, and has been a GMP and ISO 9002-certified manufacturer of pharmaceutical products.” Patients report they are quite pleased with this product. Sriprasit states Thyroid-s is gluten-free, but a patient has reported classic gluten digestive symptoms with it. To see a photo of the tablet, go here. Tablets are light brown, round, coated. The ingredients, according to Pongsak Songpaisan of Sriprasit are:
- Thyroid extract USP
- Lactose (a milk sugar and is a filler)
- PVP K90 (Polyvinylpyrolidone; water soluble coating/binder; no known hazard)
- Avicel (microcrystalline cellulose; holds product together)
- Aerosil (silicic acid powder; help disperse the ingredients)
- Sodium starch glycolate (helps dissolute/disintegrate the pill)
- Magnesium stearate (filling agent)
- Eudragit (a common sustain released coating)
- Methocel (a water soluble cellulose ether-helps bind pill)
- Talcum (a filler)
- Ponceau 4r lake (red additive-aluminum)
- Tartrazine lake (yellow additive-aluminum)
- Brilliant blue FCF lake (blue additive-aluminum)
- Sunset yellow FCF (yellow additive)
- Titanium dioxide (white)
- PEG 6000 (water soluble polymer; binder)
- Dimethicone solution (Thanks to Ruth-Ann for obtaining the ingredients list above; descriptions added)
On 8-09, received an email from a US Doctor who received the following list after emailing Sriprasit:
Fillers used: Corn starch, actose, Avicel (microcrystalline cellulose; MCC)
Binders used: PVP K-90 (Polyvinylpyrrolidone)
Preservatives used: Methyl paraben, Propyl paraben
Content in one tablet (60 mg thyroid extract): approximately 38 mcg Levothyroxine (T4) and 9 mcg Liothyronine (T3)
Source of extract: Porcine
Patient states: The Thyroid-S tablets are brown with a hard coating, they do not dissolve well as is, but can be chewed. They have a papaya like taste similar to “Thiroyd” below.
THIROYD (yes, that’s how they spell it) by Greater Pharma Ltd., a leading Thai Pharmaceutical Manufacturer. An email to a patient by Greater Pharma states that “thiroyd” at one grain contains T3 at 8.31 microgram; T4 at 35 microgram, which is 0.013% and 0.058% respectively. Thyroid patient Samantha states: The Thiroyd tablets are white and have a sweet taste almost like papaya or a similar fruit. They dissolve very well sublingually and seem to have a very good potency. Entire paper insert with info is written in English: Greater Pharma Manufacturing Co. Ltd
55/2 Phutthamonthon, Nakhon, Pathom. Like Thyroid-S, this is ordered over the net.
****If you can find out what the additional fillers are, please let me know via the Contact Me form.
AUSTRALIA’s compounded thyroid: Desiccated thyroid in Australia is mostly done through compounding pharmacies and is usually called “thyroid extract”. A patient asked Australian Custom Pharmaceuticals, Australia’s largest compounding-only pharmacy, about their ingredients. It was stated that the only ingredients put in the capsules are the active ingredient (thyroid extract) and microcrystalline cellulose as the filler. At ACP 60mg (equivalent to 1 grain) contains 33.4mcg T4 and 8.37mcg of T3. However , together T4 and T3 may potentiate each other giving a therapeutic effect equivalent of 25mcg of T3 and 100mcg of T4 per 60mg. The thyroid extract in porcine derived, and it is bought from an overseas supplier. Australian Custom Pharmaceuticals Ph. 1300 853 620 Fax. 02 8536 4155 (Thanks to Juanita for providing this information)
CANADA’S “THYROID”, formerly by Phizer and is now by Erfa. They come in 30, 60 and 125 mg tablets. They contain:
- Dried Thyroid
- Magnesium Stearate
Erfa’s Canadian Thyroid has slightly different ratios than the USP ratios of US brands:
In each Erfa 30 mg tablet embossed “ECI 30”, there is 18 mcg. of T4 and 4 mcg. of T3 (as compared to 19/4.5 in US brands) This is equivalent to the US one-half grain.
In each Erfa 60 mg tablet embossed “ECI 60”, there is 35 mcg. of T4 and 8 mcg. of T3 (as compared to 38/9 in US brands) This is equivalent to the US one grain.
In each Erfa 125 mg tablet embossed “ECI 125”, there is 73 mcg. of T4 and 17 mcg. of T3 (as compared to 76/18 in US brands) This is equivalent to the US two grains.
DENMARK’S THYREOïDUM from Biofac in Kastrup, Denmark. Imported into the Netherlands from BUFA/Fargo, importers of pharmaceutical products.
½ grain = 29 mg (12.7 mcg T4 and 4.5 mcg T3)
1 grain = 57 mg (25.3 mcg T4 and 9 mcg T3)
2 grain = 114 mg (50.6 mcg T4 and 18 mcg T3)
Pig thyroid. Some websites state the T4/T3 ratio can vary from 2.3: 1 to 3.8: 1 depending on the lot. Meets standards of US Pharmacopoeia. Contains Microcrystalline cellulose as a filler. Also may contain lactose, sodium, chloride, starch, sucrose or glucose.
(Thanks to Julia Hendryx of the Netherlands for alerting me of this desiccated thyroid!)
GERMANY’S THYREOGLAND from Munchen (Munich), Kloesterl Apoteke, Waltherstrasse, 80337 Muenchen. Phone: 089 54343211
1 grain Armour=100 mcg levothyroxine=40 mcg Thyreogland. Clear gelatin capsules with loose powder inside. May have magnesium searate as a filler. The 25 mcg tablet specifies “25 mcg T4 and circa 6 mcg T3″ on the label. Thanks to thyroid patient Amy for the above information.
Anna sent me this: the Kloesterl Apotheke (pharmacy) Munich Tel: 0049 (0)89 / 54 34 32 11 offers 4 different strengths: 25 mcgr T4+5.9 mcgr T3; 50 mcgr T4+11.8 mcgr T3; 75 mcgr T4+17.8 mcgr T3 ; 100 mcgr T4+23.7 mcgr T3. The 75 mcgr one is nearly exactly the equivalent of 2 grains of armour. Also they add the amino acid tyrosine in the capsules as a filler. She advises all Germans to phone them and get the leaflet. It’s more or less the only information about natural thyroid treatment available in Germany that one can take to a doctor.
Also available in Germany: compounded pork thyroid, aka Schilddruesen-Extrakt, in different grains. Obtained from pharmacy Receptura, Altenhoeferallee 3, 60438 Frankfurt am Main, Germany. Phone: +49-69/92 880 300 E-Mail:email@example.com (not for shipment to USA or Canada) Fax: +49 (0)69-92880 333 PC-Fax: +49 (0)69-92880 25 460 e-mail: firstname.lastname@example.org (thanks to Debby for extra info)
ITALY’s “CINETIC” dried thyroid, produced by Teofarma srl – Pavia, Italy, contains:
- Dried Thyroid
- dicalcium phosphate
- microcrystalline cellulose
- magnesium stearate
- sandarac resin
- gum arabic
- titanium dioxide
- indigotine (E132)
- white beeswax
Active ingredients: 75 mg dried thyroid (equal to 25.5 mcg T4 and 7.5 mcg T3); organic iodine 0.150 mg in thyroid combination)
Tablets are coated. 75 mg with 50 tablets in blister pack. Package insert recommends 1-2 tablets, 3 times a day (though that may end up being different according to your needs). They also recommend to swallow pills with water, without chewing and without dissolving. To be stored not above 77F/25C
(Thanks to Beatrice for translating and sending the above information!)
NEW ZEALAND’S Whole Thyroid, which is compounded desiccated thyroid by Pharmaceutical Compounding New Zealand (PCNZ). Phone: 09-442-1727 Fax: 09-442-5851 Email: email@example.com Website:http://www.pharmaceutical.co.nz/
GENERIC NATURAL THYROID (which includes one called Qualitest) by TIME-CAPS LABS (as of 2009, this one appears to have been discontinued). It contained thyroid powder, microcrystalline cellulose, Dicalcium phosphate, Colloidal silicon dioxide, Sodium starch glycolate, Steric acid, Magnesium stearate, Hydroxypropyl methylcellulose, and “other ingredients” (which we did not know). It was unpopular due to being weaker. Another generic maker is called URL, or United Research Labs, which is a sister company to Mutual Pharmaceutical. As of 8-07, it’s reported by a patient that Qualitest now has the same smell as Armour, which is different than the lack of smell it had before. As of 2009, it may have also been discontinued. In 2009, an active generic still around by Major Pharmaceuticals,simply called Thyroid, or generic Thyroid, 31778 Enterprise Drive; Livonia, MI. 48150
NUTRI-MEDS PORCINE or BOVINE, a non-prescription brand of natural desiccated thyroid. The porcine CONTAINS:
- Whole Dessicated Thyroid Glandular Concentrate – Porcine
- Raw Porcine Thyroid Tissue 130 mg.
- Dicalcium Phosphate
- Magnesium Sterate (Natural Tableting Agent)
Patients report that over-the-counter thyroid products, including Nutri-meds, are far weaker than all the above, so they have to take quite a lot. Yes, they may be good in a pinch for help. Not sure about long term support.
*****If you find out what the ingredients are for BOVINE, please let me know via the CONTACT ME form on STTM. More information on the use of BOVINE for religious reasons here.
THYROLAR: Thyrolar (liotrix), combination of synthetic T4 (levothyroxine sodium) and synthetic T3 (L-triiodothyronine), has not been available since 2009 with no explanation from Forest Labs. It had a ratio of four parts T4 to one part T3. No T2, T1 or calcitonin. The tablets needed to be kept refrigerated. Patients who’ve tried both Thyrolar and desiccated thyroid report the latter gives them far better results.
CYTOMEL, synthetic T3-only, is needed as a treatment by those who have a highRT3 and can’t tolerate the T4 in desiccated thyroid until they correct their adrenals or other issues causing the high RT3. Made by King Pharmaceuticals. (There are other generic versions out there of this.) Cytomel ingredients include:
Liothyronine (synthetic version of triiodothyronine aka T3)
CYNOMEL, a Mexican version of T3 only and often preferred by patients because it seems to work better for many, has:
Calcium Sulfate Dehydrate
Sterate acid powder
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by wombat
Great post(yet another:)!
We really appreciate your input here, your experience is really valuable. I certainly don't know how to answer the Qs that you do, in fact there was a question recently where I was going to paste one of your posts in reply. Just Thinking beat me to it! :) Thank you~!
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by Iolite
Thank-you for the "atta boy". Janie has changed my life so much that I try to spread what I've learned wherever I can.
It's really great to see the word is getting out. I now find myself on the odd forum or article site and find that someone has beat me to it and left the link to Janie's site. I too have gifted her book. I can't wait for the reprint!!
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by pjc
thanks so much ..your input and sharing of knowledge is so appreciated i cant thank you enough ...been beating my head against a wall for years now ...im going for it all tomorrow tired of being tired etc..im worth it
i assume that if you go universal drug store not covered by insurance ...that is if i can get her to write the scriipt ...i can also add one cycle in 6 months is not good either ...lets hope she will listen...got to plan and write out my case
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- Re: [EDIT] Re: yearly visit to the endocrine dr tomorrow by Iolite
I pay out of pocket for it, that's true. But if you have a Health Savings plan at work, you can reimburse yourself, kinda sorta. But even so, for me a 30 day supply is only $19+7sh for 100 tabs of 60mg (I take 3 a day). But it's best to order at least a 3 months supply and then re-order when you start on month 2 so you won't run out if there is a delay.
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- Re: [EDIT] [EDIT] correction on ingredients by Iolite
Just discovered that I made an error in the cellulose form that's in Armour. It's not methylcellulose, it's microcrystalline cellulose, and it is dextrose, not lactose and Erfa contains sugar.
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