The first thing you will notice from this chart is that it includes information which allows you to convert from T4 only medication to NDT medication to T3 only medication to synthetic What you might not realize is that these conversions don't really make a lot of sense once you start to break them down. Well, many factors impact how well your body is able to utilize thyroid hormone and which thyroid hormones you do better on. If you used any of these tables, or something else, please comment and shared what worked for you! Unfortunately, most patients (including you reading this) are probably taking a T4 only medication such as While T4 medications can be helpful in many situations, they aren't always enough to get patients back to the 100% that they were accustomed to prior to their thyroid disease.

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They concluded, based on the results of their study, that there is a better way to convert between NDT and T4. Well, because most doctors would rather underdose you than overdose you.

Even though this chart is still better than the original, and based off of newer studies, I find that it's may still leave a large number of patients underdosed.

Get Real Thyroid provides a handy dosage guide for conversion to Nature You can click to enlarge the image here to look at the details. SYNTHROID Dosing Guidelines for Pediatric HypothyroidismTSH Suppression in Well-differentiated Thyroid CancerWe comply with the HONcode standard for trustworthy health information - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821486/#5. We aren't going to go into detail on these specific topics but you should be aware that they exist and they can all influence how well you transition or convert between thyroid medications. Let me begin with those I do not recommend, though, and that starts with compounded thyroid.The drawback with compounded thyroid is that it is simply not standardized, which means that the results are not exacting enough to feel confident in the product. Pharmacology, adverse reactions, warnings and side effects. The chart suggests that 1 grain of NDT (which is equal to 38mcg of T4 and 9 mcg of T3) is equal to 100mcg of T4. This chart is better, in my opinion, because it is founded on REAL results and REAL patients. #2. https://academic.oup.com/jcem/article/98/5/1982/2536971#4. They also created this information based off of studying patients taking both T4 and NDT and looking 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.

Westin Childs is a Doctor of Osteopathic Medicine. Nature-Throid Synthroid® T4/T3 T4 120 mg (2 grain) Levothyroxine Sodium 105 mg (15 mg + 90 mg) 15 mg (1/4 grain) Desiccated Porcine Thyroid Extract 30 mg (1/2 grain) 90 mg (1.5 grain) 60 mg (1 grain) 16.25 mg 32.5 mg 65 mg

I have put it together to be super simple for you: All you have to do is provide what you are currently taking, and it will show you the conversion for different types.It is especially cool to use because, even if you were on multiple medications at one time, it can put them all together for you in one handy package.

Most other brands, though, will call 1 grain 61 milligrams.In terms of practical application, I am often asked which thyroid types I am likely to recommend the best. For this reason, many hypothyroid patients undergo extensive dieting programs which can negatively influence thyroid metabolism. November 28, 2015 at 8:20 pm; ... it was tough adjusting to life without a thyroid and figuring out the optimal dose of Synthroid. But don't be surprised if you use this chart and find that your hypothyroid symptoms return as you transition. Drugs A-Z Pill Identifier Supplements Symptom Checker Diseases Dictionary Media 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 was initially started on 100mcg of Synthroid and was feeling tired and depressed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.

This changes what type of thyroid medications you may do best on and your conversion table! This is something that I came up with a long time ago, but I am now sharing with you to gain a clearer picture of your health and your thyroid medication. So, this pushes their chart away from the T4 bias that exists in the original chart that I showed. I go through great lengths to help my users better understand their health; however, the content you see here is not a substitute for medical advice.

It's fairly common to see people with hypothyroidism struggle with their weight.

I mentioned before that it wouldn't be as easy as just plugging in your current dose and then transitioning to a new dose.

I find this chart to be more useful for most people as it makes the claim that T3 is around 3x more potent than T4 and this idea is supported by studies.

The chart is suggesting that 1 grain of NDT is equal to 100 mcg of T4 but we just found that NDT only contains about 74 mcg of T4 equivalents!Using this chart will result in underdosing by about 25% if you use it to transition from T4 to NDT! I've found that these 10 foods cause the most problems for thyroid patients. Thyroid Drug May Not Help After Heart Attack: Study The more aggressive the conversion you use, the more likely you are to experience symptoms, even if this rate is probably only around a few percent (2-3%). © 2020 Dr. Westin Childs | Thyroid & Health Supplements That Work

Of course, but I find it's best used as only a very rough estimate to help you get on track.

My goal is to provide you with the most in-depth analysis of every topic you read. The charts will vary in how conservative or aggressive they are and I will link to studies which support their use when appropriate. First, you are going to notice the various brands at hand, including: T3 – Cytomel or Liothyronine (or compounded T3) T4 – Synthroid, Levoxyl, Levothyroxine, Tirosint (or compounded T4)