Over the years, many of my readers have written to me about just not “feeling right” on their thyroid hormone pills, even though their TSH levels were normal, and they were apparently on the right dosage. An article published in the February 11, 1999 issue of the New England Journal of Medicine reported on some dramatic findings for thyroid patients. Apparently, when the thyroid hormone with 3 iodine atoms (T3), known as triiodothyronine, was added to their regular thyroid hormone replacement pill (which is thyroxine, or T4, the thyroid hormone with 4 iodine atoms), people felt much better. A cocktail of T3 and T4 helped relieve depression, brain fog, fatigue and other hypothyroid symptoms. In this study, 33 patients with severe hypothyroidism were treated alternatively with pure thyroxine (T4) or a lower dose of T4 plus triiodothyronine (T3). The article concluded that “treatment with thyroxine plus triiodothyronine improved the quality of life for most [hypothyroid] patients.”
This may explain why some patients have felt better on alternative thyroid drugs such as the natural Armour Thyroid, Westhroid and Naturethroid, which contain T4 and T3 naturally, and the synthetic T4/T3 drug Thyrolar. T3 can also be added to your regular thyroid hormone pill as simply an additional pill, known as Cytomel(r), which is simply pure T3 or triiodothyronine. This comes as surprising and welcome news for many thyroid patients who thought they were suffering from phantom hypothyroid symptoms.
A survey conducted by The Thyroid Foundation of America found that 59% of survey participants complained of persisting hypothyroid symptoms, such as muscle aches, lethargy, and/or depression.
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