UH OH–Naturethroid and WP Thyroid Shortages and what to do

Feeling panicked or frustrated by the shortages of two particular brands of Natural Desiccated Thyroid? Let’s take a look at all of this and what you can do.

Brands of NDT

Nature-Throid® and WP Thyroid® are two brands of NDT produced by the U.S. pharmaceutical RLC Labs. (There’s even an older third brand occasionally still foundable: Westhroid, which is said to be exactly the same as Naturethroid, though in less strengths than Naturethroid provides.)

As mentioned in the most sought-after patient-to-patient hypothyroid book on the market, RLC (formerly Western Research) has been around a long time–since the early 1930’s. And it appears they aren’t about to end that long tradition of their existence.

Why the shortage

RLC explains that the shortages are due to “significant upgrades to our facility and equipment”. And though that has created great inconveniences to and frustrations by users of their products, it’s clearly stated by RLC to be a temporary issue, though the resolution may take awhile.

Steps to consider in the meantime

 

    1. Writing the prescription differently First, make sure you doctor writes your prescription in a way that you are able to get any other brand of NDT your favorite pharmacy provides. One way is for him to write simply “desiccated thyroid”, then the amount you use, instead of mentioning a brand.
    2. Call around to different pharmacies. Patients are reporting that some still have their supplies of Naturethroid or WP, and especially WP.  See if that makes you lucky.
    3. Consider other NDT brands. For example, NP Thyroid by Acella has been proven by patients to be a solid and well-made Natural Desiccated Thyroid, similar to the old version of Armour. And there are no shortages of NP.
    4. Compounding pharmacies  Though more expensive, these versions of pharmacies are a way to have your NDT made according to you or your doctor’s specifications, especially fillers used.
    5. Using synthetic T3 with synthetic T4  If the two synthetics are used, patients have learned that their goals end up being the same as Natural Desiccated Thyroid as far as lab results with the free T3 and free T4, plus removal of symptoms, as well as not going by the TSH lab test. To see different brands of synthetic T3 like Cytomel and others, go here and see them in pink.

Why a pharmaceutical might be doing an upgrade

The U.S. Food and Drug Administration (FDA) states they inspect pharmaceutical manufacturing facilities worldwide, based on standards outlined by the Current Good Manufacturing Practice (CGMPs) regulations.  This is especially true for those facilities which manufacture active ingredients like “thyroid tissue”, as well as the finished pill or liquid product from the contained ingredients.  They state “inspections follow a standard approach and are conducted by highly trained FDA staff.” 1

Says the FDA:

CGMPs provide for systems that assure proper design, monitoring, and control of manufacturing processes and facilities. Adherence to the CGMP regulations assures the identity, strength, quality, and purity of drug products by requiring that manufacturers of medications adequately control manufacturing operations. This includes establishing strong quality management systems, obtaining appropriate quality raw materials, establishing robust operating procedures, detecting and investigating product quality deviations, and maintaining reliable testing laboratories. This formal system of controls at a pharmaceutical company, if adequately put into practice, helps to prevent instances of contamination, mix-ups, deviations, failures, and errors. This assures that drug products meet their quality standards.2

If you really want to get detailed information on CGMPs, here you go: https://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm064971.htm

Stop the Thyroid Madness has not seen anything stated from RLC that this is the reason for the upgrades causing the shortages. But it will be interesting to see what the Naturethroid and WP Thyroid tablets look like, and act like, after this upgrade and catchup.

UPDATE as of OCTOBER 10th, 2017:  

Heard the following from a gal who called RLC Labs:  They have been working on the one grain tablets, and stated they should be finished in about two weeks. Then they will be mass shipping to pharmacies after that time around the first of November.

 

 

 

 

 

 

MORE INFORMATION:

  • Can Hashimoto’s patients do well on Natural Desiccated Thyroid? Find out here
  • Is it true that thyroid cancer patients should avoid NDT? See this.
  • How do I use Natural Desiccated Thyroid? See what patients have learned here.
  • What if I want to use synthetic T3 instead? See this.
  • Where do I get the Stop the Thyroid Madness books I hear so much about?  Right here.

 

 

1. https://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm
2. https://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm
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124 Responses to “UH OH–Naturethroid and WP Thyroid Shortages and what to do”

  1. Jeff

    Significant upgrades could include expanding the production capabilities, adding new computer systems and equipment required to press tablets. If they are upgrading an existing facility as opposed to building a new plant, then this would impact current production. Most likely, the FDA will want to test new batches to insure that potency and stability is maintained and that could add more delays.

    Reply
  2. Cay

    i have been hypo for more then 20 years and always took levothyroxine. Just recently told i have hashimotos now. About 2 months ago i asked my Doctor if i could try Armour and she was open to trying it. I’m at 300 mg. Should i be on this or something else like naturethyroid or WP thyriod? im so confussed on what to do. My thyroid has always been all over the place. Now my hair is falling out like crazy and feel like crap and run down most days. Waiting to see a new Endocrinologist but with my luck this one won’t run ant tests or even spend more then 10 min. with me. Does anyone know a good endocrinologist in Minnesota i would be forever greatful!!!

    Reply
    • Janie Bowthorpe

      Cay, it may be possibly that you have an adrenal or iron issue if your hair is falling out and you feel like crap. Start here: http://stopthethyroidmadness.com/ndt-doesnt-work-for-me

      Also, Armour is now the most expensive brand of NDT. There are other less-expensive brands: http://stopthethyroidmadness.com/options-for-thyroid-treatment Compare prices. But…you may first have to discover and treat your iron or cortisol issues, as they can cause problems on any brand.

      Reply
      • michele

        i wouldn’t be surprised if it were the armour causing the problems. after the reformulation in ’10 armour was no longer my friend. my hair started falling out, i developed rashes and even lesions on my scalp. i’d rather use one of the synthetics (which is frightening) than go back to that.

        Reply
    • TK

      Cay, look up Alexis Forsberg at Health Partners Specialty clinic in St. Paul.

      Reply
    • Beth

      That seems like a high dose and see the stopthemaddness link. I switched from Levo to NDT 30mg and was GREAT for 3 weeks. Then general Dr. said he would not raise dosage and go to Endo, so back to the search for a good physician, have seen 5 so far, including Endo who didn’t care about my side effects and how horrible I felt.

      Reply
    • Rachel

      300 mg is very high. The most I was ever put on was 125mg to attempt to shrink my nodules and my heart rate any sky rocketed. You may need to lower dose.

      Reply
    • Janie Bowthorpe

      Cay, Beth and Rachel may be right on. You may have gone too high. Over the years, what patients learned is to slow down in the 2 grain area somewhere and do testing to see where they are. Then if not optimal we go up a little at a time and continue testing. Now granted, people are at different amounts when optimal..and optimal is key. So is having optimal iron levels and cortisol in order to do well on NDT or T3. But testing is important. See the green graphic on this page: http://stopthethyroidmadness.com/natural-thyroid-101

      Reply
    • Sharan Devoto

      I was on Synthroid for 25 years before switching to Nature Throid a year ago August. After slowly increasing NT, my hair has stopped falling out, my nerve pain is gone, muscle and bone pain is minimal as well as no more depressio. Nature Throid doesn’t work for everyone but it has changed my life for the better. I still have fibromyalgia which started after I had RAI to ablate my thyroid gland, but even that has improved. Every doctor I have seen from day 1 refused to give me Armour, NatureThroid, etc. They only gave me Synthroid or a combo of Synthroid and T3. I finally saw an integrative medical doctor at UCSF and he gave me NatureThroid.

      Reply
  3. Ally

    I want to order from IHP. It seems the only brands they have in stock are Erfa and Armour. I’ve read in the past these were no longer trustworthy. Have either of these brands shown improvement?

    Reply
    • Janie Bowthorpe

      It’s odd. Some people are doing fine on either; others still have complaints.

      Reply
      • Ally

        Is the ndt quality the same if shipped from IHP or other int pharm?

        Reply
        • Janie Bowthorpe

          As long as the NDT hasn’t been exposed to excessive heat, patients report doing fine with them.

          Reply
          • Cheryl

            I want to order a 90 day supply of Nature-Throid from my mail order pharmacy through my insurance plan but hesitate worried that it will be exposed to excessive heat in transit through the postal system. Right now I fill it at a local pharmacy. What do you think?

          • Janie Bowthorpe

            Is it excessively hot where you live? If not, most say it’s fine when it arrives.

          • Cheryl

            No , not really. I’m in New Jersey. Thanks for answering!

          • Adina

            Lately my 90mg Np by Acella has a kind of smell. As I keep all 90,60,30in the same place I doubt is due to unsuitable storage.

          • Janie Bowthorpe

            It’s just the porcine. The beauty of NP is that Acella doesn’t put much of a coating on them, so they are easier/quicker to dissolve.

  4. joani r WEISS

    I can’t seem to get it either at my Pharmacy and I will die without it I don’t know what to do I’m a bit confused by the article who and what should I order where? Thank you

    Reply
    • Janie Bowthorpe

      Hi. The article gives you these five options to consider during this shortage:

      1) Writing the prescription differently First, make sure you doctor writes your prescription in a way that you are able to get any other brand of NDT your favorite pharmacy provides. One way is for him to write simply “desiccated thyroid”, then the amount you use, instead of mentioning a brand.
      2) Call around to different pharmacies. Patients are reporting that some still have their supplies of Naturethroid or WP, and especially WP. See if that makes you lucky.
      3) Consider other NDT brands. For example, NP Thyroid by Acella has been proven by patients to be a solid and well-made Natural Desiccated Thyroid, similar to the old version of Armour. And there are no shortages of NP.
      4) Compounding pharmacies Though more expensive, these versions of pharmacies are a way to have your NDT made according to you or your doctor’s specifications, especially fillers used.
      5) Using synthetic T3 with synthetic T4 If the two synthetics are used, patients have learned that their goals end up being the same as Natural Desiccated Thyroid as far as lab results with the free T3 and free T4, plus removal of symptoms, as well as not going by the TSH lab test. .

      Reply
      • tyrafenn

        Janie… just a thought. Having gone thru this when Armour reformulated and was in short supply, your suggestions saved my life when I found Erfa at the time. You said to have rx written for desiccated thyroid and to also have the rx written in grains, not milligrams. Some pharmacists are real sticklers and can refuse the ‘generic’ rx if there is a discrepancy with the milligrams vs grains.

        Reply
  5. Dawn

    Just last week I found a new doctor who was willing to give me a new Nature-Throid prescription, and just today — the day I was supposed to pick it up — I got a minute-and-a-half long message from my local pharmacy saying there was a problem with manufacturing and they couldn’t get it. He said he called all of the other private and commercial pharmacies in the area and nobody had it or could get it. That’s what led me to search for info online. And as usual, STTM already had answers to most of my questions. Thank you for helping to keep us aware and informed!

    I can also recommend a couple of the OTC brands I’ve personally had success with, Thyro-Gold and Thyrovanz (bovine). They are less potent than the prescription brands, but if you learn the right conversion doses, they could definitely be used successfully in the short term. But also be aware that they’ll ultimately be more expensive to get your right dose. Just mentioning as an option.

    Reply
    • Hope

      I had the exact same thing happen to me last night when I went to pick up my prescription. I was upset that they hadn’t called me, especially since I requested the refill before the weekend. Your information is helpful. Thank you!!

      Reply
  6. Janet

    A customer service rep at RLC Labs told me they were getting so many orders for Nature-Throid that they had to revamp their manufacturing line to handle the demand. It should be going full force again in October.

    Reply
    • ellen weir

      That may be the case, but, Naturethroid stopped working for me a month or so ago. Had been taking it for 7 years. They reformulated, same as Armour did in 2009, and added a filler that made me sick again!

      Reply
      • Tracey P

        Hi Ellen,

        I’m having the same exact problem as of a month ago. Do you know for sure they reformatted? I’m totally feeling the change in my body but haven’t seen any info to confirm the reformat. What pill are you planning on switching to? This is awful 🙁

        Thanks,

        Tracey

        Reply
        • ellen weir

          Hi Tracey. When did you start feeling sick on Nature throid. Can’t seem to find out if and when they reformulated. But, I was sick for a month or two. Started NP 1.5 days ago, and not feeling so hot. took the 3 grains of 60, was on 3 grains of 65 with Nature throid. My stomach is a mess, and so far NP isn’t getting me out of brain fog, achy joints ibs symtoms. My cortisol reading a couple of months ago was fine. I have suffered from adrenal fatigue in the past, but not for several years. I was originally on Armour starting in 1989, until they reformulated and made thousands sick in 2009. this is difficult. want my life back

          Reply
          • Janie Bowthorpe

            Ellen, see my reply to your other post. You probably have an adrenal issue again. It’s about saliva, not blood and it’s about where the four results fall. You could also have an iron problem. http://stopthethyroidmadness.com/iron-and-cortisol

          • housemaid

            Ellen, I think it was way back in January that I started losing hair and gaining weight on Nature-throid, which I had taken for years. Adjusting the dose didn’t help. I bought Westhroid Pure (WP) thyroid and it worked. I think it is because that brand does not have the fillers. But now the WP is unavailable everywhere and the NP brand is outrageously expensive (if you don’t have insurance) compared to what I was paying for the WP.

            The online pharmacy I have been buying from gives a date of Oct. 23rd for some strengths of WP being available again, but not the strength I need. They will have the 81.25 mg and 97.5 mg restocked, but not the 65 mg and 130 mg.

      • Michelle

        Hi Ellen. Thanks for posting that. I recently switched to Nature Throid from Acella NP (because of cost). I’m feeling pretty bad now. Glad to know it’s from this reformulated stuff — but also MAD to know it!! Hoping to get back on NP ASAP.
        Best of health and luck to us all!

        Reply
    • Hope

      Really good to know. Thank you!! I was told last night by my pharmacist thanks they couldn’t refill it for reasons already mentioned here. It totally confused me! I appreciate your information.

      Reply
  7. Jane Hall

    Janie, has RCL given any kind of time frame when they might be back up? I’m just thinking, a company doesn’t go into a remodel or upgrade without having an idea when they will be back in business.

    Reply
  8. Carla

    My pharmacist spoke with RLC this week and was told production would be up & running before 10/26/17.

    Reply
  9. JC

    Hello. Does anyone know if RLC will restart manufacture of the 5 grain Nature-Throid pills? 2 grains is the biggest that currently seems to be available and that’s just not enough for me!
    Many thanks.

    Reply
    • Janie Bowthorpe

      We don’t know, JC. But it’s actually better to take our total amount in two doses anyway, such as morning and early afternoon, due to the short half life of the direct T3 in NDT.

      Reply
      • JC

        I used to buy the 5 grain tablets and split them in two as it’s far more cost effective (I have to import to the UK) but that size has been discontinued unfortunately. So it’s now way more expensive for me. And I just checked and even the 2.5 grain isn’t available! I’m not sure if the bigger sizes are coming back. I can only hope!

        Reply
    • Lori

      I wrote Nature Throid regarding the larger size tablets because I take 8 grains per day 4am and 4 mid day (did not have to be this high before they added the cellulose and I chew it with honey and rub it on the inside of my cheeks) they wrote back and said they are discontinuing the 4 and 5 grain tablets due to low demand. I responded that this is a problem for me as it increases my cost and they said they were sorry for the inconvenience.

      Reply
  10. Donna

    The woman I spoke to at RLC said in the seven years she has been there she has seen these two products increase rapidly.
    With manufacturing upgrades with and an influx of orders, they were caught off guard. And she stated when pressed, that by the
    first of the year things would be back to normal.

    Reply
    • Janie Bowthorpe

      Since Stop the Thyroid Madness has always spoken about the efficacy of NDT over T4 based on patient reports, doesn’t surprise me that orders have increased rapidly. Though this is inconvenient for all of you now, it will be beneficial for all later for them to improve their production capabilities.

      Reply
    • Hope

      The first of the year??? Ouch! I take three grains! I’m not sure I can do this that long. Do you know if there’s a chart that could help find the equivalent doses of OTC supplements in place of ndt?

      Reply
  11. MontanaNAR

    My pharmacist says that, in the past several years, drug manufacturers have colluded to create shortages of particular medications so that when a specific drug is again available, it is much more expensive.

    Reply
    • Lori

      Sounds about right.

      Reply
    • ellen weir

      yes. i had to switch from Naturethroid, because it was making me sick after seven years. I’m convinced they reformulated within the last couple of months. And, I started today on NP. $45. for a month. Double what i have paid in the past for Armour and Nature throid. They add fill, and raise the prices. what a racket

      Reply
      • Janie Bowthorpe

        NP Thyroid is far less than the other two. Might be more expensive because of where you got it…

        Reply
        • ellen weir

          Janie, I started NP one and a half days ago, and am feeling brain fog, achy joints ibs symptoms, just like on Nature throid. Do you know if Nature throid was reformulated within last couple of months? And, I was on Armour for 20 years until the mess in 2009. When people say the new Armour is like the old Armour, are they talking about Armour in the 80’s. thank you. Maybe i just need to give this NP some more time. ellen

          Reply
  12. Nonna

    Thanks for the info. Does anyone know if it’s OK to use some WP thyroid I have of lower doses that have just “expired” (according to the pill bottle by pharmacy) this month? Has anyone done this before? usually, many pills are still good after, but I’m not sure about this one. I think the manufacturer could have given us a heads up, since I’m sure they knew the plan to upgrade way ahead of time. Still, I’m not giving up my WP unless I’m forced to. Hope they don’t raise the prices.

    Reply
    • Janie Bowthorpe

      NDT lasts for years and years as long as it’s not exposed to excessive heat or moisture, irregardless of what the expiration date says (which means the pharmacy doesn’t understand it). P.S. if they raise the prices, patients who post about NP Thyroid are pretty happy with it.

      Reply
      • Nonna

        Thank you so much! For EVERYTHING! I would have been lost when first diagnosed if not for your site.

        Reply
  13. Bonnie

    I’m at the ripe old age to begin Medicare starting next month, but Medicare Prescription Part D no longer covers NDTs. Has anyone in here been successful getting it covered by having your doctor call the plan and asking for an exception by saying that “it’s the only thyroid medication that has helped her”?.

    Reply
    • Nonna

      I haven’t, Bonnie, and I’m allergic to levo. However, I use Good RX card, which is a prescription discount card, and I get three months for about ten dollars a month. I use Walgreens, but you can shop around and use that card. Just Google Good RX and you get the card for free.

      Reply
  14. joyce martino

    I’ve been thru with this Armour since 2002 and have gotten to taking NT in the last few years. And here we go again. And each time, prices have gone up when the product comes back up to good levels.

    I take 130mg NT and what is wrong with NutriMeds desiccated 130mg caps or tabs. I’ve known about NutriMeds for some time but thought the script medicine was the only good product. Now I’m re-thinking this issue. Perhaps Nutri Meds is a good alternate source to the script desiccated meds. Please comment. J

    Reply
    • Janie Bowthorpe

      You know, I would stick with prescription if possible, as we know the powder goes go by guidelines of the US Pharmacopeia. And NP Thyroid is an excellent product with no shortages if you want to consider it. And no, I make no money mentioning it. lol. But if you use NutriMeds, just now it’s considerably weaker and you’ll end up needing a lot more. Or ThyroGold is another.

      Reply
      • Lori

        I called Costco and CVS pharmacy they said they are back ordered on NP thyroid, the holistic Dr. I go to has been keeping Nature Trhoid in his office to sell to patients, he can not get Nature Throid due to back order and he called NP Thyroid and they told him the same thing. I live in Orange County Calif. USA. As it turns out I have to continue the hunt for Nature Throid because the Dr. does not want to change the RX at this time.

        Reply
  15. Janie Bowthorpe

    Update from RLC labs to those of you using their products. In the meantime, the above post has ideas you can consider to tide you over.

    Nature-Throid and WP Thyroid Availability Update
    NATURE-THROID & WP THYROID · WEDNESDAY, SEPTEMBER 20, 2017

    We announced a few weeks back that our manufacturing upgrades were complete, but many of you still had questions about what the upgrades entailed, and understandably so. Simply put: We are expanding to keep up with the growing demand for Nature-Throid and WP Thyroid.

    To keep up with demand for our medications, we moved to a new facility and got to work on upgrading our equipment and processes. During the transition, however, we experienced a large surge in orders and had difficulty meeting them. This regretfully caused the backorder of our medications, which we are actively working our way out of. The good news is that the upgrades we have made ensure that, not only will be able to satisfy all orders, we will be able to ensure ongoing, full-scale production without any disruptions. You can also rest assured that neither Nature-Throid or WP Thyroid are being discontinued, despite what you may have heard.
    Our teams are making every effort to have all strengths stocked and available as quickly as possible while adhering to our strict quality standards–the industry allows for a monograph discrepancy of +/-10% between T4 and T3, but Nature-Throid and WP Thyroid are not released outside of +/-2%. All counts of the medications will be released and strengths are being prioritized based on highest demand. We are unable to provide any definitive dates at this time, but hope to have them in the coming weeks and will share updates as soon as they are available.

    If you’re have difficulty getting your prescription from your usual pharmacy, we recommend calling around to other local pharmacies to see if they have your strength in stock. You can also check with any of the mail-order pharmacies that are listed on our website: http://bit.ly/RLCFindAPharmacy; they may be able to provide a faster turnaround.

    We sincerely apologize for the strain the delay has caused and we are working day and night to get back on track. Patients are and always have been the top priority at RLC Labs and we are steadfast in our commitment to supplying the highest quality hypothyroid medications.

    Thank you,
    The RLC Labs Team
    *Please discuss any health-related questions or concerns, including those about symptoms, with your physician.

    Reply
  16. Carol

    After having been on Levothyroxine for 9 years and feeling like H E double hockey sticks, My new Naturopath had me start taking the Nature Throid about 3 months ago. Was just getting very well adjusted to it when I was told there was a shortage. So, my Naturopath ordered me the NP Thyroid which smells like a dead dog (literally). I just started taking it a week ago, so haven’t noticed any difference and hope I don’t. Just hope the Nature Throid comes back soon because I know there aren’t as many stinky fillers in it. I try not to smell the pills, but when I take the lid off the jar, I sometimes forget to not breath through my nose. haha! oy.

    I appreciate this website by the way! My go to source for information!

    Reply
    • Janie Bowthorpe

      Hi Carol. Actually, that stinky smell in the porcine, not the fillers. And you are noticing it because Acella doesn’t put an excess coating on it like RLC does to Naturethroid. Thus NP is easier to do sublingually like the old Armour…

      Reply
  17. joyce martino

    Janie, I just had a thought and I’ve enjoyed NT for a couple yrs now but with this shortage and and then possible price increase, I don’t carry drug insurance. What do you think if I took 130mg NT one day, next day 130mg Nutri Meds etc etc…in other words alternate them. My doctor has given me scripts for 200 130mg tabs and my last refill this year, the pharmacy only has 60 on hand for me so I have to pick them up tomorrow. Wonder what 60 will cost, 200 costs me $57.

    Thanks for your comments on alternating products.,…

    Reply
    • Janie Bowthorpe

      Nutrimeds can be far weaker so you’ll need to do frequent labs to see how much of the nutrimeds gives you the same results that straight Naturethroid was. Or you can use another prescription med like NP Thyroid or straight T3. Whatever works.

      Reply
  18. joyce martino

    Thanks, I don’t have a LOT of faith in labs vs Symptoms. I’ve been thru a lot of wasted years trusting MD’s and their labs. They are OK for guidelines but Symptoms are what works for me. Thanks and I’ll work to figure it out. I’ve been doing my updosing for years and going by symptoms…I had 10 yrs of depression and taking anti D drugs due to thyroid labs being Normal. My old osteopath put me on Armour, no labs nadda and all those years of depression LIFTED. Then I went to work reading and reading and talking to many.

    Reply
    • Janie Bowthorpe

      Don’t discount labs. They give fabulous information along with symptoms. What you have to discount is thinking that falling anywhere in those ridiculous ranges means you are fine. It doesn’t, and it’s why the Lab Values page on STTM is important. And one problem only going by symptoms (when you are trying to figure out what a symptom is related to) is that the symptom can be result of this and not that…and only labs will give more clues. ALSO, another reason labs are important is that one can suddenly feel pretty good in their thyroid treatment, yet…they aren’t optimal yet, and it will backfire down the line and one gets worse again.

      Reply
  19. joyce martino

    I don’t totally discount labs but as I said I was discounted on HYPO T for 10 yrs due to endos and MD’s hard line on labs. And yes I have your book and have been on a thyroid support group for some years, it folded and I miss it, but I work to keep the Tsh real low and T3T4 at upper end of ranges. I take 130mg of NT and wonder IF taking a little more would help with OA pain. I hope I remember to bring this up with my MD next month. Would taking a little more really help with body pain.

    Reply
  20. Marsy

    Dear Janie, first I would like to convey my deepest gratitude to RLC labs for the WP Thyroid. I am allergic to the synthetic ones and also developed allergy to fillers, and I have been very relieved that WP Thyroid has been gentle to me. As I live overseas, it is also not possible for me to go to a compounding pharmacy for filling a prescription.
    So please, Janie, please convey to the RLC labs my gratitude for WP Thyroid and to never, ever think of discontinuing it and not to alter its manufacturing now with the upgrades RLC labs are undergoing; the 2 fillers in the WP Thyroid did not cause me allergy—I am sure I am not the exception—and I am so thankful for that.
    It seems it may take a while for production; can we hope within the next month or two, and not after beginning of next year as one account mentioned?

    Reply
    • Janie Bowthorpe

      I’m betting you’ll start seeing a slow return of stock in pharmacies by the end of October and definitely before the end of the year…. I hope everyone will report on the new stock, too, and let me know if it’s working the same for them!! Also hoping with ALL of you that they don’t raise the price the way it was done with Armour.

      Reply
      • Marsy

        Thanks for your reply Janie. My reaching out to you on this forum had mainly to do with my wish to extend my gratitude to RLC Labs and with a request from one of the many patients for the production of the products to not be altered (and I can only speak of WP Thyroid because that is the one I am using) and also having to do with fillers because allergies to fillers is a real problem for many people.
        What has worked well does not need to be changed. There is the tendency of an upgrade to be seen as something ‘new and improved’ but when it comes to what has worked well, particularly when it has to do with health, certain changes can bring adverse affects.
        I recall when both Erfa and Armour underwent upgrade many patients using their products were not feeling the same and they searched for another product that would suit them better. That is something very difficult for a patient whose body needs that very much needed stability, and I sympathized so much with them, and with all the different problems patients are facing for just having the most natural remedy for hypothyroidism (or after thyroid operation as is my case), a remedy that has worked for over 200 years, in its purest form.
        That is why I would very much like to hope that RLC Labs will stay very close to what has worked well, and the reason for expressing my concern in this forum.

        Reply
      • ellen weir

        I’ve been on Naturethroid for about 7 years, after the Armour mess, and for the last month have becoome hypo. ibs, body pains etc.
        According to numbers on pills, I’m taking new batch. Not good for me and am probably switching to NP. When did Naturethroid reformulate?

        Reply
  21. joyce martino

    I went to my local CVS to get 60 tabs of the 200 130mg tabs left on my 2017 refills. The price for the 60 was 3x’s more than the 200 would have been. CVS said they owe me 140 when stock is back. We’ll see what that price looks like.

    While there I asked the pharmacist about WP and they had none actually they had no desiccated stock. I said I’ll bet you have plenty of Synthroid don’t you. And she said yes.

    Then went on to talk like conventional MD’s talk down desiccated thryoid and I said I’ve heard your sphill for a long time and don’t buy it. I went on to say, I did terrible on T4 only.

    I have a contact in Thailand for the Thyrid (white tabs) cost of $50something for 250 2 grain tabs. I’ll consider thisif and when I’ll be needing more support. And our sources are not up to par.

    Reply
  22. Marsy

    I actually wish RLC Labs hands on manufacturing personnel have a look and know of what patients say, in relation to upgrade and possible issues that may arise in people’s health with any possible changes that may be deemed ‘new and improved’…

    Somehow we feel quite helpless, when we can not have any reassurance that the RLC Labs will stay true to their products so as to not cause any unsuitable changes for the health of patients that have been using RLC Labs products—aside the havoc that the shortage is causing, and which in turn affects directly people’s health.

    Reply
  23. Carolyn

    In addition to Marsy’s comment, while I appreciate RLC’s comments about working to satisfy the new demand, what responsible pharmaceutical company stops or slows production to a point where it strands its customers without something they need to maintain their health? Bad management at RLC for not planning appropriately for this upgrade and transition period. Reading the above comments I already see two dates (October and January) as time frames for RLC’s new production facility to be up and running. That likely means they were lying about October and January may be just a wish. As a business woman and also someone who RELIES on Nature Throid for my health like a Cancer patient relies on Chemo its really irresponsible of them to not have provided for an alternate production facility to continue to produce the product.

    Reply
    • Kami

      I actually spoke to RLC today about leaving us in such a bind with absolutely no notice, she was like well we had to upgrade or whatever. I didn’t get the feeling she really cared lol. I was in a panic because I took my last wp thyroid yesterday and had none. Thankfully my doctor told them to give me the nature throid which they did have! I absolutely love that it doesn’t stink like the Wp and its cheaper! If I do ok in it I’m switching to it permanently! I hope everyone here has gotten their rx’s filled & are feeling better.

      Reply
      • Marsy

        Kami, a little surprised you find wp to stink…I don’t find that–and I’ve had some stinky thyroid hormone in the past. but if you prefer it better that is what’s important.

        Reply
    • Marsy

      So true Carolyn what you say; yours are words I spoke here at home. I can only be so grateful for the RLC Labs for WP Thyroid (which is what I am taking) but to leave patients who depend on the products for their day to day lives in such a peril is unsettling. I still have some to carry me for a short while, and a refill is now in…customs (as I live overseas), and I’m here looking at a postal page saying “Held by Import Customs’. telling myself to be patient and hope for the best.

      Reply
  24. Amy

    Same situation here, except I switched from WP to Nature-throid, and found it didn’t work as well. Now my dr. Has given me a new script for NP thyroid, but looking at the reviews for it on Webmd, I’m not all that excited about trying it 🙁 Going to keep calling around to pharmacies in my county for the WP.

    Reply
    • Janie Bowthorpe

      Amy, don’t let those reviews steer you away. A LOT of people underdose themselves on ANY NDT, partly because their doctors don’t know how to use it. Or they have iron and cortisol issues which the NP or any other NDT will reveal, so they wrongly blame the NP or any other NDT. Thus the bad reviews you’ll see. I use NP and it’s always been fabulous for me, and the same for others.

      Reply
  25. Lisa English

    I just found your site after a disaster. I have been hypo since age 20 (37 yrs now) and all these years had been taking levothyroxine or synthroid, depending on the doctor. I never got much help and it’s steadily been getting worse. I saw a new Dr 4 months ago and he put me on Nature Thyroid 195mg. OMG after 4 months, almost like magic I cannot believe how GREAT!!! I!! FEEL!!! Well, I did…then 4th month refill no medication. After 3 days of Armor Thyroid (literally just 3 days) I am back to bad, even worse than bad. Could not get out of bed tired. Of course the doctor said to stick with it until other meds come in but I cannot, it’s been 3 weeks and it’s bad. So I called all over and found 39 tablets yesterday at CVS and bought them all. I hope this carries me through until their formal shortage ends. Now that I’ve had this “cure” and it is AMAZING, I want it. I need it. I want to have my life back and I found it with Nature Thyroid. This shortage is VERY serious. I wish they took us patients more seriously before jeopardizing our lives.

    Reply
  26. Lisa English

    Me again…after researching I am seeing there was a shortage in SEPTEMBER 2009 the same as now…what are they doing??

    Reply
    • Janie Bowthorpe

      I have a feeling we aren’t hearing the full story, but who knows. It could be about demand.

      Reply
      • ellen weir

        Maybe because they’ve had so many complaints about new batch, they are reformulating AGAIN. or, am i the only one having trouble with new batch? I’m quite sick.

        Reply
        • Joan

          I have been feeling awful since the summer. My levels have been up and down, and I actually became hyper. Hmmmm. Now I understand.

          Reply
        • Michelle

          Hi Ellen I only started Nature Throid recently but I’m not feeling well and my lab tests showed why!!

          Reply
  27. Andrea

    I also spoke to a very bored RLC rep on the phone. She hurriedly directed me to the mail pharmacies listed on their website. I called THEM ALL and all were apologetic but assured me they have been “out of Naturthroid for a long time and have no idea when it will return.” Nice. The RLC rep clearly just wanted me off the phone and said, with mild irritation in her voice: “We get hundreds of calls like yours.”

    I have ONE Naturthroid pill left. Found out only on Friday about this manufacturing issue, only after having my perscription refill sent over to the pharmacy Thursday morning. Normally I pick up same day but no one from the pharmacy called to let me know they were out until Friday. I have since called over 35 pharmacies in New Jersey, where I am, and only one had 10 pills left, wrong strength… so I will have to take 3 pills to equal my normal daily dose.

    As several other commenters said above, the RLC corporation is acting without conscience. They clearly have a patent on Naturthroid as no one else is manufacturing it. To withdraw it without notice or compensating production is utterly immoral. Health is an all-body equation; if my thyroid is not balanced my entire body is affected. To be thrown into a complete panic by a company that has a chokehold on a drug (think: Epipen) is a terrible experience. One pharmacist I called, tired obviously of getting such calls, sadly said, “I’m afraid you’ll just have to experiment on yourself and try other things. I know… that sucks.”

    I do not view myself as “an experiment” and do not understand why there are not government controls to police companies into acting with due diligance? If there is to be a move, a reformulation or any other reason to cause production to stop… then fair warning to pharmacies and perscribing doctors would be at least a decent start. Tomorrow I will have to spend hours more on the phone trying to get my doctor (good luck to me on a Monday) to rewrite the perscription and help me locate some Naturthroid. Again, getting the drugs required for wellness should not rely on “luck.” I simply do not understand why RLC is not required to follow guidelines of responsibility?

    After spending hours on the web and calling various pharmacies. I stumbled upon this site and am truly grateful I did. This gathering of information and people wishing to share it is honestly the best thing I’ve found. I have not however, found a reliable source of Naturthroid in Northern NJ or Manhattan and I have no idea what corner I will be forced into as the week goes on…. I have worked very hard with diet, doctor and Naturthroid to become more balanced, and now all of that work will be disrupted without notice.

    Reply
    • ellen weir

      Agreed. I just got NP, because Nature throid was not to be found. And, it had been making me sick for over a month. NP was $45., more than double what i had been paying for other meds. that’s for 100 tablets.

      Reply
  28. Linda

    I just asked my DR. to phone in NP. I’ve been out of meds since last week when the pharmacy said they couldn’t refill my Naturethroid. They told me to check back this week and still no order received. After reading through all of this all I can say is, I need a nap. ; \

    Reply
  29. Tracey P

    Hi all,

    For 2 years my hashi’s has been in remission and I’ve been on Nature-Throid and feeling great. This past month, I tanked and feel as sick as I did on the first day of my diagnosis. I am convinced RLC reformatted their NDT and I am devastated. Going in for labs tomorrow and looking to change meds. Ughhhhh.

    Reply
  30. Julie

    I’m on 3 1/4 grains (raised from 3 grains 3 weeks ago but there have been no noticeable improvements) I’m waking up with a puffy face and eyes and no energy but by late evening I feel almost completely fine. Good energy and no puffiness. I’m really not sure where to go from here and was hoping you might have some insight. I split my NDT into 2 doses; morning and afternoon

    My labs on 3 grains:
    Free T4 15 (9-19)
    Free T3 5.8 (3.1 – 6.2) – had really bad fatigue so was advised to increase to 3 1/4 grains

    On 3 1/4 grains:
    Free T4 14 (9-19)
    Free T3 6.7 (3.1-6.2)

    Reply
    • Janie Bowthorpe

      Well, I can tell you this: your labs on 3 grains are what people see when they are feeling great and are optimal. In fact, your free T4 may be been a tad high, implying your optimal dose may be a tad less. So…if you still felt fatigue at that point, it can be time to look more closely at your iron and cortisol, for one. See this first: http://stopthethyroidmadness.com/iron-and-cortisol

      Reply
      • Julie

        Thanks so much, I’ll look into cortisol and iron. I felt great on 3 grains for the first 3 weeks but then awful after that; bad fatigue, swollen eyes and puffy face and more hypo symptoms but the fatigue was by far the worst.

        Reply
  31. Ginger Wills

    I have just learned that my refill for 1 grain of Nature Throid is not available anywhere. I went to a new Endo after my last PCP refilled my rx for 2.25 grains taken at one time instead of the 1 and 1/4 taken two times daily. When I ran out of Nature Throid the only one I had was the 2.25 whole tablet which I began to take about 3 weeks ago. I ended up in the ER with severe heart palpitations and spent the night to have a stress test done to rule out heart issues. Stress test and all labs were great. I called my new Endo and asked why she wasnt checking my T3 and T4 levels and only uses TSH labs. She informed me thats how she has done this for 34 yrs and she has the thyroid guidelines to back her up and if I didnt like the way she does this then “we could part ways”. Express Scripts is recommending I change brands but when I change brands or even dosage that doesnt work well. Any input?

    Reply
    • Janie Bowthorpe

      It’s a mystery why some can change brands and are fine; others are not. So if you are in the latter catagory, I would first make SURE your iron and cortisol levels are truly “optimal”. It’s usually one of those that explain problems with brand changes, it often seems. Another possibility for problems is switching to Armour or Erfa….too many problems with either over the years. A final suggestion is using the two synthetics.

      Reply
  32. Riley

    Now that it’s October, has anyone heard any update as to when RLC labs will be back up and running? I finally just reached my optimal dosage on Nature-throid after playing around with different dosages for almost a year and just had to switch to NP Thyroid due to the Nature-throid shortage. This is only my second day on the NP, but I fear the switch will trigger even more hair loss and i’ll gain back the weight I just spent 7 months trying to lose. Hoping to get back on Nature-throid as soon as possible. Any info would be very helpful!

    Reply
    • Janie Bowthorpe

      Some people report seeing Naturethroid coming into their pharmacy, but they also report it sells out quickly. If this helps, there are many thyroid patients who report being quite happy with NP. It’s like the old Armour.

      Reply
      • ellen weir

        Hi Janie and All, I switched to NP about 4 days ago. I did this because of shortage, and because i was convinced they had changed their formula about a month or so ago. I became very hypo. I’d been taking it for 7 years, and had been the Armour mess in 2009. I was on 65 mgs of Naturethroid 3x a day. The NP is 60. I still feel a bit of brain fog, and achy body stuff, but my digestion has improved big time. Do you think i should attempt to split pill? Oh, and im letting it melt under tongue.

        Reply
      • Marsy

        Janie, are RLC Labs really in production (even though slow)? The online pharmacy where I purchase (as I am overseas) reports that “At the moment no strength of WP Thyroid is in production and RLC Labs does not have a release date for anything. They are not planning on discontinuing any strengths however.”

        Shouldn’t RLC Labs at least issue some update at this point on the matter, already mid October, so that people know whether they are beginning to produce the products? If truly it would go into next year for production to resume, as everyone waits on it, patients should know.
        Is there a way to truly know whether they are beginning to bring back the production slowly? At least then people would know whether within the next couple of months the supply would increase.

        Reply
        • Marsy

          Janie, I have actually seen an update on RLC website, even though it is unclear when that update was posted (a month or two ago, or more recently). It sounded like NT is slowly beginning production, and I gather WP is not yet in production… I do truly hope they won’t wait on WP for too long to begin production, as allergies is the reason for those among us using WP, and that is a real problem.

          Reply
        • Janie Bowthorpe

          From years of doing this, Marsy, I strongly recommend not believing a word that a pharmacy says. You wouldn’t believe all the bad information we’ve heard from pharmacists over the years.

          Reply
          • Marsy

            Well, this is an international (only) online pharmacy (also posted on RLC Labs website), and the reference to “At the moment no strength of WP Thyroid is in production” it has to do with WP only.
            From what I see on the pharmacy’s site, there is an update for NT and that it is expected to be refilled by end of October, but for WP Thyroid is clearly stated that it is not yet in production (not to be discontinued, but not yet in production). From the update given for NT and WP, it seems to me WP is not yet in production, and that is why I was hoping there would be some update in relation to resumption of production of WP Thyroid as well.

  33. Miss Mae

    Hope I’m not too late to leave this question, and that it’ll be answered. Since there is this shortage of Nature-Throid, wondering if a product bought at Amazon works, or would I be ripped off…

    This is from bovine, but mg looks too high. Has anyone seen, used, or know anything about this?

    Thanks ahead of time.

    https://www.amazon.com/Ultra-Glandulars-Raw-Thyroid-Tablets/dp/B005P0WJZY/ref=sr_1_2_a_it?s=books&ie=UTF8&qid=1507385266&sr=8-2&keywords=Thyrovanz

    Reply
  34. MsH

    I have no force but to switch from WP to NP and I started it today , my morning dose was WP since i had a little left then my one grain this afternoon was NP. I am not myself since taking it. Should I lower my dose? My husband insists its all in my head and they are the same medicine.

    Reply
  35. MsH

    Thank you Janie-I don’t have much choice I guess 🙂

    Reply
  36. Hof

    Maybe it’s time to switch to NP Thyroid. Janie has STTM ever received confirmation from Acella that their source of porcine thyroid USP is lactose free? Since lactose is used as a dilutant in Nature-Throid’s raw material, it makes me wonder if it’s in NP’s as well.

    I emailed Acella twice asking, but never received a response.

    Reply
    • Janie Bowthorpe

      Well, I do know that ALL American-made, prescription NDT comes from the same powdered source facility. There’s been only one facility that makes the powder.

      Reply
      • Hof

        Thanks for your reply Janie. I decided to call Acella one last time for an answer. Their customer service rep transferred me to “their pharmacist” which was an unlabeled voice mail box. I left a message asking if NP was lactose free and never received a response (2 days later).

        Apparently they’re not required to disclose fillers added by their suppliers so they just dodge the question. At least I appreciate Nature-Throids transparency on the subject.

        Guess I have to switch to compounded. Armour probably isn’t safe either :-/

        Reply
  37. Janie Bowthorpe

    Dear Thyroid Friends, See my update towards the end of the blog post above about one grain tablets of Naturethroid. Janie

    Reply
  38. MsH

    I had a bad reaction to the NP
    I am going to have to try to do all synthroid until/if WP gets their act together

    Reply
  39. Lee

    Pharmacy switched me to NP three days ago. I’m feeling better than I have in about 4 years. Still have some symptoms, but much milder. My plan is to take it for a month and then decide whether to go back to NatureThyroid.

    I read all the NP reviews on WedMD and noticed that people either loved it or hated it. Filler issues like usual??

    Reply
  40. ellen weir

    My doctor just spoke to NP and they are going out of production soon.

    Reply
  41. Donna

    I really appreciate this blog post, thank you Janie. Like so many other who have taken Nature-Thyroid it is now unavailable for the reasons stated above. I too was nervous to switch to Armour (I was worried about fillers and gluten esp.) I did this very slowly, taking one NT and one Armour over the course of several day and gradually adding more Armour as the week progressed..So far I have not had any negative issues. In fact, I fell like I might even have a bot more energy than before. I take three pills per day, split dose; two in the a.m. to get me going and one in the afternoon when my energy levels drop. I am a 67 year old somewhat newly diagnosed (Nov. 2015) Hashimotos’, adrenal fatigue patient with a goiter and throat nodules.. Working with a very talented female Functional Medicine Physician (who listens to me and believes me!!) I have healed my adrenal fatigue!

    Reply

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