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

NOTE: this post starts with what was going on in September 2017, and there are updates to it at the bottom of the article. If you didn’t know about this, you need to sign up for blog post notifications at the bottom right of the STTM website.

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.

UPDATE as of November 2nd, 2017

From RLC Labs:

We are happy to announce that Nature-Throid 1 grain (65 mg) is shipping!  Shipping for this strength began a few weeks ago and it should be hitting pharmacy shelves soon, but that can be variable; some locations may even already have it stocked and available. If your usual pharmacy is unable to fill your prescription, we recommend contacting other local pharmacies to see what they have in stock. You can also try any of the mail-order pharmacies listed on our website for a potentially faster turnaround. Strengths are being prioritized based on highest demand, starting with Nature-Throid 1 grain, and we are releasing in all counts. The next strength to be released will be Nature-Throid ½ grain (32.5 mg), and we will post here when it starts shipping. We are unable to provide any updates around WP Thyroid at this time, but will share them and any other new details on this page as soon as they are available. Every effort is being made to have all strengths stocked and available as quickly as possible while still maintaining our strict quality standards – the industry allows for a monograph discrepancy of +/-10% between T4 and T3, but WP Thyroid and Nature-Throid are not released outside of +/-2%. Patients are and always have been the top priority at RLC Labs, and we are literally working day and night to get back to our usual pace as quickly as possible. Your understanding and continued support are greatly appreciated as we do our best to get back to our usual pace. *Please discuss all health-related questions or concerns, including those about symptoms, with your physician.

UPDATE as of January 15, 2018


In the meantime, NP Thyroid by Acella is a good one to switch to. You may have to adjust it for your own needs.








  • 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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406 Responses to “UH OH–Naturethroid and WP Thyroid Shortages and what to do”

  1. Jeff says:

    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.

    • Linda Lang says:

      God Damn the FDA ( and I mean that literally!). I am sure that this is a result of Big Pharma colluding with the FDA in their attempts to get rid of Compounded medicines and their continued machinations against all natural options to their poisons! I cannot take synthetics anymore. They were making me quite ill, had a lot of pain and higher and higher doses with only climbing TSH numbers and hair falling in handfuls! When I discovered Naturethroid about 6 years ago it was a God send. and recently I found an Endo who has no problem prescribing Nature throid despite Kaiser’s inane policies. About 21/2 years ago was forced on Amour when I was in hospital for a month after a car accident. I went in with a great TSH of .91 and came out a month later with it at 4.50 because of Amour, the only thing Kaiser would order and allow! Afterwards I discovered Armour has been recalled 4 times by FDA and twice by itself due to inconsistent dosaging. My hair was just starting to come back from the issues 21/2 years ago with Armour and now this! With Hashimotos now need to brace myself for getting quite sick…… 🙁
      I can’t afford compounded versions and NO pharmacy in my area carries or will order Acela…only Armour and Naturethroid 🙁

      • Sounds very frustrating, Linda. You might want to call Acella and see if they know of any way to get their NP Thyroid to any pharmacy in range of you…

        • Linda Lang says:

          How do I contact Acella? I am also just beginning to look in to Canadian Pharmacies….

        • Lisa Champage says:

          I’m in AZ and I’ve called everywhere, including compounding pharmacies to get nature-throid and any version similar and unable to find any. I’ve run out and getting sick. I’m very upset by this, extremely angry. Why is this taking so long, why wasn’t there a better plan in place and how is it ok to leave so many people in such desperate straits. I’m very angry. I want answers

          • I think you have a right to be angry about this. It does seem odd that it was handled the way it was. Most any pharmacy can get NP Thyroid. You might want to call Acella and get their help in locating NP Thyroid where you are.

          • Women’s International Pharmacy has plenty of whole glandular thyroid. This is the same starting material that RLC lab uses. It is encapsulated in olive oil. The price is only slightly higher than Naturethroid and less than Armour. 800-279-5708

          • Gaynor says:

            I don’t know if you resolved your problem with Medication or not. I’m in AZ and a pharmacy in East Mesa will compound for you. Try Red Mountain Pharmacy. I’m in the same situation and it is definitely NOT good.

      • Kelly Hall says:

        Linda, your comment struck me bc like you, I cannot take the synthetic Synthroid either. I stopped converting it and after feeling miserable and losing a year of my life, a very astute compounding pharmacist asked my dolt internist to run my thyroid the right way, which is to separate the T3 and T4. Well my doctor was quite surprised with the results. She immediately put me on Armour and it was as if a veil had been removed. I’m in a pickle bc my thyroid was removed years ago so this inconvenience really affects me. Note to original topic – tried to pick up my scrip at Costco last night and could not get Nature Throid. Pharma said they still can’t get it and we’re in Houston. I had to go back on Armour and was shocked to be charged almost $50 for a one month’s supply. It is considered a branded item they said. I sure hope they get this figured out quickly!

        • Laurie Empen says:

          Today, in Chicago, both Costco and CVS are saying they are still back ordered. One Walgreens has 40 32.5 mg pills left, then they are back ordered. BUT the CVS said they would have WP Thyroid today. Then they called to say it would be tomorrow. I called back to ask how they KNEW they would have it tomorrow if they thought they would have it today? Then a different pharmacist called back to say that they really wouldn’t know, but to keep ordering it. I asked why they would NOT call the labs directly to find out what was going on, because this is affecting many customers. He then said they stopped making it! Yeah, out of “thin air” he grabs the excuse that they stopped making it and I corrected him by telling him the lab’s website state, as of November 2nd, they are shipping. He had no reply. UGH. I had switched to NP Throid. .. disaster. Back to being tired, cold, and constipated. I just switched on Friday (17th) to the last of a 97.5 dosage (cut in half and then half quartered) and started having daily BM, energy, appetite, needing less sleep. I am praying Nature Throid IS shipping.

          • You wouldn’t believe how many times I’ve heard things like that from pharmacists. They seem to make things up.

            You disaster with NP Thyroid was simply because you needed to raise it. It’s a good product.

      • Susan B says:

        For anyone whose insurance won’t cover Nature-Throid, if you have a Costco in your area you can get a 90 day supply for $17.00 and for even less at their online site.

        • Shannon Thomas says:

          I just called Costco in my area. They don’t carry the WP Thyroid and the Nature-Throid is $40.11 for the 60 tabs and $33.71 for the 90’s. There is no saving on the 90 day supply they told me. Apparently prices and availability are regional. Bummer.

      • Angela says:

        I was just telling my husband last night that I bet Big Pharma and the FDA are in on this. The makers of Nature-Throid have been around since 1930 and have had no serious issues with their manufacturing and such. All of a sudden they are told to update their lab??? And without preparing extra meds ahead of time so that people who need thyroid hormone replacement in order to live won’t be just dumped off and left high and dry?? I was on Armour a decade ago and it did nothing for me. That’s what my doctor has me on now, until the “shortage” is over. And it’s not working for me. I am having stiffness, pain, brain fog, tiredness, weight gain, all over again. Nature-Throid was amazing. I love it! It was giving me my life back. Bastards at the FDA and stinking Big Pharma. I can’t take the synthetic T-4s. They cause heart racing and palpitations in me at night when I’m sleeping, and I have a lot of pain while on them, and get regular Reverse T3 problems. I am wondering how much longer this shortage is going to take. Does anyone know?

    • TRISHA says:

      I sincerely apologize if this is “off topic” (?) – but it relates to assimilation and efficacy, or lack thereof;
      which makes it pertinent to all of us. We all know that iron and calcium are contraindicated within four hours of taking NDT. But what about Magnesium. I’ve never heard it was (though admittedly I have wondered at times), until recently when I read that Izabella Wentz, RPh has stated that magnesium too, can impair absorption of NDT. But SHE is the only one stating this; I haven’t read this in print or it heard it from anyone else; NOT in any drug insert, or by any manufacturer! I began taking part of my NDT at bedtime which is when I typically I take my magnesium. Given magnesium’ laxative effect, I keep forgetting to take it earlier and before I know it, it’s time fo take my NDT. End result overall, this is just messing me up! Can anyone, or you Janie, shed some light? Izabella is the only one stating magnesium should not be taken with thyroid medication. Could this apply to magnesium hydroxide form only?? Would be grateful to hear some feedback. Thank YOU!

      • Hi Trisha. Well, let me tell you this: one reason STTM is more about reported patient experiences is that sometimes, many experiences contradict what we hear or read. Note I’m saying “many”…I’m not saying “all”

        For example, we’re not even sure that the “4 hour rule” is necessary for all people. Some report they’ve been fine keeping supposed “thyroid-inhibiting” substances 2 hours away instead of 4. Maybe it’s due to metabolisms?

        Or like coffee–we once read that the tannin in coffee or tea can inhibit thyroid hormones. Yet one gal said she’d been taking her thyroid med with coffee for years, to no ill effect. lol. So for some, it may be individual while others may need to avoid.

        As far as magnesium, guess what else is stated?? That it helps conversion of T4 to T3. So what strong opinions do you believe! And when you read more, you find it’s about “excess” magnesium that can be a problem, not just “magnesium.” Bottom line, if there is any concern, one could take it away from their thyroid meds. I personally keep iron and calcium away from mine, but not a full four hours. I also take a mineral supplement that has magnesium in it, and again, it’s not that far away from my thyroid meds. And I’m not the worse for it.

        P.S. the same goes for iodine. Sometimes you’ll hear someone state that all Hashimoto’s patients should avoid iodine, or they give dire warnings far beyond the negative experiences that “some” have (which we think is more about the detox). Yet, from reported patient experiences for years, we know that many Hashi’s patients report doing well with it, and some of the latter even state that it’s THE reason their antibodies went down, even if others haven’t had that effect. So it’s all very individual. Just be careful with black and white “opinions”…..

    • Linda says:

      I am having the same issue as many others finding Naturethroid 1 Grain. My doctor went through many requests to try to get it for me. I found a local pharmacy that had it but I went to refill and it is STILL on backorder. Has anyone tried supplements instead?

      • Hi Linda. This is not about moving over to supplements. It’s about using a different brand, like NP Thyroid by Acella (excellent product) or Armour (very expensive, but workable for some). Don’t believe it if your pharmacist says NP is backordered. All they have to do is call Acella and find out how to get it to them.

  2. Cay says:

    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!!!

    • 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.

      • michele says:

        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.

    • TK says:

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

    • Beth says:

      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.

      • Connie Kisor says:

        I can’t stand endos. They think they know everytging and the ones I went to will NOT listen to or work with my symptoms.

    • Rachel says:

      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.

    • 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

    • Sharan Devoto says:

      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.

      • Linda Lang says:

        I had the exact same side effects from Levothyroxine. and ever increasing dosages…I can’t and won’t go back to synthetics. Nature throid was a super effective med for me and now thanks to the FDA I am faced with hashimotos taking it’s natural down hill course because it can’t be treated with synthetic and the Nature throid and other dessicted thyroid is no longer available!. I am more than scared and I am enraged at Big Pharma’s lapdog the FDA!

      • Becky says:

        Question though, was your bone and muscle pain caused by synthetic thyroid medication? Because I feel like SOMETHING had to have happened to cause my illness……I was healthy one day and sick the next it seems…….it’s been10+ years now that I’ve been suffering with this “syndrome” and seriously feel it was CAUSED by something!!! Any insight you have, Sharon, would be so appreciated!

        • Karen says:

          Becky, it doesn’t look like anyone replied but I wanted to tell you about my experience. I have always been on Nature Throid since my original diagnosis (I had an integrative health doctor at the time). Last year my newer doctor wanted me to try the synthetic, said it is “easier to control the dose”….. I said “fine” and 3-4 months later I was walking like an 90-year-old (no offense to healthy and happy 90 year olds)! I was extremely achy all the time, with my hands and feet especially affected. I realized I was clutching the bars of the bus to get on and off each day…. I could no longer hop off with one foot. I thought I was just getting old and had a new “thing” with this arthritis, but one day I remembered I was taking this new medication and googled it. I had my doctor immediately switch me back to the Nature Throid but it was not an immediate fix. It took 1-2 months to feel normal again and another 1-2 months after that to return to my previous state. It was a very bad experience, a real eye-opening experience for me. I would DEFINITELY try the natural Rx if you can find it! If you can pay for it, find an open minded physician who will do all the testing and find exactly what you need. I’m scared that there is this shortage — I thought it would have resolved itself by now. 🙁

    • Theresa says:

      I had thyroidactomy (over 15yrs) and switched from levoxyl to NaturThroid almost a year ago. After months of blood tests and tweaking, I’m on alternate dosage (2 gr one day and 1.5 gr another). With the doctor’s help, we’ve also discovered that taking the pill with anything but water really interferes with my absorption (you might be taking 300, but is the body absorbing?).

      I also had vitamin D deficiency which I brought back up with supplement.

      I stopped going to an endocrinologist and it’s been an Internist that’s been helping me with getting my dosage and other markers in check. The endocrinologist didn’t care about free T4, iron or vitamin deficiency, but I feel it makes a huge difference in my overall wellbeing.

    • Mardee Brosh says:

      If you are in Minnesota, the endos at Mayo are fabulous. Well worth the drive to Rochester.

      • Christine says:

        Mardee who is your doctor in rochester? I also doctor there but mine told me today that rt3 and ft3 aren’t necessary to even run even though my ft3 is 2.9 range of (2.8-4.4). Thank you!

  3. Ally says:

    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?

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

      • Ally says:

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

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

          • Cheryl says:

            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?

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

          • Cheryl says:

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

          • Adina says:

            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.

          • 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.

          • Alex Cohen says:

            Hi Cheryl, I am told by Wally-greens and Wally-mart pharmacies that they cannot order because their wholesale supplier (McKesson, hmmm) cannot get it. Their notes say manufacturer cannot supply at this time due to some production issues. Going to try and get hold of Nature-Throid myself tomorrow (Mon) and see what gives. Good luck finding this product. I believe as many others here imply, that Big Pharma is sticking it to alternative medicines via their puppy the FDA. Good luck, let us know if you find it and where. Alex

  4. joani r WEISS says:

    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

    • 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. .

  5. Dawn says:

    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.

    • Hope says:

      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!!

  6. Janet says:

    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.

    • ellen weir says:

      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!

      • Tracey P says:

        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 🙁



        • ellen weir says:

          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

          • 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 says:

            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 says:

        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!

    • Hope says:

      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.

    • Sandra Fulton says:

      This Pharmaceutical mess sounds like the same thing that happened with Armour back in 2010.. It was written back then, that the Pharmaceutical Manufacturing Company. was re-vamping their equipment, when it was really changing the formula and had to wait on FDA for approval. They also had changed the compound (filler) with which it was made, buying it from CHINA at a lower price. Come to find out it was a “corn-starch” product and was not up to USDA Standards, but used anyway.. The Veterans Centers and some hospitals also had problems with the Sterile Gloves used in procedures in the hospitals. It was determined that the glove were made in CHINA and used the same compound “CORN STARCH” as power for the gloves. This “powder caused surgeons nurses and other staff to have allergic reaction(s) on their hands and any place those glove touched their body.. All I am saying is beware of the new Natur thyroid . Money is at work here and we are the ones who will pay for it with our health.

  7. Jane Hall says:

    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.

  8. Carla says:

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

  9. JC says:

    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.

    • 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.

      • JC says:

        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!

    • Lori says:

      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.

  10. Donna says:

    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.

    • 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.

    • Hope says:

      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?

  11. MontanaNAR says:

    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.

    • Lori says:

      Sounds about right.

    • ellen weir says:

      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

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

        • ellen weir says:

          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

  12. Nonna says:

    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.

    • 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.

  13. Bonnie says:

    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”?.

    • Nonna says:

      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.

      • Lynn says:

        I am on Medicare, my insurance covers 130mg dose of Nature Throid but not if I double the 60mg. I got a GoodRX coupon BUT it says right on it that if you are on Medicare, etc. it is not valid, I have been denied using the coupon several times and have to pay out of pocket. Let me know if you have been able to use the coupon while on Medicare. Thanks.

    • Ellen says:

      I’ve just seen these posts & am in the same situation as everyone else with respect to NatureThroid. I was on Armour for about 25 years & went through the scarcity & formulation change with really bad results for me. Went on to ERFA from Canada (REALLY expensive, but effective) for a couple of years. When I changed doctors a number of years ago, he refused to prescribe anything but Synthroid & Cytomel, both of which were disasters for me on all levels, so found another doctor. I have been getting the NatureThroid from my COSTCO (and by the way, you don’t have to be a COSTCO member to use the pharmacy) and I get a 3 month supply of NatureThroid for about $23. It’s not covered by insurance (I’m on Medicare), but at that price I can afford it off plan! So, check out your local COSTCOs. Just as a side note, mu COSTCO is out of NatureThroid, and I was lucky that I got a 3 month supply just before the back ordering started, so I’m OK for a bit, and hoping I don’t have to start another search for NDT!

    • Susie B says:

      I use Costco pharmacy in Las Vegas and pay only $17.00 cash for 90 pills. You can get it at Costco online for even less. I have been using Nature-Throid for a couple of years and haven’t felt any changes in the formulation. recently. RLC labs has a letter on Facebook saying they are not raising their prices once this shortage is available.

  14. joyce martino says:

    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

    • 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.

  15. 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

    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.

  16. Carol says:

    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!

    • 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…

      • Alex says:

        Dear Janie,

        I have the same problem as Adina and Carol. I ordered my NP two weeks ago and this time the pills have an extremely foul stench. Its just so stinky as Carol (literally) says- like a dead dog, just extremely unhygienic. I took NP for a long time (thanks to your great books!!), so I know that NP pills have a kind of a strong smell and taste, but not as nauseating as this time. The last three months I took the RLC NDTs. When I chewed the RLC pills to brake the coating, they have had no strange taste or smell. Therefore I think that the reason of the smell of the recently received NP is not only because of the coating. I just fear to take this NP. I ask myself if we should write to Acella and ask them if this is ok.

        • Alex, the smell of the pig can vary according to the multiple batches that are mixed together. It’s always been fine. Have taken NDT myself for 15 1/2 years and noticed it before. It comes and goes. Not unhygienic. Promise.

          • Alex says:

            Thank you so much, dear Janie, for all your great help and this support you give to all us!

          • You are welcome. Suffering as many years as I did, it’s just important to me that the information on STTM help others NOT to suffer so much.

          • Alex says:

            Dear Janie, just to let you know that I startet to take this NP and that strong smell and taste has gone after two days! So I take it sublingually again, Even more- I have a feeling that this NP works a bit stronger then bevore… I am so happy!! I connot thank you enough!!!

          • Really happy for you!

  17. joyce martino says:

    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.,…

    • 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.

  18. joyce martino says:

    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.

    • 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.

  19. joyce martino says:

    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.

  20. Marsy says:

    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?

    • 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.

      • Marsy says:

        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.

      • ellen weir says:

        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?

      • Lori says:

        The pharmacist at Walgreens today told me that she called Nature-Throid and they said there would not be any available until the end of December or maybe January. This reminds me of the great thyroid crash of 2009, the truth is there is no way to know when it will be available. She said they have lots of Armour thyroid, that doesn’t work for me and hasn’t since 2009. I have been on NDT for 40 years. My ability to function depends on quality NDT I can not be without it. I’m ready to try Thailand if I can find some there.

        • Lori, push your pharmacy to stock NP Thyroid by Acella. It’s made like the old Armour in that you can do it sublingually, and it works well as long as you have good iron levels and good cortisol. It also has far less fillers than the Thai brands.

          • Lori says:

            I would love to try NP thyroid, every pharmacy I have called says it’s on back order the same as Nature-Throid. A pharmacist told me that since most insurance companies will no longer cover Armour both Nature-Throid and NP are on back order.
            I have never felt whole since the reformulation of Armour, the best I can get is “functional” with some good days. I will soon have no choice but to try a Thai brand, not happy with the fillers, worried about figuring out the conversion dose and desperately hopping I can find a quality brand.
            I am on 8 grains per day, used to do well on a lower dose of the old Armour but on Nature-Trhoid I had to keep increasing the dose just to be able to work. I can not break down all of the cellulose so I’m not really getting the full 8 grains.
            It does help me to bite it into small pieces, allow it to soften in my mouth, chew it into a paste, dip a toothpick into Manuka honey to get a small amount roughly a drop to mix into the thyroid, with my tongue rub the Nature-Throid on the inside of my cheeks, let it absorb then wait an hour before eating.

        • And by the way, would love to know your story on how you managed to stay on NDT for 40 years when the trend by doctors has been to push people towards Synthroid!! That is amazing.

          • Lori says:

            When I was 9 I had stopped growing, would sit and watch other kids play because I had no energy. My parents took me to the Dr. who after trying to draw blood 8 times (I remember it because it was painful and scary) ran a test and said “I just marched to my own drummer”.
            My Father also had severe low thyroid and spent a lot of time in the library and talking with health food store workers. When I failed to develop and was obviously shorter than other kids my age the standard medicine Dr. again said I “marched to my own drummer but would have a growth spurt eventually”. My parents were both desperate because I was failing to thrive, had zero appetite yet was gaining weight, was foggy headed and struggling in school.

            My Father eventually found a holistic Dr. who pointed out that I had most of the low thyroid symptoms including a curvature on the ends of my fingers due to not having enough thyroid while growing. He said I had the worst case of low thyroid he had seen in his practice. He put me on Armour and increased the dose until the symptoms were gone, I started growing and developing as a normal child again.
            The curvature of my fingers is permanent but other people don’t notice unless I point it out. This Dr. did not believe in labs for thyroid, he said they didn’t work, he had a 4 page questionnaire about the patients thyroid symptoms that had to be filled out. Then he had a long consultation with the patient. He thought the problem with thyroid treatment was standard medicine Dr.s wanted it easy to be able to draw blood, write a prescription, be done with it and were afraid to let patents be the guide of their own treatment.
            He past away a few years ago, he helped a lot of people.

      • Linda Lang says:

        How many of us by the end of then year will dibilitatingly sick without treatment. I cannot return to the synthetics and my doc I don’t think will rewrite the script for another formulation. Armour is way too expensive and while on it for only a month two years ago my TSH skyrocketed form .91 t0 4.64 and my hair started falling out again not too mention all the rest of the issues, so Armour is ineffective in me.

        • Many of us are on NP Thyroid and doing well. Others are on the Thai brands of NDT via snail mail. No we can’t talk about how they are on Thai brands here–this site is too public. But private emails are perfectly fine.

          • Ed says:


            I’ve been on NP for 2-3 months, ever since stocks of RLC began to dry up. At first I felt fine but for about the past month, with no change in dosage or any other issues that I’m aware if, I’ve not had the mental or physical energy I’d regained when I started on Nature-Throid. This slippage has been very gradual and certainly isn’t as bad as before I was diagnosed, but it has become noticeable even to co-workers who knew me before I started NDT.

            Since NP is so highly regarded (I don’t want to jump to blame the medicine) can you advise me on any areas I should have my specialist investigate as possible causes? Thank you very much!

            PS I just had open enrollment and the drug schedule tells me that Nature-Throid will go up next year from $5 to $30 for a month’s supply. I’m hoping to go back on it but if not, NP is still listed as $5 a month…so I hope it really is as good as Nature-Throid is (was?)

          • Sounds like you may just need to raise….And we use labs, too. We are optimal when free T3 is towards the top of the range, free T4 is mid-range.

          • Laurie Empen says:

            I had to be switched from Nature Throid to NP thyroid due to the shortage. Went from 72mg NT to 60mg NP thyroid – awful. Back to being tired, moody, brain fog, no appetite, no energy and constipated. It got so bad last week- up to 4 days of no bowel activity. I had a few of my 97.5mg Nature Throid pills left, so I cut the dosage and started taking on Friday, November 17th. Bam – BM the next day, and consistently every day after. Evacuated much that I knew was in my system. Energy back, sleeping less, appetite back, too.

            Costco and CVS have it back-ordered. I luckily, have 30 pills at one Walgreens waiting for me tomorrow. I cannot go back to NP Thyroid, not when it put me back to feeling like crap.

          • Laurie, you were underdosed on NP. If you had raised it, you wouldn’t have gone backwards like that.

            But glad you have your 30 pills.

          • Laurie Empen says:


            So NP requires MORE or the same dosage as Nature Throid?

          • Some require the same; some have to adjust. It’s all based on the labs free T3 and free T4, and symptoms. You were clearly underdosing yourself by your symptoms. Study this page: http://stopthethyroidmadness.com/natural-thyroid-101 You’ll read what optimal is.

        • Laurie Empen says:

          Ah. Thank you. Yes, my doctor started at 32.5. Great bump for a day. Then back down. Then at 48.75mg. Bump and steady, then depressed like crazy. . sleeping more than 10 hours, no appetite, no consistent BM. Then we went to 72mg (1 48.75 with half another pill). That changed everything. And we did labs. He seemed pleased with them. T4 = .91, T3=3.1 and TSH = .46 But when testing in October, I see the lab ONLY did TSH and that was 1.28. I have just inquired about this. . .

          It was dropped back to 48.75 for 2.5 weeks when we ran labs, and then it dropped to 60mg of NP Thyroid starting OCT 27th for 3 weeks and I am JUST back to 72mg of Nature Throid (now with a rash appearing. . ugh)

  21. joyce martino says:

    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.

  22. Marsy says:

    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.

  23. Carolyn says:

    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.

    • Kami says:

      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.

      • Marsy says:

        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.

    • Marsy says:

      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.

  24. Amy says:

    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.

    • 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.

  25. Lisa English says:

    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.

  26. Lisa English says:

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

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

      • ellen weir says:

        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.

    • Linda Lang says:

      An old article from Dr. Mercola site form 09/19/2009 wrote on that shortage stating it was entirely done at the demands of the FDA . I think that is exactly what is happening now. And NO we are not getting the full honest story!

  27. Andrea says:

    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.

    • ellen weir says:

      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.

  28. Linda says:

    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. ; \

  29. Tracey P says:

    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.

  30. Julie says:

    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)

    • 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

      • Julie says:

        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.

  31. Ginger Wills says:

    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?

    • 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.

  32. Riley says:

    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!

    • 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.

      • ellen weir says:

        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.

      • Marsy says:

        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.

        • Marsy says:

          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.

        • 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.

          • Marsy says:

            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 says:

    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.


  34. MsH says:

    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.

  35. MsH says:

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

  36. Hof says:

    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.

    • 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.

      • Hof says:

        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 :-/

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

  38. MsH says:

    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

  39. Lee says:

    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??

  40. ellen weir says:

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

    • That may simply mean they will have some catch-up to do to keep up, not that they are ceasing to make NP Thyroid.

      • lou says:

        Just checked with local Kroger pharmacy and they have NP thyroid backordered, have been out for 2 or 3 months. I am wondering if all the manufacturers of dessicated thyroid are having the same supplier problem. I believe Janie said there was only one producer of the powdered porcine thyroid, so if that is the case, then none of the manufacturers are going to be able to make their dessicated product. Sure wish we could get the scoop on this, because if no more dessicated is available in future, a lot of us are in trouble.

        • Please know that things like this have gone on before, and NDT stays available.

          • lou says:

            I called Acella about the NP backorder that the Kroger pharmacist stated. Got a return call just now and was told there is no shortage of this, that if pharmacists say this it may be because the warehouse/distributor did not order enough or in a timely way. Said business was booming because all the other dessicated thyroid types definitely do have shortages. Still don’t know why they can get the powder and others can’t, but if anyone is considering changing to NP thyroid, this is what I was told. And he said he is getting several calls a day just like mine, people worried about unavailability.

  41. Donna says:

    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!

  42. Mariah says:

    I was just switched from Erfa to Nature-Throid but I noticed in a couple of days with NT that I am allergic to it. I was never allergic to Erfa. How is this possibile? Anyone else has this happening? I have no known allrgies to fillers, so I am confused. My reaction was really bad (mouth bleeding, lips swelling etc). Help!

    • How awful! It does seem like you are reacting to something. Do you react that way with bacon or any pig product? If you don’t, that might eliminate the NDT itself. So that leaves a filler.

      • Mariah says:

        No, I do not react to any pig products and I’ve never reacted to Erfa like this. I have used Erfa for 10 years. I had to quit NT and go back to Erfa. It works fine but it is really expensive in my country, triple the price of NT.

    • Sloan B says:

      Yes, I had an allergic reaction to Naturethroid. My pharmacy offered it to me back in May when they were out of WP Thyroid. After taking only one dose, I had an allergic reaction. It started with welts on my skin like hives, then lip swelling and eye swelling. I went to the local Urgent Care and they gave me a steroid shot and I took Benadryl. It was awful and lasted a few days. I have never been allergic to anything.

  43. Felicity Lane says:

    I know that the pharmacy in Vancouver ( sorry forgot the name ) has been mentioned as a good place to buy compounding NDT. Has anyone asked about what the fillers are in this formulation?

  44. Tahnee says:

    I read that Acela NP Thyroid is a combination of Levothyroxine and Liothyronine which is NOT natural dessicated thyroid. If this is true it might not be wise to tell people that it is NDT when it is in fact synthetic thyroid hormone.

  45. sue jobson says:

    My son seems to suddenly be having problems with his NDT, and it seems so many other people are beginning to have issues. Where do the pigs that the NDT comes from originate. Has anyone ever had their NDT tested for pesticide contamination ie glyphosate ? What are the pigs being fed – gmo soy and corn ? who can answer these questions ? When I asked our compounding pharmacy about quality testing he forwarded me a Medisca certificate which showed it had been tested for salmonella and E.coli and nothing much else…..

    • Sue, the main reason anyone has issue with NDT is explained here: http://stopthethyroidmadness.com/ndt-doesnt-work-for-me Granted, occasionally an NDT has an issue itself, such as when Armour was remade via the Forest buyout by Activa, or Erfa changed it’s production facility. Is he on either of those? If so, he might want to try NP Thyroid. BUT….the latter link still should be read, just in case. Because for most, it has nothing to do with the issues you stated.

  46. Trina Hartman says:

    Help!! I was on 2 1/2 grains of NatureThroid before it was out of production. I am currently on 100 mcg of Synthroid and was trying to take 25 mcg of generic T3. I can’t seem to handle more that 10 mcg of the T3. I get very jittery if I take 15 mcg and that is spaced out through the day. Is that possible? Is it because the body processes it differently? I feel horrible, but I have Lyme Disease so it could be that as well.

    Is anyone else experiencing this?

  47. zib says:

    Try Tirosint Levothyroxine……its a gel cap without fillers, Its working great for me. i ran out of NT also. I had to Slowly go up on the dose. The Dr had to fill something out for my insurance plan so it would be covered….which took 3 days. Urs might be covered. I cant believe how different I felt from the regular brand of levothyroxine (I can tell just by taking 1 pill….my body freaks out on the other), And its something that dosnt kill animals…which i always hated about taking Natural thyroid, Im extremely sensative to thyroid meds…it took me monrhs and months to adjust (U HAVE to keep on the same dose…NEVER miss or adjust until ready) so I got so sick when they ran out…but now Tirosint Levo is working. I cant believe it…the other synthroid never did. Im hoping it will become more popular so places have it in stock more and more

    • Though Tirosent is a better version of T4, it doesn’t change the fact that you are forcing your body to live for conversion alone. And that will backfire. There are simply far too many situations that negatively effect conversion. So no, that is the worst way for anyone to treat hypo. At least consider adding T3.

      And NDT powder comes from animals that are used to feed people. Think Bacon, ham, pork chops….and for bovine, think hamburger, steak etc. If someone is vegan, then adding synthetic T3 to synthetic T4 is the way to go, not “just” T4.

      • zib says:

        I should have put my doc prescribed it with Cytomel. For me…its been a tough transition without NT..but tirosint has worked alot better than others.. I get horrible side effects from adjusting to any thyroid med no matter what i do..how long i stay on it or how much I slowly increase. Just when i was adjusting to NT…its out for awhile. Does anyone know for sure if the NT will be the same exact med (or better) when it is back in stock???

  48. Please try Women’s International Pharmacy 800-279-5708. Compounded whole glandular thyroid is very available. The powder is the same used by RLC lab. The whole thyroid is encapsulated with olive oil. The pricing is only slightly higher than Naturethroid and less than Armour.

  49. Anita Faulkner says:

    I have been taking Thyroid Gold for some time and doing better on it. I can’t find information on your web page or Facebook page about it and am curious as to if others in the group have found it helpful.

  50. Jen says:

    Shortages seems to be resolving. I just got my 1 grain script filled. I wanted to report that the new pills don’t taste the same as the pre-facility upgrade pills though. Not sure why or what the difference is but they seem sweeter and a bit more gamey. Perhaps they are just fresher than the ones I was getting that may have been sitting in the pharmacy in the past. They do seem to be working the same for me otherwise. Just a note for those that take it sublingually like I do.

    • Now that is interesting. It implies they have removed the outer coating and that these newer versions could be done sublingually better than what was previous.

    • Lori says:

      I hope they put the sugar source back in, I’m tired of having to chew them up with a drop of honey to replace it. I’m also stressed about not being able to get it.

    • pat says:

      Hi Jen, Which NDT brand are you taking?

    • Sarah says:

      I just took the first tablet from the new batch…YUCK! I’ve always dissolved them under my tongue but had to swallow it. Yes, it’s a little sweeter but otherwise nasty tasting. I hope this doesn’t happen with WP Thyroid, that’s the one I was talking prior to the shortage.

    • Jessica Wilson says:

      Jen… do you take Nature-thyroid sublingually? I’ve had to switch to it (was on NP Thuroid before)… I read not to take nature-thyroid sublingual so have been chewing it up. Would love to go back to sublingual.

  51. James says:

    I’m out and can’t get. What a disaster!!!!

  52. Felicity Lane says:

    I read in a post which I can no longer find about a discussion about getting formulated NDT. As Canada starts to get the shortage being discussed in our group, I wanted to find the person who recommended using Kripps pharmacy in Vancouver to order. He ( I think) was happy with them but wonder if these places who formulate will tell you what the fillers are?

  53. Sara says:

    I just picked up my refill of Nature Throid and noticed the pills look and tastes completely different. I’ve always taken sublingually and notice the new batch dissolves differently, much faster. I have been on NT since 2011 and it’s always worked well for me, i’m hoping the new formula is just as effective.

    • Dana says:

      Yes, I’ve been taking Nature-throid for years and the new batch not only tastes differently, but I’m experiencing headaches, low mood and joint pain. I emailed the lot#/expiration to RLC and received a reply that there are slight variances in the lactose sugar content and that the difference in taste is only “sensory”. I’m disappointed. I’ll try WP and hope that makes a difference.

      • Dana, it can just mean you need to raise it, not change. Study this page: http://stopthethyroidmadness.com/natural-thyroid-101

      • Sara says:

        Thought I’d check back in after leaving original comment. Sorry you aren’t doing well either. i’m dealing with headaches, nausea, loose bowels, and moments of either fatigue or hyper and jittery, plus hot flashes. I haven’t had my labwork done yet, but I believe I may be hyper now. I’m going to talk to my dr about whether I should lower dose or try NP thyroid.

      • Stephanie says:

        My pills looked totally different too. They are normally white. They have been for ten years. Now they are mottled and oatmeal color. I got the same response from nature-thyroid, that the difference is sensory. Something changed. Something made them look different. I wish they would just tell everyone what the change is. I don’t feel as well as normal. Their lack of transparency is not impressive.

        • Stephanie and all, they new Naturethroid pills actually just now look the way the old NDT pills looked. And they have no coating now, which is a good thing. If you don’t feel as well, do labs to see if you need to tweak.

          But we do agree about their lack of transparency. It’s irritating. It may be due to gag orders as a pharm under the auspices of the FDA.

  54. Danielle says:

    Okay so I
    Just got my new pills and I’m having hot flashes and feeling anxious for two days now! What did they do? Did they change something in the formulation. Feeling unwell!!

  55. Miss Mae says:

    My Walmart STILL has NO Nature-Throid of any strength. Contacted the NP Acella to see how one goes about getting their product.

    So is NP not produced by RLC?

    • No, NP Thyroid is produced by Acella. It’s a fine product.

      • Miss Mae says:

        Can you tell me how it works to get it? Does the doctor specify on their pad “NP Acella”? I’m not sure if my doctor knows about it. But if she will go along with us, then do I mail the prescription to the company? And they mail back?

        At their site, I saw where it’s supposed (?) to be for sale at Walmart, CVS, etc., but my Walmart today said they had NO dessicated thyroid on hand.


        Any info will be appreciated.

        • Yes, the doctor can do it that way.

          WalMart can carry it by contacting Acella.

          One reason doctors don’t know it is that Acella doesn’t market heavily to doctors the way RLC does.

          • Miss Mae says:

            David from Acella sent a nice email and told me there is NO shortage of NP. Went to Walgreens to see about getting the prescription filled, 65 mg for me, 81.25 for husband. The girl there said NP comes in 2 strengths only. I think 15 and 120, but she checked and saw where they do have those strengths for RIGHT NOW. Appears they may drop them within 30 days.

            I”m going to inquire of David and see if this is true. If so, WHY would they do that?

            Also, the girl at Walgreens stated NP is the “generic” of Armour. That means it has the old formula, is that right? It’s what Armour used to be before the change in 2015? Husband tried Armour and it did nothing for him.

            On Nature-Throid his cold feet have gradually warmed, allowing him to sleep better. I hope the “generic” doesn’t send what improvement he has back to the “feeling awful” stage.

            This is just plain ridiculous at how trying to find natural thyroid is like searching for that needle in a haystack. Then I read about what’s happening in the UK….I pray the medical profession doesn’t force all of us to go to Levothyroxine and Synthroid.

          • Acella used to call it generic, but it’s actually very equal to the best of brands and works well.

  56. Trina says:

    I was finally able to get my script in Indiana. This has been the most awful experience. I could not tolerate Armour and I really wanted it to work. I was on a combination of Synthroid and Cytomel. That was was also an awful experience. I could not tolerate the Cytomel and the Synthroid made me feel awful, but at least I didn’t have high anxiety. I just had horrific mood swings. Before the NT debacle, I was on 2 1/2 grains and probably needed a bump at that point. I am now starting all over at 1 grain. Since being without NatureThroid my cortisol levels shot through the roof, so now I am on supplements in an attempt to bring it back down. I don’t know if going without NatureThroid has anything to do with my coritsol levels went off the charts during the period. I had a steriod shot at the end of July, right before I could not get anymore NT, so I am thinking they may have something to do with my adrenals getting out of whack. I know there are a lot of people suffering right now. I would not have gone back to NT if one of the other options would have worked, but apparently they were not going to. So…here we go again with the slow build up.

  57. MsH says:

    Still no WP available and RLC has gone silent on Facebook. Going to see a new endo who I hope will compound it for me.

  58. Ange says:

    Hi- Ive only just become aware of the WP Thyroid situation. Am in the uk & there was a delay in part of my prescription. I wasnt told there was a problem with supply. I struggle with other ndts probably due to fillers so Armour & Erfa (new formulation) Westhroid make me poorly. I think its something to do with the fillers. WPs been brilliant the best so am gutted. Acella has some of the fillers that are in the others that didnt suit me so am concerned will just end up being ill if I switch. I really hope that they havent meddled with WP as had to move off both Armour and Erfa after their new formulations. Erfas new formulation was unpredictable and sent me all over the place from hyper to hypo on the same dose!!!
    I woild like to know why there is sooo little back up when these companies take a brand down whilst they move or expand or alter their factories. Seems ridiculous that such a key medicine can drop its comsumers so lightly with scant regard. This seems to becoming a regular occurrance and is despicable. None of them seem able to do this efficiently and with good plaaning not just for themselves but us the patients. Disgraceful. Sorry rant over!!

  59. Miss Mae says:

    What is “Triiodothyronixe”? What is a good range for that (whatever it is.)?

    • Mae, that’s an older article actually, and pharmacists and more have been pronouncing things like that before…and it has never happened. For example, Naturethroid is slowly coming back. That is not reflective of the FDA shutting down the production of NDT. NP Thyroid by Acella has never run out of production nor of the porcine powder to make it.

      • Miss Mae says:

        Thanks, Jane. I hope it never happens.

        Trying to fill our prescriptions for NP last Friday for the strengths of 65 and 81.25, Walgreens told us those strengths would soon be discontinued. Have you heard that?

        I’d much rather stick with NT, but when I visited their website earlier and their FB page, I found no updates. Have you been in contact with them, and found any new information?

        Thanks so much for your blog, btw, and happy I found it. 🙂

        • I can’t tell you how many comments have come out of the mouths of pharmacists for YEARS that have NOT been true. And that is just one more. We’ll keep you informed if anything ever does happen! Do sign up for the STTM blog post notifications at the bottom right. But right now, there appears to be no issue with supplies of porcine powder, with certain strengths, or anything negative whatsoever.

  60. Miss Mae says:

    I am signed up, thanks, and check email regularly for any news from you. 🙂

  61. Miss Mae says:

    Is it essential to skip one day a week? Husband claims since the doc didn’t “say” for him to skip Sundays and since his thyroid is low, he takes his dosage daily.

    What is the purpose of skipping a day? Should he absolutely do it?

  62. Terri says:

    Been on Erfa for a year been great I just got new prescription Nov.1 2017 and it makes me feel awful feet burn neck tight . Has anyone else had problems with Erfa and was it reformulated this year?

    • Do a search on this site for Erfa and you’ll see other blog posts about Erfa problems….

    • lou says:

      I just got a new shipment of ERFA, at almost three times the previous cost from Canada, when another Canadian pharmacy was sold out. I was assuming this just meant they would all be out soon, and were cashing in on what was left. So, why if this is the remainder of the same formulation, the new shipment is putting me to sleep in the middle of the day, at the same dosage that worked in the past. And why would the reformulation occur in the year they said they had lost their supplier? None of this makes any sense.

  63. Jay says:

    Has anybody (or anyone you have talked to) switched from WP to the NEWLY RELEASED Nature-throid batch that is now available?

    If so, did the change go smoothly?

  64. Abby says:

    Does anyone know if it is ok to break the tabs up? I am at 81.25 which means I could take 1 grain and 1/4 of one grain or 1 grain and 1/2 of a half grain. My pharmacy just gave me the very last of the 81.25 and has searched all of the Walgreens and there is nothing left.

  65. Dorothy says:

    Regarding WP: I have gotten very sick on this, severe GI issues for many weeks which I finally attributed to the WP…after stumping a gastroenterologist. I suspect it is an ingredient, maybe the lactate? Dunno. Back on Armour as of today. (I have Hashi’s.)

    • You might want to look into NP Thyroid. It’s a little cheaper than Armour and probably a better product.

      • Dorothy says:

        Turns out, I think, that I can no longer user T4/T3 combinations. STOPPED using thyroid med today and I feel well…for the first time in many weeks. Had killer stomach cramps, flatulence, etc., even while eliminating everything…coffee, dairy, wine, etc. Could be cuz I had eliminated gluten from my diet and had been taking selenium and multi vitamins for a while. Anyway, doc thinks maybe I no longer need the T3 (or such a significant amount that is in NDT). I have taken natural thyroid hormone for 10 years. Armour, Naturethroid, WP. Suggests I go on T4 only OR T4 w/a little cytomel.

  66. Astra says:

    A patient afternoon calling a bunch of local CVS stores turned up a small cache of Nature-Throid – enough to get me and a friend each through the end of the year on our respective doses. I’d like to never hear that CVS hold music ever again! My doctor has written me a prescription for a comparable dose of Armour, but I like the way I feel on Nature-Throid and am reluctant to switch if I can squeak by on what I have until my dose is available again.

    I’m disappointed, but I guess not surprised, that we haven’t gotten an update in nearly a month. I thought at they’d be shipping at least one more strength by now. As many others have said, the botched communication smarts just about as much as the shortage!

    • It’s too bad your doctor didn’t write a comparable prescription for NP Thyroid–a good and reliable NDT.

      • Astra says:

        I’m planning to talk to her about that when I see her this month! She’s been really thrown by the NT shortage because it’s what she’s been prescribing for everyone. I’m very curious why she picked Armour (and in her email said she thought it was the “next best” option).

  67. Fred says:

    Now it’s December and Nature Throid is STILL unavailable. It’s been over 2 months! No end in sight and I’m not sure if RLC will ever get its act together again.

    • It’s slowly making its way to pharmacies…people have been seeing it. But it’s clearly going to be slow. But do know that RLC doesn’t hold the monopoly over good NDT meds. There are other good ones like NP Thyroid by Acella.

  68. Bill says:

    I’ve been on WP Thyroid for 2+ years. Best medication I’ve ever taken for my hypothyroidism. My pharmacy substituted Nature Throid two months ago due due to unavailability of WP. Not quite as good for me, but it can be worked with. Nobody around here has more than tiny odd lots of 65 mg Nature Throid tabs on hand, and they can’t yet order from their wholesalers. I ran out, and the stuff still isn’t available—a month or more after the manufacturer said they were mass-shipping. Small pharmacies or large chains, no difference.

    I gave up and ordered a month’s supply from a compounding pharmacy at over triple the cost. I can’t justify risking the ordeal of re-calibrating to another company’s formulation only to find that it’s a dud for me (like the new-and-improved Armour was). If RLC can get their act together, I guess I don’t mind paying Cadillac prices at the compounding pharmacy for a month or three until I can get their product again. I’ll tell you, though, that their last last announcement on this is about six weeks old and apparently devoid of facts.

    I’ve been through the old generic thyroid (discontinued), old Armour, new Armour, unavailable Armour, quadruple-priced-adulterated Armour, WP Thyroid, Nature-Throid, and two spells of paying through the nose at compounding pharamacies because some pharmaceutical companies couldn’t run their businesses properly. I started down this path years ago because synthetic T4 treatment wasn’t working for me. My aunt, who was diagnosed around the same time, stayed with Synthroid and never switched. She has written me off as a crank for putting myself through this never-ending chaotic, half-assed foolishness for so many years. I’m beginning to think she’s right. NDT therapy is so effective when it works. Is there some reason why the businesses that dominate this market niche are apparently run by chaotic dunces?

    • Haha. Loved your reference to chaotic dunces. Actually, no, you are not a crank. NDT is always a better choice, it appears, in spite of the craziness out there in the production. Plus, RLC may not be admitting what actually went on, say some doctors in the know. But it’s slowly coming back. By the way, NP Thyroid by Acella has always been available and it’s proven by patient reports to be a great product, and nowhere near as expensive as compounded.

      • Bill says:

        I’m fortunate to have a conscientious provider who believes in NDT and gets actively involved in working the solution. For now I’m choosing to be thankful for one thing about the compounded product in capsules: its dosage is minutely adjustable without the tablet size constraints. As much as I liked WP Thyroid, the scheme of alternating days of halved and quartered tablets added to the big ones was a real pain.

        I’m going in for an office visit with her on Monday. I’ll quietly listen to what she recommends. I’m inclined to stand pat with the compounded stuff until WP comes back. At this point, I’m looking at what should have been a simple, one-off semi-annual dosage adjustment being turned into a minimum six-month project of tinkering, med-switching, and time-wasting. I’ll pay the compounder $50/mo extra a maximum of three times to give these drug company bozos a chance to catch their tails. After that, they’ll be as dead to me as the Armour geniuses made themselves through that series of fiascos a few years back.

  69. Becky says:

    Erfa NDT (natural desiccated thyroid) has not been available in Canada for some time. I first heard of it when trying to renew a scrip 1 month ago. Pharmacy advised shortage all over Canada. They did manage to get some powdered form of NDT and compound into capsules for me – 1 week supply at a time. It is expensive! $38 CAD/week for 120 mg (2 grains)/day supply.

    So is all NDT produced in the USA? It appears so as the internet talks of shortages all over – US, Canada, UK, elsewhere?

    This is different than the shortage back in 2009-2010 which was due to a change in manufacturing as I understand.

    I think with this current situation it may have to do with pressure from Big Pharma (as others have mentioned) as they are losing dearly as so many of us have moved away from Synthroid.

    All of us together have a very large voice. Thankfully started by Janie and other fellow-suffers like her. Do we sit back and wait for the FDA to shut it all down or do we fight now while there is still a chance? Let us band together and contact our governments and let them know what is going on.

    • American NDT makers get their powder from one facility in the US. Erfa gets their powder from Europe, as we understand. There are many places people in Canada are still getting their Erfa, though lots of weird things going on with their NDT that they continually deny. There are no shortages for Armour or NP Thyroid. They are making plenty. There are shortages for Naturethroid and WP because they were changing their machines. Informed doctors doubt that the FDA is going to shut down the production of NDT—it makes too much $$.

      • lou says:

        ERFA told me today that most strengths of thyroid are now being made, except 60 mg which will be coming soon. They also said no change in formulation, but I am having trouble with it. And finally, Canadian suppliers of ERFA say the manufacturer had to raise prices because of the supplier increase, or stop making it. This is really expensive now. I have a lot of other medical bills not paid by insurance and now thyroid alone is going to run $1000 a year for me. Not affordable.

  70. Trina says:

    I am so frustrated with all of this! When the stock ran out, I switched to Amour and it was a distaster for me. I then went on a Synthroid/Cytomel combination. I absolutely could not handle any amount of the Cytomel. I found out what it must feel like to be bi-polar. I am now back on Naturethroid, but had to start over because I was on the Synthroid by itself too long. I was on 2 1/2 grains of Naturethroid and probably needed more. I am now on 1 grain of NT and I am anxious and depressed. I hope I get back to where I was soon! Words of encouragement are always welcomed!

  71. Ange says:

    Over here in the UK am being given the run around. I left one big pharmacy moved to another as they said they did have WP…..but turns out they sent naturethroid….horribly chalky. Ive asked after Acellas NP but in the uk no one seems to have heard of it. Each pharmacy has to have a licence for each product of ndt…..this is because its not listed on the NHS formulary list. It takes about three months for a liscence for med to go through amd obviously costs the pharmacies moeny to ontainvthe licence. This restricts what brands uk pharmacoes stock. Lol….

  72. Gloria says:

    I switched to NP about 2 weeks ago due to Westhroid being unavailable. I’m sure I need my dose tweeked because even as I’m sitting here typing this, by eyelids feel like they have weights on them. Profound fatigue/drowsiness. Very frustrating because I’ve done so well on Westhroid with my lab levels being right in the range of perfect and the very few times I’ve changed doses was to decrease because I was doing so well and feeling so well.
    So I’m calling my pcp tomorrow to get more labs done as he won’t change my NP dose without it. My question for you, though is: I’ve read that some people take their NP sublinquil. I tried this with my NP and it did NOT dissolve. Had it under my tongue for a good 20 min before I finally swallowed it with water. Am I supposed to be crushing it before placing it under my tongue?
    Thank you for all of your helpful information on this thread

    • It can take awhile to dissolve, but is quicker if you are moving around. You can also try crushing it.

      • Gloria says:

        Thank you! I bit it in half and stuck it under my tongue. Kept moving around like you suggested and boom! Much faster to dissolve. I also feel SO much better than yesterday. So there must be something to this sublingual method!

        • Yes, STTM tries to tell people that there are simply too many reports of getting a bigger punch with sublingual to not believe it’s a better way. Granted, swallowing is fine, but sublingual seems to be even better.

  73. Lita says:

    I had the same problem when refilling my scrip for desiccated thyroid here in Canada last month. I was told most pharmacies were completely out of it and didn’t know when it would be available. I had a little panic attack as I’ve gone the route of Cytomel/Synthroid ….Synthroid didn’t work at all for me as I don’t convert T4 to the active T3. Cytomel made me feel like a humming bird on crack and my blood pressure sky rocketed.

    My pharmacy had 100 tabs each of 60s and 30s left, I had my doctor write another script so I could buy them all….it cost me a fortune but my health is far more important than money. I now have a six month supply and am hoping this craziness will be figured out soon for everyone who can’t do without their preferred form of NDT!

    • Sounds like the Cytomel was revealing a problem in either of these: http://stopthethyroidmadness.com/iron-and-cortisol

    • Trina says:

      I know what you mean. I now know what it must feel like to be bi-polar. I am much more empathetic to those who deal with it daily. I am also treating my high cortisol levels, which I don’t think was a problem until I had to dink around with different thyroid medications. Fortunately, I am back on Naturethroid, but had to start over in increasing my dose. I am very hypo right now with horrible depression and insomnia.

      • Lita says:

        I’m so sorry Trina, I know what it’s like to be extremely hypo for years. I felt like I was going to die! I had to force a doctor to give me a test for FT3 and antibodies, which revealed Hashimoto’s and low FT3 even with normal FT4. It was horrible the way I was mistreated by several doctors as if I was faking or just another hysterical woman. I’ve never tested my Cortisol levels, is the preferred method 24 saliva?

        • Hi Lita, yes saliva is definitely the way to go. See this: http://stopthethyroidmadness.com/saliva-testing and you’ll also see a link on that page to saliva test you can order.

          • Lita says:

            Thanks Janie for the info! I did a few “self checks” today with blood pressure lying down/standing and pupil response in a dark room. Blood pressure is good at 117/79 lying down standing 115/85 a slight difference that normalizes quickly. Pupils are normal as well. Ferritin is currently 90 with recent labs.
            I do have problems with sleeping however…waking up a few times a night and not being able to fall asleep again and feeling tired in the morning.
            A saliva test might be a good idea in any case. Good tip on the 4 point vs the 6 point test!
            Thank you!

          • Do understand that it’s not about ferritin only when it comes to iron. You could be making a huge mistake just going by that, as your serum iron could be low, or high. It has to be all four iron labs. See http://stopthethyroidmadness.com/ferritin

          • Lita says:

            I will try to have my current doc order all four iron tests but as you know they don’t like to order what they call “unnecessary tests” unless there is a good reason. Very frustrating!

          • Lita says:

            Thank you Janie and everyone involved with STTM for helping all thyroid sufferers on the long road seeking a “normal” healthy life!

        • Trina Hartman says:

          I am now up to 1 3/4 grains. I was on 2 1/2 grains before I had to start over. My main symptoms are depression and I can get anxious pretty easily. I also have insomnia. That all went away when I was on 2 1/2 grains (and I probably needed a little bump then).

        • Trina Hartman says:

          I look back now and can see all the issues I had with my health for years and never thought it had anything to do with thyroid since I was told everything was normal. I finally started feeling really good on NatureThroid. I hope digging myself out of this hole for the second time will work. I have no reason to think it won’t! It is just a long, hard process to get level and stable.

  74. Miss Mae says:

    Are there any updates?

  75. Erin says:

    I’ve been on NP thyroid for almost 3 months because of the Nature-throid shortage. The switch was very hard at first with extreme fatigue and brain fog. Now I feel okay and I am not having any hair loss (my hair didn’t improve as much with Nature-throid), but I’m experiencing terrible breakouts. My skin was great with Nature-throid. Has anyone else experienced this? I don’t know if it is due to a change in the filler ingredients or just my hormones running havoc. Thanks!

  76. Tara says:

    Has anyone heard if nature-throid is coming back or what a good alternative to change to is?

  77. Doreen says:

    My pharmacy is out of Nature Throid as well. I just got the last 21 pills… I’m on 130 mt and they don’t have any forecast on when they’ll have it in.

  78. Stephen says:

    “Patients are and always have been the top priority at RLC Labs,…”
    Except when they’re not! Another line of BS.
    I feel like they threw me under the bus, could only get a 13 day supply of NT, no more, check later they said, like next year. RLC made me feel so special.

  79. Ursula says:

    I just found out that I won’t be able to get any more desiccated thyroid until the middle or end of January at the earliest. I am in Ontario, Canada.
    I checked online pharmacies. All the Canadian ones say they aren’t shipping it right now. And even though I could get any amount I want from the USA, they aren’t shipping to Canada! Most countries in the world, but not Canada. I expect that our stupid government won’t allow them to ship here, like with so many other things.
    This is so frustrating! My pharmacist told me that I might have to go onto synthroid instead. I really don’t want to do that.

  80. Stacey says:

    I was on Synthroid for a decade and, while my labs showed an improvement, all of my symptoms persisted. In 2015 I found a doctor that was willing to put me on Naturethroid (plus Tirosint every other day) – it has been nothing short of life changing! Unfortunately, I had to switch in November due to the shortage of Naturethroid. I had an NDT compounded by my pharmacy (which was extremely expensive), and a month later am back to my old miserable self! Rather than refill the compound, I chose to go with the only other option the pharmacy offered – Armour. I start taking it tomorrow and am a bit nervous, given the reviews on this site. Any advice?

  81. Kathy says:

    I got a call late last night that my compounding pharmacy is having trouble with their conversion and can’t seem to get my dosage right, 81.25. What? I thought a compounder would know how to do this? Now its Friday! I’ve called Walgreens and am waiting on others to open, but unable to find ANY dt anywhere. Here we are Mid-December and still can’t find what I need. Does anyone know where to get dt and preferably not Armour? If I take 81.25 x2 and can find Armour in 90mg, how do I split so I get the right dosage. Will call my doc and ask them to send me an RX for dessicated thyroid and not a specific brand. But still, no one in My area of Texas seems to have anything?

  82. DawnC. says:

    I’m allergic to synthetics and can’t go back that route.
    I’ve been doing awesome on Naturethroid.
    So much so, that my children were also moved over to Naturethroid and WP Thyroid (all 3 of us have Hashi’s).
    So, with the shortages I’m scrambling every 2wks, calling every pharmacy, just to find a few more to tide us over.
    I finally gave in and decided I would be the guinea pig and try out NP Thyroid as a substitute.
    I did horribly.
    Really out of it, heart palps came back (something I had under control on NT), blood pressure and heart rate sky rocketed.
    So, I went digging and managed to find a few more pills stuck in the back of the cabinet (NT) and took that today instead. Feel sooooo much better.
    But after the hoops I went through just to get the doctor to prescribe the substitute
    It’s going to be interesting trying to get her to switch back AND order multiple doses to equal my usual amount.
    I’m also wondering if maybe I just needed to start lower with the NP initially and work my way back up?
    She originally tried to give me 135 mg (120 mg + 15 mg) and when I called to find out if there was a reason she was taking me so high initially
    (the manufacturer’s chart has 105 mg (15 mg + 90 mg) as the correct conversion)
    I just got a phone call later that the “corrected dose” had been called in.

  83. DawnC. says:

    I’m allergic to synthetics and can’t go back that route.
    I’ve been doing awesome on Naturethroid.
    So much so, that my children were also moved over to Naturethroid and WP Thyroid (all 3 of us have Hashi’s).
    So, with the shortages I’m scrambling every 2wks, calling every pharmacy, just to find a few more to tide us over.
    I finally gave in and decided I would be the guinea pig and try out NP Thyroid as a substitute.
    I did horribly.
    Really out of it, heart palps came back (something I had under control on NT), blood pressure and heart rate sky rocketed.
    So, I went digging and managed to find a few more pills stuck in the back of the cabinet (NT) and took that today instead. Feel sooooo much better.
    But after the hoops I went through just to get the doctor to prescribe the substitute
    It’s going to be interesting trying to get her to switch back AND order multiple doses to equal my usual amount.
    I’m also wondering if maybe I just needed to start lower with the NP initially and work my way back up?
    She originally tried to give me 135 mg (120 mg + 15 mg) and when I called to find out if there was a reason she was taking me so high initially
    (the manufacturer’s chart has 105 mg (15 mg + 90 mg) as the correct conversion for Naturethroid 113.75)
    I just got a phone call later that the “corrected dose” had been called in.
    So, at this point I’m confused and stressed over the decision to,
    1) take the NP and just start low and increase as long as I’m not reacting
    2) try to continue finding my NT since I have been doing great on that.
    Sorry this was a bit of a ramble.
    I just don’t want myself or my children to take 10 steps back on our health.
    Just when we were seeing progress.

    • NP Thyroid is honestly a great product–not inferior to Naturethroid or WP at all. The only reason so many have been on Naturethroid or WP is because RLC heavily promotes to doctors; Acella does not. So yes, if your situation were mine, I’d start only slightly less with NP than the amount if was on with RLC product and see.

      • DawnC. says:

        Thank you so much for your reply. I’ll try again on Monday and see how it goes with a lower dose.
        Thank you for everything you do here on STTM!! It’s greatly appreciated!!

  84. zub says:

    Now they are out again and dont know when its coming back (I got 1 fill last mo). I live above the 2nd largest walgreens in the country. I have a severe case of hypo & it almost killed me 1 1/2 yrs ago (really serious). I cant keep trying to adjust while i wait for it to come back…its not gonna be good, I cant believe this manufac, dosnt give clear updates. They have to know ahead of time whats going on..its no surprise to them its just out. They are messing with lives and livelihoods. Unbelievable!!!!

  85. Cherly Lucky says:

    i only take 16.25mg of nature throid, not sure if I should be taking more or not. My endo is useless, I’ve been taking care of myself and changing my diet after reading this web site and many others regarding hypo. I was dx with hypo 2 years ago. My question is there any vitamins or minerals we can take more of until nature throid is back in stock at our pharmacies? Or Should I try Armour ?

    • You are severely underdosed. Optimal puts your free T3 towards the top of the range and your free T4 mid-range. Not strong opinion, but what we’ve seen over years when people are doing great. A better alternative than Armour is NP Thyroid. It’s just as good as Naturethroid used to be.

  86. Cherly Lucky says:

    what’s better to try WP Thyroid or Armour during the Nature Throid shortage ?

  87. Cherly Lucky says:

    Thank you Janie!

    I know you can’t tell me but how much more Nature Throid should I take?
    Or what does of NP Thyroid would you recommend? Or at least give me a hint of what I should take. I know you’re not allowed to say how much, but I can’t find a straight answer and I’m afraid to up my does on my own.

    I have no idea how much more I should take and I actually don’t trust the Endo, in fact when I asked him for Nature Throid 2 years ago, he looked at me like I was crazy , he wanted to put me on synthectics, I said “no” give me nature throid which he did. I do blood work every 6 months, so my PCP and Endo both get the blood work results and I get an Ultra Sound of Thyroid once a year.

    I will call my PCP who is more concerned about me than my Endo, my PCP will write a script for me, all I am is to my Endo is $ in his pocket.

    What are your thoughts on my blood work, if I may ask?
    TSH = 1.96 Range(0.36-3.74)
    T3 Free = 3.0 Range(2.18-3.98)
    T3 Reverse = 7 No Range Listed ?
    T3 Total = 92 Range(80-200)
    T4 = 8.4 Range(4.8-13.9)
    T4 Free = 0.8 Range(0.8-1.5)
    Antibodies – HIGH >10000
    Iron = 74 Range(50-170)
    Iron Sat = 46.8 Range(20-50)
    Ferritin = 57 Range(8-252)
    Magnesium = 2.2 Range(1.6-2.6)
    Vit D = 83.6 Range(30-100)

    I’ve upped my own vitamin and mineral in take ever since I was DX with Hypo / Hashimotos 2 years ago. I hit the internet to learn everything I could about Hypo and Hashimotos including this wonderful web site, I even bought the book! Because the Physicians don’t want to see us get better etc……. I’ve cut way way down on my suger, I have a sweet tooth, and I’ve cut out Gluten 99%

    I am 50 years old and work in an IT Dept (very stressful at times, this is why the Xanax is needed sometimes!)


  88. Jessica Wilson says:

    I live in the UK. Have been on NP Thyroid (Acella) for two years (changed bc Armour doubled in price). The cost of NP Thyroid just quadrupled!!! I’m not even joking. So I’ve just switched to Nature-thyroid (literally took my first pill this morning).
    Now I’m worried (after reading all these comments of how bad people feel on it). My main question is that it has been said that Nature-thyroid is not good sublingually. And I just wondered if someone could clarify (I just tried it bc it’s what I’m used to… it seemed to dissolve fine, but wondering if it’s known it won’t absorb well). Even though it dissolves, is it better to chew it up? Their website says swallow with a large glass of water. (I’m used to having my tea in the morning… waiting an hour sounds awful!!!).
    Was also wondering if it dissolved bc of a reformulation, but website says it’s not been changed (so anyone who has take it previously I’d be interested to know if it’s different). Thanks for any help or insight. This site is a god send for me!

  89. Jill says:

    Walgreens is substituting Westhroid for Nature Throid. Is this just the more pure form of Nature Throid?

  90. Shelly says:

    I live in southwestern Michigan and I am still unable to fill my prescriptions for Nature Throid 81.25 (grain 1/4). I am down to my last few of the 65 (1 grain) that I cut to make it into 81.25. I’ve checked with both CVS and Walgreens, do you know when the Nature Throid in any strength will be available again in Michigan?

  91. Jill says:

    Now I see that Westhroid is actually old Nature Throid? Is the potency affected by age?

  92. Dottie Ji says:

    Just found out today about the shortage of WP Thyroid when trying to refill my prescription. Neither my doctor nor I are big on pharmaceuticals and so Armour was never tried. I started off with Nature-Thyroid which drove me crazy with itchiness around my neck, I presume from the fillers. Not sure what I’m going to do now if WP-Thyroid becomes no longer available. It’s gentle and worked fine.

  93. Neal Bozeman says:

    Hi Janie, do you have any experience with dessicated thyroid supplements? I live abroad and have never been able to get my hands on NDT like Armour or Naturthroid, but am experimenting with dessicated bovine thyroid supplements. However, the ones I have are not labeled with the contents of T4/T3. I’m also curious if taking NDT triggers an autotimmune response in people with Hashimotos?

    • They can work fine as long as you get the ones without added ingredients/nutrients/herbs, which the store ones usually have. Because as you raise those kinds of NDT over-the-counter supps, you will also be raising the added ingredients. Yes, NDT does trigger a “heightened” immune response in those who already have higher antibodies, but that stops as you raise towards your optimal dose.

  94. Stephanie says:

    This blog post contains the following statement: “In the meantime, NP Thyroid by Acella is a good one to switch to. You may have to adjust it for your own needs.” Could you please unpack this concerning the adjustment? Do people find that the conversion charts are not accurate, for instance? I am on my first month of NP Thyroid due to the Nature-Throid shortage and NP Thyroid is doing little, if anything, for me. It tastes sickeningly sweet and seems for all the world to be a sugar pill (but I know it isn’t really). I do not know why Nature-Throid worked so well for me, while NP Thyroid is not doing the same.

  95. Dawn Kaplan says:

    I just went to Walgreens to get my script refilled for NP by Acella. I was informed that it is on indefinite back order! Is this for real? This is my life line! I found bits of different doses at other pharmacies, but they all said the same about back order.
    Janie, are you aware of this? Thank you!

    • Because of the shortages of Naturethroid or WP, a lot of people turned to other brands. The “indefinite” part of their reply to you is because they aren’t in touch with Acella directly. They will eventually catch up.

      • Dawn Kaplan says:

        Thank you. I have contacted Acella via phone and email, so far no response. I am sick about this. I thought we were through with this nonsense after the crash in 2009. I do very well on Acella and switched after the Armour fiasco reformulation a few years back. I wish all thyroid patients can band together, buy a factory and manufacture our needs ourselves. Sounds silly, but at least we won’t be at the mercy of others.

        • Stephanie says:

          I do wonder what I would do if the pharma companies succeed in their goal of taking NDT away from us, so we need to take many more (more profitable) medications due to being untreated for the underlying thyroid disorder. I know that NDT is made from pig thyroids and that those thyroids are dried out, pulverized, and made into tablets (with other ingredients being added to hold the tablets together) or put into gel caps. One would probably need to use numerous thyroids for one batch in order to attain average concentrations. One would need a scale capable of measuring milligrams accurately. This all seems fairly doable. Does anyone have further detail on this?

          • Please know that there has never been a “goal of taking NDT away”. That has been a paranoid rumor for years by some people. Also keep in mind that Pharms want to make money, which NDT is doing for them.

  96. Val says:

    I have been taking 30mg armour for about 1.5 years. I am male and 29 years old. Overall I have had vast improvement with treatment but some lingering issues led my N.D. to prescribe 32.5mg Naturethroid. At the time is was unavailable so I just started taking it a little over one week ago. Labs all looked good on armour, and after the adjustment period, my hair quite falling out, heart palpitations were reduced but still present, blood pressure borderline, my weight stable but I have had dry eyes and 3 or 4 styes which I have never had in life before taking armour. I have never had great skin but it has seemed worse on armour (redness, acne) and my libido fairly low. One thing I liked about armour was that it always got me sort of revved up in the morning. So about two weeks ago the pharmacy called and said that naturethroid was finally back and scrip was ready to pick up. I was pleased that it costs about 60% less than armour. I can say my blood pressure feels lower ( I don’t have a cuff to check it) I haven’t had heart palpitations, my digestion feels different (not sure if it’s better or worse) but my energy level is lower and I do not get a boost in the morning. My appetite seems reduced and while a little early to tell I think I have gained a couple pounds (might be normal fluctuation). Also, I have had a flare up of minor acne. So my question is, should I be concerned? I thought I would notice an immediate and significant change for better or worse (I can tell day to day variations in armour). Overall I just feel more tired…I figure I should give it at least a month and see how things go but I am very concerned about backsliding. In general I am aware that most people have had positive results switching to naturethroid but I wondered if anyone suspects a “change” since it has come back to market.

    • Hi Val. There are a certain body of people who, when changing brands, have to tweak the different brand to get the same results they got with the previous brand that helped them, meaning raise it. Or some have to lower, which doesn’t sound like you. One way is redoing the free T3 and free T4 after being on the different brand a few weeks. Optimal seems to put the free T3 towards the top and the free T4 mid-range in most. http://stopthethyroidmadness.com/natural-thyroid-101

  97. Kay Wood says:

    I got some of the “new’ WP 65mg filled two weeks ago. The order is to take 1.5 pills to cover my script for 97.5mg. The formulation has changed. I am having hypo symptoms after two weeks of taking it.

    • Glad you reported this. It may mean that people will need to tweak upwards with the new WP. Please also note that the former 97.5 underdoses most anyway. Study this page to see what optimal means: http://stopthethyroidmadness.com/natural-thyroid-101 It’s not about the TSH, either.

    • Jay says:


      Are you positive that the “new” WP is out yet? I did not know they were shipping yet.
      Do you have an original 100 count bottle, if so what is the Expiration date stamped on the original bottle and lot number. You might have to peel off the label the pharmacy put on there to see.
      I got some 65mg about 4 months ago that are good…………I had to switch to 65mg after they stopped making the 130mg.

  98. Miss Mae says:

    RLC has updated. Date is Dec. 11, 2017 and they say the strengths “actively shipping” is 1/2 grain and 1 grain. Maybe stores will soon be back on schedule.

  99. Nichole says:

    I take 2.5 grains of Nature Throid and have been lucky enough to stay on it throughout this shortage by using three different pharmacies’ stock. I’ve taken NT 65s for a couple years now. I noticed the pills I got back in November have a different taste, color and smell. They aren’t solid cream colored anymore- more tan with brown specks. Since taking these for the last two months, my resting heart rate tends to go up quite often. I am 8 months pregnant and that could be it too but my levels are in range and it seems to be coincidental that this is happening only since the new stock came out. Right now I’m around 120 and feel awful. A couple days ago I got to 150. Dr says i should get on synthetics because the dosing is more reliable- the usual dr excuse. I’ve been hashi for 16+ years. I was on Armour for 6 years until the reformulation and synthroid prior to that. I can’t help but feel like NT has been reformulated again yet I’m not seeing anything online about it. Have you heard/noticed this?

    • Yes, there have been a few who’ve been able to get the new versions say that it’s different. But nothing highly negative yet.

      • Stephanie says:

        I have received a few batches of the new Nature-throid and I can attest that the look, smell, and taste are different. There are flecks in the new batches – the color of the flecks seems to depend on the strength, but it could be that larger “flecks” in the larger pills leads to a more intense color. The new pills, I believe, have a stronger “farm” smell and taste, which I generally think is a good thing. I never had the opportunity to compare the old and new batches side by side, however, and I have a hazy period in my memory from the few weeks that I had to spend on NP Thyroid, which for some mysterious reason did absolutely nothing for me – no, wait, it did do some things for me; it made my holidays into a prolonged period of deadened emotion, adult acne, hair loss, weight gain (NOT from holiday indulging), insomnia, forgetfulness, brain fog, and mood swings. I hate when there is no rational explanation for why the same medication in a slightly different format doesn’t have the same effect. I had similar bad luck with compounded NDT, and I cannot figure out why. Theoretically it is the same medication. I used Women’s International Pharmacy, which was supposed to be able to compound this correctly. This whole situation is so very harrowing. My entire life can be ruined by one medication becoming unavailable, and there are people and entities actively trying to make it unavailable. I used to take comfort from the fact that there were a few “good” options for NDT, but now I know that NP Thyroid and compounded NDT do not work for me, so that takes two of them off the already-short list, and I don’t even know why they don’t work for me.

        • Yes, when the new Naturethroid has a “stronger” smell, that simply means there is less coating on the tablets, and can mean they can be done sublingually, too. NP Thyroid is the same way–a stronger smell for the same reason. No, there are not “people actively trying to make NDT unavailable”. That is constant and paranoid rumor that circulates for years with no rationality.

          • Susie Palmieri says:

            I am experiencing problems with the new supply as well. I feel worse than when I was first diagnosed with hypothyroidism. I am going to see an endocrinologist to discuss options. Sounds like they changed the filler regardless of what RLC labs says. I don’t get any benefit out of this new batch of Nature Throid tablets. Glad to see I’m not the only one having problems but upset that this is happening. Why can’t they admit what happened when they updated their processing plants? I can’t go from feeling fine to feeling awful this quickly after having success with the old product. From what I’ve read I may look into taking NP Thyroid by Acella if it’s a purer product with less filler.

          • Susie, at least do labs on the new supply and see if you need to tweak it up. Optimal puts the free T3 towards the top of the range and free T4 mid-range, we have observed repeatedly over the years.

    • Jay says:

      I assume that when you say 120 and 150 you are talking about MG of NT.

      Going from 120 from 150 can take a few weeks to fully adjust to even with good medications. During the adjustment period you can have symptoms you are not used to but they may go away in a few weeks.

  100. Lynn says:

    Janie, I take 50mcg of T3 daily (go into RT3 on dessicated) and after I found out that Cytomel had gluten in it, I switched to Liothyronine by Paddock (now Perrigo). I was filling my script at Costco but they are telling me it is no longer being distributed. I called Perrigo but the “telephone operator” said she knew nothing, other than giving me the phone number of Mayne Pharma, the company that manufactures it. I called them, and their “telephone operator” knew nothing and told me to call Inmar, a RECALL response company. I called them and could not get a human on the phone, other than for me to leave a message. So I thought maybe you or your readers have heard something about this recall. I need to take generic T3 without gluten and don’t know what to do at this point. I don’t want to use the SigmaPharm brand with mannitol and cornstarch so if there is any advice I would appreciate it. Thanks for any information you can provide.

    • Well, for one, I recommend you have great doubts about anything a pharmacist in a pharmacy says in this area. I can’t begin to tell you how much BAD information have come from the mouths of pharmacists and as reported by patients. They have stated things like “NDT isn’t going to be made anymore” (have heard that NUMEROUS times over the years when a company just changed their NDT, or had a shortage), or “the company doesn’t exist anymore”…and each time, it’s false.

      I really haven’t heard anything about Perrigo failing to make T3.

  101. Lynn says:

    I have put a call into my doctor to switch to compounded T3 and will hope this switch won’t cause me issues. The compounding pharmacy told me they can make sustained release capsules, lactose free, use avicel (microcrystalline cellulose) as a filler in a veggie cap (no gluten). I take LDN from this same compounding pharmacy and they use Avicel in that as well and I’ve had no problems with it. The only other issue I may have is with the sustained release, because the generic T3 is not sustained release and I’ve never used this type of drug before. This new compounding script will cost me $40 more a month, compared to the generic T3 by Perrigo. Perrigo’s T3 has been recalled and is no longer available from ANY pharmacy. The only generic T3 that is now available is the SigmaPharma brand, with mannitol (wheat derived) and cornstarch.

  102. Jennifer Sand says:

    Hi Janie. I’m having trouble getting or finding any desiccated thyroid except Armour. Local pharmacies, and even Costco, are saying they can’t get any.I’m north of Seattle. I’d like to try NP Acella but none of the pharmacies have that either. Do I need to tell them to call Acella directly? A Rite-Aid pharmacist told me today that there’s an FDA crackdown and that soon desiccated thyroid won’t be available at all. I’m hoping he is making stuff up.

    • Yes, tell them to call Acella directly and give them the number. If they still can’t get it, either Armour or T4 with T3. And the comment told to you by Rite Aid is the typical idiot comment we have heard from the mouths of pharmacists for years.

      • Jennifer Sand says:

        Hi Janie, further info today. I talked to David at Acella. He said pharmacies don’t buy direct from manufacturers but rather through a wholesaler and the wholesalers all “should” know about NP Thyroid. I contacted two pharmacies (one was Rite-Aid) that use a very large wholesaler named McKesson. They said they cannot get NP Thyroid through McKesson (I left a message to David to that effect). I called my favorite local pharmacy who also said she could not access NP Thyroid. Then I talked to a Costco pharmacy tech who said she could not reveal their wholesaler (?!) and, after I convinced her that the fact that NP Acella is 30 mg per 1/2 grain and not 32.5 like Naturethroid and WP thyroid did not mean patients didn’t want it. You do have to have your physician write the prescription for NP Thyroid and specify that the dose is 60 mg grains. Her quoted price for me was twice what I normally pay, so a 90 day supply (2 1/2 grains a day), in 1/2 grain tablets would cost me $203 ($68/month) since my insurance doesn’t cover it. So, the upshot is, I think, that it depends on which wholesaler your pharmacy uses and how hard you press them using the NP Thyroid by Acella info. When I talked to Costco without saying NP Thyroid by Acella they said they only had Armour and no other and made no mention of NP despite the fact that they can get it. My doc is ordering directly from Acella for me and when I asked if doctors could do that, he said it depended upon which state they are practicing in.

      • Jennifer Sand says:

        Update on distributors. River City Pharmacy outside of Cincinnati Ohio, is a distributor of NP Acella, a “middle man”. If you (or better yet, your doctor) call this number: 866 345 3171 ext. 4644 and ask for Aaron he will send a fax to your doctor that is a form that has your doctor set up an account with them. After that, your doc can order NP Acella from River City Pharmacy. My ND figured this out for me and I just spoke with the friendly Aaron at River City and gave him my doc’s phone and fax to get things started. Thirty of the 30 mg tabs (1/2 grain) are $10.50 which is a little less per month than Costco’s quoted price. I’ve been chasing this for weeks and will crow with delight when I have some NP Thyroid in my hot little hand.

  103. Lynn says:

    Janie, this is what Perrigo said in response to my inquiry about the unavailability of liothyronine Sod 25mcg: “Thank you for contacting Perrigo Consumer Affairs. As of 31DEC2017, Perrigo no longer manufactures the Liothyronine Sodium Tablets. Beginning 01JAN2017, Mayne Pharma sells the product in their own NDC number. The new NDC number for the 25mcg is 51862-321-01.” I called Costco and told them the new number and they state it is “out of stock” with no availability date. I called Mayne Pharma at 252-707-6400 to find out if it is now available, and was told it has been recalled and she couldn’t tell me anything else and referred me to the Inmar Recall Response Company at 1-800-967-5952 where you must leave a message as no humans answer the phone. I am sure when they call back it will be a scripted response about the recall. Who knows when Mayne will have the new manufactured T3, but if I ever find out why it was recalled, whether they are changing the ingredients in the new batch (like adding gluten, etc.), or when it will be available in the future, I will let you know. If any of your readers know anything, that would be great too.

  104. Donna says:

    I work for a naturopathic doctor and have been having issues with getting the Naturethroid as everyone else has. I spoke with NP Thyroid with Acella, and the price is more than double what our patients have been paying out of pocket for their thyroid medication!! I continue to look for something more economical in the meantime, but may have to order from Acella while trying to figure it out as we are almost completely out of our back stock.

  105. So many people complain about Kaiser and we sure see why if they are only offering you Armour and refuse to do the RT3.

  106. Madeline says:

    I have been taking WP Thyroid for a few years & now that I found out about the unavailability for a while, I tried to get NP Acella. Yesterday Costco told me they would look it up & after doing so, told me they could get 15 and/or 30 mg only. That meant I would have to take way more pills than usual to achieve my 3 grains daily total, but I said go ahead & got my doctor to write a script. Last night I went on the Acella website & wrote them asking if it was possible for me to get 90-mg tabs & they wrote back today saying absolutely, that there was no shortage & that Costco need only call them to rectify the order. After calling Costco & explaining & recalling the dr for a new script to fit these pills, all is on go. I do note, however, that NP is way more expensive than WP. I paid 0.33/pill (1.5 grain strength) for WP & it will be 0.81/pill (1.5 grain strength) for NP, which is almost 2 1/2 times more per pill. I ordered a bottle of 100 to tide me over until WP is back & unless NP is something miraculous, I will go back to WP when available because of cheaper cost. I do wonder if NP always costs more or is this because of WPs shortage & a temporary price increase by NP because of the demand.

  107. Terri says:

    Does anyone know if Thiroyd by Greater Pharma from Taiwan has been reformulated in 2017 and how do I order it.

    • HiTerri. It’s actually Thailand where it’s made. And because this site is so public and the FDA works hard to block people from getting NDT from other places, that info needs to be responded to you privately.

  108. michele says:

    here we are, january 2018 and still naturethroid has not shipped any 1.5 gr tablets. i’ve been paying for a compound since the spring. i’m so angry at this point i wouldn’t care if RLC went belly up.

  109. Heather Cash says:

    Chicagoland area: Called Walgreens, Jewel and Meiers and no luck finding 97.5mg. Called Sam’s Club and scored the last 60 pill of Nature-throid. I’m betting this is the last 60 pills, I hope they release more doses before they run out!

  110. Renee says:

    I was on WP thyroid for a couple of years and it worked GREAT for me. After many years of feeling sick and miserable on synthroid, I found WP thyroid, and it changed my life. I finally felt like a normal human being again. In September 2017, my pharmacy substituted Nature-throid without telling me. I didn’t even notice until I started feeling sick and hypothyroid and I looked at the bottle. That’s when I called my pharmacy and found out about the shortage of WP. I immediately went on a phone calling/emailing campaign to find WP. Right after thanksgiving, I was able to locate almost two months worth of WP from a nearby compounding pharmacy. I bought their entire stock in the hopes that RLC would be back online before I ran out. No luck. So, yesterday I had to start NP thyroid, and I’m very nervous. Dr. Alan Christianson posted a YouTube video yesterday where he talks about the thyroid shortage and the differences between WP, Nature-throid and NP. I can’t say I was too thrilled to hear what he had to say about the potential consistency issues with NP. I’m so upset and stressed out. I finally found WP, found the right dose, and I FINALLY got healthy again and now I feel like I’m just going backwards again. I’m back at square one and I’m angry. I wish RLC would put out an update with more details. Plus, if there is only one supplier of the active ingredient in the US (American Laboratories Incorporated), then how is it that RLC is able to still produce Nature-throid and Acella is able to produce NP? Don’t all NDTs have the same active ingredients? Wouldn’t you think that ALL of the companies would be having the same issue as RLC in acquiring the active ingredient? Plus, WP apparently has only four ingredients in it, so wouldn’t you think it would be easier to produce WP instead of Nature-throid which has many more ingredients? Something seems fishy to me.

    • Many people have been on NP Thyroid for several years and are doing great. I switched to it and am doing great, as well.

      RLC’s issue was supposedly more about the machinery, not the supply of NDT powder. I lean to believe there are things they are not telling us. But whatever caused this ridiculous problem by RLC Labs, it’s returning and there are now many reports of doing well on the supplies coming in. Others will have to tweak plus make SURE their iron and cortisol levels are good.

      • Renee says:

        Hi Janie. Thanks for the response. I just now checked RLC labs website and they posted an update dated January 15. The quote below is from their announcement on their page.

        “Nature-Throid and WP Thyroid unfortunately became backordered due to delays caused by manufacturing upgrades and hurdles we experienced in obtaining a key raw material. The manufacturing upgrades, which were made so that we could stay true to our mission of supplying the highest quality hypothyroidism medications, included moving to a larger facility, implementing new technology, and refining our processes. These upgrades unfortunately played a role in the backorder, but they were not the only factor.”

        “In the last few years, we started experiencing some major hurdles in obtaining a key raw material. These hurdles disrupted our ability to not only keep up with the growing demand for our medications, but to also keep them cost-effective. We ate burgeoning costs for as long as we could and had minimal price increases compared to others, but the path was unsustainable. This information was kept under wraps for the protection of our patients. Quite frankly, we were concerned if we spoke out about these issues, we would be cut off from our supply and left unable to produce any medication at all. We are happy to report that everything needed to ensure fulfillment of all backorders and uninterrupted, ongoing full-scale production is now in place.”

        So, again…here are my questions…. and I don’t expect you personally to know the answers to these! I’m just thinking “out loud”. But, I wonder why, if they have been having a problem obtaining a key raw material, why then did it only affect RLC labs and specifically their production of WP? How come Acella hasn’t had the same problem? How come the maker of Armour and other NDTs haven’t reported having the same problem obtaining a key raw material? What in the world could this mysterious “key raw material” be? What does “key raw material” mean anyway? Maybe I’m wrong in assuming “key raw material” means the powdered thyroid. WP thyroid has four ingredients and three of them are inactive. I don’t think it would be the inulin filler as that seems to be abundant. I don’t think it would be the lactose monohydrate as that also seems to be abundant. Maybe its the MCT (from coconuts) that they are having problems obtaining. I guess we will never know because they will likely never tell us what this “key raw material” actually is. Oh, the mystery…..
        In any case, my pharmacy has been great and calls their distributor every day for me. As soon as I am notified that my pharmacy is carrying WP again, I will post it on here. *Crossing fingers* that it’s soon!!!! Let’s just hope that the price doesn’t skyrocket and the quality remains the same as it was before this “shortage”. And honestly, if I find that I am doing really well on Acella NP then I might not switch back. This whole situation has been extremely unpleasant. Thanks Janie for allowing us to comment here. I check this page every day for new information! It’s been a great resource.

        • No way of knowing when everyone else has had access to the porcine powder. Perhaps the “key raw material” is a filler? Who knows. What I do know is there are things they don’t tell us as consumers…sadly.

    • Many people have been on NP Thyroid for several years and are doing great. I switched to it and am doing great, as well. Have never noticed any consistency issues.

      RLC’s issue was supposedly more about the machinery, not the supply of NDT powder. But I lean to believe there are things they are not telling us. But whatever caused this ridiculous problem by RLC Labs, the pills are slowly returning and there are now many reports of doing well on the new pills coming in. Others will have to tweak plus make SURE their iron and cortisol levels are good.

  111. Jacqueline Dienhart says:

    I was taking 81.25 Naturethroid twice a day. Pharmacy has the 1 grain available and said I could take 2 1/2 grain, but they need new Rx from my doctor. I told my doctor I had 5 day supply left a week ago. So of course now I’m out. I have called her office numerous times. Needless to say I lined up a new doctor. In the meantime, I have an old prescription of 2 grain pills from 2 years ago. They expired June 2017. Am I ok to take these till next week? I would think they are still good. Perhaps less potent.

  112. Cynthia says:

    One of my naturopathic doctors told me that Armour has talc in it. Has anyone else heard that?

  113. Janice says:

    It’s January, 2018, and the availability of Nature Throid is still a very big problem. From what I’ve been reading, the FDA is at the root of the problem, so I emailed the White House.

  114. Dana says:

    Yes, post-shortage the Nature-throid 32.5 tastes differently. I have been taking it for years, chewing and letting it dissolve sublingually and it is most definitely different. I also have joint pain, depression, and headache. I’m very disappointed. I sent my concerns along with the lot number and expiration I obtained from my pharmacy to RLC, and they replied with the following:

    “Thank you for your email! These differences are due to the fact that Nature-Throid is a natural medication. Its active ingredient is Thyroid USP, which is naturally derived thyroid hormones and, just like anything else in nature, batches of it will never be identical. Some batches require more diluent (lactose monohydrate, a refined milk sugar), and some require less to meet the strict standards set by the United States Pharmacopeia (USP), which can result in sensory differences like the ones you described.

    Rest assured that these are only sensory differences and do not affect quality or potency. No changes have been made to the formula and every batch of medication manufactured by RLC Labs goes through rigorous testing to not only meet, but exceed USP requirements: while the industry allows for a monograph discrepancy of +/-10% between T4 and T3, WP Thyroid and Nature-Throid are not released outside of +/-2%. No RLC Labs medication has ever been recalled for inconsistent hormones, and we do our due diligence to keep it that way.

    You should receive a Prescribing Information insert with every bottle that lists the ingredients, which you can compare to a past one to confirm that nothing has changed. You can also find the full Prescribing Information here:http://bit.ly/NatureThroidAbout. We are also happy to provide your prescribing provider with a Certificate of Analysis for your specific lot that will verify potency. We are not able to send them to patients, but your physician is free to request the information from us.

    If you haven’t already, we encourage you to discuss all symptoms – new and existing – with your doctor, as a variety of factors can be at play and they know your unique patient needs best.”

    • That can mean you need to raise it. Please study this page on how to raise NDT to find your optimal dose: http://stopthethyroidmadness.com/natural-thyroid-101

      • Susan says:

        I was diagnosed hypothyroid way back in ’89 and put on Synthroid, which morphed over the years (due to insurance) to levothyroxine. Then, in ’95, I had a resurgence of symptoms (plus hair loss and other new symptoms). My doctor at the time, back on the East coast, put me on Armour, with fantastic results. We moved in 2012 to Arizona, and I’ve been searching since for a doc who won’t depend entirely on TSH and won’t oppose NDTs. The last doc was terrible, and cut my dose in half (“your TSH should be between 5 and 7”). I immediately started looking for a new doc, and have found what I think will be a great one (he’s hypo himself) only to run into the “Naturethroid is on backorder until March”) at Walgreens. So this shortage continues into 2018?

  115. Stephanie says:

    I picked up my nature-throid in December 2017 after the shortage. The pills looked significantly different. I am symptomatic, moody, night sweats, fatigue, and my hair is falling out. I contacted naturethroid to ask about the changes in the appearance of my pills (which have looked exactly the same for the ten years I have used them). I was not satisfied with their response, which in short had something to do with “sensory” differences in batches??? I plan to switch to NP thyroid by Acella. I take 2.5 grains now and I plan to take 2.5 of the Acella. I will update in a month or so when I get a sense of whether or not it makes a difference for me. Good luck everyone. These changes are hard. Hang in there.

    • The pills now look like the older and workable versions of NDT. But yes, their answer was weak. NP Thyroid is a great product…but understand that you may still have to tweak. Once you get on it, and have been on 1-2 weeks or so, do labs and see if you need to tweak. If you get anything similar on NP Thyroid, it’s your adrenals and/or iron, not the product. Or it’s simply revealing that you need a higher dose, perhaps.

  116. Mary Marin says:

    I have been on Nature-throid 81.25mg for 2 years now. 20 years of synthroid and levothyroxine failed which facilitated the switch. The nature-throid works like a charm. I purchased a 90 day supply, not realizing that there was a shortage. I now have 6 tablets left. I am so confused and do not know what to do! I dont want to be sick again!
    How, in this day and age can this happen!

  117. Jennifer Sand says:

    Holy smokes, the price on NP Acella is through the roof! I was pretty excited to finally find a source and get it ordered and the price from the supplier would cost me $190 (after I argued them down from $220, they said, Okay, just this once) for a 30 day supply and I only take 2 1/2 grains per day. What the you-know-what?!

  118. Kimberly says:

    Hi. A little off topic but for 2 months I switched to np thyroid and for the last month I’ve felt terrible. Mostly heart palpitations and fatigue, pains. I couldn’t figure it out. I thought it was all from a cortisone shot in my knee but I really think it’s the np thyroid. I had my dr check my lands and they were all within norm. I was on 97.5 of naturethroid. They put me on 90 of the np. Am I the only one this happened too?

  119. Sara says:

    Today a Pa. Compounding pharmacy assistant told me that she thinks (tho is not definite) that the factory that was producing NatureThroid had burned down last year…thus the shortage, the mystery issues about manufacturing…Can anyone confirm this? She’s under the impression they are rebuilding/have rebuilt?…thus, expecting renewed shipments. Sounds like that’s already happening in some states….
    Hang in, thyroid sisters!
    Sara, Pa.

    • Renee says:

      Hi Sara,
      To my knowledge, RLC Labs, the maker of Nature-throid and WP thyroid did not burn down. The labs are also located in Cave Creek Arizona which is nowhere near Puerto Rico as Susan mentioned below. I had also heard that hurricane comment from a pharmacist, so I immediately looked it up.

      The following information is from the RLC website that was posted by them on February 5, 2018. “February 5, 2018
      STRENGTHS ACTIVELY SHIPPING: Nature-Throid ½ grain (32.5 mg), Nature-Throid 1 grain (65 mg), and Nature-Throid 1.5 grain (97.5 mg)

      We are happy to share that, while we are still working through the backorder, we are in production and three strengths – Nature-Throid ½ grain, 1 grain, and 1.5 grain – are actively shipping.”

      So, it looks as though, according to them, that Nature-throid is back in production. No word about WP thyroid though.

  120. Susan says:

    My endocrinologist told me that Naturethroid manufacturing plant was in Puerto Rico and was heavily damaged during Hurricane Harvey. No timing yet as to availability of drugs.

    • Naturethroid is already appearing in a few places for those who have used it before. In the meantime, NP Thyroid by Acella is an excellent NDT.

      • Vonda says:

        I’ve read through most of this entire thread, and here’s what I know from experience. Armour worked well for me until they reformulated it. I switched to Canadian Erfa after Armour, and when they reportedly moved their manufacturing plant, it no longer worked for me. Then I switched to NatureThroid, which I’ve done pretty well on. With the recent shortage, I have switched to NP Thyroid, starting roughly a week ago, and am now having trouble holding my eyes open during the day, which usually means low thyroid for me, and also more brain fog, memory problems, word recall, etc. With NT and NP not being equal in strength (65 mg vs. 60 mg, etc.), I am now taking 11 mg less NDT (135 vs. 146.25). I don’t know if that’s enough to matter or if it’s because NP has one more ingredient than NT (I’ve been told), which I’m assuming is a filler. So since what seem to have been minor changes in Armour and Erfa caused me problems, it’s not hard to believe that someone like myself wouldn’t do well on another formula like NP, as others have mentioned here as well. The last thyroid test I had, my free T4 and free T3 were low normal, but the doctor didn’t want to raise my dose because my TSH was .122, which is actually high for me. She insisted my fatigue could be because of old EBV, etc. 🙁 Costco told me last week that they now have 65 mg tablets of NT, so I may see if she’ll switch me back. Good luck to everyone out there struggling with these issues.

        • Hi Vonda. Actually, many have done well with the switch to NP, but some have to tweak it to find their right amount, which may be different than what you were on with Naturethroid. And they do labs to figure out that tweaking.

          • Vonda says:

            Janie Bowthorpe, you brought up a good point, but I’m wondering if labs will always reflect how a person is able to absorb the thyroid hormones into their cells. In other words, the blood levels may be fine but may not be the best indicator of how well a person is responding to treatment. After all, NDTs have more than T3 and T4 in them, so there are more variables than labs show. The doctor I had for 15 years, who first put me on Armour back when it was “good,” used muscle testing and then followed up with labs. I know everyone will think this is weird, but that’s how we figured out what brand to switch to when the Armour and Erfa quit working. But he passed away in 2013, so I don’t have that advantage now. Obviously, I will have to get labs, but the new doctors I’ve been dealing with look more at TSH, unfortunately, and I’m one of those whose TSH never did get high, even with a goiter, etc. And I’m wondering how many have switched brands and their labs still showed them as being somewhere near where they were before switching, but they felt worse anyway. Can anyone answer that for me?

    • Renee says:

      Hi Susan,
      I had also heard the hurricane comment from a pharmacist on the East Coast. RLC labs is located in Arizona and I cannot find any information that says they moved to Puerto Rico…they say they did move to a larger facility, but make no mention of moving to Puerto Rico. Their website says:

      “Nature-Throid and WP Thyroid unfortunately became backordered due to delays caused by manufacturing upgrades and hurdles we experienced in obtaining a key raw material. The manufacturing upgrades, which were made so that we could stay true to our mission of supplying the highest quality hypothyroidism medications, included moving to a larger facility, implementing new technology, and refining our processes. These upgrades unfortunately played a role in the backorder, but they were not the primary factor.

      In the last few years, we started experiencing some major hurdles in obtaining a key raw material. These hurdles disrupted our ability to not only keep up with the growing demand for our medications, but to also keep them cost-effective. We ate burgeoning costs for as long as we could and had minimal price increases compared to others, but the path was unsustainable. This information was kept under wraps for the protection of our patients. Quite frankly, we were concerned if we spoke out about these issues, we would be cut off from our supply and left unable to produce any medication at all. We are happy to report that everything needed to ensure fulfillment of all backorders and uninterrupted, ongoing full-scale production is now in place.”

      But, it seems, from an update on their website yesterday, that they are now actively shipping certain strengths of Nature-Throid.

  121. Miss Mae says:

    Does anyone know if the Walmart pharmacies sell the NP? Not sure my local store does and reading here where some are saying their prices are through the roof – well, it’s scary. Don’t like the thoughts of maybe not being able to find the strength needed for NT, and don’t mind going with NP…but if it’s crazy priced — *throwing up hands*

    Was able to get the NP back last Sept. at my Walgreens but the pharmacist there said their distributor was only selling certain strengths and wasn’t sure how much longer they’d be available to purchase.

    This is nuts.

    • Niki says:

      I use DCA pharmacy located in Tenn..when everyone here in Indiana still doesn’t have any of NT I found them online. I got a months worth of 1 grain and another months worth of 32.5 for a total of $18 for both and that was with the $5 shipping charge included

  122. Miss Mae says:

    I was able to purchase NP Thyroid at Walmart with no problem, but for the same strength that I’d purchased back in December at Walgreens… I saved $8 at Walgreens. Don’t know if NP went up on price at first of year and that’s why it was higher at Walmart.

  123. Lisa hood says:

    I just went to Walmart to fill my npthyroid and was told that I could only get one months worth because this drug is on national back order.

    • It’s hard to know if anything a pharmacist says is based on reality. We have heard so many wrong comments over the years. Granted, I’m sure Acella is slammed for their NDT because of what happened with Naturethroid. But I would see if you can get the pharmacist to call Acella directly. Acella states that if pharmacists will do that, they can get NP to them.

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