Janie Bowthorpe is back…kinda. This is also for 2023 and into 2024.

Note: if you signed up to receive these blogs post in an email, they links won’t be live. They are only live right on the blog post, plus being on the actual blog is where you can post a comment. https://stopthethyroidmadness.com/blog
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Hello my thyroid friends. If you’ve noticed (or not), my last blog post was 11 months ago from when I am writing this in 2023. So many of you have been posting on previous posts for help. I’ve tried my best to continue giving patient-to-patient information to you.

The reason I’ve been gone so long? I was a caretaker all last year, especially as things got worse and were going downhill, then sadly experienced the grievous passing of someone deeply loved and highly significant to me. And loss and grief of that dimension is not for the faint of heart. It’s challenging. It can be a nightmare. And with deep grief can come the need to have an important break from what one was doing before, like writing blog posts and more.

All the latter even aged me terribly. But I call the aging and extra facial and neck wrinkles I now have my “battle scars out of love”. Luckily, I’ve been able to reverse part of it, which the photo doesn’t show.

I can’t say I’m totally ready to be back. Grief doesn’t end when you lose someone that significant to your life. You just learn to live “alongside it” to some degree. But I had such a memorable experience this morning that I decided to start again…to some degree.

***Please don’t reply to this by asking me “who passed away.” I don’t want to talk about this publicly. It’s too close to my heart. But you are welcome to offer condolences. They will mean a lot to me.

But I do want to tell you what happened this morning, as it will apply to any of you.

If you didn’t know, still being hypothyroid has many symptoms. The best list on the internet is this one.
I say the best not to criticize other lists. I say it because this list is not only based on 20 years of reported patient experiences and observations, it doesn’t include symptoms which are more related to adrenals in order to puff the list up.

And one symptom is the inability to conceive. l didn’t have this problem. But some women do when they are still hypothyroid, either from not being diagnosed, or being treated poorly on T4-only, or underdosed even with T3 in their treatment.

Here’s more specifically what I want to tell you…

I was at a restaurant eating my breakfast this morning, but it’s actually a brunch. I eat my “breakfast”

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around 1pm. Why? Because I’m doing intermittent fasting from approximately 9pm the night before (occasionally I start at 10 pm, but mostly the 9pm) until about 1pm the next day. I do this to keep my insulin levels down (I have a touch of insulin resistance I want to fight against). It’s also anti-dementia, anti-Alzheimer’s to do it. Plus doing it keeps my weight down beautifully. It’s not hard for me to do, as I get my energy from fat when fasting. I don’t even notice it much.

The waitress walked up to me. She said “I remember you from a few years ago!” with a smile on her face.

I asked how?? She said that she had waited on me before, and that I was the reason she had been able to turn her inability around to have more children around! She now has three sons instead of the one when I met her.

I had apparently found out she was on Synthroid, told her about Stop the Thyroid Madness, about a better way to treat hypothyroidism and all related no matter the cause. She has now been on Armour instead of the Synthroid she used to be on—the latter which prevented her from getting pregnant again. She was now doing fabulously. She showed me a photo her now three darling sons, all thanks to throwing Synthroid to the wind and now having T3 in her treatment.

She also underscored that she has been using her new STTM knowledge to guide her doctor, who is willing to listen. That is the kind of doctor we all have to work to find. I’ve done it. I know that those of you in the UK, as one example, have it hard, though.

But it’s also important to know that anyone reading this can do fabulously with T4 and T3, or with T3-only if there is an RT3 problem to treat. You just need to READ this: https://stopthethyroidmadness.com/optimal. And I don’t mean skim the latter page. Read it all.

Important notes: All the information on this website is copyrighted. STTM is an information-only site based on what many patients worldwide have reported in their treatment and wisdom over the years. This is not to be taken as personal medical advice, nor to replace a relationship with your doctor. By reading this information-only website, you take full responsibility for what you choose to do with this website's information or outcomes. See the Disclaimer and Terms of Use.

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305 Responses to “Janie Bowthorpe is back…kinda. This is also for 2023 and into 2024.”

  1. Harold Read

    Janie — I have used STTM in a 7 1/2-year struggle to get my Wife’s doctors to manage her Hashi’s in a sane manner. Her quality of life is so bad, that I found a new doctor — very difficult to find someone in East Texas who thinks outside the box of traditional medicine. But, we did it. She saw a New doctor 5 days ago, and he knows about the importance of Free T3, and he prescribed Armour during her first visit. We are hopeful for her future for the first time in years. She is 75 years old, and has been on Levo ONLY for over 30 years.

    I am eager to share the name of my wife’s new doctor, because finding one that is not brainwashed with TSH-only and Levo-only is challenging and stressful. We also found a 2nd doctor in our area that is extremely likely to think outside the box for thyroid management. I will post their names and contact info below:

    Judy’s New doctor, in Lufkin, TX — Dr Josh Allen, DO 936-632-2802; website = “Lufkin Lifestyle & Family Medicine”; he is accepting new Medicare patients!

    The 2nd doctor that we found — Judy has not seen him, but he was referred to us by the same person that gave us Dr Allen’s name — she uses him to manage her son’s seizure disorder with Ketogenic Diet — very “outside the box”:
    Dr Bryan Davis, MD 936-205-5949; in Nacogdoches, TX; website = http://www.BryanDavisMD.com

    Judy is on her 5th day of switching from 75mg Levo ONLY, to 60mg Armour. We are curious about WHEN she might start seeing improved Energy and less Brain Fog from the 60mg Armour — her Free T3 was 1.4 five weeks ago — Dr Allen said that that is very low. When he did the conversion from 75 Levo to Armour, he “bumped up” her Levo dose a little, for the conversion. I know the “when” will vary from one person to another, but do you have any pearls of wisdom??

    We have read your “Optimal” page several times, we plan to get Judy’s FT3 “near the top” of range.

    We are extremely grateful for the excellent guidance that STTM has provided to us — we could not have done it without you. The information on STTM is literally Life Saving, and we want to contribute to your effort if we can. I recently found a New cardiologist for Judy’s A-Fib — he uses Keto for himself and his patients, & he is superb. He explained how Judy’s Hashi’s has been causing her A-Fib — I will share more on this, if you are interested. Judy and I both are strict Keto, with Fasting — I can share more about that, if you are interested. Many thanks and kudos, Harold Read.

    Reply
  2. Jeanine

    Hello Janie.
    To start, my condolences. All who have experienced a great love, understand a great loss.
    I am new here but you are obviously much respected and your return makes things easier for others, so thank you.

    On that note, I’ll launch:
    My TSH has dumped to 0.03 and the endocrinologist seems to think that this is acceptable. My hair, what didn’t recently just fall out, is standing on end. I have had to sequential decreases since September, landing me here. I understand that allopathic providers “wait’ for the disease to occur but this seems ludicrous. The thyroid must follow the feedback loop generated by TSH at some point. AM I MISSING SOMETHING? The only understanding that I can muster for this laissez-faire attitude towards the TSH value is that the other hormone levels have not plummeted…as of yet. I am not an endocrinologist, but based upon your experience, please tell me if I am missing something or need to be frantically looking for a different endocrinologist that uses something like the old Socratic reasoning. Last- any idea what happens when TSH hits 0 and how long the body can tolerate it? Many thanks – J

    Reply
    • Janie Bowthorpe

      Well, first of all, considering that Endos are generally the worst doctors to see for hypothyroidism or Hashi’s, and because they are far too TSH-obsessed in treatment of hypothyroidism with T3, that your Endo is okay with a low TSH is unusual.

      You didn’t mention whether you are on meds or not. That doesn’t help my ability to give you a wise answer. So I’ll say this: if you have T3 in your treatment, it is quite normal, and not harmful, for the TSH to drop really low.

      If you are not on any meds, a low TSH means you might want to study this, just in case: https://stopthethyroidmadness.com/hypopituitary

      Reply
  3. Judi

    Good Evening Janie,

    I’m back with information I’ve located about MAYNE brand of T3(liothyronine sodium.) I checked with several additional pharmacies, and compounding pharmacies, and they all told me they were NOT able to order MAYNE brand of T3.

    Several of the compounding pharmacies told me I would probably have to pay $130 to $140 a MONTH for CORN/GF liothyronine sodium!!! I am horrified at that prospect! I can’t afford that type of expense so I am preparing myself to go back to regular generic T3, and I’m wondering is there a way for me to determine which brand may have the less amount of corn/gluten. I know that ingredients are listing on packaging in descending order, does that happen with meds too?

    I tried reaching Dr. Reddy labs but only found out they are maybe in India, and I haven’t found anything further on how to contact them with questions on whether they will offer the former Mayne brand T3 for sale at some point.

    In the meantime my pharmacy has recently called to refilled 1 month of my MAYNE brand, 25 mcg– this after telling me this dosage was no longer available about 4 months ago, and switching me to 50 mcg tabs. I’m shocked that I seem to be the only experience this lack of availability of MAYNE brand of T3! Is no one else having trouble getting this T3 brand??? What could possibly be happening? I’m so confused….. Thanks for any guidance you offer.

    Judi

    Reply
  4. Mark

    Janie, I’m sorry for your loss. As you wrote, you don’t get over it; over time, you come to acceptance. It’s a difficult journey that we all have to go through.

    For almost two years I’ve been caring for my wife who has rapidly progressing Alzheimer’s. Caregiving takes a toll on even on a healthy person. I have treatment resistant bipolar, primarily depression, and non-restorative sleep. Exhausted and stressed everyday. I need to remain healthy, not just for my wife, but for my ability to function and survive, which has led me to restart/reintroduce NDT after going back and reading Dr. Barnes’ book on hypothyroidism. I’ve got a steep, intimidating mountain to climb and I know that I have to be patient.

    You’ve helped many people in their to journey to find healing and health. I hope, with words and thoughts, we can help you on your journey to recovery and emotional healing.

    Reply
  5. danielle osgood

    Grief is never-ending. The gifts are the sweet memories and hearing their voices or words of wisdom in your head over the years. It might even be a silly saying. I have noticed that those who have passed haven’t left me. They’re still around. I can’t see them- but I know them. It gives me comfort for my children in the future. Thank you for all the work and giving you did before and continue to do.

    Reply
  6. Joy McH

    So glad to hear this study! Even today, I recommended the book. 🙂 Thank you. I hope you are finding grief moving along after your loss.

    Reply
  7. Gianluca

    HI Janie, I hope you had a great start of the 2024.

    I have a question regarding your article called “Take your temp!”. You mention if the temp is taken underarm to add .5 degree, and if it is taken orally to subtract .5 degree. I’m using an old fashion but mercury free thermometer, If I take my temp in the PM, orally it shows almost at 98.8, under armpit almost at 98.6, pretty similar. However in the am underarm is 97.2, and orally almost 97.8.

    I’m a bit confused with adding or subtracting the .5 degree, and if I should use it orally vs underarm

    Reply
    • Janie Bowthorpe

      The general instructions are not based on mercury free thermometers. They are just based on mercury thermometers.

      Reply
      • Gianluca

        Thank you for your reply Janie. What would I do with a mercury free thermometer then? or should I try to find a mercury one and follow the instructions on “Take your temp!”?

        thank you

        Reply
        • Janie Bowthorpe

          It’s such a hard call with mercury-free thermometers. They are advertised as being accurate, but when both have been used at the same time, it leaves us dubious about the non-mercury thermometers. And remember that we are looking for consistency in repeated use. Not sure what to say.

          Reply
      • Amy

        Do you have any info on the ndt thyroid by ani pharmaceuticals? Was prescribed np thyroid and the pharmacy substituted the ani without telling me. I didn’t think to check as I thought they couldn’t substitute. About 5 weeks in and I feel like crap with severe fatigue. It’s not on your list of thyroid meds.

        Reply
        • Janie Bowthorpe

          Pharmacies nearly always substitute to that which gives them a bettert profit, which I personally find appalling and dishonest.

          But as far as you feeling like crap with severe fatigue–that doesn’t mean there is something wrong with it. You just could be underdosed. What tells us that something is less quality is when a quality NDT was used for a long time with excellent results, then when using one that pharmacies subbed for, and we feel much less well….that usually a hint.

          This is always our goal: https://stopthethyroidmadness.com/optimal/

          Reply
  8. Anna

    I was horrified to read about this study to be carried out in the UK. They are looking for volunteers to go off levothyroxine for six weeks and see if they stay euthyroid. The author claims that it´s common for patients with transient hypothyroidism only to be treated with levothyroxine in the both US and the UK…I´m at a loss for words. Even if levo is bad, certainly no meds at all must be even worse…!

    https://www.isrctn.com/ISRCTN65030272

    Reply
  9. Alma

    Hello Janie. My condolences on your loss. The grief process is a day by day one. I completely understand where you’re at. My heart goes out to you. My question is simple: Are you taking consultations at the moment? I did see the post still up that you’re taking a break but then you’re kind of back so wasn’t sure where you’re at. I wanted to check in. Thank you

    Reply
    • Janie Bowthorpe

      When it comes to loss and grief, you can eventually learn to “carry it with you better”. I do that. As far as coaching calls, I’m still on a break but will be announcing later when I resume. 🙂

      Reply
  10. IV

    Hi Janie
    Happy holidays to you and your family
    Are you still taking booking calls? I’ve attempted to schedule a zoom with you twice but no replies 🙁

    Reply
    • Janie Bowthorpe

      If you tried to schedule a call before Dec. 26th when you wrote this…I discovered that some requests were NOT showing up on my end. I was horrified. But I figured out a way to see them behind the scenes. So when I’m ready to start again (I’m currently taking a break), I will make an announcement and use the backend way to see requests.

      Reply
  11. Judy Kocon

    My deepest condolences to you for your loss and your in my prayers.
    My naturopath started me on Nature Throid 20 plus years ago going from 1/2 grain to 1 grain.
    I never had a problem with it so when the recall occurred in 2020 I had a little on hand because of supply issues beforehand. When it was no longer available, my doctor prescribed NP thyroid for me but I was reluctant to switch since I always did well on Nature Throid. So in 2021 I asked him to order a prescription from my local compounding pharmacy. I took the compounded one grain from them in 2021 through 9/20/22 and never had a problem They were getting a little expensive so I went on the Nature Throid website and found a pharmacy in my state that was less expensive. My naturopath called in a prescription for me for a year and I did not realize instead of 1 grain (65 mg) he ordered 81.25 mg. and I started taking them sometime in September 2022.
    I have had a chronic pain syndrome (CRPS) since 2007 and manage it very well with a machine that I use daily. In June of this year I started having unusual pain that I could not resolve. My CRPS doctor worked with me but we could never get to the root cause. In September 2023 I had blood drawn and my TSH was 0.02, A year earlier in 2022 it was 5.47. I was shocked as it had always been in normal range. So I immediately poundered whether the thyroid was the problem that triggered my pain. I started with a new primary care doctor in September, and the first visit saw a fill-in doctor who apparently did not understand thyroid issues and said I was not getting enough medication and to increase to 2 grain and then go back for blood work, Found out later he ordered wrong thyroid panel and that is why I could not compare. When he saw blood results, he said go back to 1 grain and have blood drawn in 3 months. My pain was getting worse so I had blood drawn in November and the TSH was 0.01. This time the regular doctor was back and she said I was getting too much thyroid med. That is when I discovered I had been taking 81.25 instead of 65 mg. for a year. She ordered 65 mg from the compounding pharmacy and it took 5 days to receive. So I found an old 2019 Nature throid bottle with a few pills in it and took them for 5 days. I thought they were 65 mg. but discovered later they were 32.5. Well, the first 3 days I had no pain, the 4th and 5th day I had some mild pain. Then I started the new compounded 65 mg. capsules. The first night my pain returned in full force. I have now been taking them 10 days and the pain is worse than it was before I started taking them. I had blood drawn again this week and my TSH was 0.02; so after 13 days of decreasing the dosage, it barely moved the needle. My doctor believes I am still getting too much and has ordered the 3/4 grain for me. Because of my elevated pain, I am contemplating taking the old pills until I receive the new ones.
    I do not know if the dosage alone is the issue; I am suspicious of the ingredients causing my pain syndrome to flair up. I talked to the pharmacist and asked if they had changed ingredients in 2023. She told me they use the same porcine powder that Nature throid used for the pills – it is the same supplier and one inactive ingredient (micro crystalline cellouse). In Nov. 2022 through May 2023 it was not available and they had to go to a different supplier for the porcine powder. So I probably took the 81.25 mg capsules for 6-8 weeks before they used a different supplier for 6 months. My problems started in June when they went back to the original supplier. I am so puzzled because while I was on the higher dose I did okay while they were using that supplier but when they went back to original supplier is when my problem started. Along with the systemic pain, I have headaches, heart pounding, 15 pound weight loss.
    This new doctor would like to try a lower dose at the same pharmacy to see how I do. But she is also open to go back to the first compounding pharmacy where I had no problem,
    I have been reading your posts and respect your knowledge and advice. Do you have any idea what may be happening? Could it be the dosage and/or ingredients? I trust I haven’t rambled too long. Appreciate any help you can give me.

    Reply
  12. Judi

    Hi Janie, I posted recently and I didn’t see it posted or a response. Is it because I used my nickname “JB” Anyway, I’m posting because my pharmacy recently told me the my T3 – brand Mayne is no longer going to sell my liothyronine sodium. I take Mayne brand because I’m sensitive to gluten and CORN, and it’s the only T3 I know of which says its FREE of those. Have you heard anything about Mayne discontinuing make T3? Since I hadn’t heard anything I also did a on-line search and the only thing I could find was that a lab called Dr Reddy brought Mayne in Feb. 2023 but it seem to be 45 generics and some other items. Mayne brand liothyronine sodium is a generic of cytomel but the article didn’t mention T3 specifically. I would greatly appreciate any information you can provide on this issue. Thank you Janie for all you do, and my condolences to you and your family on the loss of love one. I hope, and pray your good memories of your love one with sustain you, support and comfort as you grieve your loss. Grace, mercy and God’s blessings to you.

    Reply
    • Janie Bowthorpe

      Hi Judi. Never heard of a lab called Dr Reddy but maybe you can contact them. And you might want to call around to other pharmacies to see if they have it in stock. And thank you for your kind words. 🙂

      Reply
  13. JB

    Janie grace, mercy and blessings for you. My condolences to you on the loss of your love one. I hope and pray that your good memories with your love one will support, comfort and strengthen you during your time of grief. I so appreciate all you do.

    I have been taking Mayne(aka Paddock, Perrigo) brand T3 for about the last 5 to 7 yrs. because I have tested for sensitive to corn and gluten, but for the last several months my pharmacy has taken longer and longer to fill my script. Last week after waiting over a month Mayne told my pharmacy they are NO longer going to sell liothyronine sodium. Has anyone else heard anything about this? Has anyone found another brand of T3 w/o corn and/or gluten? I’m without words! I’ve been trying to get “optimal” since 2003, this is the closest I have ever been! I’m afraid going back to a med w/corn is going to undo all my progress and prevent me ever getting “optimal”

    JB

    Reply
  14. Nicole

    Hi Janie,

    Thank you for all of your wonderful information. I have been on Np thyroid 2.5 grains. I had previously been on 3 grains for many years but in 2022 the doctor thought t3 was too high so reduced dose. Six months ago, my estrogen dose was increased causing SHBG to keep increasing. I am now feeling tired, unmotivated, and depressed. Could my SHBG and estradiol be affecting how I am absorbing the NDT?

    Levels are, tsh below .005, Free T3 is 3.6, T3 – 187, T4 free direct 1.23 and T4 9.4.

    SHBG 269 (climbing steadily in last 6 months) Estradiol free 371, estradiol free percent, .7, estradiol free serum 2.6.

    I truly appreciate any input. Thank you

    Reply
  15. Traci Zrelak

    Hi Janie, I am in awe of your knowledge. I am 59 yrs. old and used to love Armor until they ruined it. Then on NDT my calcium levels rose and I was having issues with my parathyroid. After seeing a DO, Endo, and Functional Med doc they hoped to balance my parathyroid thru T3. And it worked on paper but I went into osteoporosis. Since then my TSH level is 0.005 while on 100mcg T4 and 75mcg of T3. I moved so now I am seeing a new naturopath who thinks my bone issue is too much T3. So she is changing my T3 to 30 mcg and putting my on thyroid supplements. Well since the change, I am constipated, depressed, fat, sick and losing hair. I trust this new doc because she is treating underlying symptoms like viruses and heavy metals. I have had STTM book for years but refreshed my knowledge and realize I need adrenals too. But could 75 mcg of liothyronine the cause of osteoporosis because I felt soooo much better on it? Thank you God Bless. Traci

    Reply
    • Janie Bowthorpe

      Traci, doctors tend to falsely blame osteoporosis on “too much T3” when we definitely are NOT on too much T3. It’s the fact that the TSH is sensitive to T3 and drops down that underlies their false idea, too. And to move down to 30mcg of T3, with all those symptoms, definitely underscore that your doc has now made you worse.

      Reply
  16. Monica

    My condolences to you, Jane. I’m so sorry for your loss.

    I am now 52 and have been on thyroid medication since my 20s. I have all levels checked, but if my TSH is above a 2 there’s usually trouble. I’m on compounded T3 and T4 at the proper ratio. My current problem is I’m experiencing puffiness under my chin down toward my neck and what looks like cellulite on my legs. I am 30 lbs. overweight and still gaining despite a healthy lifestyle. In my 20s I started on Armour which was the best ever, until shortages and then recalls. Then switched to Nature Throid and the same thing happened. The compounded medication has helped, but it seems to no longer be working as well (not sure the reason) and I may need an increase. I so wish Armour was as good as it used to be. My question is, if my new doctor suggests a combo of synthetic T4 with additional T3, is that less of a risk than going back to the NDTs due to problems with availability and recalls? Or is it better to push to stay on the compounded thyroid medication and ask for an increase?
    Thank you in advance and thank you for all your hard work here. You have been a Godsend.

    Reply
    • Janie Bowthorpe

      Hi Monica. Since you gave the idea that being above 2 is problematic, that implies you think that being in the one’s is okay? It’s not. It means you are underdosing yourself as compared to our experiences. Because as long as we have been focusing on experiences and observations, and becoming fully optimal with the free T3 (fully read this: https://stopthethyroidmadness.com/optimal), our TSH will be below zero. Mine is frequently .004 or .009 when my free T3 is optimal. And contrary to the scaremongering from TSH-obsessed doctors, there has been no harm.

      When you say the compounded stopped working, you have probably never been truly optimal.

      All this also goes for Armour, for any working NDT, for both T4 and T3. To be optimal.

      Reply
      • Monica

        Thank you so much for this information, Janie. This is extremely helpful. (Sorry I left out a letter in your name in my first post.) Does this also go for synthetic T4 and T3 when it comes to being optimal?
        You reminded me of a time when my TSH was below 1 (I’m not sure my other levels back then) and I felt better than on any other med. That was back when Armour was good.
        As for the compounded, while it helped at first, my TSH started rising and my T4 and T3 were getting lower. My doctor at that time ignored the T3 issue and only increased the T4 which made matters worse, including causing anxiety and heart racing. I have a new doctor now who seems to have a better understanding, but we have not made any adjustments to my medication yet. I’m having labs done today and seeing him soon. I’m trying to gather as much information as possible.

        Reply
        • Janie Bowthorpe

          Whether we are on desiccated thyroid, or T4/T3, or just T3, we need to get the free T3 optimal. https://stopthethyroidmadness.com/optimal And you know why that doctor increased your T4 when both T4 and T3 were getting lower? Because they are primarily ONLY trained about T4. Their training on what we really need the most–T3–is pitiful. If they do prescribe it, they UNDERDOSE us with it because of their fear of it. Afraid of what changes our lives!! Totally ludicrous. Doctors are NOT taught to think and analyze. Medical school is simply STUFFING doctors with masses amount of information, and some of it crappy. Period. Forget about being able to question. Doctors are robots of what they are stuffed with.

          Reply
          • Monica

            Thank you, Janie. I agree about doctors and it is awful to be a victim of not being listened to and then being prescribed something that ruins your quality of life. I am still very angry with that doctor who increased the T4 when my T3 was clearly low but “within range”. Another physician adjusted my med since then to the “proper” ratio thank God and I started to feel a bit better, but like I said things are not going in the right direction anymore. I may ask for an increase in T3 only with my new doctor and see how things go. My worst symptoms now are feeling pressure and swelling across my throat and shortness of breath. I’ve been down this road before, so I know it’s thyroid related. Hopefully this new practice listens and I won’t have to resume my search for a good doctor.

          • Janie Bowthorpe

            Make sure you have done the two antibodies tests. Swelling across your thyroid “could” be revealing Hashi’s.

          • Monica

            Hi Janie,
            I just wanted to post an update. I took your advice and asked to have the two antibodies tests done again, although they did not indicate autoimmune problems when tested 2 months ago and also over the years. I agree it’s still important to have these checked. I requested an ultrasound of my thyroid and there was no swelling or abnormalities, thank God! Also, I asked to be switched back to Armour which was the first thyroid medication I was ever on, and the only one that made me feel and function “normally” along with optimal labs. I’ve been back on Armour for over 2 weeks now and can already tell a huge difference. The fluid retention is decreasing daily and what appears to be cellulite (but probably isn’t) is smoothing out. The labored breathing is getting much better, I have a more positive outlook and improved energy (although it’s going to take time to truly heal from my setback). Also, the body aches and random muscle spasms are almost not noticeable. I’m a bit sad that I was misdirected due to the drug company messing up Armour back around 2012, but I’m trying to get over that and have hope that it stays “good” again like it once was. NatureThroid just wasn’t as good for me as when Armour was good my first round, and unfortunately that was recalled after I became sick and before the drug company recalled it. I gained 30 lbs. in 18 months and felt like death warmed over! My body knew something was wrong with my medication before the drug company admitted it! That’s when I tried compounded T3 and T4 which helped but just didn’t cut the mustard. So now I’m back to Armour and insisting my TSH be below 1 and having all levels checked regularly. Thankfully the new practice I’m working with seems to be listening and respecting that I know my body and that I wasn’t born yesterday. Thank you as always for what you’re doing here to help thyroid patients 🙂

          • Janie Bowthorpe

            Monica, I’m so happy for you! Do know that this is your goal: https://stopthethyroidmadness.com/optimal. Not achieving it can mean that hypo symptoms can return. The individuality is when.

          • Monica

            Hi Janie,
            I just wanted to give an update and ask a question. Like I said I’ve been way better back on Armour. That said, I was increased to 90 mg two and a half weeks ago. It’s hard to tell if I feel better and while the fluid retention has decreased greatly, even on 60 mg Armour, there is still some puffiness and brain fog (while greatly improved). I know this isn’t tons of time to see it’s full effects and I haven’t had my labs done yet, but I was wondering if at my age (52) it is common for TSH to get out of whack and then normalize itself in time without medication adjustments. I realize I will probably need an increase to 2 grains either way and am following your advice closely and refer to your link frequently. Thanks again and I hope you are doing well.

          • Janie Bowthorpe

            60 mg, nor 90mg, will ever result in this: https://stopthethyroidmadness.com/optimal/ Read every single word. Don’t skim.

      • Monica

        Hi Janie,
        I’m so grateful you shared that your TSH has been “.004 or .009 when free T3 is optimal” because my TSH is now .087 and considered “Low” according to labs. Thank God my new NP gets it and is good with keeping me on my current dosage. She is not acting alarmed or being a fear monger like some others have in the past. Thank you so much for sharing this information. I might have been worried if you hadn’t shared your TSH results. BTW my T3 and T4 look good. Have a blessed and safe holiday 🙂

        Reply
        • Janie Bowthorpe

          It has been that for years while on NDT or T3. Years. And I’m not suffering nor am I hyper. 🙂 Doctors are pretty stupid about the TSH.

          Reply
          • Monica

            I am so happy you shared this with me, Janie! It did cross my mind (probably from the fear mongering in the past) that my symptoms might become hyper, although deep down I didn’t believe that. So glad to year your TSH has been that low and you are still doing well and not suffering or hyper! I agree how stupid doctors can be about TSH. It can be astonishing to say the least. I’m at the point I know my med is good and I need to be patient as my symptoms subside, which they are most definitely. It’s taken 6 years to get back on track with this mess! Happy Thanksgiving if you celebrate xo!

  17. Erika Barcenes

    Hi Janie,

    My condolences for your loss.

    I had a question of what has been going on with me. I have been stable more than a year at 2 Grains on Np thyroid which i take both grains in the morning. I was more than fine. But then i started experiencing alot of pain in my hip area left shoulder and thought this could be fibromyalgia. I recently spoke to my doctor about it and he said I need more medication because of the fibromyalgia. Before I went to two grains I was on 4 a day. I started reducing it because I started feeling hyper. Now that I tried to go back on the 4 grains my body does not want it I feel like my eyes want to explode and my neck is so tight as if I’m being severely chocked. I can’t even speak for long becuase my voice dies. My mouth went completely dry. Not sure what this is. I experienced similar when I was on synthroid many years back. I have been reducing it back to 2 grains in the last couple of days because i cannot take it. I’m waiting to see how I going to feel on the 2 grain again. Any suggestions what you think is happening here.

    Reply
    • Janie Bowthorpe

      Hi Erika. Unfortunately, though you felt stable on two grains, that amount leaves most people underdosed. It rarely achieves this: https://stopthethyroidmadness.com/optimal

      I don’t know what “4 a day” means. Four of what? Were you taking four of each grain of NP? If so, that is far too much of a raise to go from two grains to four grains. We only go up 1/2 grain at a time. So if you were on 4 grains, you were possibly overdosed thus hyper.

      But there is a possibility, because you were underdosing yourself on only two grains for so long, then possibly went too high, that your adrenals became very stressed and still are. This page gives you a clue: https://stopthethyroidmadness.com/adrenal-info

      And you said you are wanting to see how you feel on two grains again. It’s not, not, not about just how you “feel”. A lot of people can feel okay on two grains, but are underdosing themselves and not achieving optimal. Then they end up with problems.

      Reply
  18. Steven H.

    First of all, I would like to express my deepest respect for Janie Bowthorpe, your contribution to the thyroid patients all over the world for the past 20 years. Your advocacy of natural thyroxine has resulted in good treatment for my wife, we express our heartfelt gratitude!

    My wife was diagnosed with hypothyroidism in 2013. Like all such patients, she started taking her doctor’s prescription: levothyroxine. However, like all patients on this medication, she was not getting the right treatment. All the symptoms and pain kept tormenting her, causing her to even attempt suicide.

    In my quest to find a cure for my wife’s illness, I searched for any information I could and it wasn’t until 2017 that I discovered Janie Bowthorpe’s website, STTM. I followed your guidance and began to look for natural thyroxine medicine. February 24, 2017, my wife had begun taking various brands of natural thyroxine manufactured in various countries. Till today a total of 6 years, 5 months and 4 days, all on natural thyroxine. My wife’s hypothyroidism is under control and she is healthy and happy.

    I am very sorry that I have not informed you of this good news until now, I should have informed you and expressed my utmost respect and gratitude as soon as my wife’s improvement became apparent.

    Initially, I was not sure whether natural thyroxine would be effective in the long term. As you are well aware, there were several brands that were not stable during the first year of taking the medication. My wife tried natural thyroxine from the US, Canada, New Zealand and even Thailand, sometimes with good results and sometimes not. Finally I found a stable natural thyroxine and I understand the reason why this medication can be stable. My wife continued to use this natural thyroxine and her conditions were stable since then, for a total of 5 years.

    I would like to share this natural thyroxine with you and other hypothyroid patients. Because it is made by a Chinese pharmaceutical company, it is unlikely to pass FDA testing and be available in North America and Europe. It may not be of much help to patients in those areas.

    Because I am a biochemical engineer and understand the reasons for the stable efficacy of thyroxine medicine produced by this Chinese drug company. I can reveal the deciding factor to you. You will then decide whether to notify trusted pharmaceutical companies in the United States or other countries so that they will consider changing the way they extract from raw material. This will ensure the stabilizing effect of the natural thyroid medicine.

    Thank you once again for your help to our family, and I wish more patients get the right treatment through your 20 years of contribution.

    Reply
    • Janie Bowthorpe

      Hi there Steven. I’m a bit confused by your post. Are you referring to “natural desiccated thyroid”? Because there is no such thing as natural thyroxine, which is just T4, a storage hormone.

      Reply
      • Steven H.

        Hi Janie,
        You’re correct, I was referring to natural desiccated thyroid, My wife has tested them from 6 different manufactures of 6 different countries.

        Reply
  19. Bj Cobb

    Hi Janie,
    I feel just awful, so tired all the time (sleeping night and day) itching and pain in arms and back so bad. It drove me to the internet looking for help and came across this site. Lots of these people on here are having the same symptoms I am. I took synthroid for about 30 years and switched to Np Thyroid about 4 years ago – it helped. Then about 2 years ago it was not working good and switched to Armour Thyroid. I go to a hormone clinic, but moved 5 months ago and going to the same clinic but different address and people. About 4 months ago I started being so tired I could not stand up. Spending lots of time on the couch. Tiredness I could not understand. The last month of so arms and neck are killing me, back too. Cannot think very well when I try to work on taxes or such. At the other clinic the NP said she could not raise my thyroid meds because it would be dangerous, at this clinic last week the new NP said she wanted to raise it, I asked about the danger and she said they go by how you feel not your bloodwork. I feel horrible, golly I need some help. I need someone to guide me, a doc or NP but not sure where to find one. My dose of Armour is 90 & 30, it was 90 & 15 a week ago. This tiredness is not normal for me, please help.
    My bloodwork as of last week is: tsh 1.270, T3 844, T4 4.7 – The test says my tsh is low, my t3 is hight and my t4 about in the middle.
    My husband of 30 years died of cancer and I cannot tell you of the ache inside my heart, it’s been a few years but I miss him so. What ever has made you sad I’m so sorry for that.
    I have not done this before so how will I k now if you read this or not? than you so much. Bj Cobb

    Reply
    • Janie Bowthorpe

      Hi Bj. Sorry to read of the problems you are having. And I think most of us, including me, would say with sincerity that we are sorry for your loss of your husband. I’ve been through it.

      No, “lots” of people are not having those symptoms. If someone is, it’s explainable. For one, most anyone would be UNDERdosed on just 2 grains, which you are on. Thus, hypothyroid symptoms will eventually come back with a vengeance…as has happened to you. Two grains hardly ever achieves this goal: https://stopthethyroidmadness.com/optimal. Read the ENTIRE page I just posted a link to. All of it. You most likely now have stressed adrenals, as well, from being so underdosed. You might even now have inadequate iron levels, declining B12, declining Vitamin D, from being underdosed. And though you’d think we would just go by symptoms, that is wrong. We can feel fine for awhile while underdosed, then it comes back to haunt us with a return of symptoms. We need to also go by lab results. The page will explain.

      Reply
      • Bj Cobb

        Hi Janie,
        Sounds crazy I know but I feel if I do not get help soon I will die. My body feels like it’s being drained of it’s resources. I have been going to a Hormone NP but she does not seem to know a lot. I need to find a doctor to help but cannot not seem too. So tired it’s hard to look. What kind of doctor do I need? Md, Do, other? Called a functional medicine doctor and now he keeps calling and texting me wants me to sign up for a year or something. Sounds fishy. I did the salivia test and things came back real low. Cortisol .9, .8, 1.5, She said it was real low. The DHEA (whatever that is) was very low 3 times, .7,.8,.9. She said she did not understand that test. Dopamine, epinephrine, norep/epi ratio and GABA all bad numbers. Vit D low, she said use 5 drops of Vit D. She put me on 10 mg of steroids, it’s been a week and I don’t feel any better. The company that tested was m2 square. I guess I am wondering if you know what type of doctor I should try to find to help me. Thank you so much. Bj Cobb I live in New Braunfels, Texas – Hot as Heck here. 104

        Reply
        • Janie Bowthorpe

          Hi BJ. There is no perfect doc out there. You might luck out using a functional med doc, though. But there are doctors who aren’t functional med who are trainable, too. We just have to find a doc we can guide.

          As far as your saliva results, you only mentioned three of four spits and no ranges. But if they are low, they are low. To understand it, it’s all in Chapter 6 of the updated revision STTM books. This one: https://laughinggrapepublishing.com/product/sttm/ You can also compare your results to where healthy people fall, here: https://stopthethyroidmadness.com/lab-values

          It also sounds like you need someone to read the STTM book to help you, and who could go in the office with you with the knowledge.

          Low Vitamin D for us is the result of being poorly treated for hypothyroid state. But you can’t get out of your hypothyroid state without T3, and without raising, and without being on cortisol for those lows. Cortisol is what enables T3 to get to the cells. Otherwise, T3 will pool in the blood and not make it to the cells. https://stopthethyroidmadness.com/pooling

          A cortisol problem can also go hand-in-hand with low aldosterone, another steroid. So it should be tested, too. Then compared to the above Lab Values page. Both will need to be treated. Low cortisol is treated with Cortef (right amounts in the STTM book) and low aldosterone is treated with Florinef.

          Low GABA can be a mutation problem. I have chronically low GABA for that reason, so I take it every evening before bed.

          Reply
  20. Evelyn

    Have you heard about the new FDA requirement that NDT is a ‘biologic’ and needs to apply for FDA approval as a biologic by 2029 or it will not be able to be manufactured, advertised or sold? In addition, compounded NDT is in danger of being banned at any time. I saw this on many websites, the best info presentation I found was: https://www.palomahealth.com/learn/natural-desiccated-thyroid-drugs#anchor1

    For a treatment that has been used effectively & safely for 130 years, this seems to be a focused attack by the pharmacy companies.

    Reply
    • Janie Bowthorpe

      Yes. It’s now common knowledge. It was even cited in 1989 that natural thyroid preparation‘s are biologically active. No big deal, though, when you consider, its decades of safe use and changed lives. The FDA are control freaks and gaslighters who think that the use of NDT can cause a relapse of hypothyroidism, or even hyperthyroidism, ‘unlike thyroxine’. Total BS. They fail to consider that thyroxine has done major harm to patients worldwide for decades. https://stopthethyroidmadness.com/t4-only-meds-dont-work

      Reply
  21. nikkeia hardman

    ADTHYZA has been working really well for me. I was on THROYD-S, and I just didn’t feel quite right on it, (too many fillers). I’m glad that I’m trying this new medication. hope and pray that it continue to work.

    Reply
    • Janie Bowthorpe

      Believe it or not, and for the majority, it’s not usually the fillers that causes someone to feel they have problems with an NDT medication. Problems happen because they never have read the optimal page, thus have not gotten truly optimal with their free T3. Second reason, they aren’t paying attention to the RT3, which should be in the very bottom of the range, if not below range. Or they aren’t paying attention to having a cortisol or low aldosterone issue.

      Reply
  22. Adrienne Vincent

    Hello Janie,
    First let me say I really sympathize with you having lost someone you very much loved because I have been there, too, so I know of the excruciating pain you’ve been feeling. I honestly don’t expect to ever be quite the same no matter how much time passes, but I have mostly recovered, and I’m sure you will, too. Thank you for getting back to your blog, this is wonderful for those of us with thyroid issues who are puzzled. 🙂 I found your site because I am wondering if anyone has ever reported having mild depression as a result of taking Armour thyroid! I know that sounds unlikely, but I can’t help wondering. While I have had periods of depression in my life, this is a mild to moderate depression that started after I went on Armour, and it’s not letting up. Any thoughts are most appreciated, Adrienne

    Reply
  23. Sandra Rechisky

    Hi Jamie, I am so sorry for your loss and hope you’ll feel better day by day.
    I am a non converter. I saw your interview with Dr Child’s this morning and your comment on NP Thyroid which I currently take. I did notice the unpleasant odor of the tablets and it was concerning. I did have a bit of a reaction when I started the 2nd month of NP Thyroid 60mg daily. I had palpitations and felt very weak. I had to rest for a few hours. I was taking Liothyronine 5mcg 2x a day for 1 month prior to that. My functional medicine NP added Liothyronine 5mcg daily to the NP Thyroid and I seem to be better but I’m wondering if I should ask for a different brand?
    I checked my labs done on 5/16. Previous labs were on 3/14.
    Iron – 118
    TIBC – 289
    TSH – 0.229 3/14 – 0.572
    RT3 – 15.9 23.8
    FT3 – 2.6 2.2
    FT4 – 1.58 1.48
    Seems I’m going in the right direction but I’m concerned about the. NP Thyroid.

    Thank you,

    Sandra

    Reply
    • Janie Bowthorpe

      My comment to Dr. Childs may have been when it had gone bad and then the recall. Today, any desiccated thyroid will smell like pig, which isn’t always a great smell. lol. You didn’t give ranges for the labs you gave. So compare then to what’s on this page: https://stopthethyroidmadness.com. I can already tell your RT3 is way too high, FT3 is way too low.

      Reply
  24. Dorothy Marshall

    Thank you for this website and your book that were responsible for diagnosing my Hashi’s 15 yrs ago and since treating it.
    New doc cut my Armour from 2 to 1 grain as I had body tremors following 1.5 to 2.0 increase (that instead were likely due to having taken the neuro toxin doxycycline). I suspected this was too drastic, but let down my guard. Have lost half my hair, yet still have tremors. Have been back to 1.5 grains for a couple months, and now requested increasing to 2 grains to help grow hair and to heal my bilateral hip bursitis. New doc suggests going to 2.0 only on alternate days (!)..which I think is insane… but cannot find anything to support this. (I am increasing to 2.0 everyday on my own.) BTW, FT3 on 2 grains in Feb was 4.3 H (2.3-4.2) while FT4 was 1.3 (0.8-1.8). TSH was 0.01L. These were done before my daily dose. On 1.5 grains May 28, FT3 was 3.3 (2.3-4.2) before daily dose. From what I can tell, my Feb’23 test report from ZRT seems good. Advice pls?

    Reply
    • Janie Bowthorpe

      We as patients have learned that to react that way (tremors), just from going from 1 1/2 grains to 2 grains (which never overdoses most people) implies it’s revealing that you could have a cortisol problem. This is the page to read: https://stopthethyroidmadness.com/adrenal-info

      And doctors suggest alternating days because they don’t understand the connection to having either low cortisol, high cortisol, and/or low aldosterone. Any of the latter causes problems with T3 in our treatment.

      Also, your free T3 of 4.3 on only 2 grains implies you can be pooling due to that cortisol problem, and sometimes due to low aldosterone. This: https://stopthethyroidomadness.com/pooling

      Reply
      • Dorothy Marshall

        Thank you, Janie.
        I did do ZRT cortisol saliva test in Feb and was surprised that “Cortisol is within expected range throughout most of the day and is following a normal circadian rhythm.”
        I have hip bursitis that won’t heal, body tremors (that could be attributed to tetracycline…and which did not go away w reduced Armour), significant hair loss (which I attribute in part to going from 2 to 1 grain, but also to Olaplex hair product). My thyroid bloodwork is always done before morning dose, so my numbers would likely show I was hyper otherwise.
        Your suggestions would be much appreciated.
        Thank you.

        Reply
  25. Alice

    I’m sorry for your loss. I can only imagine the stress that this has caused.
    I have a loved one: No thyroid and struggling with all thyroid medications. I read your book and reviewed the website and know it is due to low Aldosterone and Cortisol (2x out of the day). What can one do if they are struggling with Florinef? It seems it peaks then after a couple hours is out of their system and they say it makes their heart hurt even when they take 1/2 a pill at a time? Any thoughts? They can’t get out of hypo state unless their temps don’t fluctuate after taking Florinef and cortisol 10 days and have stable temps? any suggestions would be greatly appreciated.

    Reply
    • Janie Bowthorpe

      Hi. Just to answer correctly, you referred to they. This is not you?? If it is you, try taking food with florinef? Correct, unless one is adequately treating one’s saliva results, plus low cortisol, it’s hard to get out of one’s hypothyroid state because you tend to pool if trying to raise thyroid meds.

      Reply
      • Alice

        Thank you for your response. They have tried taking with Food and that had helped and their DATS temperatures are not fluctuation more than .2 a day with their cortisol supplementation yet they are still pooling- racing heart but tired. Does it just take a while? Would low Iron cause this as they are very low in Iron? They are taking only T3 medication at this time as they had high RT3 due to low iron. Also, How long would it take to see results? Will they have to increase their iron before they will see results?

        Reply
        • Janie Bowthorpe

          Hi Alice. I’m not sure this is going to work via a 3rd party communication situation. Information gets too watered down. This is why I end up having to do a coaching call directly with the person having the issue, instead of with a party inbetween (you). And a side note: low iron is only one of three potential causes of rising Rt3.

          Reply
  26. Rhonda Caywood

    Hello Janie,
    I’m sorry to hear of your loss. I’m so glad you’re back. I have been reading your information and blogs for a long time.
    I am now seeing a new doctor since my previous pcp retired. He doesn’t believe in the rT3 test and I am currently waiting for my lab test results. I had a TT in 2010 and I currently take Armour 90 mg each morning and he doesn’t care one way or another if I take my meds before during or after lab testing. He did order the rT3 at my request although if he doesn’t believe in it what’s the point? The range my lab uses is 9.3 to 20.0 which is huge, but I understand a preferable result would be below 10. How can I explain the result when it comes back and what it means in regard to Free T3? He told me he goes by the Frees only to make adjustments. During the past few months, I have gained about 12 pounds the first weight gain since my surgery 13 years ago when I started with Synthroid, then switched to Nature-Throid, and now Armour. I have read several definitions of rT3 and what it means for the Free T3. I would appreciate a simple explanation so he doesn’t force something on me without all of the information.
    Thank you,

    Reply
  27. Annette

    Hi Janie glad to see ur back. Your expertise is incredible and so greatly appreciated. I have a thyroid problem and want to take control of it. It has been a nightmare with drs here in ny. Iam going to take blood test and adrenals to start. Where can I get an accurate blood and adrenal test? Iam in ny and want to start this asap.

    Reply
    • Janie Bowthorpe

      First, blood cortisol is measuring mostly bound, unusable cortisol. So we need to do saliva cortisol, which measures you are four key times and is measuring what is available for use and thus far more accurate. But NY is stupid and won’t allow you to order your own Saliva Cortisol. So what patients in New York are doing is finding a friend or family member in a nearby state to order it to their own address, then turn around repackage it, and send it to you. https://saliva-cortisol.squarespace.com/

      The thyroid labs (free T4, free T3, and RT3) are fine with the blood draw, and you just have to find a doctor to prescribe them, or a facility there that allows you to order your own.

      Reply
  28. gita

    Thankyou so much for all you do for your fellow humans. Can you please give more information on those born without a thyroid glad? What is the information out there for best meds and treatments?

    Reply
  29. Cheryl

    Janie, I trust you above all my “other” doctors! Two are trying to convince me my NP Thyroid 1.5g every 12 hours is the root cause of my osteoporosis. I found info in the archives, I am not Graves, no hyper symptoms ever…, no clinical studies that directly show NDT causes osteo. From what I’ve found in research, is that it’s a possibility of issues with bone density, when you take a dose 240 mcg per day, but it cannot be proven. Seems the researchers are trying to prove the osteoclasts are in high gear and over work to break down bone. My doc, who I got sent to because of severe osteo, post parathyroid tumor, says my TSH should be 0.5>. I’ve taken NDT since 2015, so TSH is suppressed. Thyroid has been viewed at surgery and ultrasound by two doctors, both stunned at how small it is. What do you think?

    Reply
    • Janie Bowthorpe

      Patients have found that what you have been told to be total BS, as if NDT all by itself causes osteoporosis. In fact, 1.5 grains twice a day is only 3 grains total. 3 grains rarely overdoses anyone. In fact, for some, it UNDERdoses them. This is our goal, and it will be individual what amount of NDT achieves our goal: https://stopthethyroidmadness.com/optimal

      And it’s NOT about the TSH: https://stopthethyroidmadness.com/tsh-why-its-useless. Our TSH goes low due to being sensitive to T3 in our treatment. Period. Our low TSH is NOT NOT NOT the same as the low TSH from Graves’ disease.

      Thyroids get small due to us being on thyroid meds. That’s normal.

      Reply
  30. Gianluca

    Janie

    I understand the recommendations for testing the Thyroid while on NDT are not to take it before labs, but if someone is to take it and test let’s say 4 hours after the second dose, what do you think would be the maximum acceptable spike for the FT3? do we care that the FT3 may be at supraphysiological levels for most of the day?

    Reply
    • Janie Bowthorpe

      We haven’t been that technical as far as coming up with an “maximum acceptable spike”. But we do know, from years of our experiences, that even 4 hours later is too soon after taking NDT or T3 to do labs. Just wait and do it all right the next day i.e. do the blood draw before you take your meds for the day.
      .

      Reply
      • Gianluca Bonetti

        thanks. Something that me and my GF noticed, is that when adding Iodine we get more absorption of the NDT. One grain 2 hours later with no Iodine brings FT3 to about 4, with the Iodine over 6

        Reply
  31. Gianluca

    hi Janie

    when we say not to take the NDT with calcium, Iron or fiber. we mean the supplemental for right?

    I’m moving one of my dose of NDT close to my snack that consists of a banana and maybe a few nuts, that should be ok right? probably only slow down the absorption of the NDT?

    thanks Janie, I hope you doing great and all is good

    Reply
  32. Kathy

    First, I’m really sorry for your loss. The last few years have seen losses in my family too, so I hope you’re getting better day by day.
    Second, I want to let you know about a recent experience of mine. Since NDTs all went bad in 2020, I have been on generic Cytomel to at least have T3 in my system (I don’t convert T3 from T4). Last month, my doctor asked if I wanted to go back on NDTs, and suggested NP Thyroid. I asked if it was back like it was before, and he said as far as he understood it was. So I said OK.
    Picked up my prescription the end of March.
    It has been a horrible six weeks. NP Thyroid is NOT back to the way it was before at all. It’s as if it’s a placebo, a sugar pill. I have all the classic hypo symptoms, extreme weight gain (even though nothing else changed, I exercise and eat an average of 1600 calories a day), extreme muscle weakness, extreme joint pain, no energy, hair falling out, etc. Tomorrow I have a phone appointment with my doctor, and will be asking for him to rewrite the prescription for the generic Cytomel instead.
    Now, I haven’t tried the Armour Thyroid, because the cheapest price I can find for a 90 day supply of 120mg tablets is $167.99 at a pharmacy 80 miles away. Anything closer and the price jumps to almost $200.00. Basically, since insurance doesn’t cover Armour Thyroid, it’s way out of my price range. sad that it has been the only NDT on the market, while all the others have been taken off. I also know that the FDA is requiring that NDTs be registered with them, instead of grandfathered in, and they’re all scrambling to get the paperwork done for it. it makes me wonder if the FDA guidelines have had the effect of rendering NDTs useless, even though they’ve been successfully treating hypothyroidism since the 1890s.
    It appears that, even though it’s back on the market as a thyroid medicine, it’s nowhere near as potent as it used to be. Please let other hypo patients know to stick with the synthetics, unless they want to either pay an arm and a leg for their meds, or they want to regress back to square one trying to become optimal again. I now have close to 20 lbs to lose—AGAIN—once I’m back on generic Cytomel. It’s like I go forward, become optimal, and finally not only feel good but also get down to a weight where I feel good, without having to starve myself, something happens that sets me back several months. I just wish the NDTs would get back to where they were pre-2020, or at least that Armour Thyroid would quit gouging the public.
    Anyway, that’s my rant.

    Reply
    • Janie Bowthorpe

      Kathy, thank you for your kind words. I have found out first hand that the journey of a loss like this doesn’t mean I am back to where I was before the loss. It’s a bit of a lifetime adjustment. In some ways, you never get over a loss like this. You just cope with it better to a degree. But that loss always sits there.

      As far as NP, if I am reading correctly that you are only on two grains, that can be a big part of your problem. Two grains rarely is enough to fully treat one’s hypothyroid state. When we are on thyroid meds, the hypothalamus in your brain area senses it. Thus, it tells the pituitary to tell the thyroid to release less. That is the normal suppression. Thus, we have to raise and raise again to counter that suppression.

      That’s why we all end up raising until we achieve this: https://stopthethyroidmadness.com/optimal. Do read the entire page instead of skimming it. There are also factors to look out for, such as having a cortisol issue, or rising RT3, besides underdosing ourselves.

      Even if a brand is less potent, we still raise until we achieve optimal. Some even add a little T3. Lab results are important in this journey of thyroid treatment.

      I totally agree with you about the cost of Armour. It’s a bit insulting. I also use Good Rx, though, which helps me a lot.

      Reply
  33. Cheryl

    You are in our hearts and prayers! Thank you for all you do for us!

    Reply
  34. Gianluca

    HI Janie

    I hope you are doing well. considering I understand we don’t take our NDT before going to labs, is it however necessary to fast before the blood draw or having a bit of food is k?

    thank you

    Reply
    • Janie Bowthorpe

      It seems to be mostly about not taking thyroid meds before the blood draw sometime in one’s morning–to take them after the lab. Otherwise, we are simply measuring the rise of the thyroid hormones. Some literature says the rise peaks at 2 hours, yet we still see a peak 4 hours later and more. We aren’t interested in seeing the rise and peak. We are far more interested in seeing what we are holding onto.

      Reply
  35. Russ

    Hi Janie,
    This is off topic, but I’ve been pleasantly surprised to see you mentioned and recommended by two well known M.D.’s
    Cardiologist William Davis M.D. gives you high praises in his book ‘UnDoctored’.
    And Family Physician Dr. Ken Berry recommends STTM in one of his Youtube videos on Thyroid health.
    Keep up the good work!

    Reply
    • Janie Bowthorpe

      It’s always heartening that there can be some medical professionals who are open to and appreciate patient experiences and observations in getting well!

      Reply
  36. Just Me

    Hi All. First, Janie, I am so sorry for your loss. I lost my parent 18 months ago and it’s just been terrible. Sending you lots of hugs and love. Grief sucks. Grief with thyroid disease sucks harder. <3

    2nd: Has anyone heard of a (very) new NDT called Adthyza? My doctor just gave me samples (I have no thyroid) because the Armour/Cytomel combo isn’t working well. She said it was made here in the states in PA (which begged me asking where are the current NDT meds being manufactured now).
    The company is Azurity Pharmaceuticals.

    She gave me a month’s sample. The dosage is much like the old WP/Naturethroid dosing. Anyone taking it or know anything about it?

    Reply
    • Janie Bowthorpe

      Thanks for your condolences. I’ve lost parents, a friend, and for me only, losing the love of my life was even worse.

      I posted about that NDT on the STTM Facebook page. Just be aware that they have a sugar alcohol in it, which for a percentage of people, could cause gastrointestinal upset. It always does me. So I am personally VERY unimpressed that the maker of a thyroid med would put that in there.

      Reply
      • Just Me

        Losing my twin, every family member in 2 years then my parent to suspicious circumstances has been a huge grief. Every loss is personal and changes us forever. It just hurts like crazy because we still love them . <3 <3

        As to why I haven’t seen anything on Adthyza before: I’m not on any social media platforms. I just started the Adthyza today and while one day isn’t enough time by a long shot, I have noticed a good initial start. Adrenals have been treated for some time and still paying attention to cortisol, iron, vitamin D etc. so, no issues there.

        I haven’t had a problem with mannitol. I do know it’s sold as a supplement in health food stores. Since I started Armour, it wasn’t like WP or even NP pre-2019. I had to add Cytomel. When I saw my Integrative MD, she recognized my thyroid medication wasn’t working based on multiple factors. I usually notice it, so it must have been pretty bad. I’ll keep you updated on what happens. Doesn’t seem to be any reviews on it. Thanks, Janie! <3

        Reply
  37. Betty

    Hi janie sorry for your loss.

    Reply
  38. Lesley Sims

    Is there anything that we can do to fight the FDA on their recent decision to classify desiccated thyroid hormones as a “biologic” drug? I need to refill my prescription and was shocked that the price of NP Thyroid has tripled since I last got it 6 months ago. This is an unfair and disgusting move on their part!

    Reply
  39. Ivelisse

    Hi Janie,

    How can I go about going from T3 only to combination? I’ve been on T3 only with still a lot of problems and seeking to go back to combination. Unfortunately, I cannot do armour thyroid and instead have mine compounded. Do I do the equivalent of 38/9? Considering I’m taking 100mcg of T3 only I’m very uncertain if this is right for me or not I cannot get optimal it’s very frustrating learning how to. I feel I was doing better before while on combination despite reverse T3 problems. As far as dosing regime with combination throughout the day typically how do I do so? Very lost right now. Xx

    Reply
    • Janie Bowthorpe

      Hi Ivelisse. Can you be more specific as to those problems? What’s your free T3 on 100 mcg of T3?

      Reply
      • Ivelisse

        Hi, sorry I haven’t tested it since I’ve read T3 only we go by symptoms and not blood tests. I know on 80mcg I was around 4.8 on a labcorp range. I am trying to go back to combination but unsure how to start this. When I use to be on armour it was many years ago and I believe I was dividing my doses during the day but I don’t remember how many times a day I was diving the armour. Soon after I learned I had reverse T3 problems and started adding T3 to my NDT. Eventually so much so I got off armour and on synthetic combination T4/T3. Was having severe problems and eventually went into T3 only but really interested in starting T4 again. I am just stuck how to start over.

        I really wasnt ever sure on what the problems were for the reverse T3 other than cortisol and inflammation. I am having to change fillers extremely frequently recently I’m assuming because of leaky gut which I have always had but confirmed just this month via stool. I am testing for sibo considering I can’t ingest any fermented foods.

        Reply
  40. s walsh

    Looking for Great doctor/Endo in MA

    Reply
  41. Lucinda Horst

    i finally got my doctor to give me 1 grain dessicated thyroid. She refuses to go higher. My T3 is 5.32. Would raising my medication make my T3 go up? Im still very depressed and tired.

    Reply
    • Janie Bowthorpe

      Hi Lucinda. Because lab facilities can be slightly different as far as ranges, you need to give the range. You also need to clarify if that’s the free T3, not just T3.

      Reply
  42. Tammy

    I came here looking to see if I could find any info about the FDA designating NDT as a Biologic? I read the article “What’s Happening With Natural Desiccated Thyroid Drugs” at Paloma Health.
    In order to keep selling NDT they have to get a BLA license by 2029. The FDA wants to limit or eliminate compounding.
    The price will skyrocket after this happens.
    Hope you are doing well. I’m so sorry for your loss.

    Reply
    • Dontforgetcortisol

      Hi Tammy, I’m looking for similar information… doesn’t look good at all.

      Reply
  43. Maria

    Hi Janie. Do I need to have my latest test results including vitamins and minerals before our first call.? What happens after the first call.
    Thanks

    Reply
  44. Marie Wallner

    Dear Janie, I offer my sincerest condolences to you for your loss. I was able to care for my 93 year old Mom this past August and bring her home on Hospice. My 4 Sisters and 4 Brothers rotated in and out to help as I am the only medical person in my Family. Mom wanted to be at home and we all got to help her with this. I know I will be grieving for a long time as Mom was my best Friend. I developed Papillary Ca Nov. 2021 with T.T. in January 2022. Would your books benefit me now that I have no thyroid but still struggle with “hypo symptoms”? Thank you so very much! marie

    Reply
    • Janie Bowthorpe

      I’m sending my love to you concerning your dear Mom. And yes, the book will benefit. Hypothyroidism is hypothyroidism no matter the cause.

      Reply
  45. Carrie Coates

    Janie,
    Sending warm hugs & my deepest condolences. I understand the deepness of grief, after the loss of my family in 2014. I was looking for the group site on FB and couldn’t find it….are you still doing individual consults? I had to go back on thyroid meds b/c of a recent battle with COVID & pneumonia but my doctor finally put my on Armour (Yeah ????). I think I’ve finally hit menopause, so I was hoping for guidance on managing the Hashimoto’s plus menopause to manage everything. I’m on the lowest dose of Armour and waiting for my blood labs. My hair has finally stopped falling out in clumps! (Small victory). I think I need to go to either the functional dr and/or my obgyn but wanted your insight before I do any of that….I hope you are staying safe & smiling. If you are doing private consults, I’d love to touch base once I have those labs. Sending my best 🙂

    Reply
  46. Brenda

    Welcome back Janie and sincere condolences for your loss.

    I have been hypothyroid for the past 30-odd years (total thyroidectomy).

    I believe that my hypothyroidism has been fairly well-managed. I am taking Euthyrox and Tertroxin (T3). My doctor (general practitioner) added T3 to my meds about 10 years ago.

    My worst symptoms are “overheating” and weight gain and trouble sleeping. Apart from that I feel good. 🙂

    I suffer from the occasional hot flash which I think is menopause-related. I have been in 2 minds about starting HRT as I have been told that HRT will interfere with my thyroid medication.
    Do you have any suggestions? I have checked on the STTM site, but didn’t see anything about menopause and hypothyroidism.

    Any pointers as to what I discuss with my doctor about going on HRT together with my thyroid medication?

    Thanks
    Brenda (South Africa)

    Reply
  47. Sofia Ferenburg

    Hello Janie,
    I am sorry for your loss. I know the feeling. I lost both my parents few years ago. I still remember them every day.
    I need some help. I am going to this functional doctor who is also an MD. She is very knowledgeable. She wants to adjust my thyroid medication since she thinks I am taking too much T3 for my age. I am 65 1/2 years old. I decided to give it a try. She put me on 1 grain T4 from compound pharmacy and 30mg NP Thyroid twice a day. After taking it for about 6 weeks my blood test showed the following:Free T3- 2.3 (range 2.0-4.4), Free T4- 0.99 (range 0.79-1.77), TSH- 0.061 (range 0.45-4.5), T3 Reverse 20.1 range (8.0-25.0), Thyroglobulin Ab – 14.4 (range 0.00-115.0), Anti-TPO 11.90 (range 0.00-35.00).
    I didn’t take meds the morning of the lab, last time I took 30mg NP Thyroid the day before around 2:30pm. She says my Free T’s are high because they are short lived. They should be lower. My TSH is too low. She want me to start taking brand Synthroid 50mg and 15mg NP Thyroid twice a day. Please let me know what do you think?
    Thank you.
    Sofia F

    Reply
    • Janie Bowthorpe

      Sofia, there are no “grains” of T4.

      Your results show you haven’t read this: https://stopthethyroidmadness.com/optimal or this: https://stopthethyroidmadness.com/reverse-t3. Your frees are LOW not high. Read the links. Also, it’s never ever about the TSH. READ: https://stopthethyroidmadness.com/tsh-why-its-useless

      Reply
      • Sofia

        Hello Janie,
        I am so confused. Could the person be on Synthroid and NP thyroid at the same time? I only see synthetic T4 and synthetic T3, of NDT.

        Reply
        • Janie Bowthorpe

          Sofia, NP or Armour is already 80% T4. Adding T4 is not what we do, because it raises the risk that you’ll be on too much T4. If the latter happens, RT3 will go up. We just raise the NDT by itself until we have achieved this: https://stopthethyroidmadness.com/optimal

          Reply
          • Janie Bowthorpe

            The people who add T3 to NDT is usually because they already had an RT3 problem. So they greatly lower the NDT, which lowers the 80% T4, then make up the difference with added T3. This may not be you. https://stopthethyroidmadness.com/reverse-t3

          • Sofia

            Hello Janie,
            My doctor made me have a blood test at 1pm after I took 30 mcg T4 and 1/4 grain NP Thyroid at 7am in the morning.
            My FT4 is 1.0 (range 0.8-1.8). FT3 is 2.7 (range 2.3-4.2). RT3 is 18 (range 8-25).
            I know these are low. I see some symptoms like losing hair, dry skin etc coming back. She wants me to stay now on 50 mcg Synthroid, and 1/4mcg NP Thyroid twice a day.
            What do you think I should do? I am so confused.
            Thank you in advance.

          • Janie Bowthorpe

            We as patients have learned a lot.

            1) We never do labs after taking our meds. We take our meds after the morning blood draw.
            2) We find it stupid to be in such a low amount of NDT (when NDT by itself works great in larger amounts) along with her clueless emphasis on T4.
            3) But…at this point in time, you can’t even be solely on NDT and raise it. The problem is your already too high RT3, which will only continue to go up due to doctor who is raising T4. It will also go up on just NDT, since NDT is 80% T4. RT3 comes from T4 due to three issues. She is making you worse according to years of our experiences. Time to read this and all of it: https://stopthethyroidmadness.com/reverse-t3

  48. Gianluca

    Hi Janie, Happy New Year!.

    Does endogenous Thyroid increase Pregnenolone? if so what do you think would be the mechanism?

    Reply
    • Gianluca

      I actually meant exogenous, so like the NDT we are taking

      Reply
    • Janie Bowthorpe

      Thyroid doesn’t increase low pregnenolone. Taking Pregnenolone increases low levels. Important to test it first and not guess.

      Reply
      • Gianluca

        HI Janie.

        i wanted to report that both me and my GF, were able to get optimal with only two grains Amour, We followed the recommendation on your book for testing also. Beside the FT3, our FT4 is at the top of the range as well, actually hers is a bit above. Does this mean we are taking a bit too much, since in your book you wrote FT4 should fall about mid range?

        My GF doesn’t have any side effects, but I do think I have been feeling a bit too wired later in the day, plus my heart rate seems to increase more in situations where I generally feel anxious

        Reply
        • Janie Bowthorpe

          If your free T4 is at the top of the range, that’s way too high. It will now be converting to RT3 to clear out the excess.

          You also may have a high free T3 due to this: https://stopthethyroidmadness.com/pooling, not because it’s “optimal”. And that can mean you need to explore having a cortisol problem. The symptoms you describe are usually cortisol- related, we have noticed.

          This is the saliva test we order: https://saliva-cortisol.squarespace.com/ Then compare to this page: https://stopthethyroidmadness.com/lab-values

          Reply
          • Gianluca

            thanks for your reply Janie.

            Our FT3 is not high, but at top of range, we both are about 4.2 pg/ml (LabCorp)

            I’m already on 30mg HC for my cortisol. And my basal am body temp finally rose to 97.8. I may think I’m not pulling, neither is my GF. We both got similar test results with only 2 grains. I think we may go back to 90mg total for now.

            Based on the reading I have done on your book and website, I really thought we would need to get in the 3 grains area to be optimal,

            Have you heard of other patients complaining about Armour batches being too strong? we are in California

          • Janie Bowthorpe

            Armour has not been too strong. If it feels that way, it can be because the T3 in Armour is revealing a cortisol problem.

          • Gianluca

            These are our labs, I hope you could be able to comment on it. both me and GF did not take any Armour before the labs in the am. We both take 1 grain in the am, and 1 grain in the PM around 4PM, would you just take a half grain less since the above mid range FT4?

            Me: FT4 1.7 Range 0.82-1.77
            FT3 4.2 Range 2.0-4.4

            GF: FT4 1.99
            FT3 4.3
            RT3 14 (no range)

          • Gianluca

            Janie, if you could give me some guidance here, as I’m a bit lost.

            As I wrote in the above comment, my FT4 on 2 grains came back at 1.7, not even at 4 weeks marker since the previous increase, but a few days before. FT3 top range also. I decreased my dose of half grain less, and I feel better I think. Do you think I need perhaps to lower another half grain to lower that FT4 to mid range from 1.7?.I decreased my dose just a little bit over two weeks ago.

            I read your book and blog, so I know 1 grain is a starting dose, and I’m not pulling neither here. The blood test to me clearly showed 2 grains is too much. I take 500mcg Iodine as well, so I suspect that is helping. I have seen many people needing to cut the dose substantially when starting some Iodine

          • Janie Bowthorpe

            If a range goes up to 1.7, we definitely don’t want to be “above” 1.4ish, otherwise, it’s too much FT4, and the body attempts to clear it out by converting the excess FT4 to the inactive RT3. i.e. RT3 moves up, and we don’t want that either. Lowering the FT4 to midrange will usually make the FT3 a bit too low.

            UPDATE: I accidentally put “excess FT3”. It’s now changed to “excess FT4”.

          • Gianluca

            Thank you Janie. My guess then, is that if we need to lower FT4 to midrange and FT3 comes back a bit too low, we may need to add some T3 if we still have symptoms. I will wait another two weeks this way and pull another FT4/FT3, but I hope that with 30mg less my FT4 goes down to midrange, I feel pretty good over all on 90mg, probably still a tiny bit too much, I’m always hungry.

            thank you J god bless you!

          • Janie

            Janie when decreasing the NDT dose, is going down with half grain every two weeks a good strategy?

          • Janie Bowthorpe

            Hi.l’m having to scroll back past a lot of others posts to reread your previous posts, and it’s getting confusing figuring everything out. This might work better by you scheduling a coaching call. https://stopthethyroidmadness.com/coaching-call

  49. Angi

    I have been struggling for several years now to get my thyroid straight. I have no thyroid due to cancer. It was removed in 2014. I did well on synthroid once we got to a level where I felt good. I started a low carb/keto diet in January of 2016 and lost 77 lbs in the first 11 months. My dr lowered my synthroid dosage. Then my weight loss stopped, then started creeping up again…I begged her to try something different as that was the only thing that had changed. I spent the next 3 years gaining back 45 of the 77 that I had lost and searching for a dr who would listen to me. I fired my endo and after several crazy drs (one tried to take me off of my meds for 6 weeks to get a “baseline”…I don’t have a thyroid. my baseline is ZERO! I now am so lucky to have a functional dr (I drive 2 hours to see her) who asks me what I think we need to do…we have tried various things, we tried NDT (I Never felt good on it) Went back to synthroid but added t3, and now I am back on the dosage of synthroid that I was when I originally lost the weight. The Only way I have been able to lose anymore weight is to do alternate day fasting. and then it is just a little here and there. I still have about 30 lbs to get to where I was before the change in dosage. I just had labs done, and my free t3 is showing a little high. I have another appointment after the first of the year. I am not sure where to ask to go from here medication wise. She ordered a complete metobolic panel as well as other standard blood tests. She is very receptive to anything I want to try, I just don’t know where to go next. Any help would be so greatly appreciated!

    Reply
  50. Karla

    Welcome back, Janie! My deepest condolences for your loss!
    I found your blog many years ago and am forever grateful to you! I am wondering if you or anyone on here has also experienced or know what is going on with “new method and reference range effective 7/18/2022” for thyroid tests? Specifically, I had both my FT4 and FT3 tested and had this note on both, and the reference range has changed – FT3 went from the top of 5.2 down to 4.4? I just recently had my blood drawn to check my levels and what is reported seems way high and inaccurate and this note is on both values – I am just trying to find any information about this change to the method and reference range?? THANK YOU for any help you can provide.
    All the best and happy holidays! ~Karla

    Reply
    • Janie Bowthorpe

      Hi Karla and thank you.

      Actually, the top of the free T3 range at 4.4 has been around for several years. Most of the time, the top is either 4.2 or 4.4. It’s as if the lab facility you use it just now catching up.

      Reply
      • Karla

        Thank you so much for your response, Janie! That is mind blowing! My lab results I’m in Santa Fe NM, from June 2022 have the top being 5.2, and then this new test states “New method and reference range as of July 2022”, so just after my last blood test in June. Do you know if this new method gives the same results so to speak? Meaning, if my FT3 was at 5.3 in June – and then I get this new test and haven’t changed anything – it should still be in that same range – or would the new translation be different? I guess I’m asking what does “new method and reference range” mean – in the new method -is the overall measurement of FT3 and FT4 the same as the previous method – just a different range? OR, are the measurements different altogether in what will come up as a number in this range? Funny that I’m this behind the times in Santa Fe NM…I’ve been thinking that optimal FT3 is as close to 5.2 on the old scale as possible for many years now. Curious if the new “methods” of measuring have anything to do with such a drastically different reading without changing my medication? Thank you again for your time and assistance, it is invaluable to have you back!! I’m VERY GRATEFUL you are back, and glad to know that you are taking good care to allow yourself the time you need to heal and grieve. All the best to you and yours! ~Karla

        Reply
        • Janie Bowthorpe

          Your result should come back “in relation to” the new improved range.

          Reply
          • Karla

            Thank you so much, Janie! It’s strange, I’m taking Nutri-Meds and a bit of T3 compounded – my last blood test had my FT3 at 5.3, which was slightly high (at the range with the top at 5.2), so we lowered my T3 slightly and expected it would go down into 5.1 or so, but with the new method and range my FT3 was 5.8. I would think that at 5.8 I would have heart palpitations (typical for me if hyper), which I do not have hyper symptoms. Either way, it’s strange that we lowered my medication and both my FT4 and FT3 are elevated way high and over the range. I am talking with my doctor tomorrow, so hopefully we will find some answers and I will proceed forward trying to get balanced yet again – since NP Thyroid went down the tube! 🙂 All the best and thank you again!!

  51. Betty

    Did np thyroid have a huge increase? A few months ago I paid 48.00 and now paying 135.00 for 90 tablets of 90mgs

    Reply
    • Janie Bowthorpe

      That sounds terribly high. Call around to different pharmacies.

      Reply
      • Betty

        I have and it is almost the same

        Reply
        • Tammy Meier

          I too have experienced a similar increase in price for NP thyroid. I checked Good Rx and every pharmacy is showing the same huge increase. Does anyone have any suggestions for a substitute. I’ve done very well for a number of years on NP and hate the thought of trying something else.

          Reply
    • Brenda

      Yes – total increase where I am for NP thyroid (upstate NY). Good RX no longer offers a discount. Last month I paid $80, just today $94 and the pharmacist was encouraging me to try levothyroxine to save money – unbelievable. So I did a quick google and found this article which I haven’t verified just yet: https://anh-usa.org/fda-attacks-natural-thyroid/

      Also this states the same => https://www.palomahealth.com/learn/natural-desiccated-thyroid-drugs

      Very concerning information if the above are true. Each article gives action steps to take. I’ll pay the higher fee to feel better, but wow – to not even have that as an option takes my breathe away.

      Janie – sorry to hear your news. My deepest condolences to you. Take care of yourself.

      Reply
  52. Sarah

    Hi Janie, very sorry to hear of your loss. I can imagine the grief. Seen it, and have felt it too. Leaning on God and knowing he has all the answers is the key to obtaining comfort. I am new to your page and blog. I come to you with a few questions, I hope you can shed some light on.
    I have never had any thyroid issues, nor family history. But, I had taken a high dose prescription of aspirin for 10 days after a knee surgery. I ended up in the ER and was tested for aspirin toxicity came back as negative. But, Er Dr. Said it could have still been that.
    I had all the symptoms of a Hyperthyroidism reaction. Rapid heart beat, very dry mouth and anxiety that was like nothing I experienced before.
    I then went for a checkup to my Drs. Office and they had me do a neck X-Ray because I was experiencing neck pain. Within a week my thyroid swelled up and it was quite painful. I had an MRI and it was hurting during that.
    I was sent for ultrasound on my thyroid and yes, it was enlarged with 3 nodules, that I never knew I had, A biopsy came back benign.But, it was just like they appeared over night with the enlarged thyroid.
    I have been going to have lab test done on regular basis and my labs they say are all in normal range TSH is a little under 1. I went to a Endo surgeon for possible Alcohol Ablation and was told I wouldn’t be a candidate, but could be for radio frequency ablation.
    The Endo Dr. Told me though he thought in three months I would probably not feel a need anyway. I guess thinking the swelling will go down.
    He also mentioned a lot of grayish speckled matter. Do you have any idea why the aspirin reaction would cause this? Then I thought well maybe it was the xray , could that have caused it?
    I don’t know, but my thyroid is causing me pain in ear and side of neck. I do not want to have it removed.
    It has been 6 months now since reaction and X-Ray and swelling took place. Is there anything you have heard that helps to Bring my swelling down. I am hoping it will just heal itself.
    I am on no medicines, only take vitamin D and Zinc sometimes magnesium. I also started drinking sea salt in water on and off. Thank you and Prayers for your comfort and oeace .

    Reply
    • Janie Bowthorpe

      Though normal amounts of aspirin rarely affect our thyroids, you mentioned a high dose. And that could have done it. And if I was in your shoes, I’d first ask for both thyroid antibodies. Anti-TPO and anti-thyroglobulin. Taking high dose aspirin for as long as you did could have caused subacute thyroiditis.

      Reply
  53. Diane Blair

    Need some help please. I have both books and follow as much as I can but as you know the cost of NP went up so much I can no longer pay for it so my Dr suggested we go to Levothyroxin and add Liothyronine to it. I was at 3 grains 2 in morning and one at night so now she says 100 mcg 3 times a day and add 5 mcg mid day . What do you think of this???I just turned 70 a few days ago and feel like crape. Have not started yet as I still have a few NP left. Thank you

    Reply
    • Janie Bowthorpe

      We as patients have found Tirosint to be a better way to get T4, along with a working brand of T3 like Cytomel or Sigma Pharm. One grain of NDT = 38 mcg T4 and 9mcg T3. So 3 grains equals 114mcg T4 and 27 mcg T3. So hell no is 5mcg T3 enough. Typical paltry dose done by clueless doctors. But, you also need to know where your RT3 is. If that T4 is converting to RT3 (three reasons mentioned here: https://stopthethyroidmadness.com/reverse-t3) you would need far less T4, a little more T3, and correct the three issues.

      Reply
  54. Lynda

    Hi Janie,

    good to hear from you! You mght want to hear about this case against Merck and their Levthyrox (new formula) in France. They’ve been ordered to pay over 3000 plaintiffs €1000 each after they experienced, and cl.aimed, that the new formulation didin’t work.

    A total of 295 and 42 775 (adverse) reports for the old formulation and new formulation, respectively, were retrieved, with 149 and 5503 medically confirmed.

    https://www.connexionfrance.com/article/French-news/Levothyrox-controversy-Lyon-court-wins-payout-for-patients-from-manufacturer-pharmaceutical-Merck

    Reply
  55. AWhitney

    Janie, your blog has been a lifesaver. I have a very complicated condition that seemed to start with thyroid presentation but it was a mitochondrial disorder – 4 yrs and probably 50 Drs. later I have some idea how to manage it, but it was the thyroid presentation and my “almost normal” labs that were like red herrings and kept throwing Drs. off the track. I kept coming back to your lab values posts and it took time but I found an allergist who figured out the source of inflammation – radiation and MTHFR – that was throwing my thyroid and metabolism out of whack. I don’t treat thyroid (it’s normal most of the time now), but I also figured out I don’t treat a number of other things (supplementing mostly makes things worse) and my body is starting to turn around. I’ve worked closely with a functional medicine nutritionist (there are no functional medicine Drs. here which is unbelievable, I’m in a large metro area in NY) – and over the last several months she has started using the information here to evaluate labs for patients, especially when they don’t make sense.
    I cannot express enough gratitude, after 5 endocrinologists dismissed me despite being bed-bound from tachycardia and dehydration, I finally knew what to do so the next endocrinologist could see the pattern for hypoglycemia (which causes hormone dysregulation and can knock HPA Axis and thyroid out together). Anyway, thank you and many blessings!

    Reply
  56. Sandra

    I’ve not been here for sometime but need to say how much of a blessing you are to us all and all you do educating us.
    I also want to say I’m so very sorry to hear of your pain and your loss. Your being there for your loved one when they needed you most is such a special gift you gave them and I hope that you are able to now take sometime for you.
    Bless you and thank you

    Reply
  57. Leisa Forman

    Been on all t3/HC for 12 years. Recent keto OMAD with terrible stress from a family member loss( sorry for yours as well. I’m unable to control the anxiety pray for healing) lost too much weight labs still show totally surpressed tsh, ft3 near top of level, but sudden new extreme anxiety. Doctor says high beaver top calcium means I need to add t4. And probably have a problem with hyperparathyroid causing high calcium. Is lowering t3 and adding t4 the right thing to do? I feel I just got messed up due to stress and weight loss.

    Reply
    • Janie Bowthorpe

      Doctors are solely trained about T4. So they unthinkingly think that when a problem arises, we need more T4. Not necessarily so. In fact, in the face of stress, that FT4 will start converting to the inactive RT3. Doctors are poorly trained about that. So if our free T3 isn’t optimal, it’s T3 we need.

      Hyperparathyroid doesn’t make anyone feel good. Treatment often reverses that. I have a friend with hyperthyroid who was feeling worse and worse, and they kept saying “Let’s wait another 6 months.” Then again “Let’s wait another 6 months.”…all while she was getting worse and worse. She on her own found a surgeon to take out the two bad parathyroids, and she felt so much better!

      Grief is a bitch if you lost someone close. That alone stresses the adrenals. So we have to do whatever we can to calm ourselves down (I used meditation and calming supplements) and I only choose to do things that give me joy.

      Reply
  58. Jennifer B

    So nice to have you back, Janie. I hope these blogs posts will get back to me.

    I just had tests (only ones paid for by insurance)

    TSH 42.340 (.0400 – 5.000) Critical Low
    T3 total 1.41 (0.59 – 1.74)
    T4 Free 0.6 (0.7 -2.0)

    I was given 65 mgs of Nature Throid …does this seem like enough or too little? And I am finding it difficult
    to find desiccated hormone in my area. Are they trying to discontinue it? Is there anywhere
    we can purchase online? Thank you.

    Reply
    • Janie Bowthorpe

      Unless something has changed, Naturethroid production was halted in 2020 by the FDA due to a recall. So not sure what you are on?

      Total T3 is measuring mostly bound, unusable T3. We need the free T3, which measures what is unbound and available.

      60 or 65 of any NDT is simply a starting dose from which we raise from. I would strongly recommend you order this: https://laughinggrapepublishing.com/product/sttm/ and study chapter 2.

      Reply
      • Jennifer B

        Yes, they told me Nature Throid was discontinued at the time but they had some on the shelf so I asked for that anyway. It seems to be working well but I won’t be able to find more. What desiccated brand works best now for most folks? And who can I order from if I cannot find it locally? Thanks, Janie…. and happy holidays to all.

        Reply
        • Janie Bowthorpe

          Contrary to those few who are determined to catastrophize and blame all their problems on Armour, or are not truly looking at their saliva cortisol levels or aldosterone, Armour IS IN FACT still working for the vast majority. There aren’t many places to get it without a prescription.

          Reply
  59. Kathy Hartzler

    Janie I need your guidance. I have very low cortisol in the AM you and I had a coaching call you suggested 1/4 tsp hydrocortisone applied in a variety of places to help bring up that low reading. Doc wont rx HC tablets. Now after a month or so my face is red and swollen. I’m wondering if Hydrocortisone applied to other locations on my body can be causing this facial flushing with hive like spots? I’m reducing the amount a little daily to get off the protocol and will retest w/saliva testing. Thank you

    Reply
  60. Ralph Lewis

    Good Morning Janie ,
    Years back I had 1st found “Stop The Thyroid Madness” and your later “Stop The Thyroid Madness II” and have shared your information links with many others – including MD’s and other health professionals.
    After retiring as a too-busy Industrial-construction Electrician, I admit the COVID Plandemic / $CAMdemic had displaced me from attention to your Internet sites. ( – too busy searching for censored viral-truths from HONEST, clinical doctors )
    Anyway, I feel “back in the thyroid groove” and I’m sure many others are grateful your wisdom is again back online to shine !

    Reply
    • Janie Bowthorpe

      Hi Ralph. I had to drop doing blog posts awhile for my sanity. Losing someone significant is not easy. But I at least continue to do coaching calls and that works for me.

      Reply
  61. Julie Scarsbrook

    Janie, so sorry to hear about your loss. I have been using your wisdom for years, your book was a life saver.
    J

    Reply
    • Janie Bowthorpe

      It’s not fun to go through a grief journey when you lose someone highly significant. But it can be done and time helps. I just had to drop posting on the blog for awhile. But I still do coaching calls.

      Reply
  62. Linda L Schneider

    I am so utterly sorry to hear about your loss. Its traumatizing. As you know, we dont get over it, but we get through it. My heart goes out to you and I understand….people who you dont even know care, and they understand.

    Reply
    • Janie Bowthorpe

      Thank you for that, Linda. Losing someone this significant is a hell of a journey. I have been able to continue all the coaching calls I do, but had to pull back on other parts of my activism for a little while. This is not for the faint of heart,

      Reply
  63. Jennifer

    Janie,
    I’m very sorry about your loss of a loved one. It can be overwhelming.
    I just became aware that the FDA has declared desiccated thyroid extract (DTE) to be a biologic drug and therefore ineligible for compounding. I found out when I called my compounding pharmacy this morning for a refill. Do you think there’s any chance of that being overturned?

    Reply
  64. Michael D

    Hi Janie, I am very, very sorry to hear about your loss.

    I also wanted to send a big ‘thank you’ your way for all of your efforts on thyroid wisdom and related topics! You have helped so many for years, and you have just helped me yet again (more on that below). I have been following your website for a handful of years, and have learned a great deal about T3, NDTs, optimal lab values, and so much more. My wife had her thyroid removed (cancer) years ago and I have Hashi’s, so we’ve both benefited from your wisdom. We are both in our 30s.

    Very recently, I stumbled on one of your pages about iron which led me to discover an issue. I have been using NDT or T4+T3 for a few years, and other than the very beginning, I have not felt good. The usual fatigue and brain fog, with a few other symptoms. I was able to get my T3 Free in the top quarter of the range (also tried the top third) and my T4 Free in the very middle of the range, but the symptoms were still there. I mean, there was some improvement, but overall I still felt lousy. I thought, “what else is there to check” and “will I ever feel normal again”? I was let down after all the efforts to get the lab values in their ideal ranges (including fighting with the Endo to ignore the super low TSH) and still not feeling good in the end. Then I saw the Iron page and it reminded me of my iron results that my doctor has run at different times when I complained of easy exhaustion. It turns out that my serum iron and TIBC are both above the range, the % saturation is near the top of the range, and my ferritin is on the low side, especially for a male (when looking at your optimal lab values page).

    Iron Total: 184 mcg/dL HIGH (Lab range 50 – 180 mcg/dL)
    TIBC: 459 mcg/dL HIGH (Lab range 250 – 425 mcg/dL)
    % Saturation: 40 % (Lab range 20 – 48 %)
    Ferritin: 66 ng/mL (Lab range 38 – 380 ng/mL)

    My primary doctor didn’t understand how the iron and TIBC were both high. He was confused and said usually when one is high, the other is low, and vice versa. But, he wasn’t too concerned since the values were “only a little high”, and referred me to my Endo to review it. My Endo essentially said the same thing. Eyeroll. I wasn’t really satisfied with this answer but I didn’t know what else to do at that point. A third doctor also said the same thing, that there wasn’t a concern because they were “barely above the range”. So I thought I was the crazy one and left it alone. Keep in mind, I went back and found labs that my doctor ran for iron (all 4 tests above) in 2017 and they were all basically the same as above. So this has been an issue for at least 5 years, and we had the labs sitting right there in front of us, but no one knew what to do!

    And so from your Iron page, it looks like I have methylation issues (and I’m probably in a ‘low iron’ state)! Yours was the only website I could find that mentioned a reason for both high iron and TIBC at the same time. Thank you for having this info available!! I now have something to go after instead of feeling stuck/hopeless. I will be getting tested for MTHFR and will start working through whatever treatment is necessary. I had seen your MTHFR page in the past, but I was overwhelmed/didn’t understand genetic mutations at all, so I think it skipped over it thinking it was not applicable to me.

    For all those still reading, I say all of this to encourage you – if you got your thyroid values in their optimal ranges (not just anywhere in the lab ranges) and you still don’t feel right, keep searching! There are other things that could be the cause!

    Reply
    • Janie Bowthorpe

      Michael, your willingness to read what patients have learned for 20 years makes me feel so humbly proud and glad I created STTM for someone just like YOU who is willing to read. Because you hit it all on the nail. You aren’t breaking it down for use, thus in a low iron state. Plus, you didn’t mention RT3. Low iron pushes the inactive hormone RT3 up, and that can also make you feel less than great. Take the time to study this page. https://stopthethyroidmadness.com/reverse-t3

      Reply
      • Michael D

        Janie, thank you for the info on the link between low iron and RT3. That is very interesting and would definitely explain my symptoms. Also, I wanted to follow up and let you know that my MTHFR results came back and I have 2 copies of the C677T mutation (aka homozygous C677T). I guess this would confirm why my iron results were the way they were! Now I have something to start treating! Again, thank you for providing the knowledge on this website, it has been invaluable.

        Reply
        • Janie Bowthorpe

          Being homozygous 677 can definitely push iron up for some if those mutations are active. You are welcome! This is one reason I like doing coaching calls–people hearing me say what we’ve learned as patients really seems to get through!! By the way, you also have to rule out hemochromatosis, another mutation-caused problem when both iron and ferritin are high! It’s the HFE gene. If that’s the cause, you give blood.

          Reply
  65. David Ferry

    My wife is a Np thyroid taker – some 60 years now. We recently lost our primary care doctor and just interviewed with a new one. This doctor claims that T3 causes or amplifies atrial fibrillation (which my wife has had for 2 years). and suggests going on Synthroid. She has been on that route and Synthroid does not work in her system Is there an adverse effect of T3 and AF?
    Been following STTM since its beginning – it’s great!

    Reply
  66. Carol Florio

    Canada,s Universal Drugs has changed the dessicated thyroid I have used for years. Anyone know if they will get the old formula back? Or where to get a similar one? Thank you

    Reply
    • Janie Bowthorpe

      Carol, we need more information than that. What was your latest free T3, free T4 and RT3 with ranges?

      Reply
    • Carol Florio

      As long as I stay on 60mg of dessicated thyroid my labs are all within range. Problem is I am running out of what universal drug had in past. The new formula causes severe muscle tightening side effects. Will they be returning to old formula ?

      Reply
      • Janie Bowthorpe

        Carol, your problem can be from only staying on 60 mg. That is simply a starting dose. We have found repeatedly that we are not meant to stay on only a starting dose without raising. Otherwise we start having problems.

        Lab results are not about being anywhere in the normal range. That’s another important point we discovered. Lab results are about where you fall in the range. Read about the goal we have learned for years now: https://stopthethyroidmadness.com/optimal

        Reply
  67. Terry

    Sending hugs your way. I lost my FIL suddenly this spring (rare non Hodgkin’s lymphoma). Still working thru things with my hubby’s step mom.
    Learning from your website I’ve been able to talk to customers who come into our natural foods and wellness store about what tests to ask for (yep the Drs in my area still chase TSH – even an IFM Dr). I’ve given them your website as well as what labs to ask for and in some instances the names of Drs I know who don’t shy away from prescribing Cytomel.
    I’m still working on my thyroid but thanks to your book and website I’m making progress!

    Reply
  68. melannie

    Hi Janie,
    I interested to know more about the intermittent fasting. Given how taxing it is on adrenals, i’m curious about it’s safe uses. If you have more info to share or resources you could point me to that would be great!

    Melannie

    Reply
    • Janie Bowthorpe

      Hi. You stated “given how taxing it is on the adrenals”—according to whom?? I’m betting you read that opinion somewhere on the internet. And we all tend to read something on the internet, or hear it stated firmly by someone in a group, and get fooled by the black and white aspect of it. It’s like that time a year ago that a particular someone exclaimed in black and white emphasis that NO NDT’S WORK. Yet, numerous people were still doing well on Armour with labs to prove it when that was yelled…and that is still the fact today if someone understands what an “optimal” free T3 and free T4 mean (by reading the article on optimal, which too many don’t), and having a low or below range RT3, plus good cortisol levels.

      I for one, have never, ever had fasting cause my adrenals to be taxed by it. I’ve even done it when I was stressed and it didn’t make my adrenals worse.

      Now there is the possibility that someone with low cortisol could have noticed a problem when they did it. Yet others have reported doing it with low cortisol and they have reported no issue!! Opposites!! So we have to consider “individuality”. The statement that it’s “taxing on the adrenals” is too global when you read experience with intermittent fasting.

      Even Dr. Berg believes that fasting helps the adrenals, even with a cortisol problem. https://www.youtube.com/watch?v=6EctvVSwWSQ The answer may be to make sure you eat a good meal before the time you start into fasting. Plus to go SLOWLY in the amount of time you do intermittent fasting. I went slowly went I started, meaning I did NOT go until noon or 1pm before eating again. I built up to that. So being gradual in the time one does the fasting may be a good answer.

      Reply
  69. Tea

    Janie, “grief is love with nowhere to go”…. I’m sorry for your loss. I know it all too well. Thank you for the strength, wisdom and knowledge you give to so many including me 🙂

    Reply
  70. Lorie

    Hey, me again.
    Have you tried CoQ10? It is good for insulin control. It’s also good for the liver and kidneys as well as the heart. And it’s good for energy as it feeds the mitochondria and it helps with brain fog. It’s safe even in high doses. Though too much can upset your stomach or make you feel jittery. But that’s and easy fix. Find a low dose bottle (30mg) and start with that and increase until you find the optimal dose for whatever you’re taking it for. Adrenal people may find higher doses may cause crashes.

    Reply
  71. Heather Green

    Hi Janie. Welcome back and so sorry for your loss! I was wondering if you had heard accounts of those on T3 monotherapy for several years that, when they tried to incorporate a natural dessicated thyroid, their FT4 numbers did not come up by very much (e.g .4 to .46). This was after 2.5 months of decreasing the T3 and adding Ancestral Thyroid. FT3 was also very suboptimal in labs after this switch. Perhaps the supplement is just not enough in this scenario? Thoughts appreciated.

    Reply
    • Janie Bowthorpe

      Hi Heather. T4 won’t come up much on desiccated thyroid if someone is underdosing. Same with Free T3.

      And ancestral is cow-sourced, so no telling what it will do when batches are not regulated.

      Reply
  72. Shelly Paige

    Janie, I am so sorry for your loss. I lost my Dad last September and I am still struggling to get back to my routine. Take your time to grieve and go at your own pace.

    Would you give an update on what NDT’s are still considered “working”? Is Armour still the best NDT option, at this point?

    Reply
    • Janie Bowthorpe

      We are in a state where it varies. Some state they are still doing quite well on Armour; others feel it’s not working. But the “not working” appears to be a single batch issue here or there more than a widespread issue.

      Reply
  73. Diane Blair

    Hi Jamie I was wondering if NP THYROID is messed up again I have looked everywhere to see if there is a new recall but only see lawyers. I had a great Dr but we moved my new Dr is willing to do whatever for me but…. I have gained almost 49 pounds in 3 months or less as I set here I am freezing and it’s 90 plus outside. My THS is creeping up a little the same old story cant sleep, losing what hair is left on and on. I am 69 and on 60 three times each day. Oh yeah, i have had a very high ferritin level but coming down a little.

    Reply
  74. John Brown

    I came across this Blog in my search for some answers to my health problems. If there is someone that may have some direction to point me, that would be appreciated. I suffer from almost all of the symptoms of hypo thyroid but I am a man and so I cannot get a Dr in my area to look into my thyroid as something that could be what is causing the problem. I had some blood work done and because my TSH was normal my Dr said my thyroid was fine, however, both my FreeT3 and TotalT3 were high and my T4 was normal. Maybe my Dr is right but I have thought something is off for years and because I am a guy and I have been told men don’t normally have thyroid problems I have wandered down the hopeless trail.

    Reply
  75. Gianluca

    I’m glad you are back, and sorry for your loss.

    In the updated version of the book, you give a few examples of HC dosing, with the first dose taken first thing in the AM, should i take that immediately upon rising with my NDT or later with breakfast, which is generally at least an hour later or more

    thanks

    Reply
    • Janie Bowthorpe

      We can take it first thing in the morning with thyroid meds.

      It should also be mentioned that taking HC when our free T3 is pooling, meaning way over range, can cause that T3 to rush in the cells like a son of a gun and cause hyper like symptoms. https://stopthethyroidmadness.com/pooling

      Reply
      • Gianluca

        Thanks for you response. Do you think adrenal patients need to start the NDT as 30mg in the am and 30mg in the PM, or that is ok to start with the introductory dose of 1 grain in the am, then building up the next dose in the PM?

        thanks

        Reply
        • Janie Bowthorpe

          Either way have worked. 🙂

          Reply
          • Gianluca

            Janie, thanks for responding to my comments. Your book has been very helpful, and easy to understand i wish I had read it years ago!

            Couple days after my rise going from 1/2 grain to 1 grain, I experienced some pretty noticeable hyper symptoms, two of which were speediness and increased sweating, along with some good benefits though . I’m thinking my body needs to adopt to it. But how long does generally take for the body to adjust to the new dose, before I decide this is too much for now?

            I’m on about 25mg HC, and I have also a low aldosterone to treat, but the hyper symptoms didn’t really feel like the usual adrenal hyper.

          • Janie Bowthorpe

            Having hyperlike symptoms after a raise to such a small amount as one grain is about this: https://stopthethyroidmadness.com/pooling And the latter can be due to that low aldosterone, we as informed patients have discovered for years how. Also, 25 mg HC is simply a starting dose and for women. Time to read Chapter 6 in this book: https://laughinggrapepublishing.com/product/sttm/

          • Gianluca

            Janie

            My Hydrocortisone has as a filler some calcium stearate, greenstone brand. Should I not take it with my Thyroid because the calcium?

            thanks

          • Janie Bowthorpe

            It’s probably such a tiny amount that you’ll be fine. And the calcium problem is more about with thyroid meds. 🙂

          • Gianluca

            Janie, I much appreciate your responses. I really wish I read your book years ago!

            do you think the “morning before rise” temperature is still a reliable measure of thyroid function, even if I’m on the Hydrocortisone?

          • Janie Bowthorpe

            Using a temp to discern hypothyroid is more about doing it around 3pm. In the US, it should be close to 98.6. But….there are other issues which can affect one’s temp. So we concluded that a temp alone may not be reliable enough in some cases.

          • Gianluca

            Janie I hope you are having a wonderful weekend, thank you for your work, 20 years or thyroid patients records is amazing, thank god for that!

            I find myself needing to raise my NDT dose, currently at 1 grain, and I also need to raise my 1/4 tab Fludrocortisone. Would you do one in particular before the other, or both around same time should be ok?

            thank you for your guidance

            by the way, is there any particular place I could write a review about your work or book? please let me know

          • Janie Bowthorpe

            Yes, STTM is now about 20 years of compiling worldwide patient reported experiences and observations in getting well. And I only compile what is consistent among patients.

            One grain is simply a starting dose from which we raise every two weeks or so by 1/2 grain, slowing down in the 2 grain area and doing labs to see where we are. This is the goal: https://stopthethyroidmadness.com/optimal

            And to anyone reading this: If a raise causes hyper-like symptoms like higher heartrate, palps, anxiety, etc, that can point to a cortisol problem needing a saliva test https://saliva-cortisol.squarespace.com/ to see what needs treatment. Chapter 6 in the updated revision STTM book with blue-gray cover. You will also read about low aldosterone which is a second adrenal issue that so many end up with.

            I would personally raise Fludrocortisone first. You did the aldosterone lab to prove you needed it, right? What about your cortisol levels? Low aldosterone doesn’t stand alone: it accompanies a cortisol problem that we also treat.

          • Gianluca

            Yes, I did the Aldosterone test and it was low. I’m going to increase the .025mg Fludrocortsione to .05mg, hold it for 7 days then increase the NDT. I believe .05mg Fludrocortisone may be an ok dose for now, and it is really time to go up with my NDT.

            Cortisol also came low at 3 points, beside the am one. I’m on 27,5mg HC, 10/10/5/2,5 I checked my temps last week, and they were stable. However, my doc left me a script for 35mg HC if need to go up that much. But he told me to check the ACTH level, and if it goes below 10, to reduce my HC dose.

            I know in your book the HC protocol for male start with 12mg in the am, but I’m just concern taking more than 10mg all in once in the am, will decrease more my ACTH for the day. I will take my temps in another week or so after the Fludrocortisone increase.

            thank you again for you help Janie

          • Gianluca

            Janie, when I was on 1/4 tab of the Fludrocortisone I tested my Renin and it came back at 1.063, on a scale 0.167 – 5.830, do i need to be concerned about this low level?

            I also increased my Fludrocortisone to 1/2 tablet for the past two weeks, so potentially my Renin is a bit lower now. I also believe I started to experience insomnia from it, but only for the past few days

          • Janie Bowthorpe

            It appears that if you do just a regular blood test, it will look falsely low since it really should be testing plasma and collected in a chilled blood sample and spun–the latter which isn’t usually done. In the meantime, certain doctors over the years have directly patients to consume a lot more potassium when on Florinef.

          • Gianluca

            Thank you Janie. The test I took it was a Plasma Renin Activity, I’m buying blood test on my own.

            I generally get 4/5grs of Potassium from my diet.

          • Janie Bowthorpe

            Yes, we can need a lot of potassium, for sure, when low aldosterone goes on awhile, and on Florinef.

  76. mark olinyk

    Hello… Sorry for your loss.. Do u know or anyone know what NDT can be be bought without a script that actually works? I tried the Thailand thyroid s and found it didnt do much .. I have tried nature-throid and felt it was doing something.

    Reply
    • Janie Bowthorpe

      Some differences can be due to different fillers, we suspect, somehow slowing down absorption. So with thyroid-s, which before had quite a lot of fillers, one might need slightly more to achieve the same good results as an American-made product before something went wrong with it. Also, be sure to have fully read this: https://stopthethyroidmadness.com/optimal

      Reply
  77. Monique

    Hi Janie, so sorry to hear about your loss. It’s inspiring to hear how you took time out to take care of yourself, grieve and heal. And we appreciate you coming back to support our community as well.

    I have a question about being on T3 only which is the only dosage that works for me with the least side effects (I’m on 85 mcg currently). Both my endo and general MD have said that to get pregnant and stay pregnant I would need to add T4 to my meds. Preferably before I get pregnant. Do you have any experience with women on T3 only and pregnancy? I’m not ready to get pregnant just yet but when the time comes I’d like to be prepared. Any advice you have from experience would be helpful!

    Reply
    • Janie Bowthorpe

      Hi Monique. All I can say to you, as someone who has been listening to and collecting patient reported experiences and observations for 20 years, it’s never been about just “having T4 in our treatment”. Yes, some do have T4 in their treatment, but some don’t and are just on T3. And it’s been about being out of our hypothyroid state when it comes to getting pregnant. This explains what that means, and note the free T3: https://stopthethyroidmadness.com/optimal

      Doctors are generally only trained about T4 in their medical schools. This is why they tend to put the emphasis on it. But we are light years ahead of them. our repeated and worldwide experiences show that what they are saying to you is the wrong focus, even if having T4 in our treatment is fine, since it can convert to T3 for us in the background. But we have learned that even more important is that T3 in our treatment, too, (or by itself) and where to get the free T3.

      Reply
  78. sandra

    Janie,
    I am so very sorry to hear of your loss, your loved one was very blessed to have you by their side during such times and I am sending prayers of kindness to yourself, rest and recovery and in hopes you continue to look after yourself.
    Thank you for all you have done for us and bless you!

    Sandra

    Reply
  79. Lorie

    Glad to see you back. I’ve been thinking about you. I am so sorry for your loss. I was my brother’s caretaker for the last 6 months of his life, he passed in October 2017. I cherish the time I had with him, as he moved in with me so I could better take care of him, but it almost destroyed me. My adrenals were already weak and I needed to go back on higher doses of cortisone just to make it through the day of doctor’s appointments, radiation and chemo appointments, meal prep (he lost his tongue to cancer so he was tube fed, I had to blend all his meals) and wound care (he had two flap surgeries for tongue reconstruction which caused a huge wound on his abdomen and pectoralis muscle when the first flap failed), plus all his medications. I’m still struggling because the stress hasn’t gotten better, just new stresses. My husband has been out of work for almost a year now. We’ve been surviving on savings, but it’s been tough.

    Reply
  80. Jan Kasza

    You’re the Best!

    Reply
  81. Linda Burns

    My deepest condolences Janie, and I am so sorry for your loss. I just wanted to share how much you helped me. Approximately 13 years ago I began experiencing secondary infertility after easily conceiving and carrying 2 children. Bloodwork showed that I was ‘subclinical’ hypothyroid but no doctor was willing to treat me. But from reading your info, I trusted myself enough not to give up. Thankfully I found a Dr 1 hour away who was willing to prescribe meds, and within a short time I was pregnant.
    Your knowledge, books, website, and more have empowered me to take charge of my health, and to share my knowledge with my friends, family, and practitioners. I await the day, when I believe the medical establishment will come round and acknowledge that this is the optimal way to go, and you will deserve a lot of credit!!
    Wishing you much continued comfort and strength, Linda

    Reply
  82. Elle

    My sincerest condolences to you . Your work has been such a blessing to me and now to my daughter and to so many others . Prayers of light , love , and peace to you and all affected by the loss of a loved one .

    Reply
  83. Deborah Olcott

    Sending you condolences Jeannie. I am so sorry that you lost someone that you love so dearly and it sounds as if it was very hard on you and very beautiful to be by their side. Of course the grieving and recovery and healing all take time and shift. I am extremely grateful that you continue to be there for everyone struggling with thyroid challenges. You have certainly changed my life. And I am still working to get to an optimal place but you have given me so much hope (and so much information 🙂 to work with!! Thank you!!

    Reply
  84. Bernice Caruth

    Hi Jamie
    Sending hugs and love your way. Loneliness isn’t easy but maybe all of the people you are helping here can fill that void with love. I’m so glad to see you back. Your books and website are my source of fantastic, credible thyroid information.
    When I read your first book many many times, my brain fog at that time was so bad that I could not apprehend a word. Well maybe the “the’s” and “ands.” Several years later I can now read the second book and understand it. Maybe not remember it all but can understand it.
    I found a doctor in my local community who is my partner with thyroid treatment. My first visit probably was awkward as I felt that I had some credible information to share with her. She has since been more open and willing to hear what I have to share. First visit only TSH was done. Next visit I insisted on the full panel for thyroid and iron. I keep a spread sheet with my lab results and med changes and bring it with for my visits.
    I have been on compounded T4/T3 for years, always with the T4 being higher. Recently, at my persistence, she has raised the T3 and lowered the T4. Amazing difference but still have more to do with cortisol and iodine testing again. I have other lab work every six weeks. A year or two ago she wanted to do blood cortisol and I said I would do saliva testing instead. She didn’t know much about the saliva test. My last visit she recommended the saliva test!!! A few months ago I eliminated all grains my diet, lost weight, and feel better. Now she is doing blood food sensitivity test to see where I have issues.
    I have promoted your books and website and she said “there is good information.” Gentle persistence and information can help doctors become better doctors.

    Without your information I don’t know where I would be. Welcome back, Jamie. We have missed you so much.

    Reply
  85. Philippa Snowdon

    Janie, this is important. The effects on different people after re-formulation of drugs, is the addition of MANNITOL.

    (Hence the successful demonstrations in France)

    For me and for many, but not all of us, the inclusion of MANNITOL as an unlisted excipient stops the medicines from being absorbed. They are no longer bio-available. Take as much as you like, it can never work.

    MANNITOL needs to be listed so we save money. SThyroid from Thailand has evidently added MANNITOL to its new formulation. It was very expensive. It used to really work for me. NO MORE.

    All those others. I am so sorry. Add MANNITOL and it will never work for you.

    Reply
    • housemaid

      Phillipa, I am on Thyroid S and it has worked great for me. But the bottle I have been taking expires August 2022, meaning they were made in 2019. I have bought new bottles that expire in August 2024, meaning they were made in 2021. When did this addition of mannitol take place? I read that it acts as a diuretic and is poorly absorbed by the intestines. I guess that is why the pills don’t work. Have you tried chewing them? How do you know they contain mannitol since it is not listed as an ingredient? I am so upset as I am due to start on the new bottle in 2 weeks. None of the US brands including Armour worked for me after they all went bad, but Thyroid S did.

      I cannot understand why manufacturers always have to mess with a good formulation. I have not looked at STTM in a long time, as I have been doing fine on Thyroid S. But what is the US brand that now works, if any?

      Reply
  86. RachelDLS

    Hello Janie,

    I want you to know how sorry I am for you and your loved one, and any other family and friends that are grieving. I too, just lost someone dear to my heart. It was wonderful to read your story this morning and hard at the same time. We each of us deal with grieve in separate ways, don’t we? For me, I found my music, which I had stopped doing because of my own health issues, to be a comfort, as I worked on songs for the memorial service. I am grateful that I was asked to do the music. It has brought that part of my life back into my life! I am hoping to do more of that now.

    I am also so happy to hear about your waitress! It is funny, I talk to my waitresses as well, and ask them if there is anything they would like me to pray about for them. It is amazing some of the answers I have received!

    I too, have to thank you for all you have done. I was quietly dying on Synthroid, even after they added Cytomel. I am now getting my Thyroid medication from a compounding pharmacy, as Armour does not work for me. I end up with a lot of joint pain when I take it. I suspect it is the corn in the Opadry White that causes it. Thankfully, my insurance reimburses me for a good part of the cost. I am so grateful to have found something that works so well! 🙂

    I am so grateful to have found your site. I share the site name, with everyone I can. My doctor listens too, and even though she was reluctant to see me on Naturally Desiccated Thyroid medication at first, she has seen the improvement over the years, and now lets me run my own show in that department.

    I am truly blessed!

    Reply
    • Janie Bowthorpe

      Glad you figured that out about the corn in Opadry White. And yes, we have to run our own show when so many doctors lag far behind in knowledge and end up keeping us sick. That’s why I created a patient to patient movement I call Stop the Thyroid Madness.

      For others reading this, Armour can seem to not be working because you have never achieved this: https://stopthethyroidmadness.com/optimal. Don’t skim it. Read it all. The information also applies to taking synthetic T4 with synthetic T3. Or even just T3.

      Reply
  87. Rosemary

    Dear Janie, Condolences and thank you for being a caretaker. I’ve been there, and it is so much work and so rewarding. May your loved one Rest In Peace. This type of fasting has worked for me, but I drink coffee in the morning and then eat at 1 pm. I guess that’s not fasting. I do feel better if I start food later and I take Thyrovanz, also, late. Thanks for your post.

    Reply
  88. Lesli

    Welcome back. So sorry for your loss. You have been a lifesaver for myself and my clients even while you were gone. Your work is irreplaceable. Go slow and know how much you mean to perfect strangers.

    Reply
  89. Rainbow

    I’m so sorry to hear of the loss you’ve endured. I love this quote from WandaVision: “What is grief, if not love persevering?” The love never dies, but I know how difficult it is to redirect that love once the object of that love is gone.

    Optimizing my autoimmune hypothyroidism did start me ovulating for the first time in my life (in my late 20s). Unfortunately, I was never able to conceive a child, but we had 10 embryos left over after IVF, and so far we’ve donated two of them to another family. It’s wonderful to watch these two genetic children grow up and be so loved, even if we’re not directly in their lives. Without your site and help, I never would have been healthy enough to even consider the rigors of IVF. So there are two more children who probably would not exist had it not been for your help 🙂

    Reply
  90. TRISHA

    Does the pain ever go away? Maybe. Maybe not —. depending… on countless things. One cannot, I believe, limit the unlimited, or contain, the uncontainable! Still, in time, it will evolve — like it or not. But hopefully, we will evolve with it.

    Upon reading these words some time ago, I found, and still FIND…. comfort herein. Somehow in one succinct sentence — it put everything into perspective and spike spike a truth to my heart and soul…. which continues to this very day, to give me comfort.

    And those words: “As long as there is love, there will
    always be loss.” HOW could it be otherwise? Still, I firmly believe, that in the LOVE…. there will ALWAYS be Light!

    Reply
  91. Mariya

    Dear Janie. Condolences to you. Grief makes us stronger. I wish you strength, health and good luck. I hope you will continue to delight us with your lyrics.

    Reply
  92. Robin

    Condolences from N.Z.

    Reply
  93. Cheryl Jansen

    My thoughts and prayers are with you.

    Reply
  94. Dorothy

    My sincere condolences on your loss. It is hard to lose someone so close so please take care of you!!
    Thank you for all the great work you do to help us all.

    Reply
  95. Lilian

    So sorry to hear of your Loss Janie. You have my very deepest sympathy.

    Reply
  96. Michele

    Great to see you Janie! Where would any of us be without you and STTM?! Half dead I’m sure, lol … being so grateful for you, we all send you BIG HUGS and love in your difficult times.

    Reply
  97. Mary Lou Vanda

    So so sorry for your loss. When someone hears that a friend has experienced a profound loss, they share the grief. Janie, you are a friend to all of us. They want, so bad, to take the pain away but all they can do is be there to help support. Stay strong and busy. We will pray for you.

    Reply
  98. Gail

    Janie, So sorry to hear you lost a loved one. Thank you for your latest post. Do take your time getting back to your regular schedule. There’s so much you’ve already done for this community that we can use to get answers!

    Reply
  99. Dawn

    Dear Janie,
    I am so, so sorry to read about your devastating loss. Please know you are not alone, as you have helped countless of us, we are here for you. Grief knows no bounds nor limits. Please allow yourself to feel whatever shows up in your body and mind, and acknowledge it’s there, and just do your best. There’s no right or wrong answer for how you respond.
    Thank you for letting us be a part of your grief. May each day become a little easier for you, as heartache turns to warm memories that will be there forever.
    I don’t see you as being aged. You look beautiful, as you always have. Your kindness radiates. That is timeless.
    We love you!!
    Dawn

    Reply
  100. Mary

    Dear Janie, so very sorry about your dear one’s passing. Sending you blessings, prayers, and peace. Much appreciation for all you’ve done for all of us.
    Mary

    Reply
  101. Jeanne

    Janie you are a treasure! I’d heard of your loss and sending a HUGE hug. I am taking care of my elderly mom these days and it’s sure hard to see her decline. Little things like taking care of her bills and seeing her forget how to do things she was previously able to do! Hard but rewarding.

    It’s been 34 years since my RAI for Graves and I am just now getting to where I should be -on T3 only! I have learned so much from you and grieve the decades I’ve lost to improper treatment. You are indeed a treasure and blessings on your healing journey.

    Reply
  102. oLt

    My dear Janie:
    So sorry to hear :(( May God comfort you and all morning the loss of a loved one. Please take extra good care of yourself during the healing/grieving process.

    Reply
  103. Stephanie Tackett

    My deepest condolences on your loss. Thinking of you and wishing you strength and healing in this difficult time.

    Reply
  104. Cindy Zuniga

    I’m so sorry for your loss. I have been a caretaker for family members that were very dear but I haven’t suffered grief to the depth you have. I do know it takes time and grief is not something you can suddenly still in a box and tuck it away. Our prayers and condolences go with you. We all appreciate all that you have done and do for us.

    Reply
  105. Trish

    I’m so sorry for your loss. Wishing you comfort and blessings.
    Trish

    Reply
  106. Trisha

    anie,
    If one can suffer too much loss, then I believe I may qualify. Still, I KNOW countless others have suffered way MORE than myself or what I could ever imagine! My heartfelt condolences to both you and Kristie whose first year anniversary of her son’s loss is fast approaching on June 30th. Sending you both Light and Love to Carry On!

    And HERE is one of the BEST poems on the subject EVER written, for both of you, and ALL of you suffering a recent and/or wrenching loss!

    CARRY ON!

    It’s easy to fight when everything’s right,
    And you’re mad with the thrill and the glory;
    It’s easy to cheer when victory’s near,
    And wallow in fields that are gory.

    It’s a different song when everything’s wrong,
    When you’re feeling infernally mortal;
    When it’s ten against one, and hope there is none,
    Buck up, little soldier, and chortle:

    Carry on! Carry on!
    There isn’t much punch in your blow.
    You’re glaring and staring and hitting out blind;
    You’re muddy and bloody, but never you mind.
    Carry on! Carry on!
    You haven’t the ghost of a show.
    It’s looking like death, but while you’ve a breath,
    Carry on, my son! Carry on!

    And so in the strife of the battle of life
    It’s easy to fight when you’re winning;
    It’s easy to slave, and starve and be brave,
    When the dawn of success is beginning.
    But the man who can meet despair and defeat
    With a cheer, there’s the man of God’s choosing;
    The man who can fight to Heaven’s own height
    Is the man who can fight when he’s losing.

    Carry on! Carry on!
    Things never were looming so black.
    But show that you haven’t a cowardly streak,
    And though you’re unlucky you never are weak.
    Carry on! Carry on!
    Brace up for another attack.
    It’s looking like hell, but—you never can tell:
    Carry on, old man! Carry on!

    There are some who drift out in the deserts of doubt,
    And some who in brutishness wallow;
    There are others, I know, who in piety go
    Because of a Heaven to follow.
    But to labour with zest, and to give of your best,
    For the sweetness and joy of the giving;
    To help folks along with a hand and a song;
    Why, there’s the real sunshine of living.

    Carry on! Carry on!
    Fight the good fight and true;
    Believe in your mission, greet life with a cheer;
    There’s big work to do, and that’s why you are here.
    Carry on! Carry on!
    Let the world be the better for you;
    And at last when you die, let this be your cry:
    Carry on, my soul! Carry on!

    — Robert Service

    Reply
  107. AD

    Sending you well wishes, Janie. Grief fundamentally changes who we are…I think of the process like going into a cocoon for a while and coming out a more beautiful person. Lost my father two years ago after doing some caregiving for him, then had to close his estate…navigating that world as a single 30-year-old was truly something. Be patient with yourself…your special person will visit you in unexpected ways. That being said, congratulations on 20 years of STTM website! While I don’t personally have thyroid issues, the site and forum is an awesome resource as an integrative heath practitioner.

    Reply
  108. Katherine Hughes

    Dearest Janie,
    Thank God you are ‘feeling better’. !! 🙂 I don’t think grief ever leaves us completely, but I am thankful that the time has come for you to ‘surface’ a bit more. Thank you again and again from so many of us who owe the recovery we have to you and your dedication.

    Reply
  109. Carolyn Hutchins

    I was so sorry to read of your loss, Janie. It’s always devastating to lose someone who has been a huge part of our lives. It leaves us drifting anchorless for what feels like eternity. I hope you’re beginning to forge a new path now and finding a little peace in knowing that you will always have your memories.

    Reply
  110. Suki Singh

    Hello Janie,

    Please accept my condolences for your loss. It’s very hard and hopefully over time the pain will get less. Just remember that you have all this virtual family here for support as you have helped so many people overcome issues with thyroid. So thank you for your help and keep the chin up even in this hard time .. god bless

    Reply
  111. Kristie Mulreed Blank

    I am so very sorry for your loss, Janie. Grief can be a very lonely journey. I know this all too well. I lost my older son suddenly and unexpectedly on 6/30/21. My family acts differently and my friends disappeared. They’re uncomfortable and don’t know what to say to me. I hope that you have loving support, as this grief journey is truly brutal. Please know that I am sending love, hugs and prayers for comfort and peace to heal your hurting heart.

    Reply
    • Janie Bowthorpe

      You said it well. Loss and grief is a lonely and brutal journey that we all have to travel if we do lose someone significant. And I am so very sorry for your own loss. Yes, people do disappear. And their discomfort is palpable. And many are just plain silent. It’s brutal.

      Reply
  112. Adela

    Janie,
    Grief is so hard to move through, a crushing force, but then as you say, you begin to live alongside it. What I have found (I’ve had several huge losses) is that with time the grief is softer, comes inside, becomes the lost one we love living inside us. Accompanying us. And makes us wider and fuller.
    Thank you for your story, and thank you for your book that has guided me into much better health. Adela

    Reply
  113. Jeannie Crockett

    What a wonderful story. I am so glad she spoke to you and shared how you helped her.

    Grief is so shattering…I am glad you are seeing some glimpses of light. Are you still getting out in the sunlight first thing in the morning?

    Thank you for all you have done and will continue to do.

    Reply
  114. Bev

    So sorry you lost someone important in your life. It’s not easy as you have now found out. I wish you well with your grieving process and please remember, there s no timeline. It’s hard work and you will get through it. All I can offer is a hug!

    Reply
    • Janie Bowthorpe

      Yes, that there is no timeline is something a body of people don’t understand. This is a lifetime of dealing with it on this physical plane, even if you get a little better. The actress Betty White knew this.

      Reply
  115. Alison

    I’m so very sorry for your loss! Caregiving is deeply personal, loving, and will take all you have and more. I’m glad you’ve taken time for your own healing.

    Reply
  116. Frances

    I have many of the hypo symptoms and my FT3 is low and is not optimal but just in range. Do I need a T3 treatment?
    Thanks.

    Reply
  117. Betty Downs

    Janie, my heart felt condolences, can’t imagine the pain of such a loss. I found your page here right after a heart valve replacement & the Dr wanted me back on synthroid. I happened onto your Facebook page & my life has actually changed for the good. At 77 on Armour & T3 I’m able to do so many things I enjoy doing. A big thank you Janie.

    Reply
  118. Jean Humphrey

    What a lovely story! I think of all of the people you’ve helped that you don’t even know about. I’m one of them. At 76, I’ve been on NDT for 15+ years and I’m doing well. I wish you wonderful memories of your loved one as you “live alongside” your grief.

    Reply
    • Janie Bowthorpe

      I’m so glad you told me that you are doing well on NDT for 15 years.

      I’m only 8 months out from losing someone so dear to me. It’s still not easy. But there is music that reminds me of him that makes me smile. 🙂

      Reply
      • Lucy

        Janie I actually found you because a clerk at my medical marijuana store told me about you. In two weeks time of finding you I have found answers for my symptoms have fired endo going to naturopath who mentioned your website in a podcast this week. I am so grateful for you and send you love and comfort for your loss. Thank you so much and may you feel your loved one with you supporting you in your legacy and love

        Reply
  119. Linda Siller

    I’m so sorry to hear of your loss. Please accept my condolences.
    Janie, I found you in 2009. My first child was born hypothyroid in 1994. After me requesting to have my levels checked, it was discovered that I too was hypothyroid. My daughter and I were prescribed ‘The Gold Standard’ synthroid. I knew nothing about the thyroid and was at the mercy of the doctors. A sonogram showed my new born baby had nodules instead of a fully developed thyroid gland. Through several sonograms over a 10 year period, I watched my thyroid disappear. When my daughter turned 15, she began having heart palpitations. This is when I found STTM. We both switched to NDT and oh what a difference that made. Her palpitations stopped and many other symptoms disappeared, as did mine. My health was so much worse than her. I truly believe you saved my life. Probably both our lives. The knowledge you so givingly share gave both of us a better quality of life. She is now married with a child of her own who is not hypothyroid. I’m 61 years old and I can’t thank you enough. You are a blessing.

    Reply
  120. Nancy Murillo

    I finally found a doctor who had done the work and added T3 to my T4. It has made a lot of difference. He also found out I was anemic (low ferritin levels). Thank you for your work.
    Sending love and positive thoughts your way in your loss. It is hard. I am so sorry.
    I lost someone very close to me last September after caring for them daily for 2.5 years. I was in a fog of grief in all it’s stages for months and it still hits me out of the blue.
    We were such a blessing to these loved ones by lovingly caring for them and providing companionship. What a blessing to have spent the last days with them.

    Reply
    • Janie Bowthorpe

      Nancy, it’s never about treating ferritin. Ferritin as storage iron can be low with high iron, so treating it can drive the high serum iron even higher…if the serum is high. It’s always about serum iron. 🙂 The only thing we look at with ferritin is if it’s high. That’s inflammation and we treat the latter. https://stopthethyroidmadness.com/iron

      Fog of grief–that describes what I went through, too. And I’m still in the area of only being tolerate so much. But I felt ready to try one post. I still have my days and know they will always be there.

      Reply
  121. Debbie

    Janie,
    Condolences to you as you continue to learn how to live with a great loss. May you find joy in in the memories and see life in the nature around you.

    Reply
    • Janie Bowthorpe

      It’s a slow journey but I’m at least glad I finally felt ready to do a blog post. Yes, nature was very important to both of us.

      Reply
  122. KayHehir

    Deepest Condolences in your recent loss of a beloved one…. It is wonderful that you’ve allowed yourself time for the grieving process & integrating your new reality… Please go gently, as you are.. Know also that you are supported with love in this journey, from many of us……Sending Prayers for you & your loved ones….????????????????????

    Reply
    • Janie Bowthorpe

      Yes, I have no choice but to go gently. Grief fills you up to the point you can barely add anything else in your life. But after seeing this waitress and what she told me, I was at least ready to talk about her in a blog post.

      Reply
    • Judith Stringer

      Your pain touches my heart. I know it well, and the loss of my 38 yr old son 17 years ago is a part of my bones. I learned from others in grief that this will change, and be ‘softer’ over time, yet will never go away. Yes, we learn how to live alongside the loss, grief. And somehow it makes us stronger. You are wise to lean on others. We can help you carry this. Your work has blessed so many of us. Thank you.

      Reply
  123. Mary Ann Pressley

    I was on Armour then my new doctor stopped it and put me on levothyroxine. I prefer Armour but am looking for a doctor that will listen to me. My condolences on your loss.

    Reply
    • Janie Bowthorpe

      Keep up that search. We have to have the right doctor and also expect to GUIDE them. That’s why the website, the books, the coaching calls exist. To educate all of you so you can step in the doctor’s office and guide.

      Reply
  124. KayHehir

    Deepest Condolences in your recent loss of a beloved one…. It is wonderful that you’ve allowed yourself time for the grieving process & integrating your new reality… Please go gently, as you are.. Know also that you are supported with love in this journey, from many of us……Sending Prayers for you & your loved ones…

    Reply
  125. Mary Kay Parulski

    Oh Janie, my heart aches for your loss. You have helped countless numbers of people, including me. Walking your loved one home is both an honor filled with much sadness, but also much joy that cannot be matched any other way. You have my deepest sympathies.

    Reply
  126. Judith Booth

    Hi Janie. Deepest sympathy to you at such a sad time.

    In 2005 I found a doctor who had worked this out. Her daughter kept miscarrying and after adding T3 she had no troubles. She was one of the first to understand this. It was this doctor who gave me natural thyroid hormone when I felt suicidal due to thyroxin only meds for 25 years. It went against all medical advice at the time.

    I am now 77 and still taking NTH. It’s been my lifesaver for the past 15 years. But there are still so many people struggling on T4 meds only.

    Reply
    • Janie Bowthorpe

      I am so glad you gave your age. You are proof, as are many, that even those in their 70’s and BEYOND can do well with NDT. Medicare is stupid about this. Thank you deeply for your sympathy.

      Reply
  127. Kathy Forrest

    That is a wonderful story of you in the restaurant. You have helped many. I am sure we can all understand your grief in the loss of someone special. Please accept my condolences.

    Reply

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