You have many options for thyroid treatment!

Wondering what your best thyroid treatment options are to choose from?

Here is a list with summaries of all your options (which T4-only is not, say the experiences of too many patients over the years).

These are in no particular order.

REMEMBER: these are about finding your “optimal” amount, not just being “normal” or just “on it”.


But, both the American versions and the Canadian versions went south by 2019, and have been causing too many patients problems, sooner or later. That means they aren’t the consistent and excellent product they used to be. Before you fall off your chair…. READ THIS.

Luckily, there are European-made NDT’s that seem to be still working for Europeans!! SO if you do NOT have access to European-made NDT…read #2-5 below about your alternatives….and remember, you still need to get OPTIMAL on the alternatives

Remember you still have to have an OPTIMAL FT4 and FT3.

ALTERNATIVES TO NDT (Natural Desiccated Thyroid)

 2SYNTHETIC T4 with SYNTHETIC T3, or T3 alone:

It’s not a bad thing to be on the two synthetics—far better than just being on T4-only. The goals are just the same–finding an optimal dose that puts the free T3 towards the top of the range and free T4 around mid-range, say patients over the years.

You can even choose to be just on synthetic T3, but remember that you’ll have no T4, the storage hormone, to covert to T3 for you, so you’ll have to dose it more, such as 3 times a day. Five times a day hasn’t been as effective as three, probably because it takes away the punch that three times gives you. Also, many patients report disliking the slow release version of T3–it’s an inexact man-made release and often runs out…and you feel it. But we leave it up to you. Read more here.


Thyrogold is sold by Tammy Lowe, widow of Dr. John C. Lowe, and many are very happy with it. Capsules are 150 mg and 300 mg from New Zealand pasture-fed cows and 25 mg of Coleus forskohlii, which is said to promote thyroid function. The website will say it’s a dietary supplement, but patients find it to work as well as prescription. Says a patient on Thyrogold: I lost 23 lbs. I can fit into my clothes again! My digestion improved. My memory improved 100%. Joint pains went away. I sleep all night through and  my weight remains stable, and I can enjoy food. I am 64. Remember that you still have to be optimal.

Thyrovanz is a newer over-the-counter natural thyroid supplement than Thyrogold. The one from New Zealand pasture fed cows is a better product, say patients.

Nutri-meds has been around longer than both the above. And it’s always been weaker. So you’ll have to take more to find your optimal amount.

REMEMBER that with over-the-counter supplements, you need to watch your free T3 and free T4 and get them optimal to prevent a return of hypothyroid symptoms, sooner or later.


This is an NDT made in Thailand. It does have a lot of unnecessary fillers, sadly. But it works, say patients. Do an internet search for it.


This is a method of having a compounding pharmacist make your desiccated thyroid, or synthetc T4/T3. It works, but can be more expensive than any of the above. Many of these pharmacies still try to use cellulose as a filler, which binds the thyroid hormones, even if they deny it.  Instead, ask that the filler be something like powdered Acidophilus or oil of your choice.


…will supposedly send the medication abroad, prescription required and credit cards accepted. They source the thyroid from Europe and have no shortages. They will also compound any strength and combination you require. “THYREOGLAND” from Munchen (Munich), Kloesterl Apoteke, Waltherstrasse, 80337 Muenchen. Phone: 089 54343211 (Let me know if my information is incorrect, please)

There are excellent books associated with Stop the Thyroid Madness

The one for everyone that focuses on all we’ve learned for treatment is called the updated revision Stop the Thyroid Madness: A Patient Revolution Against Decades of Inferior Thyroid Treatment. Though it has a chapter on prescription Natural Desiccated Thyroid, it’s still very appropriate for the natural thyroid supplements, or for T4/T3.

For the autoimmune Hashimoto’s disease, you’ll want the patient-to-patient book Hashimoto’s: Taming the Beast.

Click on the covers of the books to read about each of them here.

Important note: 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.