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New chemical analysis showing important difference between NDT and T4-only!

I found this fascinating…and I think you will, too.

I got an email from Peter Guagliano, the owner of the website thyroid-s.com. And he directed me his latest post titled “Natural Desiccated Thyroid and Synthetic are NOT the same”. 

But this wasn’t the basic information that we all know i.e. comparing a single synthetic hormone to all five natural desiccated thyroid, which makes the latter wonderful.

Instead, it was about a bio-analytical chemist who decided to test synthetic T3 (Cynomel and Cynoplus) as well as the Thailand-made Natural Desiccated Thyroid (NDT) called Thyroid-S, by extracting each tablet with methanol, then diluting and injecting them on an LC/MS system–a sensitive instrument used to detect and identify compounds and molecules in a substance.

And what he discovered and reported is that the thyroid hormones of NDT are tightly bound with thyroglobulin, a large iodine-containing protein….whereas synthetics are bound by nothing. i.e. synthetic hormones are exposed; NDT hormones are protected (until they are released by your digestion).   The diagram on this blog post gives you a powerful visual of this reality, but specifically in comparing natural desiccated thyroid with synthetic T4-only. You will see the large mass of thyroglobulin on the left, each containing either T4, T3, T2, T1 or calcitonin within. Then the tiny synthetic hormone on the right, alone.

But is that bad NOT be bound by thyroglobulin??  Possibly yes in the opinion of Peter. As Peter explained:  “The [exposed] synthetics might be affected by stomach acids in different ways in different people.  Low acid, high acid, various digestive and pancreatic enzymes in varying amounts, bacteria/flora in the stomach and small intestine, all kinds of possibilities here which would vary by the person.”  And, he says, that can mean instability!

Peter continues:  “Perhaps the thyroglobulin in NDT (and completely missing in the synthetics) is absorbed, or necessary, or utilized, or forms other products during digestion that could affect blood levels of various substances, numerous carrier proteins for example, thereby affecting the results obtained.”  And he concludes:  “The NDT hormones are bound to thyroglobulin and not available for reaction or breakdown until after they first digested (from Janie: which saliva begins, by the way, even in your mouth).  This would be a more stable compound.”  His original post is here.

A side note about thyroglobulin and iodine:   The protein Thyroglobulin takes up a lot of space in your thyroid with the purpose of taking ahold of iodine and storing it to produce thyroid hormones. That purpose alone tells you how important it is to have healthy levels of the nutrient iodine. And each molecule of thyroglobulin has just over 100 sites where the iodine can take ahold along with the assistance of thyroid peroxidase (TPO) and hydrogen peroxide. When you are iodine deficient, it’s been noted that your thyroglobulin will increase, which is why you can see a bulge in front of your neck–also called a goiter. (Even taking too much iodine supplementation can cause this increase, which can block thyroid hormone production).

**Enjoy more scientifically technical information about thyroglobulin? Go here. 

**To read about the process of making porcine-derived NDT via thyroglobulin, go here. 

**To know more details about Natural Desiccated Thyroid–its history, the breakdown of the hormones, and how patients dose it, see Chapter 3 in the revised STTM book, here. 

**To read how T4-only is only a reverse mirror image of the real thing, read my blog post from May 10, 2012. 

Whether these findings are completely correct or not, patients simply know from ten years of experience that NDT has been giving them far better results than T4-only…and even those on T3-only who moved to NDT reported they liked the results even more. It’s all important patient-to-patient information.

Have you switched from one desiccated thyroid to another? Let’s share.

“A new scientific truth does not triumph by convincing its opponents
and making them see the light, but rather because it opponents eventually die,
and a new generation grows up that is familiar with it” ~ Max Planck

NOTE: Though this post was originally written in 2011, it has been updated to the current date and time.

Screen Shot 2015-11-26 at 10.55.40 PMHOW DIFFERENT BRANDS OF DESICCATED WORK FOR SOME, NOT FOR OTHERS

Granted, we note from patient reports that all brands work based on individual reports of any brand.

But some patients, for a variety of reasons, feel they do well on some NDT’s, but not on others. It’s very individual. This may be due to the fillers in any product.

Or, there are some like me who had to switch from one desiccated thyroid brand to another, not because of fillers, but changes in the product.  I, for example, was on the pre-reformulated Armour from 2002 to 2009, and successfully treated.

Then came 2009 when patients were reporting Armour not working as well anymore. It had been reformulated–the cellulose raised and the sucrose decreased.  I just let my old Armour run out, and I started on Erfa Thyroid from Canada. And it was an easy and successful switch for me.

But even some batches of Erfa seemed to go bad in 2014, so I then moved over to NP Thyroid, which has been great to this day.

So I am an example of the way that all three did work for me, and simply had to change due to reported problems in the way Armour, or Erfa, was made.

What if any switch doesn’t result in good results?

For many, the NDT they have switched to works just as well, as happened to me. But for some, a switch has not been smooth. One brand seemed to serve them well, while another brand caused them to tank.

What causes the switch problems?

For many, it could be the adrenals. On one product, they may have felt fine, yet due to an underlying adrenal issue they hadn’t caught, a different brand with that “something different” may have been the umpff that revealed their adrenal problem.

For others, the issues on the new brand could be from a sensitivity to one or more of the fillers. You can read about all fillers in each brand here.

And for still others, there is a mystery of why one didn’t work and another did.

What has been your experience? What did you switch from and to? Armour? Naturethroid? Erfa? Compounded? Thyroid-S? Let’s share.

If I need to switch, how do I do it?

It’s pretty much an even switch. i.e. if I was doing well on 3 grains on one brand, I go on 3 grains of the other.

But if I wasn’t doing well on a brand, it’s important to ask one self four things:

  1. Did I raise the current brand high enough? It’s common for hypothyroid symptoms to return on lower non-optimal doses. How to raise is explained here.
  2. Do I have an issue with a filler?? They can be looked at here.
  3. Do I have optimal levels of iron? Because if your iron levels aren’t “optimal”, it can cause problems when raising NDT. Optimal has nothing to do with normal. See this page.
  4. Do I have an adrenal problem being revealed due to NDT? 

JanieSignature SEIZE THE WISDOM

  • Join the STTM STTM Facebook page for daily tips and inspiration on thyroid issues. 
  • Have you ever heard of the gal who calls herself nonstickpam? I’ve known Pam for many years, and she has spent most of that time giving helpful advice on low carb eating and how to maintain your weight while dealing with thyroid and/or adrenal issues. Recently, she wrote an article for STTM about this very issue: //www.stopthethyroidmadness.com/hypothyroid-and-weight-issues/

 

I am very concerned for those on Naturethroid with a month-to-month supply

shortageWord has trickled down to me from a few patients and emails that even Naturethroid is getting harder to come by at pharmacies because of the extreme demand on RLC Labs.

No, they are not ceasing to make desiccated thyroid. They just weren’t prepared for the high demand due to the reformulation of Armour and problems it caused.  And they aren’t keeping up and won’t for several months.

So, if you can’t last with your current prescription for several months, you will probably need to talk to your doc about getting a generic version by Major Pharmacy, or get some over-the-counter like NutriMeds, or even the “Hypo Support Formula” made by RLC Labs, but expect to take much more of either.  Many patients are also mentioning Thyroid-S by Greater Pharma as a backup until RLC catches up.  But it’s by mail order and will take a few weeks to arrive.  Google any of the above. Finally, you can move a slight step backwards and talk to your doc about doing synthetic T4 and synthetic T3.  It’s not going to be quite a good as being on desiccated thyroid, but it’s certainly better than being on T4 alone, don’t you agree?? Keep connected to your doc.  And hang in there. This will pass.

Janie

P.S. I’ll be adding more information to this post tomorrow. Check back.

*Want to be informed of these posts? Curious what’s on Janie’s mind? Use the Notifications on the left and below the links.

Below is the actual release by RLC Labs:

For any patients experiencing difficulties in attaining either Nature-ThroidTM or WesthroidTM through their pharmacy, RLC Labs, Inc, asks these individuals to have their pharmacy contact us directly at 877-797-7997 to place an order, or have their pharmacy request a drop-shipment through their wholesale supplier.

RLC Labs’ products are only available through wholesalers, pharmacies and or their doctors; thus all confirmations and/or tracking information will only be available through the wholesaler, pharmacy, or doctor’s office that placed the order.

RLC Labs is experiencing a substantial increase in orders for Nature-ThroidTM and WesthroidTM. The recent unexpected influx has inundated our customer service and shipping departments, thus causing delays and depleting our current stock. We are working around the clock to fulfill all current orders; however, we cannot guarantee that
any future orders will be fulfilled until our stock is replenished.

RLC Labs will continue to accept orders from our customers, however as of Friday August 14th, we are backordered on all strengths of Nature-ThroidTM and WesthroidTM. Shipment is expected to resume within 90 days.

We regret to inform you of this situation; however, we can assure you that we are working diligently to replenish our stock and will resume shipping as soon as possible. Please accept our sincerest apology for any inconvenience.

We do understand how much of an impact this has as most of us employed @ RLC Labs, are hypothyroid and take our own product. Thus, we know and understand how important it is to get product back into the market place. We are grateful for your continued patience, patronage and support!

Feel free to contact our customer service department with any questions concerning this matter @ 877-797-7997.

Thank you from all of us @ RLC Labs, Inc.

7 reasons you’re gonna love Forest Pharmaceuticals (told ya so)

Now being announced on the Forest Pharm hotline at 866-927-3260, the following strengths of Armour are now completely available again:

1) 15 mg. (1/4 grain)
2) 30 mg. (1/2 grain)
3) 60 mg. (one grain)
4) 120 mg. (2 grains)
5) 180 mg. (3 grains)
6) 240 mg. (4 grains)
7) 300 mg. (5 grains)

Yessiree, the above represent the different size and strength tablets of natural desiccated thyroid via the Armour brand, most of which had been unavailable for quite awhile. The 90 mgs is still on backorder.

Rejoice!

P.S. And we thank RLC Labs for their continued availability of Naturethroid and Westhroid, plus Sriprasit Pharma Co., Ltd. in Thailand for their Thyroid-S.   Because no matter how hard any pharmaceutical company, Endocrinologist, certain hospitals,  or group of physicians (see below) tries to sing the praises of T4 treatment with Synthroid, Levoxyl, Levothyroxine, Eltroxin, Norton for thyroid disorders or hypothyroid….WE KNOW BETTER.

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