Free T3 peaks and valleys in T3 and NDT therapy

Lack of knowledge about Free T3 peaks and valleys contributes to failure and frustration in T3-based therapies, including desiccated thyroid and T3-T4 combination therapy. On patient support groups, I often see conversations that go like this: "My FT3 result was over reference range, FT4 low in range, and my TSH was low, so my doctor …

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Caution: Doctors perform T3-ectomies without our consent

We all know a "thyroidectomy" is the surgical removal of a thyroid gland. Nobody removes a vital gland without a patient's informed consent. If your medical system and doctor are ethical, you as a patient have the opportunity to weigh the risks and benefits of the procedure and give signed consent. We need to consider …

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Principles and Practical tips for Reverse T3, FT3, FT4

This post follows up on several recent posts on the topic of Reverse T3 (RT3) and our thyroid hormone conversion enzymes, the three deiodinases. Here I'm providing some practical tips about Reverse T3 testing, test interpretation, and where we should be focusing our attention. In these posts, I aim to improve thyroid therapy by debunking …

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The TSH-T3 disjoint in thyroid therapy

There's a deep lie behind today's TSH-based definition of "euthyroid" status and today's policies of TSH normalization in therapy. The lie is that the loss of the thyroid and the initiation of thyroid hormone dosing has NOT altered and skewed natural TSH-FT3-FT4 hormone relationships. Yes, thyroid disease and therapy DO alter and skew these functional …

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LifeLabs BC handout reveals thyroid testing policy failure

This week, a thyroid patient from British Columbia posted an image of a piece of paper handed to her at a LifeLabs laboratory. LifeLabs BC was using this paper leaflet to explain to her why "Free T3 and Free T4 will not be tested when the TSH is in reference range." THE LEAFLET GIVEN TO …

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Individual thyroid ranges are 38-68% the size of the lab reference range

We've known since at least 2002 that being within "normal range" is never good enough when it comes to thyroid hormone blood tests. An important set of articles has taught us that each human being has an optimal range for TSH, Total T4 and Total T3 that is far less the width of the population-wide …

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The Abbott Free T3 test kit recall of 2018-2019

Recently I came across the information about the Free T3 lab test assay kit recall by Abbott Laboratories announced in late 2018. The recall was initiated in October 2018 and the FDA record was published in February 2019. The reason they list is the potential for a mistakenly lower Free T3 test result. "Samples tested …

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