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Which is the best medication to control T3 and T4 levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am currently taking NP thyroid 90 mg. I started on 60 mg. Initially, I used 100 mcg of T4 medicine but still had some issues. Once I went to NP, the T3 seems to help, but once my T4 hormones dropped, I could feel some of my symptoms again.

Free T3 4.98 pg/mL. 1.58 - 3.91 pg/mL

Free T40.87 ng/dL. 0.70 - 1.48 ng/dL.

I want to know if my T3 levels are the way too high and if I need to lower my dosage and add extra T4 along with NP?

Answered by Dr. Rahul Ramji Kackar

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

You should decrease the dose of NP thyroid to 60 mg or shift back to Levothyroxine if you tolerate it well.

Patient's Query

Thank you doctor,

I agree, and it did feel like Levothyroxine worked fine. I tried to increase my dosage, but my primary would not do, so I am with my specialist now. He also would not go back to 60 mg either. I had a follow-up today with him.

Answered by Dr. Rahul Ramji Kackar

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

T3 is the functional hormone in the body but not T4. T4 gets converted to T3 to act, so you should get your T3 down. The aim should be to keep your TSH (thyroid stimulating hormone) between 2-3. Levothyroxine will get converted to T3 and get the T3 levels in range. Maintain good digestion. You can have some selenium and iodine supplements for three weeks or a diet that is good in these minerals. Do some breathing techniques like alternate nostril breathing without holding the breath in between and no forcible and jerky breathing. Also, do some yoga or stretching exercises followed by a dry rub with a rough towel of the body, including the neck and thyroid area.

Medically reviewed by Dr. Vinodhini J.
Published At January 26, 2021
Reviewed At July 8, 2024

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Rahul Kackar, MD, is an Internal Medicine specialist with expertise in diabetes management, lifestyle diseases, and anti-aging medicine. He holds certifications in Endocrinology and IV therapy and is committed to delivering holistic, patient-centered care. With a focus on preventive health and personalized treatment plans, Dr. Kackar integrates medical science with lifestyle optimization to help patients achieve long-term wellness and improved quality of life.

This doctor is not available for online consultations on the platform anymore.

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