Summary

Thyroid deficiency occurs when the thyroid gland underproduces the hormones thyroxine (T4) and triiodothyronine (T3) needed to regulate the body's metabolic rate. In some individuals, the thyroid does not properly convert T4 to T3, the metabolically active form. Suggested supplements and their dosages follow:

1. Synthetic hormone like Thyroxine (synthetic T4).
2. Natural synthesized Thyroid USP, a combination of T3 & T4.
3. T3 ( Tri-iodo thyronine or Lio-thyronine)
4. Iodine, 1 mg per day.
5. Tyrosine, 500 to 1000 mg per day.
6. Melatonin, 3 mg at bedtime.
7. Mega Soy Extract, 1 capsule, 2 times a day.
8. DHEA, 25 mg 1 to 3 times a day .
9. A good supplement containing vitamin A, vitamin B complex, magnesium, manganese, selenium, and zinc, to be considered.

Treatment Modalities

Nutritional:

• Tyrosine
• Vit C, B6, B2, B3
• Zinc
• Iodine
• Essential fatty acids
• Selenium, etc

Hormonal :

• DHEA – 25mg to 75mg daily
• Melatonin – 3mg at bedtime
• T4 – e.g. Thyroxine – 25ug to 200ug daily
• T3 – e.g. 2.5ug – 42ug daily (see wilsons protocol), or a maintainance dose of 2.5 to 7.5ug daily
• Thyroid USP – a natural synthesized porcine derived bio-identical combination of T3 & T4 prescribed in the following strengths
  • 0.5grain /32.5mg capsules (100 caps = $37.00 approx) Dosage of 1 capsule daily.
  • 1grain/ 65mg capsules (100 caps= Price on request)
  • 2grain/130mg capsules ( 100 caps= Price on request

Compounded Medicines from Dartnell’s Pharmacy

• T3 (Lio-thyronine or Tri-iodo-thyronine ) is available to be compounded in a capsule or Slow release capsule in various strengths. Useful for Wilsons syndrome & dosage monitored by temperature changes. More info is available on www.wilsonssyndrome.com or www.thyroid.about.com
• Thyroid USP , a natural synthesized porcine derived thyroid hormone is available to be compounded in mg or grain strengths e.g. 32.5mg thyroid capsules or 65mg thyroid capsules, etc.
• Some really good references are Thyroid Solutions by R. Arem or Thyroid Power by R.Shames.
• DHEA is available to be compounded in one of many dosage forms (pending DHEA pathology results)