is_wizer said:
Look guys I'm not trying to start an arguement but I do appreciate all the input.. I just want to know if i can use t4 for a short period of time until my pharmacist gets the T3 in.. It's a mistery to me why T4 is so readily available if its such an obsolete drug and T3 is much harder to get my hands on.
Make sense??
There's a couple of problems here:
1) It is quite likely that everything Windigo is saying about his personal experience is TRUE but irrelevant.
2) Einstein 1905 is accurate in his assessment but it is definitely relevant.
The problem with Windigo's perspective is that there are MULTIPLE causes of hypothyroidism but we do not treat them identically. Thyroid, pituitary, and hypothalamic dysfunction can ALL cause clinical hypothyroidism. If it is appropriate to treat a particular form of hypothyroidism with synthetic thyroid, T3 (Cytomel) or T4 (Synthroid), then the choice is made based on the relative merits . . . not on suppression of thyroid. If a doctor is worried about suppressing the thyroid then they would NOT use ANY synthetic thyroid hormone.
The primary determinant in choosing a therapy is often cost. Synthroid is dirt cheap while Cytomel costs 5x more at clinically equivalent doses.
Several conditions are downright confusing. In sick euthyroid syndrome, T4 and T3 are low, TSH is normal, and there are NO clinical signs of hypothyroidism. In pregnancy, the proteins that carry thyroid hormone are upregulated. As these proteins bind up more hormone . . . the hypothalamus senses LESS hormone so it bumps up the production of T4 which is subsequently converted to T3. TBG (thyroxine binding globulins) are an integral part of thyroid regulation. So pregnant women have excess T4 and excess T3 but it doesn't matter b/c the excess TBG keeps FREE levels of these hormones close to normal.
Another factor is reverse T3 (rT3) which is biologically inactive but it's production is often comparable to T4 levels (so if you bump up T4 you will produce more rT3 from it).
http://www.drlowe.com/QandA/askdrlowe/thymetab.htm (accurate, concise explanation but does not address Windigo's contention that T4 inhibits the HPT axis more than T3)
The take home messages:
1) Synthetic thyroid hormone works but just like other forms of gear you are tinkering with a system that Mother Nature spent millions of years perfecting. It is highly unlikely that ANY particular drug will permanently damage the axis but I would treat T4/T3 more like insulin . . . ie you really need to know what you are doing . . . the margin for error between a good outcome and big time fudge up is far from idiot proof.
2) Your body will respond to exongenous thyroid hormone. T4 (Synthroid is cheap and effective) while T3 (Cytomel is more expensive and effective). A good comparison is codeine (T4) and morphine (T3). The liver whacks off a methyl group from codeine to produce morphine. You can take morphine or 3x as much codeine. The negative and positive consequences are a function of the active substances regardless of how you got there . . . but like all medicine there are ALWAYS caveats.