Can you take t3 at night

He also prescribes desiccated thyroid, which comes from pig thyroid and has T 4 and T 3 in it. The T 3 , either when given alone or when given as part of desiccated thyroid, has a short half life, which means that it disappears form the body in a couple hours.

Therefore, if you take your desiccated thyroid, or your T 3 preparation, once a day in the morning, it is gone by the late afternoon and is certainly gone by the next morning. This will give you a period of hypothyroidism in the evening and next morning, and most people will feel worse on this. To overcome this problem, the T 3 , or the desiccated thyroid, needs to be given twice a day. The second dose is given in the mid-to-late afternoon and will be around in the evening, and some of it will still be around in the next morning in time for the next dose.

However, bedtime levothyroxine intake may be more convenient for patients and will therefore enable greater compliance. If a dose is missed on one day you can always take double the dose the next day.

If you take double the dose one day you can miss the dose the following day. In summary it is advised to take levothyroxine on waking with a glass of water half an hour before breakfast to maximize absorption.

In some people the timing may not be so important and the key thing is remembering to take the dose daily. Although every effort is made to ensure that all health advice on this website is accurate and up to date it is for information purposes and should not replace a visit to your doctor or health care professional. As the advice is general in nature rather than specific to individuals Dr Vanderpump cannot accept any liability for actions arising from its use nor can he be held responsible for the content of any pages referenced by an external link.

Thank you for taking the time to write such a detailed answer to my T3 timing question, I am impressed by the amount of new knowledge to explore on this site.

I am so grateful that some people are sharing this valuable information that can have a dramatic impact on quality of life. There was another book which helped me learn a lot about the daily rhythms of our bodies: The Circadian Code from Satchin Panda — which mentions that the SCN is indirectly connected to pituitary, adrenals and thyroid gland.

I will be experimenting with my T3 timings and check for improved metrics on my sleep tracker report which includes heart rate, heart rate variability, deep sleep and REM sleep.

Thanks for your reply Julien! Thanks for that book reference. However, later on, you mention you yourself are taking four to five daily T3 doses. Please explain this more fully. I took a dose every 4 hrs from a, a p, p, p in Winter. It worked out until I had to lower my dose for the summer, in June I notice none of these are middle-of-the-night, providing you an eight hour break for sleep between doses.

Thanks, Tania. Certainly the circadian cycle has a great deal to do with our dis-ease. If the overall average heart rate is creeping up significantly from my norm then I know that I need to reduce, especially in light of symptoms like slightly shaky legs when going down a flight of stairs. Hello thyroidpatientsca, what are the dosage amounts you take at each of those times?

Also, do you mean you take 5 doses 4 hours apart since the times you listed are not 5 hours apart? Thanks for pointing it out. Hello Julien, I have Hashimoto and conversion problems from the start. Now I take since 15 years mg of NDT in 8 doses throughout the day. This means that I rarely have a noticeable increase in t3. The main thing told me, Dr.

Herthoge in Belgium has to pay attention to his body temperature and then dose how he feels. When it gets very warm in summer, I decrease the dosage a little. Many greetings from germany Alex. Hi Alex, thank you for sharing your experience!

I will proceed with this extra temp check in the afternoon! When I was on T4 only, my T4 blood levels were on top of the range and I used to have an average basal temperature of I did a genetic test which revealed that I have a deiodinase 1 gene defect that is associated with low T3. I then requested to test T3, which had never been checked, and it was bottom of the range.

Now with 10mcg of T3 daily my morning temp is around I wish I knew this a decade ago but am so happy to feel better with some T3 now! I completed reading the CT3M book that Tania suggested and it was really helpful, I am now into another one from the same author called Recovering with T3.

Are they done in equal doses, and how many hours apart? I have trouble with taking too much NDT or T3 at any one time, so wonder if smaller more frequent doses would work for me.

I currently take NDT with very small T3 doses 3 times a day 5 hours apart. I will look at the Dr Herthoge site you recommended. Thank you. Dr Herthoge, who treats me, is a third generation endocrinologist. The recognized best endocrinologist in Europe. He himself has an underactive thyroid. So he knows exactly how it feels to have too little or too much hormones. He helped me and prescribed NDT for me. When other endocrinologists get their dr.

If you want take a look at his website or on Facebook. You can read his books about hormone , and you can ask him in about hormones in english and france. Then I fall back asleep. Previous to that, for seven years, I was dosed over the top of the reference range in T4 just to get enough T3 to keep afloat. However, even overdosed on T4 I still had hypo symptoms, like coldness, hoarse voice, lowered cognitive function, and vertigo but I was functional.

It greatly elevated my liver enzymes as well. My T4 levels were brought down to within the top of the range and my T3 levels drastically declined and I was debilitated for the next three years. Even then my Dr. I have reduced to 75mcg for one week and adding 5mcg of T3 around 4am with my Levo and 2. Not sure if I should alternate days between 88 and 75 or just sit on the 75mcg of Levo with 7,5mcg of T3 and see what happens.

Dear JrBorenz, thanks for sharing your experience. What you went through due to the dose reduction on Levothyroxine monotherapy sounds absolutely horrible. This misguided policy-backed decision stole away some of your most precious and vital hormone, T3. One decision based on upside-down biochemical priorities stole away three years of productive living. Yes 4AM sounds like a reasonable time to take your dose.

If it feels a bit heavy all at once you could try to spread it out, with 2. Alternating slightly different T4 doses every other day is a strategy that woks well in health for some people — I did it myself for many years on LT4 monotherapy. Thanks for your reply. I had a rare hurthle cell adenoma at 27 after my symptoms were ignored starting in my teens, which led to a partial thyroidectomy and overt hypothyroidism. It made sense after looking at the T3 circadian chart as to why the slumps occur when they do.

A light bulb goes off in my head when I read your articles. JBorenz, perhaps you could try even less T4 so that you can increase your T3. Over a few weeks ago I went T3 only. I just used the T3 circadian midnight peak schedule to create my own. My next dose is at 7am since I eat at am. Next dose is at 12pm with lunch at pm. Both of those doses are my smallest. Then I have another at 6pm which is my second highest dose.

The elevated heart rate was making me feel wonky. One day I took 75mcg and felt good but still low and then it wore off by 3pm and I was so tired. Thanks for the great article. JBorenz, Thanks for sharing your dose adjustments.