Dr. Kepal Patel

Well, not necessarily hyperthyroidism per se, but you can get iodine toxicity for sure. And so you do have to be careful, right? I mean, depending on how much fish you eat, not just iodine, but you can get mercury toxicity as well, which is even more dangerous. So you got to be a little careful. But no, I think, look, the bottom line is a healthy diet, right?

Well, not necessarily hyperthyroidism per se, but you can get iodine toxicity for sure. And so you do have to be careful, right? I mean, depending on how much fish you eat, not just iodine, but you can get mercury toxicity as well, which is even more dangerous. So you got to be a little careful. But no, I think, look, the bottom line is a healthy diet, right?

Well, not necessarily hyperthyroidism per se, but you can get iodine toxicity for sure. And so you do have to be careful, right? I mean, depending on how much fish you eat, not just iodine, but you can get mercury toxicity as well, which is even more dangerous. So you got to be a little careful. But no, I think, look, the bottom line is a healthy diet, right?

You know, good amount of fruits and vegetables and meats and fish. And I think, you know, you should be fine.

You know, good amount of fruits and vegetables and meats and fish. And I think, you know, you should be fine.

You know, good amount of fruits and vegetables and meats and fish. And I think, you know, you should be fine.

What's the deal? So you're right about both of them. Most of us really prefer using levothyroxine, which is the brand name of Synthroid, but levothyroxine is the synthetic T4 hormone. And I think the reason behind that, it's easy to test. It's easy to regulate. It's a known quantity that you're giving them, the patients, so that we know exactly what the patients are getting.

What's the deal? So you're right about both of them. Most of us really prefer using levothyroxine, which is the brand name of Synthroid, but levothyroxine is the synthetic T4 hormone. And I think the reason behind that, it's easy to test. It's easy to regulate. It's a known quantity that you're giving them, the patients, so that we know exactly what the patients are getting.

What's the deal? So you're right about both of them. Most of us really prefer using levothyroxine, which is the brand name of Synthroid, but levothyroxine is the synthetic T4 hormone. And I think the reason behind that, it's easy to test. It's easy to regulate. It's a known quantity that you're giving them, the patients, so that we know exactly what the patients are getting.

From a physician standpoint, it's an easier drug to manage, levothyroxine. The flip side to that is that it is synthetic. Most patients tolerate it beautifully. I mean, we're talking about a very small subset of patients that don't tolerate thyroid hormone. I would say 95% plus, they take their Synthroid once a day and they're totally fine.

From a physician standpoint, it's an easier drug to manage, levothyroxine. The flip side to that is that it is synthetic. Most patients tolerate it beautifully. I mean, we're talking about a very small subset of patients that don't tolerate thyroid hormone. I would say 95% plus, they take their Synthroid once a day and they're totally fine.

From a physician standpoint, it's an easier drug to manage, levothyroxine. The flip side to that is that it is synthetic. Most patients tolerate it beautifully. I mean, we're talking about a very small subset of patients that don't tolerate thyroid hormone. I would say 95% plus, they take their Synthroid once a day and they're totally fine.

But there are a percentage of patients in whom they don't do well. And the other formulation, as you were mentioning, is this natural desiccated pig thyroid, which is a combination of T3 and T4. So it's not just T4, which leave with thyroxine. So I think some patients do feel a little bit better with that extra T3 as far as, you know, feeling kind of like I feel normal again.

But there are a percentage of patients in whom they don't do well. And the other formulation, as you were mentioning, is this natural desiccated pig thyroid, which is a combination of T3 and T4. So it's not just T4, which leave with thyroxine. So I think some patients do feel a little bit better with that extra T3 as far as, you know, feeling kind of like I feel normal again.

But there are a percentage of patients in whom they don't do well. And the other formulation, as you were mentioning, is this natural desiccated pig thyroid, which is a combination of T3 and T4. So it's not just T4, which leave with thyroxine. So I think some patients do feel a little bit better with that extra T3 as far as, you know, feeling kind of like I feel normal again.

I feel like I have my energy levels back because you're getting T4 and T3.

I feel like I have my energy levels back because you're getting T4 and T3.

I feel like I have my energy levels back because you're getting T4 and T3.

And so there's no right or wrong answer to this, honestly. It's a lot of it that just deals with what the patient feels best taking. But there are two camps. With the natural desiccated pig thyroid, it's hard to know exactly how much hormone you're taking in because it comes in granules. And you don't know exactly how much hormone is in each granule per se. So it's not as well kind of calibrated.

And so there's no right or wrong answer to this, honestly. It's a lot of it that just deals with what the patient feels best taking. But there are two camps. With the natural desiccated pig thyroid, it's hard to know exactly how much hormone you're taking in because it comes in granules. And you don't know exactly how much hormone is in each granule per se. So it's not as well kind of calibrated.