Some people do really well on Synthroid but terribly on NDT, while some people are not helped at all by Synthroid and need that T3. But so many endocrinologists won't even consider NDT hormone. I can't tell you how many message boards I've been on where people say they are doing great on Synthroid while others aren't being helped by it at all, and for many of those people, their docs flat out refuse to give them a prescription for NDT. And the story always ends with them finally finding an endocrinologist who will actually facilitate the desiccated hormone for them. What bothers me is that it's not even an option for so many doctors. And when the AACE came out with new guidelines as to when someone should be considered deficient, it took like 10 years before you could find an endocrinologist who would actually go by the new guidelines. So here you are, unable to hold down a job much less get off the couch to walk across the room because you're so freaking exhausted, but you don't need thyroid medication because your levels are fine! It was a complete shit show that I had to live through. I wasn't as bad off as so many other people, but I couldn't drive in the afternoons because I'd fall asleep at the wheel. Btw, the days of NDTs not being consistent dosage wise is basically pharma speak to get one to not use the cheaper, natural drug and to buy theirs. It's been used for over a 100 years, so there definitely was a time when dosage was all over the place, but not today! But you'll still hear some (not all) endocrinologists say that.
And speaking of never seeing an actual doctor.... we have quite the racket going here in SUNNY Florida. The ticket is to open a dermatology practice and then hire 10-15 PAs to work "under you" in separate locations as far and wide as possible. Their main priority is the punch biopsy to rule out skin cancer. The PA sees 8 suspicious spots and performs those lucrative biopsies, most of which are overkill (we have quite a few practices that are known to be "overly aggressive"
. If any of them come back positive for cancer, the lone "MD" can perform the surgery when she makes her once a month visit to that location, assuming the PA can't handle things, or you can make the trip to the main office 3 counties over if you don't want to wait. It really is quite the lucrative set up.
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