Desiccated thyroid: dosing, timing and what to expect
Porcine thyroid containing both T4 and T3 at a fixed ratio. Preferred by a vocal community minority; endocrinology guidelines still favour levothyroxine.
Also known as Armour Thyroid, NP Thyroid, ERFA Thyroid, NDT
Desiccated thyroid quick start
- Route
- Oral
- Typical dose
- Physician-set, in grains (60 mg = 1 grain)
- Frequency
- Daily, empty stomach
- Half-life
- Mixed — the T3 component acts within hours, the T4 over days.
- Cycle
- Continuous under physician supervision.
How to run it
- How often
- Daily, empty stomach
- Cycle length
- Continuous under physician supervision.
- Half-life
- Mixed — the T3 component acts within hours, the T4 over days.
- Route
- Oral
What to expect
Most people tolerate Desiccated thyroid well. Here is what is worth knowing going in, so nothing catches you by surprise.
Known interactions
Interactions involving Desiccated thyroid's drug class that DoseIQ screens for. Each one cites where it comes from — an FDA label section or the published record — because an interaction warning you can't trace is just noise.
The whole GLP-1 class — semaglutide, tirzepatide, retatrutide — delays gastric emptying, which changes how narrow-margin oral drugs (thyroid, warfarin, the pill) absorb.
What to do: Keep timing consistent, and re-check the relevant lab (TSH, INR) a few weeks after starting or increasing the dose.
Source: FDA labels, GLP-1 class §7
Levothyroxine dosing tracks body weight — significant weight loss on any GLP-1-class drug commonly means the old dose becomes too high.
What to do: Re-check TSH after meaningful weight change rather than waiting for symptoms.
Source: Levothyroxine dosing guidance (weight-based)
Preparing it
This page is an educational research reference and is not medical advice. Dose figures reflect the published record and what the community has converged on — starting points to weigh, not instructions. Consult a qualified healthcare provider before starting any protocol.