567. NDT or T4/T3? Breaking Down the Thyroid Medication Debate

What’s the best thyroid medication to be on — NDT, T4, T3, or a combination? And how do you actually know what’s right for your body? In this episode, I’m breaking down the nuanced art of thyroid optimization — from natural desiccated thyroid (like Armour or NP) to biosynthetic options such as Synthroid, Tirosint, and Cytomel. I explain why there’s no one-size-fits-all treatment, what to consider if you have Hashimoto’s, and how fillers, conversion issues, and reverse T3 can all impact how you feel. You’ll learn how to spot when your thyroid meds need tweaking, why “natural” doesn’t always mean better, and how to use your labs and symptoms together to guide your treatment. If you’ve ever felt confused about which thyroid medication is best or frustrated that your current dose isn’t working, this episode will give you the clarity, confidence, and questions to bring to your next appointment — so you can finally get the right combination, in the right dose, for you. Shop ALL of Dr.