(Note: this page was writ­ten when most of us around the world were on Forest Labs “Armour”, and when we found we could do it sublin­gually.  But as of 4 – 09, Armour was “newly for­mu­la­ted”  and it became chalky, gritty and almost impos­si­ble to dis­solve under the ton­gue (besi­des inef­fec­tive, say many patients).  So patients have tur­ned to the Cana­dian ver­sion of desic­ca­ted thy­roid by Erfa,  called “Thy­roid”.  It still has the sweet taste and can be done sublin­gually.  Or, with other brands, you can crush the tablet and put it under the ton­gue. Adding a touch of sugar under the ton­gue with the pill helps. But it’s all enti­rely up to you whether you swa­llow or do it sublingually.)


Yes, you can swa­llow natu­ral desic­ca­ted thy­roid and get exce­llent results. It works. But, doing your desic­ca­ted thy­roid SUBLINGUALLY has real bio­lo­gi­cal bene­fits that swa­llo­wing does not.

First, it’s direct and imme­diate, absor­bed into your bloods­tream via the millions of tiny capi­lla­ries that line your mouth and mucous membrane.

Addi­tio­nally, sublin­gual bypas­ses the aci­dic, des­tro­ying gas­tric action in your sto­mach where you can lose some of the thy­roid ingre­dients, besi­des bypas­ses the meta­bo­li­zing action of the liver. In other words, you get more of what you give your­self by doing the Armour sublin­gually rather than swallowing.

There are two glands that work well for sublin­gual methods of admi­nis­tra­tion: the Sublin­gual Gland (for which this method is named after) and the Buc­cal Gland. The Sublin­gual Gland is under the ton­gue, and because there is more saliva, the pill liqui­fies and results in a fas­ter admi­nis­tra­tion of thy­roid hor­mo­nes to your blood via the tiny capi­lla­ries. The Buc­cal Gland is loca­ted in the “mucous mem­brane” which lines the cheeks, and because there is less saliva, it pro­du­ces a slighly slo­wer admi­nis­tra­tion of your thy­roid meds. The lat­ter can be ideal to spread out the direct T3 over time in your body.

If your for­get your mor­ning dose of desic­ca­ted thy­roid, or simply want the effect more imme­dia­tely, under the ton­gue is the ideal spot. Or, if you want a much slo­wer admi­nis­tra­tion, bet­ween the cheek and lower gums is the tar­get spot. Lar­ger tablets can take at least 30 – 45 minu­tes to fully dis­solve buc­cally if you are inactive.

This doesn’t mean you CAN’T swa­llow your desic­ca­ted thy­roid and get bene­fits. You will get bene­fits! But if you do swa­llow it, make sure to avoid swa­llo­wing cal­cium, iron and estro­gen at the same time, since all will bind some of the thy­roid hor­mo­nes with they mix in your sto­mach. Swa­llo­wing desic­ca­ted thy­roid with food also slows the release of the thy­roid hor­mo­nes to your body – a plus since you might want to dis­tri­bute the direct T3 more slowly throughout the day.

Will you feel the dif­fe­rence bet­ween swa­llo­wing and doing it sublin­gually? Some folks who used to swa­llow it, and then switched to sublin­gual, sta­ted that yes, they defi­ni­tely noti­ced a dif­fe­rence, and some even had to lower their dose! Others may not notice a dif­fe­rence, but it doesn’t mat­ter. The posi­tive bio­lo­gi­cal facts of sublin­gual still are in effect, whether you notice it or not.

Want to order your own lab­work?? STTM has crea­ted the right ones just for you to dis­cuss with your doc­tor. Go here: https://sttm.mymedlab.com/

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