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American Laboratories continues to work hard at production.

ALIOn the August 19th blog post, you can read about the only North Ame­ri­can manu­fac­tu­rer of natu­ral por­cine desic­ca­ted thy­roid called Ame­ri­can Labo­ra­to­ries (ALI). ALI sells to dis­tri­bu­tors who in turn pack it up in sma­ller quan­ti­ties which go to those who create desic­ca­ted thy­roid products.

I just got off the phone again from Kenny Soe­joto, the Chief Ope­ra­ting Offi­cer at ALI.  And the news couldn’t be bet­ter.  ALI is wor­king hard to catch up and is currently ship­ping to all their cus­to­mers.  Yes, they are still in a bac­kor­der situa­tion due to demand being grea­ter than supply in 2009, but work is in pro­gress, ship­ments are being made to all, and they hope to see some major catching-up in two months or so.

And his most impor­tant com­ment? “If we had FDA issues, we wouldn’t be pro­du­cing”. i.e. everything is going fine. :)

In the mean­time, there seems to be two areas of suc­cess right now with get­ting your desic­ca­ted thy­roid presc­rip­tion filled:  from Cana­dian phar­ma­cies, and from Com­poun­ding phar­ma­cies.  Hang in there. We’ll get past this.

Join us next Fri­day for our next thy­roid patient Com­mu­nity Call via Talk Shoe. See the blog post right below this for infor­ma­tion.  Below that is infor­ma­tion about the Coa­li­tion for Natu­ral Desic­ca­ted Thy­roid, an inde­pen­dent group wor­king along­side Mary Shomon’s efforts, as well.

*Want to be infor­med of these blog posts? Curious what’s on Janie’s mind? Just use the Noti­fi­ca­tions on the left below the links.

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  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

Erfa’s Canadian “Thyroid” — more details

erfathyroidOn my August 26th blog post below, I repor­ted good infor­ma­tion about US patients being able to use their doctor’s presc­rip­tion to order the Cana­dian ver­sion of natu­ral desic­ca­ted thy­roid called simply “Thy­roid” by Erfa.

And here’s more:

In each Erfa 30 mg tablet embos­sed “ECI 30”, there is 18 mcg. of T4 and 4 mcg. of T3;

In each Erfa 60 mg tablet embos­sed “ECI 60”, there is 35 mcg. of T4 and 8 mcg. of T3;

In each Erfa 125 mg tablet embos­sed “ECI 125”, there is 73 mcg. of T4 and 17 mcg. of T3.

Erfa’s very friendly and help­ful Medi­cal Direc­tor, Henri Knafo, MD, sta­tes that they follow the USP (Uni­ted Sta­tes Phar­ma­co­poeia) spe­ci­fi­ca­tions. But  I do see some slight dif­fe­ren­ces.  The USP spe­ci­fi­ca­tions ratio for one grain that we are used to in the US is 38 mcg. T4 and 9 mcg T3, i.e 38/9.  The above ratio is 35/8.

Like­wise, US patients are used to 2 grains of 120 mgs having 76 mcg of T4 and 18 mcg of T3, i.e. 76/18.  In Erfa’s medi­ca­tion of 125 mg, you will get a ratio of 73/17. I don’t know if this will make much of a dif­fe­rence but want you to be aware as you work to adjust Erfa’s desic­ca­ted thy­roid to the treat­ment you were used to.

Knapo hap­pily sta­tes that most all “Thy­roid” is making it across the bor­der to the sta­tes without issue.  You will need your doctor’s presc­rip­tion. And by the way, Erfa’s Thy­roid is manu­fac­tu­red in Bel­gium, plus they have a huge supply of desic­ca­ted powder.

Erfa is also wor­king with IDIS to get Thy­roid to others. You can read about them here.

Need a doc­tor to work with who will pro­vide a presc­rip­tion for your nee­ded desic­ca­ted thy­roid? There are a gro­wing body of  good doc­tors out there.  We also have a good list of  Cana­dian phar­ma­cies you can con­si­der using during the current shortages.

I have also recei­ved word from a gal that the FDA docu­ment 1572, a fede­ral form that FDA requi­res for over-the-border move­ment, has not always been used, and Erfa’s medi­ca­tion is arri­ving fine. i.e. the FDA may be tole­ra­ting it.

*Want to be infor­med of this infor­ma­tive posts? Curious what’s on Janie’s mind? Use the Noti­fi­ca­tions on the left at the bot­tom of the links.

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  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

American Association of Health Freedom has reported on this situation

AAHFBefore I post this, I want to remind ever­yone that as I am wri­ting this, the FDA has not made an offi­cial sta­te­ment con­cer­ning desic­ca­ted thy­roid, and I want to avoid exces­sive fear mon­ge­ring and undue spe­cu­la­tion by unders­co­ring that.

But with that being cla­ri­fied, the Ame­ri­can Asso­cia­tion of Health Free­dom (AAHF) has just today issued an article about the desic­ca­ted thy­roid shor­tage that you might find of interest.

Con­cer­ning Time Caps Labs and being told to cease pro­duc­tion, the article sta­tes:  The FDA has deci­ded to clas­sify the company’s pro­duct, avai­la­ble for over a cen­tury, as an unap­pro­ved new drug.  Since the new drug appro­val pro­cess is prohi­bi­ti­vely expen­sive for a non-patentable subs­tance, the FDA is in effect ban­ning the natu­ral pro­duct.  The pur­pose?  Pre­su­mably to pro­tect the pro­fits of other, infe­rior drugs that have been FDA approved.

And I espe­cially appre­ciate this com­ment: As famed phy­si­cian Dr. Jonathan Wright obser­ves:  “Natu­ral thy­roid has never killed or seve­rely har­med anyone since its first use in the 1890s, prior to the FDA itself. It is a mains­tay not only in the treat­ment of hypothy­roi­dism but also in ‘healthy aging’ the­rapy. That the FDA should even be thin­king of requi­ring a new drug appro­val for a safe, 100 plus year old natu­ral treat­ment is outrageous.”

Kudos and appre­cia­tion from all thy­roid patients go to Dr. Jonathan Wright, besi­des AAHF for giving ack­now­ledg­ment of this issue!

Bet­ter treat­ment with Desic­ca­ted Natu­ral Thy­roid has been my main focus as a thy­roid patient acti­vist since 2003 and with great con­vic­tion.  I and millions of others whom this web­site and book repre­sent know how GOOD this medi­ca­tion is and we defi­ni­tely appre­ciate this kind of sup­port. :)   Yes, millions of us have had our lives change ten-fold thanks to this safe and effec­tive 110 year old medi­ca­tion. You can read just a touch of those chan­ged lives on the Sto­ries of Others page.

In their Over­view, the AAHF explains:

The Ame­ri­can Asso­cia­tion for Health Free­dom (AAHF), currently in the pro­cess of mer­ging with the Alliance for Natu­ral Health (ANH), is part of an inter­na­tio­nal orga­ni­za­tion dedi­ca­ted to pro­mo­ting sus­tai­na­ble health­care and free­dom of choice in health­care through good science and good law. We pro­tect the right of natural-health prac­ti­tio­ners to prac­tice and the right of con­su­mers to choose the health­care options they pre­fer.  Since 1992, we have wor­ked to shift the medi­cal para­digm from an exc­lu­sive focus on sur­gery, drugs and other con­ven­tio­nal tech­ni­ques to an “inte­gra­tive” approach incor­po­ra­ting food, die­tary sup­ple­ments and lifestyle chan­ges. This is the way to improve health and extend lives while redu­cing the costs of health­care back to a sus­tai­na­ble level.

You can read more on their Over­view by clic­king the link above. And if you need to com­mu­ni­cate with anyone, pro­vide facts and all your con­cerns to your con­gress­per­sons.   Here’s a tem­plate let­ter to use or change, and there are other good ones cir­cu­la­ting in many good thy­roid or face­book groups and forums out there.

P.S. Dr. John C. Lowe has also pro­vi­ded a very infor­ma­tive and well-reasoned edi­to­rial per­tai­ning to our current shortages.

*Want to be infor­med about my blog posts? Curious what’s on Janie’s mind? Use the Noti­fi­ca­tions on the left right below the links.

*STTM t-shirts are 50% off. I love sales!


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

Another interesting reply to a patient by the FDA

fdaimageAs thy­roid patients are not only in angst about a com­plete shor­tage of desic­ca­ted thy­roid in the US, we all have ques­tions and con­cerns about out future with no defi­ni­tive answer.

For exam­ple, we won­der if the FDA may be  requi­ring cli­ni­cal stu­dies from phar­ma­ceu­ti­cals who make desic­ca­ted thy­roid to prove that it’s safe and effec­tive (in spite of the fact that patients have been using it safely and effec­ti­vely for 110 years.  Nope, we don’t count. Ama­zing, isn’t it?) And we won­der: if stu­dies are requi­red, will they be able to afford the stu­dies, which are quite expen­sive? Will desic­ca­ted thy­roid con­ti­nue to be avai­la­ble while the stu­dies go on? And more uncom­for­ta­ble questions.

The FDA recently replied to a ques­tion by thy­roid patient Cathe­rine when she asked about the shor­ta­ges and here’s their reply:

Dear Cathe­rine:

Thank you for wri­ting the Divi­sion of Drug Infor­ma­tion, in the FDA’s Cen­ter for Drug Eva­lua­tion and Research.

We unders­tand your con­cerns regar­ding the avai­la­bi­lity of natu­ral desic­ca­ted thy­roid pro­ducts.  FDA has NOT taken class action against unap­pro­ved thy­roid pro­ducts resul­ting in a shor­tage.  If a com­pany dis­con­ti­nues manu­fac­tu­ring of an unap­pro­ved pro­duct, that is a busi­ness deci­sion made by the company.

Please refer to the ASHP Shor­ta­ges web­site for a lis­ting of desic­ca­ted thy­roid pro­ducts that remain avai­la­ble:
http://www.ashp.org/Import/PRACTICEANDPOLICY/PracticeResourceCenters/DrugShortages/GettingStarted/CurrentShortages/Bulletin.aspx?id=459

We have con­tac­ted the com­pa­nies and RLC (manu­fac­tu­rer of West-Throid and Nature-Throid) is in bac­kor­der for all strengths and pro­ducts for the next 90 days.

Major has the 60mg and 120mg avai­la­ble of their “gene­ric” desic­ca­ted thy­roid pro­duct.  They report inc­rea­sed demand as the rea­son for their bac­kor­der for the other strengths.

Forest reports they have the 120mg, 240mg, and 300mg strengths avai­la­ble for their Armour Thy­roid pro­ducts and they report inc­rea­sed demand as the rea­son for the bac­kor­der on their other strengths.

If you and your health­care pro­vi­der deter­mine that one of these thy­roid pro­ducts is appro­priate for you, you can pro­vide the NDC num­bers lis­ted on the ASHP web­site for these pro­ducts to your phar­ma­cist so they can order for you.

Best regards,
Drug Infor­ma­tion SH
Divi­sion of Drug Infor­ma­tion
Cen­ter for Drug Eva­lua­tion and Research
Food and Drug Administration

The inte­res­ting thing about the above is that it implies that Major Phar­ma­ceu­ti­cals is just on bac­kor­der, which goes com­ple­tely against what patients have repor­ted elsewhere.  What’s going on there? Are they using old know­ledge? And the lar­ger sizes of Armour? Is anyone fin­ding that at the phar­ma­cies right now? Very curious. Inte­res­ting the com­ment about RLC, the makers of Natu­reth­roid.  And the link to shor­ta­ges is inte­res­ting, though from the end of July.

Wha­te­ver the ans­wers are, if you need a treat­ment to get you through this dif­fi­cult time, here are options for thy­roid treat­ment. And it still may be a very good idea to inform your con­gress­per­sons of our situation…just in case. See my blog post below.

*Want to be infor­med of these blog  posts? Curious what’s on Janie’s mind? Use the Noti­fi­ca­tions on the left below the links.

*STTM t-shirts are 50% off! I love sales.


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

The gnarly man and what we can do in the face of this crisis

ogre

There once was a gnarly, bottom-scratching and tuna-breathed man who terro­ri­zed a neigh­borhood as if he was above the law. He inti­mi­da­ted peo­ple, used threats to stop others from telling the truth about his actions, and he moo­ned his hairy but­ta­mous to anyone he didn’t like. He brought other cri­mi­nals into his large house, took bri­bes to do some of their own dirty work, and stole every sin­gle vege­ta­ble and fruit from all his neigh­bors gardens.

Finally, all the fear­ful, frus­tra­ted and hungry neigh­bors got angry, sick and tired of it all. So they sent him emails, let­ters and phone calls, asking him to stop what he was doing, and explai­ning how he was hur­ting their lives and well-being,  and spe­cu­la­ted how he was going to do this or that.

And do you think he stop­ped doing what he always did?

Finally, the neigh­bors got wise. They reached out to the police, to local radio and TV sta­tions, to the news­pa­per, and even to local poli­ti­cal lea­ders.  They sta­ted the facts as they knew them, how spe­ci­fic actions affec­ted their lives, how they had spe­cu­la­tions that they couldn’t prove but were quite uncomfortable…and they made sure ever­yone knew what was going on to get the help and sup­port they nee­ded. 

********************************

For over 100 years, thy­roid patient lives have made a huge and posi­tive turn-around on natu­ral por­cine desic­ca­ted thy­roid, a supe­rior, safe, and effec­tive medi­ca­tion as expres­sed by all our lives for over a cen­tury.  But today, we face a crisis.

The most popu­lar desic­ca­ted thy­roid brand, Armour, was refor­mu­la­ted by 2009  and most patients repor­ted a return of their hypothy­roid symp­toms. Then, the only other major phar­ma­ceu­ti­cal, RLC Labs, has their qua­lity Natu­reth­roid and Westh­roid on bac­kor­der in August of 2009. The only North Ame­ri­can makers of the desic­ca­ted pow­der, Ame­ri­can Labo­ra­to­ries, is out.

And finally, the remai­ning two gene­ric makers, Time Caps Labs and Major Phar­ma­ceu­ti­cals, are told to cease pro­duc­tion by the FDA.

We are now without desic­ca­ted thy­roid other than the remai­ning 10 tablets there, or 5 tablets here. They will all be gone soon.

The facts we know are this: because of the 1962 “Drug Effi­cacy Amend­ment”, the FDA is sud­denly deman­ding phar­ma­ceu­ti­cal drug manu­fac­tu­rers (with medi­ca­tions which have been used suc­cess­fully for 80 – 110 years) pro­vide proof of the effec­ti­ve­ness and safety of their drugs before they can receive true FDA appro­val, aka poten­tial cli­ni­cal trials and the data that results. i.e. 110 years of patient suc­cess, and a web­site like Stop the Thy­roid Mad­ness, and tes­ti­mo­nies all over the net and in patient groups with desic­ca­ted thyroid…is somehow…just…not…enough.  What is obvious, is not enough.

In other words, they want proof of effi­cacy and safety of desic­ca­ted thy­roid — a medi­ca­tion which has a safe and effec­tive track record in a huge body of patients for 110 years…in the same way they give an FDA-stamp-of-approval on a whole variety of drugs which, in 2004, killed 783,936 indi­vi­duals per year (accor­ding to the article Death by Medi­cine, co-authored by By Gary Null, PhD; Carolyn Dean MD, ND; Mar­tin Feld­man, MD; Debora Rasio, MD; and Dorothy Smith, PhD).

Does THAT make any sense to you?

And now, because there is hint that they may require RLC Labs to apply for a New Drug Application…and because we won­der if that will mean expen­sive and drawn out cli­ni­cal tes­ting to pro­vide data…and because we won­der if they will allow RLC to con­ti­nue manu­fac­tu­ring our only good supply of desic­ca­ted thy­roid which saves our lives in a com­ple­tely healthy way…we are left with a lot of uncom­for­ta­ble and unans­we­red questions.

Of course, we can admit that all the above is pure spe­cu­la­tion. We don’t know what will hap­pen until it hap­pens. But we are strongly uncom­for­ta­ble with the unk­nowns, frus­tra­ted by the pos­si­bi­li­ties, and sca­red to death we might lose the only medi­ca­tion which has remo­ved our lin­ge­ring and debi­li­ta­ting symp­toms while we were once on synthe­tic T4 – aka Synth­roid, Levoxyl, levothy­ro­xine, etc.

And by the way, synthe­tic T4 is an FDA-approved medi­ca­tion which has left most of us sick or with lin­ge­ring symp­toms to our own degree and inten­sity for YEARS. Perhaps THAT is what you need to write the FDA about.

So do we email the FDA about this situa­tion?? I am of the belief that writing/emailing the FDA is no dif­fe­rent than asking the neigh­borhood ogre to change.  I could be wrong, but it is my deep sus­pi­cion. In fact, I am sus­pi­cious that the ons­laught of com­mu­ni­ca­tion with the FDA is going to do more harm than good…if it hasn’t already…just as wri­ting and emai­ling the neigh­borhood ogre would pro­bably cause him to laugh and do even MORE harm.

So what seems the best and most logi­cal action to take with our current situa­tion? Write/email your sena­tors. Write/email your repre­sen­ta­ti­ves. Write/email news­cas­ters, talk show hosts, radio per­so­na­li­ties, news­pa­pers of merit, and anyone who has the power to spread the word. In my mind, we can­not expect to face what may be with power unless we inform the world of our plight ahead of time.

How to say what we need to say? I think, for our inte­grity in the eyes of whom we speak/email/write to, it’s impor­tant to state facts first and fore­most. For me, if I need to men­tion spe­cu­la­tion, I turn them into ques­tions: Will RLC be able to afford cli­ni­cal trials? Will the FDA stop all desic­ca­ted thy­roid? You may not agree but that’s what seems wise for me.

I have com­pi­led a list of par­ti­cu­lar con­gress­per­sons who just last year, made a reso­lu­tion against the FDA. You will see a list of those sup­por­ters at the bot­tom of the page with their con­tact info. Email them.  You will also find links to con­tact each and every other poli­ti­cal office. If I have mis­sed something, let me know and I’ll add it.

I have also com­pi­led a sim­ple tem­plate let­ter you can use, or change exactly as you need it chan­ged, for these emails.  It will not fit every sin­gle indi­vi­dual who uses it, so change it as you may. But keep it short and suc­cinct. Too much to read will turn off the reader.

I have tried hard in this post to com­mu­ni­cate my thoughts and intui­tion. I also still have some strong hope and faith that this IS going to work out, one way or the other. I’m just not into fear-mongering based on spe­cu­la­tion.  Some of you may not agree with my sen­ti­ment, but that’s okay. And some of you may agree that it’s time to strongly com­mu­ni­cate with our con­gress­per­sons, and I will hope you follow through. All of us need to follow through. I need to follow through. You need to follow through.

NEED OPTIONS FOR THYROID TREATMENT during this hard time? Go here. You’ll also find seve­ral Cana­dian Phar­ma­cies to use with a presc­rip­tion, as well, that is much easier than orde­ring directly from Erfa.

NEED A GOOD DOCTOR? Go here.

NEW TO DESICCATED THYROID? Here’s everything patients have lear­ned.

*Want to be infor­med of this blog posts? Curious what’s on Janie’s mind? Use the noti­fi­ca­tions on the left below the links.

*Spread the word! STTM T-shirts are 50% off. I love sales.


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.
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