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	<title>Stop The Thyroid Madness &#187; thyroid patients</title>
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	<link>http://www.stopthethyroidmadness.com</link>
	<description>Not just another Thyroid site</description>
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		<title>Is Cellulose the real problem in desiccated thyroid meds for many?</title>
		<link>http://www.stopthethyroidmadness.com/2009/11/11/is-cellulose-the-real-problem/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/11/11/is-cellulose-the-real-problem/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 23:27:42 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[shortages of desiccated thyroid]]></category>
		<category><![CDATA[acidophiles]]></category>
		<category><![CDATA[anti-diabetic]]></category>
		<category><![CDATA[antidepressant]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[carbamazepine]]></category>
		<category><![CDATA[cellulase]]></category>
		<category><![CDATA[cellulose]]]></category>
		<category><![CDATA[cholesterol-lowering]]></category>
		<category><![CDATA[compounded]]></category>
		<category><![CDATA[compounding]]></category>
		<category><![CDATA[cytomel]]></category>
		<category><![CDATA[erfa]]></category>
		<category><![CDATA[erfa's thyroid]]></category>
		<category><![CDATA[filler]]></category>
		<category><![CDATA[forest labs]]></category>
		<category><![CDATA[fruit]]></category>
		<category><![CDATA[generic t3]]></category>
		<category><![CDATA[giner]]></category>
		<category><![CDATA[guar gum]]></category>
		<category><![CDATA[heart function]]></category>
		<category><![CDATA[lanoxin]]></category>
		<category><![CDATA[liothyronine sodium]]></category>
		<category><![CDATA[lithium]]></category>
		<category><![CDATA[methyl celllulose]]></category>
		<category><![CDATA[microcrystalline cellulose]]></category>
		<category><![CDATA[mitral valve prolapse]]></category>
		<category><![CDATA[natural desiccated thyroid]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[oat bran]]></category>
		<category><![CDATA[paddock]]></category>
		<category><![CDATA[paddock's]]></category>
		<category><![CDATA[palps]]></category>
		<category><![CDATA[pectin]]></category>
		<category><![CDATA[penicillin]]></category>
		<category><![CDATA[plant fiber]]></category>
		<category><![CDATA[psyllium]]></category>
		<category><![CDATA[RLC labs]]></category>
		<category><![CDATA[statin]]></category>
		<category><![CDATA[statins]]></category>
		<category><![CDATA[stephanie buist]]></category>
		<category><![CDATA[stop the thyroid madness]]></category>
		<category><![CDATA[sttm]]></category>
		<category><![CDATA[sttm book]]></category>
		<category><![CDATA[sucrose]]></category>
		<category><![CDATA[sugar]]></category>
		<category><![CDATA[sunlingual]]></category>
		<category><![CDATA[sunlingually]]></category>
		<category><![CDATA[t3]]></category>
		<category><![CDATA[tegreto]]></category>
		<category><![CDATA[tegretol]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[tricyclic]]></category>
		<category><![CDATA[westhroid]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3928</guid>
		<description><![CDATA[When Forest Labs reformulated Armour earlier this year, they stated they increased the filler Microcrystalline Cellulose, and decreased the Sucrose (sugar). The tablets became impossible to do sublingually, and you have to wonder why they would change a quality that patients praised so heavily.  Positive opinion among patients for Forest Labs slipped several notches.
But the [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3933" title="cellulose" src="http://www.stopthethyroidmadness.com/wp/../images/cellulose.jpg" alt="cellulose" width="155" height="146" />When Forest Labs reformulated Armour earlier this year, they stated they <em><strong>increased the filler Microcrystalline Cellulose, and decreased the Sucrose (sugar).</strong></em> The tablets became impossible to do <a href="/sublingual/">sublingually</a>, and you have to wonder why they would change a quality that patients praised so heavily.  Positive opinion among patients for Forest Labs slipped several notches.</p>
<p>But the real cuckoo&#8217;s nest for many thyroid patients, who knew firsthand the life-changing benefits of <a href="/natural-thyroid-101/">natural desiccated thyroid</a>, was a maddening return of serious hypo symptoms on the new Armour and subsequent new stress on their adrenals, sooner&#8230;or later! You can read several horror stories in the comments of the post below, or go <a href="http://www.stopthethyroidmadness.com/2009/11/06/how-are-you-doing/">here</a>.</p>
<p>So patients turned to other alternatives: Naturethroid and Westhroid by RLC Labs&#8230;then when the desiccated thyroid shortages hit in the Fall of 2009, Erfa&#8217;s Thyroid, Compounded desiccated thyroid, and others. And there have been problems for some patients on most everything they switched to.  The LEAST problematic has been Erfa&#8217;s Thyroid, and the most problematic was Compounded.</p>
<p><strong><em>So what has been the common thread in </em><em>the most problematic desiccated thyroid products?</em> CELLULOSE, a plant fiber, and more commonly known by the trade name Avicel. And what does fiber do in your stomach?  Inhibits absorption.</strong><strong> Armour&#8217;s cellulose was raised, and bamm&#8230;problems.  Compounded desiccated thyroid, with cellulose as a filler, has been problematic for many patients with a return of hypo symptoms,  especially if  it was <a href="http://en.wikipedia.org/wiki/Methyl_cellulose">Methyl Cellulose</a>, a larger particle size product. But some have even had problems with compounded containing Microcrystalline Cellulose, the smaller cellular product. </strong><strong>And a certain body of patients even had problems with Naturethroid before it became scarce. And Naturethroid uses cellulose as a filler. </strong></p>
<p><strong>Is this problem true with T3-only products? </strong>Yup. Patients have noted that generic T3 is far less effective than the brand name Cytomel (both Liothyronine Sodium)  And what filler it up to 70% in the generic T3?  CELLULOSE.  See the percentages <a href="http://www.paddocklabs.com/forms/msds/Liothyronine%20MSDS.pdf">here</a> for Paddock&#8217;s generic T3. <strong><br />
</strong></p>
<p><strong>Why have less problems been reported with Erfa&#8217;s Thyroid?</strong> Perhaps because <em>it has no cellulose as a filler! </em>See <a href="http://www.stopthethyroidmadness.com/armour-vs-other-brands/">this list</a> of ingredients, which STTM has been working on lovingly for a few years. <em><br />
</em></p>
<p><strong>What does literature say about the use of Cellulose as a filler in medications?</strong> Plenty. Cellulose is from wood. Wood is fiber. And fiber in your gut affects absorption. From <a href="http://www.umm.edu/altmed/articles/fiber-000303.htm" target="_blank">http://www.umm.edu/altmed/articles/fiber-000303.htm</a> we get this:</p>
<blockquote><p>* Dietary fiber has been reported to lower the blood levels and effectiveness of tricyclic antidepressant medications&#8230;Reduced dietary fiber intake increased the blood levels and improved symptoms in these patients.</p>
<p>* While fiber supplements may help to regulate blood sugar levels, they may also interfere with the absorption of anti-diabetic medications&#8230;.Therefore, fiber supplements should not be taken at the same time as these medications.</p>
<p>* Taking soluble fiber such as psyllium with carbamazepine (Tegretol), a medication used to treat seizure disorders, may decrease the absorption and effectiveness of carbamazepine.</p>
<p>* Fiber in the form of pectin (from fruit) and oat bran reportedly reduces the body&#8217;s ability to absorb cholesterol-lowering medications known as &#8220;statins,&#8221;&#8230; and could lead to decreased effectiveness of these medications.</p>
<p>* Fiber supplements may reduce the body&#8217;s ability to absorb digoxin (Lanoxin), a medication used to regulate heart function.</p>
<p>* Clinical reports suggest that psyllium or other soluble fibers may lower lithium levels in the blood, reducing the effectiveness of this medication.</p>
<p>* In one clinical study, the fiber supplement guar gum reduced blood levels of penicillin.</p></blockquote>
<p><strong>Cellulose can clearly be a problem, especially when it&#8217;s ratio is too high as compared to the desiccated thyroid. So what can you do?</strong></p>
<p>If you are using a compounded medication, strongly request powdered <a href="http://www.nextdaysite.net/radiant7/What_Acidophilus_Does.pdf">acidophiles</a> as your filler.  One gal states her compounding pharmacy uses powdered Ginger (but beware of too much Ginger if you have Mitral Valve Prolapse. It can cause palps if you take too much&#8211;my experience).  See what other fillers your compounder can offer.</p>
<p>Another possibility is <strong><em>Cellulase</em>,</strong> an enzyme which helps the splitting and breakdown of cellulose, and which was proposed to me by Naturopathic student <a href="http://www.naturalthyroidchoices.com">Stephanie Buist</a>. Google &#8220;cellulase&#8221; and find supplements that contain it.  If it looks promising to you, I&#8217;ll be curious to read your experience with swallowing a cellulase supplement, then swallowing your problematic desiccated thyroid.</p>
<p>And leaning towards Erfa&#8217;s Thyroid can be a plus.</p>
<p><strong>Have other ideas or comments about Cellulose in our desiccated thyroid? Use the COMMENT function below and let&#8217;s talk!</strong></p>
<p><strong>**************************************<br />
</strong></p>
<p><em>*Want to be infor­med of these ‘fringe web­site’ blog posts?   <img src="../wp-includes/images/smilies/icon_wink.gif" alt=";-)" /> Curious what’s on radi­cal Janie’s mind? Just use the Noti­fi­ca­tions on the left below the links.<br />
</em></p>
<p><em> </em><em>* The extre­mely hip and sophis­ti­ca­ted <a href="../../2009/09/t-shirt/">STTM t-shirts</a> are half price! I love sales! Spread the word!<br />
</em></p>
<p><em> </em><em>* Pre­fer STTM in book form with more detail? You can read about it <a href="../../book/">here</a>.</em></p>
<p><strong><em>*Need options for thy­roid treat­ment during the current shor­ta­ges due to demand being grea­ter than supply? Go <a href="../../options-for-thyroid-treatment/">here</a>.</em></strong></p>
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		<slash:comments>23</slash:comments>
		</item>
		<item>
		<title>Glad to see some reason creeping in with thyroid patient discussion!</title>
		<link>http://www.stopthethyroidmadness.com/2009/09/09/reason-creeping-in-with-thyroid-patient-discussion/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/09/09/reason-creeping-in-with-thyroid-patient-discussion/#comments</comments>
		<pubDate>Wed, 09 Sep 2009 19:34:59 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[Coalition for Natural Desiccated Thyroid]]></category>
		<category><![CDATA[Patients]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[aace]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[big]]></category>
		<category><![CDATA[big mistake]]></category>
		<category><![CDATA[coalition for desiccated thyroid]]></category>
		<category><![CDATA[community call]]></category>
		<category><![CDATA[endocrinologist]]></category>
		<category><![CDATA[forest labs]]></category>
		<category><![CDATA[huge]]></category>
		<category><![CDATA[julia roberts]]></category>
		<category><![CDATA[Mary Shomon]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[palpitations]]></category>
		<category><![CDATA[pharmaceutical]]></category>
		<category><![CDATA[pretty woman]]></category>
		<category><![CDATA[RLC]]></category>
		<category><![CDATA[sleep problems]]></category>
		<category><![CDATA[sttm]]></category>
		<category><![CDATA[T4-only]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[Time Caps Labs]]></category>
		<category><![CDATA[unapproved drugs]]></category>
		<category><![CDATA[westhroid]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3493</guid>
		<description><![CDATA[If you have been keeping up with my posts, you&#8217;ll know that thyroid patients have been facing a shortage of desiccated thyroid for many weeks, probably due to sharp increased demand i.e. thyroid patients have been finding out how lousy T4-only treatment like Synthroid has been for them, and how much better desiccated thyroid is. [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3501" title="IMG_2564" src="http://www.stopthethyroidmadness.com/wp/../images/IMG_25642.JPG" alt="IMG_2564" width="175" height="123" />If you have been keeping up with my posts, you&#8217;ll know that thyroid patients have been facing a shortage of desiccated thyroid for many weeks, probably due to sharp increased demand <em>i.e. thyroid patients have been finding out how lousy <a href="/t4-only-meds-dont-work/">T4-only treatment</a> like Synthroid has been for them, and how much better <a href="/natural-thyroid-101/">desiccated thyroid</a> is. </em></p>
<p>That demand became especially true after a reformulation of Armour by Forest Labs in 2009 drove patients to RLC&#8217;s Naturethroid and Westhroid. The &#8220;new&#8221; Armour caused a return of hypo symptoms plus new maddening ones, including palpitations and sleep problems never seen before.  As Julia Roberts said in the 1990 movie Pretty Woman: <em> Big mistake</em>, <em>Big</em>, <em>Huge</em>.</p>
<p>In addition, it didn&#8217;t help when Time Cap Labs, a pharmaceutical which made plenty of desiccated thyroid for other pharmaceuticals, stopped production after being contacted by the FDA. This action was probably in line with their aims to make long-term unapproved drugs become approved, even if the timing was incredibly stupid.</p>
<p><strong>As all the above was happening, panic ensued! </strong></p>
<p>We&#8217;ve heard all varieties of negative presumptions from thyroid patients about what caused the shortage, including an FDA conspiracy and an overt belief that desiccated thyroid is about to be removed.  Patients have threatened law suits, blamed pharmaceuticals, and/or sent numerous letters to FDA pleading to keep desiccated thyroid as if it was to be gone tomorrow. Even I, at first, fell in line wondering about the FDA.</p>
<p><strong>But it started to dawn on me, as it has others, than we have been jumping the gun, not giving enough emphasis to facts and reason.</strong></p>
<p>And finally, facts and reason are starting to appear on blogs and groups:</p>
<p><strong>1) Yes, Forest Labs, the makers of Armour, and RLC, the makers of Naturethroid and Westhroid, state they have <em>not</em> been contacted by the FDA. We have no reason to disbelieve them!</strong></p>
<p><strong>2) Yes, RLC is working hard to catch up, as is American Laboratories, both state. We also have no reason to disbelieve them!</strong></p>
<p><strong>3) Yes, thyroid patients who know the superiority of desiccated thyroid have always been there to support them. Glad to see that recognition in blog and group postings.</strong></p>
<p><strong>4) Yes, as health writer Mary Shomon has stated, <em>information-gathering, brainstorming, and communicating with our doctors</em> is a good thing to be doing.  That is contrary to making panicky negative predictions about desiccated thyroid,  rallying for law suits, and feeding ideas to the FDA that may not be there in the first place.</strong></p>
<p><strong>5) Yes, we need to put energy in <a href="/stories-of-others/">letting the world know</a> about the superiority of desiccated thyroid treatment in our lives. That is where our power lies in the face of clueless Endocrinologists and their equally-clueless medical boards like AACE. </strong></p>
<p><strong>6) Yes, we need to listen to and support the pharmaceuticals and laboratories which give us the desiccated thyroid we need. It&#8217;s they who have to walk the line with the FDA. Let&#8217;s listen to their cautions and support them. </strong></p>
<p>Strangely, there are still misconceptions being reported by patient blogs and posts:</p>
<p><em>1) That we don&#8217;t know what caused the shortage.</em> But we do! Demand is as logical as it gets.  All of us have succeeded in getting the word out! That is exactly why I created STTM in the first place!  And by emails I get every week, it&#8217;s clear that it&#8217;s been working.</p>
<p>2) <em>That groups like the <a href="http://health.groups.yahoo.com/group/CoalitionForDesiccatedThyroid/">Coalition for Desiccated Thyroid</a> (CDT) have a wait-and-see attitude. </em>That is as silly as saying STTM wants to ban T4 or encourages self-treatment. There are simply some thyroid patients who don&#8217;t agree with the extreme panic and negative presumptions that have been going on, and want more reason in our pro-activity!  Patients have been encouraged to spread the word in any way possible about the superiority of desiccated thyroid and how it&#8217;s changed lives, NOT to feed dire negative predictions which only end up giving ideas we don&#8217;t want to give! You are most welcome to join the Coalition above in addition to other groups.</p>
<p><strong>Good for patients and advocates alike for putting more reason and fact in this situation. </strong></p>
<p>I&#8217;m also glad to see some strategic, pro-active behind-the-scenes work going on as a <em>just-in-case</em> line of activism. That is the way it should have always been&#8211;a plan for action &#8220;just in case&#8221;, not dire predictions and fear mongering as if it all WAS going to happen.</p>
<p><strong>We&#8217;ll get through this, folks. Here are <a href="/options-for-thyroid-treatment/">options for thyroid treatment</a> in the meantime. And if you want to talk to other patients, join our thyroid patient Community Call this Friday. Details are found in the <a href="http://www.stopthethyroidmadness.com/2009/09/07/join-us-every-friday-night-for-a-sttm-community-call-talk-show/">September 7th blog post</a>.</strong></p>
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		<slash:comments>36</slash:comments>
		</item>
		<item>
		<title>American Laboratories continues to work hard at production.</title>
		<link>http://www.stopthethyroidmadness.com/2009/09/08/american-laboratories-continues-to-work-hard/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/09/08/american-laboratories-continues-to-work-hard/#comments</comments>
		<pubDate>Tue, 08 Sep 2009 20:42:25 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[ALI]]></category>
		<category><![CDATA[American Laboratories]]></category>
		<category><![CDATA[canada]]></category>
		<category><![CDATA[canadian pharmacies]]></category>
		<category><![CDATA[Chief Operating Officer]]></category>
		<category><![CDATA[community call]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[Kenny Soejoto]]></category>
		<category><![CDATA[Mary Shomon]]></category>
		<category><![CDATA[north american manufacturer]]></category>
		<category><![CDATA[thyroid patients]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3487</guid>
		<description><![CDATA[On 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, [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3488" title="ALI" src="http://www.stopthethyroidmadness.com/wp/../images/ALI2.jpg" alt="ALI" width="149" height="75" />On the <a href="http://www.stopthethyroidmadness.com/2009/08/19/the-only-north-american-maker-of-desiccated-porcine-thyroid-is-working-hard/">August 19th blog post</a>, 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.</p>
<p>I just got off the phone again from Kenny Soe­joto, the <span>Chief Ope­ra­ting Offi­cer at ALI.  And the news couldn&#8217;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. </span></p>
<p>And his most important comment? <em>&#8220;If we had FDA issues, we wouldn&#8217;t be producing&#8221;.</em> i.e. everything is going fine. <img src='http://www.stopthethyroidmadness.com/wp/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>In the meantime, there seems to be two areas of success right now with getting your desiccated thyroid prescription filled:  from <a href="/options-for-thyroid-treatment/">Canadian pharmacies</a>, and from Compounding pharmacies.  Hang in there. We&#8217;ll get past this.</p>
<p>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&#8217;s efforts, as well.</p>
<p><em>*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. </em></p>
<p><em>* <a href="/t-shirt/">STTM t-shirts</a> are half price! I love sales!</em></p>
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		<slash:comments>6</slash:comments>
		</item>
		<item>
		<title>New group formed called the Coalition for Natural Desiccated Thyroid</title>
		<link>http://www.stopthethyroidmadness.com/2009/09/02/coalition-for-natural-desiccated-thyroid/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/09/02/coalition-for-natural-desiccated-thyroid/#comments</comments>
		<pubDate>Thu, 03 Sep 2009 02:13:41 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[Coalition for Natural Desiccated Thyroid]]></category>
		<category><![CDATA[Thyroid treatment]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[DESI]]></category>
		<category><![CDATA[Doctors]]></category>
		<category><![CDATA[medical professionals]]></category>
		<category><![CDATA[new drug application]]></category>
		<category><![CDATA[Patients]]></category>
		<category><![CDATA[thyroid advocates]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[Time Caps Labs]]></category>
		<category><![CDATA[yahoo thyroid groups]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3446</guid>
		<description><![CDATA[Wish you could talk to others about relevant facts concerning the current shortage, the FDA&#8217;s actions with Time Caps Labs, DESI and the New Drug Application, clinical trials, and related concerns? Have important information to share?
A new group has just been created to work alongside other groups, including save natural thyroid. Smartly called the Coalition [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3447" title="holdinghands2" src="http://www.stopthethyroidmadness.com/wp/../images/holdinghands2.jpg" alt="holdinghands2" width="250" height="168" />Wish you could talk to others about relevant facts concerning the current shortage, the FDA&#8217;s actions with Time Caps Labs, DESI and the New Drug Application, clinical trials, and related concerns? Have important information to share?</p>
<p>A new group has just been created to work alongside other groups, including save natural thyroid. Smartly called the <strong>Coalition for Natural Desiccated Thyroid</strong>, it  represents unity of concern and is created for patients, advocates, medical professionals, representatives of pharmaceuticals who manufacture desiccated thyroid, or anyone with an interest in the four aims of this group:</p>
<p>1) Sharing of factual information concerning natural desiccated thyroid<br />
2) Discussion of current issues related to desiccated thyroid<br />
3) Unity among all concerned<br />
4) Coordination of grassroots action where needed.</p>
<p>The discussion, support and action of this group does not limit itself to any one group, advocate, website or forum, and welcomes any mention of information from websites, advocates, medical professionals or etc. which/who post about or have the same concerns as the aims above.</p>
<p>Join the group here: <a href="http://health.groups.yahoo.com/group/CoalitionForDesiccatedThyroid">http://health.groups.yahoo.com/group/CoalitionForDesiccatedThyroid</a></p>
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		<item>
		<title>Another interesting reply to a patient by the FDA</title>
		<link>http://www.stopthethyroidmadness.com/2009/08/31/another-interesting-reply-by-the-fda/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/08/31/another-interesting-reply-by-the-fda/#comments</comments>
		<pubDate>Tue, 01 Sep 2009 03:22:33 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[fda]]></category>
		<category><![CDATA[shortages of desiccated thyroid]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[Center for Drug Evaluation and Research]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[desiccated thyroid shortage]]></category>
		<category><![CDATA[Division of Drug Information]]></category>
		<category><![CDATA[food and drug administration]]></category>
		<category><![CDATA[major]]></category>
		<category><![CDATA[major pharmaceuticals]]></category>
		<category><![CDATA[nature-throid]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[RLC labs]]></category>
		<category><![CDATA[shortage of desiccated thyroid]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[west-throid]]></category>
		<category><![CDATA[westhroid]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3414</guid>
		<description><![CDATA[As 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&#8217;s safe and [...]]]></description>
			<content:encoded><![CDATA[<p><strong><img class="alignleft size-full wp-image-3418" title="fdaimage" src="http://www.stopthethyroidmadness.com/wp/../images/fdaimage2.jpg" alt="fdaimage" width="115" height="110" />As 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. </strong></p>
<p><strong>For example, we wonder if the FDA <em>may</em> be  requiring clinical studies from pharmaceuticals who make desiccated thyroid to prove that it&#8217;s safe and effective (in spite of the fact that patients have been using it safely and effectively for 110 years.  Nope, we don&#8217;t count. Amazing, isn&#8217;t it?) And we wonder: <em>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.</em></strong></p>
<p>The FDA recently replied to a question by thyroid patient Catherine when she asked about the shortages and here&#8217;s their reply:</p>
<blockquote><p>Dear Catherine:</p>
<p>Thank you for writing the Division of Drug Information, in the FDA&#8217;s Center for Drug Evaluation and Research.</p>
<p>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.</p>
<p>Please refer to the ASHP Shortages website for a listing of desiccated thyroid products that remain available:<br />
<a href="http://www.ashp.org/Import/PRACTICEANDPOLICY/PracticeResourceCenters/DrugShortages/GettingStarted/CurrentShortages/Bulletin.aspx?id=459">http://www.ashp.org/Import/PRACTICEANDPOLICY/PracticeResourceCenters/DrugShortages/GettingStarted/CurrentShortages/Bulletin.aspx?id=459<br />
</a><br />
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.</p>
<p>Major has the 60mg and 120mg available of their &#8220;generic&#8221; desiccated thyroid product.  They report increased demand as the reason for their backorder for the other strengths.</p>
<p>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.</p>
<p>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.</p>
<p>Best regards,<br />
Drug Information SH<br />
Division of Drug Information<br />
Center for Drug Evaluation and Research<br />
Food and Drug Administration</p></blockquote>
<p>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&#8217;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.</p>
<p>Whatever the answers are, if you need a treatment to get you through this difficult time, here are <a href="http://www.stopthethyroidmadness.com/options-for-thyroid-treatment">options for thyroid treatment.</a> And it still may be a very good idea to inform your congresspersons of our situation&#8230;just in case. See my blog post below.</p>
<p><em>*Want to be informed of these blog  posts? Curious what&#8217;s on Janie&#8217;s mind? Use the Notifications on the left below the links.</em></p>
<p><em>*<a href="/t-shirt/">STTM t-shirts</a> are 50% off! I love sales.</em></p>
]]></content:encoded>
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		<item>
		<title>The gnarly man and what we can do in the face of this crisis</title>
		<link>http://www.stopthethyroidmadness.com/2009/08/29/the-gnarly-man-and-what-we-can-do-in-the-face-of-this-crisis/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/08/29/the-gnarly-man-and-what-we-can-do-in-the-face-of-this-crisis/#comments</comments>
		<pubDate>Sun, 30 Aug 2009 02:53:47 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[hypothyroidism]]></category>
		<category><![CDATA[American Laboratories]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[canadian pharmacies]]></category>
		<category><![CDATA[carolyn dean]]></category>
		<category><![CDATA[congressmen]]></category>
		<category><![CDATA[congresspersons]]></category>
		<category><![CDATA[congresswomen]]></category>
		<category><![CDATA[death by medicine]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[dorothy smith]]></category>
		<category><![CDATA[drug efficacy amendment]]></category>
		<category><![CDATA[erfa]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[fda approval]]></category>
		<category><![CDATA[gary null]]></category>
		<category><![CDATA[levothyroxine]]></category>
		<category><![CDATA[levoxyl]]></category>
		<category><![CDATA[lingering symptoms]]></category>
		<category><![CDATA[martin feldman]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[new drug application]]></category>
		<category><![CDATA[patient groups]]></category>
		<category><![CDATA[pharmaceuticals]]></category>
		<category><![CDATA[pharmacy]]></category>
		<category><![CDATA[RLC labs]]></category>
		<category><![CDATA[senators]]></category>
		<category><![CDATA[stop the thyroid madness]]></category>
		<category><![CDATA[synthroid]]></category>
		<category><![CDATA[T4-only]]></category>
		<category><![CDATA[thyroid]]></category>
		<category><![CDATA[thyroid medication]]></category>
		<category><![CDATA[thyroid patient groups]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[Time Caps Labs]]></category>
		<category><![CDATA[US Congress]]></category>
		<category><![CDATA[westhroid]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3317</guid>
		<description><![CDATA[
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&#8217;t like. He brought other criminals into his large house, took bribes to [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3348" title="ogre" src="http://www.stopthethyroidmadness.com/wp/../images/ogre1.jpg" alt="ogre" width="123" height="135" /></p>
<p>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&#8217;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.</p>
<p>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.</p>
<p><em>And do you think he stopped doing what he always did?</em></p>
<p>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&#8217;t prove but were quite uncomfortable&#8230;and they made sure everyone knew what was going on to get the help and support they needed. <span><br />
</span></p>
<p>********************************</p>
<p><strong>For over 100 years, thyroid patient lives have made a huge and positive turn-around on natural porcine desiccated thyroid, a </strong><strong>superior, safe, and effective medication as expressed by all our lives for over a century.  But today, we face a crisis.</strong></p>
<p>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.</p>
<p>And finally, the remaining two generic makers, Time Caps Labs and Major Pharmaceuticals, are told to cease production by the FDA.</p>
<p><strong>We are now without desiccated thyroid other than the remaining 10 tablets there, or 5 tablets here. They will all be gone soon.<br />
</strong></p>
<p><em>The facts we know are this:</em> 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&#8230;is somehow&#8230;just&#8230;not&#8230;enough.  <em>What is obvious, is not enough.</em></p>
<p><strong>In other words, they want proof of efficacy and safety of desiccated thyroid&#8212;a medication which has a safe and effective track record in a huge body of patients for 110 years&#8230;in the same way they give an FDA-stamp-of-approval on a whole variety of drugs which, in 2004, killed </strong><span id="Lefplaceholder2"><strong>783,936 individuals per year </strong><em>(according to the article <a href="http://www.lef.org/magazine/mag2004/mar2004_awsi_death_01.htm">Death by Medicine</a>, co-authored by </em></span><em><span id="Lefplaceholder2">By Gary Null, PhD; Carolyn Dean MD, ND; Martin Feldman, MD; Debora Rasio, MD; and Dorothy Smith, PhD).</span></em></p>
<p><span id="Lefplaceholder2">Does THAT make any sense to you?<br />
</span></p>
<p>And now, because there is hint that they may require RLC Labs to apply for a New Drug Application&#8230;and because we <em>wonder</em> if that will mean expensive and drawn out clinical testing to provide data&#8230;and because we <em>wonder</em> if they will allow RLC to continue manufacturing our only good supply of desiccated thyroid which saves our lives in a completely healthy way&#8230;we are left with a lot of uncomfortable and unanswered questions.</p>
<p>Of course, we can admit that all the above is <em>pure speculation</em>. We don&#8217;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 <a href="/long-and-pathetic/">lingering and debilitating symptoms</a> while we were once on synthetic T4&#8211;aka Synthroid, Levoxyl, levothyroxine, etc. <em></em></p>
<p><em>And by the way, <a href="/t4-only-meds-dont-work/">synthetic T4 </a>is an FDA-approved medication which has left most of us sick or with <a href="/long-and-pathetic/">lingering symptoms</a> to our own degree and intensity for YEARS. Perhaps THAT is what you need to write the FDA about.</em></p>
<p><strong>So do we email the FDA about this situation??</strong> 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&#8230;if it hasn&#8217;t already&#8230;just as writing and emailing the neighborhood ogre would probably cause him to laugh and do even MORE harm.</p>
<p><strong>So what seems the best and most logical action to take with our current situation? Write/email your <em>senators</em>. Write/email your <em>representatives.</em> Write/email <em>newscasters, talk show hosts, radio personalities, newspapers of merit, and anyone who has the power to spread the word.</em> In my mind, we cannot expect to face <em>what may be</em> with power unless we inform the world of our plight ahead of time.</strong></p>
<p><strong>How to say what we need to say?</strong> I think, for our integrity in the eyes of whom we speak/email/write to, it&#8217;s important to state facts first and foremost. For me, if I need to mention speculation, I turn them into questions: <em>Will RLC be able to afford clinical trials? Will the FDA stop all desiccated thyroid? </em> You may not agree but that&#8217;s what seems wise for me. <strong><br />
</strong></p>
<p>I have compiled <strong><a href="/congresspersons/">a list of particular congresspersons</a> </strong>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&#8217;ll add it.</p>
<p>I have also compiled <strong>a<a href="/template-letter/"> simple template letter</a> </strong>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.</p>
<p><em>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&#8217;m just not into fear-mongering based on speculation.  Some of you may not agree with my sentiment, but that&#8217;s okay. And some of you may agree that it&#8217;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.</em></p>
<blockquote><p><strong>NEED OPTIONS FOR THYROID TREATMENT during this hard time?</strong> Go <a href="http://www.stopthethyroidmadness.com/options-for-thyroid-treatment/">here</a>. You&#8217;ll also find several Canadian Pharmacies to use with a prescription, as well, that is much easier than ordering directly from Erfa.</p>
<p><strong>NEED A GOOD DOCTOR?</strong> Go <a href="/how-to-find-a-good-doc/">here</a>.</p>
<p><strong>NEW TO DESICCATED THYROID?</strong> Here&#8217;s <a href="/things-we-have-learned/">everything patients have learned</a>.</p></blockquote>
<p><em>*Want to be informed of this blog posts? Curious what&#8217;s on Janie&#8217;s mind? Use the notifications on the left below the links. </em></p>
<p><em>*Spread the word! <a href="/t-shirt/">STTM T-shirts</a> are 50% off. I love sales. </em></p>
]]></content:encoded>
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		<item>
		<title>An open letter to Mary Shomon</title>
		<link>http://www.stopthethyroidmadness.com/2009/08/26/an-open-letter-to-mary-shomon/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/08/26/an-open-letter-to-mary-shomon/#comments</comments>
		<pubDate>Thu, 27 Aug 2009 04:42:36 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[Patients]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[let's be united]]></category>
		<category><![CDATA[Mary Shomon]]></category>
		<category><![CDATA[Thyroid Patient Advocacy]]></category>
		<category><![CDATA[thyroid patients]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=3263</guid>
		<description><![CDATA[Hi Mary.
You know, I really don&#8217;t think this is a time for us to be separate, Mary, in our advocacies.   Seven years ago, I went a different direction that I felt was important, and still strongly do, as an activist.  That will continue because I believe in what I am doing. You don&#8217;t have to [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-3267" title="shakinghands2" src="http://www.stopthethyroidmadness.com/wp/../images/shakinghands21.jpg" alt="shakinghands2" width="155" height="139" />Hi Mary.</p>
<p>You know, I really don&#8217;t think this is a time for us to be separate, Mary, in our advocacies.   Seven years ago, I went a different direction that I felt was important, and still strongly do, as an activist.  That will continue because I believe in what I am doing. You don&#8217;t have to agree with my stance, but we <em>can</em> make the choice to work together in what is common between us&#8211;supporting the use of desiccated thyroid and helping others with the shortage.</p>
<p>As I see it, Mary, we each have a wonderful legacy. You will always be appreciated for your work as much as many appreciate my work. That will never be taken away.</p>
<p>So why not be united in this fight, Mary, working together to support patients during this shortage.  Thyroid patients need us.</p>
<p>Janie</p>
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		<item>
		<title>Why Forest Labs had gotten away with a &#8220;newly formulated&#8221; Armour that is causing so many problems</title>
		<link>http://www.stopthethyroidmadness.com/2009/07/24/why-forest-labs-had-gotten-away-with-a-newly-formulated-armour/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/07/24/why-forest-labs-had-gotten-away-with-a-newly-formulated-armour/#comments</comments>
		<pubDate>Fri, 24 Jul 2009 16:13:25 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[Armour]]></category>
		<category><![CDATA[Big Pharma Pharmaceuticals]]></category>
		<category><![CDATA[fda]]></category>
		<category><![CDATA[forest labs]]></category>
		<category><![CDATA[1938]]></category>
		<category><![CDATA[celiac]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[FDA-approved]]></category>
		<category><![CDATA[federal drug administration]]></category>
		<category><![CDATA[gluten intolerance]]></category>
		<category><![CDATA[grandfather clause]]></category>
		<category><![CDATA[grandfathered in]]></category>
		<category><![CDATA[iron]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[nda]]></category>
		<category><![CDATA[new drug application]]></category>
		<category><![CDATA[newly formulated armour]]></category>
		<category><![CDATA[pharmaceutical]]></category>
		<category><![CDATA[RLC labs]]></category>
		<category><![CDATA[sublingual]]></category>
		<category><![CDATA[sublingually]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[unapproved drugs]]></category>
		<category><![CDATA[United States Pharmaceopia]]></category>
		<category><![CDATA[united states pharmacopeia]]></category>
		<category><![CDATA[usp]]></category>
		<category><![CDATA[westhroid]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=2998</guid>
		<description><![CDATA[ Numerous and ongoing comments to my blog posts below about the newly formulated Armour are shocking and despairing. 
Additionally, thyroid patients are crying out about the loss of being able to do Armour sublingually. (Was Forest Labs not paying one hoot of attention to thyroid patients the last few years in their praise of [...]]]></description>
			<content:encoded><![CDATA[<p><strong><img class="aligncenter size-full wp-image-3019" title="Armour tablets" src="http://www.stopthethyroidmadness.com/wp/../images/Armour-tablets.jpg" alt="Armour tablets" width="135" height="94" /> Numerous and ongoing comments to my blog posts below about the newly formulated Armour are shocking and despairing. </strong></p>
<p>Additionally, thyroid patients are crying out about the loss of being able to do Armour sublingually. <em>(Was Forest Labs not paying one hoot of attention to thyroid patients the last few years in their praise of Armour because of it&#8217;s sublingual effectiveness??)</em> Sublingual administration was a godsend for thyroid patients who had digestive issues, including <a href="/celiac/">gluten intolerance and Celiac</a>, as well as those who needed to take iron tablets (which you can&#8217;t do at the same time as you swallow desiccated thyroid, but could do with taking Armour subingually)</p>
<p><strong>So how in the world did Forest Labs get away with reformulating and producing a product that so many patients are reporting to be problematic?</strong></p>
<p><strong>It&#8217;s not FDA approved.</strong> As many of you may know, Armour desiccated thyroid, even when it was produced by a pharmaceutical other than Forest Labs, was around far before the FDA (Federal Drug Administration) came into being in 1938.  That&#8217;s why it does not have the designation of  &#8220;FDA approved&#8221; as do those drugs which were created after the FDA existed. It&#8217;s called an unapproved drug, but Armour was presumed to be safe and effective already.</p>
<p>From the <a href="http://www.fda.gov/ICECI/ComplianceManuals/CompliancePolicyGuidanceManual/ucm074382.htm">FDA</a>: <em>Under the 1938 grandfather clause (</em><em>see</em> 21 U.S.C. 321(p)(1)), a drug product that was on the market prior to passage of the 1938 Act and which contained in its labeling the same representations concerning the conditions of use as it did prior to passage of that Act was not considered a <em>new drug</em> and therefore was exempt from the requirement of having an approved new drug application.</p>
<p><strong>Because it&#8217;s not &#8220;FDA-approved&#8221;, it does not have an NDA, aka <em>New Drug Application</em>.</strong> An <em>NDA</em> is used by the FDA to establish if the pharmaceutical product is safe,  EFFECTIVE, more beneficial than side effects, and has in-house  &#8220;controls&#8221; which maintain the quality, strength and purity of the product. (Thanks to &#8220;Ben&#8221; the pharmacist for reminding me of this.)</p>
<p>So&#8230;without that NDA, Forest Labs is, and has been, on their own, including with the latest introduction of a newly formulated Armour. So you might say, WE as patients were the guinea pigs.  And sadly, we&#8217;ve been squealing and it&#8217;s a muddy picture.</p>
<p><strong>The most important fact to state:</strong> USP (United States Pharmacopeia) desiccated thyroid is an effective and important drug which is changing the lives of a huge and growing body of individuals around the world. That was evident before Armour was reformulated, and is still evident with products like <a href="/armour-vs-other-brands/">Naturethroid or Westhroid</a>, which many patients are switching to.  See my blog post about Naturethroid<a href="http://www.stopthethyroidmadness.com/2009/05/26/are-you-switching-to-nature-throid/"> here</a>, plus RLC Labs comment about Naturethroid <a href="http://www.stopthethyroidmadness.com/2009/07/17/thyroid-tidbit-naturethroid/">here</a>.</p>
<p>But something has gone terribly wrong with the reformulation of Armour, and patients appear to be leaving it behind in the dust in favor of another great and effective brand like Naturethroid. And whether it&#8217;s the fillers are not, Forest needs to take a new look at their reformulation of what was once a GOOD product, and hopefully this time, LISTEN TO PATIENTS.</p>
<p><em>*Want to be informed of these important blog posts? Curious what’s on Janie’s mind? Just use the Notifications to the left and below the links. </em></p>
<p><strong>*SALE! <a href="../../t-shirt/">Stop the Thyroid Madness T-shirts</a> are now 50% off just because I like sales. A great way to spread the word about our patient revolution for the superiority of desiccated thyroid over T4-only meds. You’ll also see funny bumper stickers. Also…when you order the <a href="../../book/">STTM book</a> <em>and request it</em> (i.e. you have to request it),  you get a Calvin peeing on….(you’ll see) bumper sticker for FREE, and it’s a hoot.</strong></p>
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		<title>Doctor questions if adrenal fatigue is real</title>
		<link>http://www.stopthethyroidmadness.com/2009/07/20/doctor-questions-if-adrenal-fatigue-is-real/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/07/20/doctor-questions-if-adrenal-fatigue-is-real/#comments</comments>
		<pubDate>Mon, 20 Jul 2009 16:39:29 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[hypothyroidism]]></category>
		<category><![CDATA[accepted medical diagnosis]]></category>
		<category><![CDATA[addison's]]></category>
		<category><![CDATA[adrenal fatigue]]></category>
		<category><![CDATA[adrenals]]></category>
		<category><![CDATA[anxiety]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[cortef]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[dizziness]]></category>
		<category><![CDATA[eltroxin]]></category>
		<category><![CDATA[hydrocortisone]]></category>
		<category><![CDATA[hyper symptoms]]></category>
		<category><![CDATA[levothyroxine]]></category>
		<category><![CDATA[levoxyl]]></category>
		<category><![CDATA[Louis Neipris]]></category>
		<category><![CDATA[low cortisol]]></category>
		<category><![CDATA[myoptumhealth.com]]></category>
		<category><![CDATA[naturethroid]]></category>
		<category><![CDATA[nausea]]></category>
		<category><![CDATA[safe uses of cortisol]]></category>
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		<category><![CDATA[t3]]></category>
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		<category><![CDATA[william mck Jeffries]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=2947</guid>
		<description><![CDATA[Louis Neipris, M.D., a staff writer who has written many fine articles for myOptumHealth.com, recently wrote one article titled Adrenal Fatigue: Is it for real? It appeared on Upper Michigan News, TV 6 website on July 16th and is making the rounds on other sites. His answer to his own question?  &#8220;Not really&#8221;. He adds  [...]]]></description>
			<content:encoded><![CDATA[<p>Louis Neipris, M.D., a staff writer who has written many fine articles for myOptumHealth.com, recently wrote one article titled <strong>Adrenal Fatigue: Is it for real?</strong> It appeared on Upper Michigan News, TV 6 <a href="http://www.connectmidmichigan.com/news/story.aspx?id=325382">website</a> on July 16th and is making the rounds on other sites. His answer to his own question? <strong> <em>&#8220;Not really&#8221;</em></strong><strong>. </strong>He adds  <strong>&#8220;<em><span>it&#8217;s not an accepted medical diagnosis.&#8221;</span></em></strong></p>
<p><em><span>Oops.<br />
</span></em></p>
<p><strong>Dr. Neipris, thyroid patients all over the world beg to differ, as do a growing body of colleagues in your profession. </strong><a href="/adrenal-info/">Adrenal fatigue</a>, aka low cortisol, has been discovered on the back of a huge body of thyroid patients, wearing them down with  irritability, anxiety, shakiness, feeling dizzy or lightheadedness, sleep issues, sweating, salt craving, nausea in the face of stress, and a host of other <a href="http://www.stopthethyroidmadness.com/adrenal-info/symptoms-low-cortisol/">symptoms</a> unique to each individual with adrenal fatigue. My personal observation, as a thyroid patient activist, is that up to 50% of millions of thyroid patients all over the world, may have adrenal fatigue, or at the very least, a sluggish feedback loop.</p>
<p>Even worse, the widespread occurrence of adrenal fatigue, especially in thyroid patients, has caused problems when they try raising a far superior thyroid medication called <a href="/natural-thyroid-101/">desiccated thyroid</a>. Because cortisol is needed to facilitate the move of thyroid hormones from the blood to the cells, the direct T3 in desiccated thyroid pools in the blood, causing low-cortisol-induced hyper symptoms like a pounding heartrate and irritability. The first-pass treatment then has to start with hydrocortisone like prescription Cortef from their doctors.</p>
<p><strong>Why have such a large body of thyroid patients found themselves with adrenal fatigue and its low cortisol?</strong> It&#8217;s clear. The <a href="/tsh-why-its-useless/">TSH lab test </a>sucks, giving one a &#8220;normal&#8221; reading for years in spite of obvious clinical presentation of hypothyroid symptoms, and pushing one&#8217;s adrenals into overdrive with high cortisol and adrenaline to keep the patient going, and ultimately leading to adrenal fatigue.  On page 65 of the Stop the Thyroid Madness <a href="/book/">book</a>, you&#8217;ll read about a 44 year old woman who went 15 years with a &#8220;normal&#8221; TSH result, in spite of obvious clinical presentation of hypothyroidism, and which led to her own low cortisol. This is <em>not</em> uncommon.</p>
<p>Second, the risk of adrenal fatigue is high due to the inadequate treatment of <a href="/t4-only-meds-dont-work/">T4 medications</a> like Synthroid, Levoxyl, levothyroxine, Eltroxin and other T4-only meds. They all leave patients with their own brand and intensity of <a href="/long-and-pathetic/">lingering symptoms</a> of a poor treatment, forcing the adrenals to kick in too long for many.</p>
<p>Even William Mck. Jeffries MD., who wrote the medical classic <a href="http://www.ccthomas.com/details.cfm?P_ISBN13=9780398075002">Safe Uses of Cortisol</a> around 1984, understood the preponderance of adrenal fatigue even without the diagnosis of Addison&#8217;s, and the need for physiologic doses of cortisol treatment, or the amount needed by each individual.  <em>And he would certainly be amazed by the explosion of adrenal fatigue that has occurred since then in thyroid patients thanks to the lousy TSH and synthetic T4-only &#8216;affaire de coeur&#8217;</em><em> with doctors. </em></p>
<p><strong>Adrenal fatigue may not be an <em>&#8220;accepted diagnosis</em>&#8221; by many.  But medical professionals and doctors who think it&#8217;s <em>not real or an acceptable diagnosis</em> will have to face a huge body of patients globally who DO have real live adrenal fatigue. And adrenally-fatigued patients can get <em>realllllly</em> hostile and angry because of low cortisol, and be very impatient when you deny their reality.  (You&#8217;re going to see a lot of comments to this post which I highly suggest reading.)</strong></p>
<p>P.S. Even desiccated thyroid like Naturethroid and the pre-reformulated Armour are not considered to be the <em>standard of practice for treating hypothyroidism</em>, yet thyroid patients all over the world are having lives CHANGED thanks to it.</p>
<p><em>***Want to be informed of my blog posts? Curious what&#8217;s on my mind? Use the Notifications to the left and right below the links.</em></p>
<p><em>***Read below why thyroid patients are not happy with Armour and switching to brand names like Naturethroid. </em></p>
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		<title>The intrusion of reality about levothyroxine and depression</title>
		<link>http://www.stopthethyroidmadness.com/2009/06/26/the-intrusion-of-reality/</link>
		<comments>http://www.stopthethyroidmadness.com/2009/06/26/the-intrusion-of-reality/#comments</comments>
		<pubDate>Fri, 26 Jun 2009 23:39:42 +0000</pubDate>
		<dc:creator>Janie</dc:creator>
				<category><![CDATA[t4]]></category>
		<category><![CDATA[thyroxine]]></category>
		<category><![CDATA[uk]]></category>
		<category><![CDATA[Armour]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[desiccated thyroid]]></category>
		<category><![CDATA[diagnosis and treatment of primary hypothyroidism]]></category>
		<category><![CDATA[eltroxin]]></category>
		<category><![CDATA[hypothyroidism]]></category>
		<category><![CDATA[levothyroxine]]></category>
		<category><![CDATA[levoxyl]]></category>
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		<category><![CDATA[new england journal of medicine]]></category>
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		<category><![CDATA[oroxine]]></category>
		<category><![CDATA[physician]]></category>
		<category><![CDATA[rai]]></category>
		<category><![CDATA[Royal College of Physicians]]></category>
		<category><![CDATA[synthroid]]></category>
		<category><![CDATA[t3]]></category>
		<category><![CDATA[T4-only]]></category>
		<category><![CDATA[thyroid patients]]></category>
		<category><![CDATA[ulcer bleed]]></category>

		<guid isPermaLink="false">http://www.stopthethyroidmadness.com/?p=2531</guid>
		<description><![CDATA[I&#8217;ve been perusing comments in response to the UK&#8217;s Royal College of Physicians blundering and dark-age-constructed Diagnosis and treatment of primary hypothyroidism.  And though all comments are quite good and worth your read, I was struck by the comment titled May Reality Intrude? by a man named Charles. 

 Charles explains that in 1999, his [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-2540" title="depressiont4" src="http://www.stopthethyroidmadness.com/wp/../images/depressiont4.jpg" alt="depressiont4" width="125" height="95" />I&#8217;ve been perusing <a href="http://www.bmj.com/cgi/eletters/338/mar26_2/b725#211350">comments</a> in response to the UK&#8217;s Royal College of Physicians blundering and dark-age-constructed <a href="http://www.bmj.com/cgi/content/full/338/mar26_2/b725">Diagnosis and treatment of primary hypothyroidism</a>.  And though all comments are quite good and worth your read, I was struck by the comment titled <em>May Reality Intrude? </em>by a man named Charles. <em><br />
</em></p>
<p><span> Charles explains that in 1999, his 67-year-old wife had RAI (radioactive  iodine) and was then put on levothyroxine, a T4-only medication (aka Synthroid, Levoxyl, Eltroxin, Oroxine, levothyroxine, et al).  And not long after, she complained of having depression. </span></p>
<p><span> He had an idea why after reading the <a href="http://content.nejm.org/cgi/content/short/340/6/424">New England Journal of Medicine</a> about T3, and proceeded to buy her Armour off the internet.  Without her knowing, he switched medications. Lo and behold, he states <em>&#8220;she  promptly returned to her usual sunny disposition&#8221;. </em>Her physician knew nothing of the switch either, and found nothing to be concerned about in her.<br />
</span></p>
<p><span> Charles then explained how, at age 74 in 2007, she was near death thanks to an ulcer bleed.  And to continue treating her hypothyroidism, the hospital gave her levothyroxine all over again.  Back came her depression and a feeling of wanting to go home and die. </span></p>
<p><span>So Charles brought her Armour to the hospital, and though her physical state was depressing enough, her sunny disposition returned.  And that happy spirit while still on Armour continues today after a full recovery.<br />
</span></p>
<p>And Charles pondered. If his wife had been in a NHS (National Health Service) hospital under the care of a so-called thyroid specialist of the NHS, would she have failed to obtain T3 and instead, sent to a psychiatrist as if her depression had nothing to do with her levothyroxine treated hypothyroidism&#8211;the very treatment that the Royal College of Physicians has a dogmatic love affair with?</p>
<p><span> He then concludes: <em>My wife’s depression was obvious.  Since  she is equipped with much the same assortment of body parts and associated physiology as others, is it not likely that many levothyroxine-treated  patients suffer from less-noticeable depression? </em></span></p>
<p><span>Well Charles, most any thyroid patient who decides to respond to this will tell you unequivacably YES, YES, YES.  Because there&#8217;s no research, study or directive that is more profound and telling than the actual EXPERIENCE of patients all over the world with<a href="/t4-only-meds-dont-work/"> T4 treatment</a> and depression&#8230;besides a slew of other <a href="/long-and-pathetic/">side effects of continuing hypothyroidism</a> on T4-only meds.</span></p>
<p><strong><span>Did you have depression on a T4 med? Tell us about your experience in the Comments section of this post.</span></strong></p>
<p><em><span>*Want to be informed of these blogs? Curious what&#8217;s on Janie&#8217;s mind? Use the Notifications on the lower left of the links.</span></em></p>
<p><span><em>*Scroll down to the June 2nd post and report your experience on the newly formulated Armour. It&#8217;s not a happy picture. </em><br />
</span></p>
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