Sometimes Natural* is Better

Choosing NP Thyroid®

  • NP Thyroid® is an alternative therapy to levothyroxine sodium
  • Thyroid hormones act slowly in some parts of the body so it can take several months after treatment is started for symptoms to improve completely3,4
  • Periodic monitoring of TSH, T4, and/or T3 levels are necessary to ensure the proper dose is still effective3,4
  • If dose is off by a little, it can change your TSH level and possibly cause symptoms4
  • If changing the dose of your current thyroid hormone therapy or switching to NP Thyroid® your TSH level should be re-checked in 6 weeks or as directed by your clinician6,8,9

Currently being treated with levothyroxine sodium?

Are you happy with your current therapy?

10-15% of patients complain about persistent symptoms of hypothyroidism when being treated with levothyroxine (L-T4) alone despite normal TSH and T4 levels6,10,11

Are you on adequate thyroid hormone replacement?

15% of patients placed on levothyroxine may stabilize their T4 levels but their T3 levels remain low12

It may be time to discuss other options with your healthcare provider!

Data suggests that 49% of patients prefer desiccated thyroid extract therapy to L-T4 alone and in the sub-group of patients with persistent symptoms, 78% of patients preferred desiccated thyroid therapy11,13

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Citations: 1. Hoang TD et al, Desiccated thyroid extract compared with levothyroxine in the treatment of hypothyroidism: A randomized, double-blind, crossover study. J Clin Endocrinol Metab 2013; 98:1982-90. Epub March 28, 2013. 2. Hennessey, JV. (2015) Historical and Current Perspective in the use of thyroid extracts for the treatment of Hypothyroidism. Endocrine Practice: October 2015, Vol. 21, No. 10, pp. 1161-1170. 3. American College of Endocrinology. Hypothyroidism. 2016. http://www.thyroidawareness.com/sites/all/files/hypothyroidism.pdf. Accessed February 14, 2017. 4. Baskin HJ, Cobin RH, Duick DS, et al. American Association of Clinical Endocrinologists medicalguidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism. Endocr Pract. 2002;8:458-467. 5. Harvard Medical School. Thyroid Disorders. Fort Dodge: Harvard Medical School, n.d. Patient Education Center. Harvard Medical School. Web. 14 Feb. 2017. 6. Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement. Thyroid. 2014;24(12):1670-1751. doi:10.1089/thy.2014.0028 7. Avoid Food Drug Interactions. Fda.gov. https://www.fda.gov/downloads/drugs/resourcesforyou/consumrs/buyingusingmedicinesafely/ensuringsafeuseofmedicine/generaluseofmedicine/ucm229033.pdf. Accessed June 5, 2017. 8. NP Thyroid ™[package insert]. Alpharetta, GA; Acella Pharmaceuticals, LLC; 2016. 9. Hormonal Health Network. Hypothyroidism Fact Sheet. N.p.: Hormonal Health Network, n.d. Hormone. Endocrine Society, Mar. 2010. Web. 14 Feb. 2017. 10. Wiersinga WM, Duntas L, Fadeyev V, Nygaard B, Vanderpump MPJ. 2012 ETA Guidelines: The Use of L-T4 + L-T3 in the Treatment of Hypothyroidism. European Thyroid Journal. 2012; 1(2): 55-71. doi10.1159/000339444. 11. Duntas L, Wartofsky L. There is no ‘Universal Fit’: Reflections on the use of L-triiodothyronine in the treatment of Hypothyroidism. Metabolism – Clinical and Experimental. 2016;65(4):428-431. 12. Gullo D, Latina A, Frasca F, Le Moli R, Pellegriti G, et al. (2011) Levothyroxine Monotherapy Cannot Guarantee Euthyroidism in All Athyreotic Patients. PLOS ONE 6(8): e22552. doi: 10.1371/journal. pone.0022552 13. Pepper GM, Casanova-Romero PY (2014) Conversion to Armour Thyroid from Levothyroxine Improved Patient Satisfaction in the Treatment of Hypothyroidism. J Endocrinol Diabetes Obes 2(3): 1055.

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