I recently received a question from a reader that I would love to share with you. It has to do with reducing and coming off thyroid medications, and I what action steps you should consider.

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Question: Coming Off Thyroid Medications

“My question is do you in any way advise that Hashimoto’s people come off or wean off their thyroid extract as they heal and feel better?

This is something that I always feel afraid to do but it seems a double-edged sword as I am also concerned my thyroid gland may atrophy due to being on hormone support for so long.

I would really appreciate your advice on these questions!

Many thanks,

Breaking Down The Science

This is a great question, and one that comes up quite a bit.

The idea of being forced to take a pill for the rest of one’s life could certainly be seen as a loss of freedom.

Roughly 25% of people with Hypothyroidism from Hashimoto’s typically have the condition reversed due to sheer luck. 20 to 30% tend to have their thyroid gland end up destroyed and left unable to make much of any hormone at all.

The remaining, roughly half the people, with Hashimoto’s end with their gland slow long-term but not completely stopped.

Those numbers come from studies tracking people who take new special steps to improve their situation. It is entirely possible that the odds are even better for those who avoid iodine, stay caught up on sleep, use desiccated thyroid, get enough selenium and Vitamin D, and minimize processed foods.

A Program Designed For Your Thyroid

I put together The Thyroid Program for those who would like more details on strategies like these that can help your thyroid work by itself again. You can learn about it HERE.

What You Can Do

The more hormones your thyroid makes currently, the better its chances are to make more in the future.

One way you can know how much hormone your thyroid is making is by comparing your medication dosage to your body’s total needs.

The average woman who had her thyroid removed WILL require about 1.5 to 2.0 grains desiccated thyroid to have stable levels. This is roughly the same as 150 to 200 µg of a T4 medicine like Synthroid.

If you are taking one half of a grain and your thyroid levels are stable, this means that your thyroid is still making about 2/3 to 3/4 of what your body needs by itself. On the other hand, if you need two grains to be stable, your thyroid is not likely making much by itself.

What About Decreasing Medications?

I do recommend decreasing your thyroid medicine if your thyroid shows signs of getting stronger.

But, how do you know when this is happening? You would have stable blood levels on a dose and over time start seeing signs on future tests that the dose is now more than you need.

Your blood levels show a combination of thyroid hormone from medication you take and from what your body makes by itself.

If the total amount goes up but the medication did not change, then that means your gland is getting stronger and it is time to decrease the dosage.

Start With Your Health Today

If you lower your dose before your gland is ready, your TSH will elevate and it will put even more pressure on your gland to work harder which will lower its odds of getting healthy again.

If you’re curious about the status of your thyroid, I’d love to share the perfect first step. That’s taking the Thyroid Quiz (Click Here: Take The Thyroid Quiz Today).


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P.S. Whenever you are ready, here is how I can help you now:

1. Schedule a Thyroid Second Opinion with me, Dr. C, Click Here for Details
2. Download and use my Favorite Recipes Cookbook Here
3. Check out my podcast Medical Myths, Legends, and Fairytales Here

Dr. Alan Glen Christianson (Dr. C) is a Naturopathic Endocrinologist and the author of The NY Times bestselling Adrenal Reset Diet, The Metabolism Reset Diet and The Thyroid Reset Diet.

Dr. C’s gift for figuring out what really works has helped hundreds of thousands of people reverse thyroid disease, lose weight, diabetes, and regain energy. Learn more about the surprising story that started his quest.