How to Get Off of Thyroid Medication Safely (All Types)

How to Get Off of Thyroid Medication Safely

Do You Want To Get Off of Your Thyroid Medication?

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If you’re like most thyroid patients then you’ve probably been told that once you start taking thyroid medication you have to be on it for the rest of your life. 

But what if I told you that this isn’t the whole story?

What if I told you that there are plenty of people who can get off of their thyroid medication?

It may sound too good to be true but it doesn’t have to be. 

New studies suggest that as many as 30% of thyroid patients (1) may be taking thyroid medication when they don’t need it and may be able to get off of it. 

That’s a huge number of people when you consider that levothyroxine is one of the most commonly prescribed drugs in the United States!

How is it possible that so many people may be able to stop taking their medication?

The reason is simple:

There are plenty of causes of reversible hypothyroidism (low thyroid function) and some of these conditions either go away on their own or can be reversed through therapies and actions that you take. 

For instance, if you are someone who has been following the advice listed on my blog about how to change your diet, how to use thyroid support supplements, how to replace nutrient deficiencies, how to exercise appropriately, then there’s a chance that you may fall into that group. 

In addition to this group of people, there are also thyroid patients who may have been incorrectly placed on thyroid medication and have been taking it for years because no one ever stopped to ask why they were placed on it in the first place. 

Regardless of the reason, there’s a chance that you can stop taking it. 

It’s not a guarantee, though, which we will soon talk about but this is something that every thyroid patient should know. 

Today you will learn:

  • Why some patients can get off of their thyroid medication
  • Who shouldn’t try to wean themselves off of their medication and who must stay on it for life
  • How to go about reducing your dose in a safe way
  • What symptoms to look out for as you reduce your dose and which symptoms mean you are more likely to have a poor outcome
  • How to use supplements to help your thyroid gland function as you reduce your dose of thyroid medication
  • And much more…


Foods to Avoid if you Have Thyroid Problems:

I’ve found that these 10 foods cause the most problems for thyroid patients. Learn which foods you should avoid if you have thyroid disease of any type.


The Complete List of Thyroid Lab tests:

The list includes optimal ranges, normal ranges, and the complete list of tests you need to diagnose and manage thyroid disease correctly!


Disclaimer! Don’t Try This Without Support

Before we talk about getting off of your thyroid medication, I have to put out this disclaimer:

You should never try to wean yourself off of your thyroid medication without physician support!


Because thyroid hormone is a hormone that is required for life and some causes of low thyroid function result in permanent damage to your thyroid gland. 

In these cases, it’s not possible to wean yourself off of your thyroid medication because that medication is life-sustaining!

The good news is that there are only a handful of conditions that cause this problem and those include people who have had their thyroid removed (via thyroidectomy), people who have undergone radioactive iodine ablation (RAI), and people who are in end-stage Hashimoto’s

All of these conditions have one thing in common:

They result in permanent damage to the thyroid gland which means these people are reliant upon thyroid medication as their primary source of thyroid hormone. 

One other group of patients that should not attempt to deprescribe off of thyroid medication include those who are breastfeeding and those who are actively pregnant. 

Thyroid hormone is very important for fetal development and should never be altered or changed during pregnancy unless absolutely necessary.

And in the postpartum period, thyroid hormone is important for balancing sex hormones, balancing mood, and allowing your body to get back to its pre-pregnant normal state. 

If you are pregnant or breastfeeding you can always try to wean off of your medication when you are done. 

What about everyone else?

What if you have early or mid-stage Hashimoto’s

What if you were put on thyroid medication for some unknown reason?

What if your thyroid isn’t functioning because of other medical conditions which have since been resolved?

What if you are taking a low dose of thyroid medication and have noticed little benefit? 

What if your thyroid wasn’t working well because of nutrient deficiencies which have since been resolved?

What if you were put on thyroid medication because you were overweight but have since lost that weight?

In addition to these conditions, we also know from the experience of other thyroid patients that these signs indicate you have a higher chance to get off of your thyroid medication:

  • If you’ve been taking your thyroid medication for less than 4 years
  • If you had normal free T4 levels when you were diagnosed
  • If your current TSH is less than 1.8
  • And if you are taking a low dose of thyroid medication (around 50mcg of levothyroxine or less)
  • Are a woman (women are twice as likely to get off of their thyroid medication compared to men)

All of these conditions and scenarios still cause low thyroid function and may require thyroid medication but many of them are reversible or can at least be improved with different therapies. 

And, if you’ve spent time trying to correct those conditions with treatments and lifestyle changes, there’s a chance that you may be able to get off of your medication. 

But here’s the deal:

You won’t know if you can until you try! And you simply can’t count on your doctor to bring this topic up which means it’s something you will need to understand which is why we are talking about it now. 

6 Things to Know Before You Try to Wean Yourself Off of Thyroid Medication

If you are seriously thinking about getting off of your thyroid medication then there are a few things that you should know before you give it a try:

#1. You Need Your Doctor on Board

Before you do anything make sure that you discuss this with your doctor. 

The reason you want to get your doctor on board is just to make sure you don’t do anything that could accidentally cause harm. 

Getting off of thyroid medication isn’t a dangerous thing to do, as long as it is done correctly, but it may result in some changes in how you feel which should be evaluated by someone who knows what those changes mean. 

You will need assistance from your doctor both in monitoring your symptoms and in ordering thyroid lab tests to determine how you are responding. 

If you can’t get your doctor on board then you will want to seek out a second opinion using the resources found here

I can’t express how important it is to do this with physician support so please do not try this unless you are being monitored by a doctor. 

I’ve found that many doctors are pretty good about giving this sort of thing a try (even if they aren’t good about giving new thyroid medications a try) but your mileage may vary! 

#2. Take it Low and Slow


It’s not a race! 

In this case, the fastest to the finish line isn’t always the one who wins, and here’s why…

As you take thyroid medication you are suppressing the normal feedback loop that exists in your brain and thyroid gland. 

In the healthy person, your brain (via TSH and TRH) talks to your thyroid gland which tells it how much T4 and T3 it needs to produce. 

When you introduce synthetic or natural thyroid hormone into the equation (in the form of prescription thyroid medications) you are shutting down this two-way messaging system so that your brain doesn’t communicate with your thyroid gland. 

The more thyroid medication that you take and the longer you take it, the more suppressed this communication will be. 

This is important because as you reduce your dose of thyroid medication you have to give your brain enough time to come back ‘online’ and start talking to your thyroid gland. 

Luckily, the thyroid gland system (known as the HPT or hypothalamic-pituitary-thyroid axis (2)) tends to recover much faster than other systems. 

Systems such as your adrenal system (HPA axis) and testosterone (HPT axis) can take months or even years to fully recover. 

In the case of the thyroid system (HPT axis), it usually recovers within weeks to months. 

Providing time allows this system to recalibrate and begin functioning again which is required if you want to stay off of your medication. 

#3. Monitor Your Symptoms as you Decrease Your Dose

As you reduce your dose of thyroid medication, you want to make sure you are keeping a close eye on how you are feeling. 

When you reduce your dose of thyroid medication you are removing the source of thyroid hormone that your body used to rely upon. 

As this occurs, it’s not uncommon to see changes in how you feel!

In fact, as many as 50% of people who reduce their dose of thyroid medication will experience some symptoms. 

These symptoms can vary from severe and serious to mild and benign. 

Your symptoms can help guide you and help you determine if you are reducing your dose too quickly, if you need to slow down, or if you should go back to your old dose. 

In general, it is a bad sign if your symptoms are severe and if they get worse over time. 

If your symptoms are mild and tend to improve then this is a pretty good indication that your body is able to adapt to the change in thyroid medication. 

Understanding these symptoms is very important because feeling worse isn’t always a bad thing. 

#4. You May Feel Worse as you Reduce your Dose (and it isn’t always a bad thing)

As mentioned above, you may start to feel your old hypothyroid symptoms come back when you lower your dose. 

You might automatically think this is a bad thing but that isn’t always the case. 

When you reduce your dose there is a small window of time between when your body can start producing enough thyroid hormone on its own to make up for the lost thyroid hormone that you were giving to it from your medication. 

During this window, you may feel poorly because your body is operating with less thyroid hormone than it used to. 

Even though you may feel worse, this is usually temporary, provided your own body can kick in and start producing thyroid hormone on its own. 

Because of this, as you reduce your dose you may experience waves of low thyroid symptoms. 

To make matters a little more confusing, though, there’s also a situation in which those low thyroid symptoms are a bad sign. 

If you lower your dose of thyroid medication and your body CAN’T take over for that lost thyroid hormone then you will feel significantly worse. 

This could happen because part of your thyroid gland is no longer working or because there’s an issue with your pituitary gland, in either event, you will most likely not be able to get off of your thyroid medication if that’s the case. 

How to differentiate between these two conditions can be difficult but I’ve found that most of the time thyroid patients can discern between the two intuitively. 

In addition, some studies suggest that the presence of these symptoms while lowering your dose of medication predict a poor outcome (3):

  • Facial swelling or facial edema
  • Constipation
  • Weight gain
  • Severe fatigue
  • A TSH greater than 10 on lab testing

Severe versions of fatigue and weight gain are likely early indicators that your own thyroid gland is not coming back online. 

This is especially true if these symptoms persist or even get worse over a period of time. 

The presence of these symptoms by themselves isn’t bad if they go or improve within a matter of a few weeks but if they persist then it’s a bad sign. 

#5. Make Sure to Give your Body Enough Time to Start Working Again

As you think about getting off of your thyroid medication, you need to consider your own personal situation. 

For instance, have you been taking thyroid medication for years or decades?

Are you someone who has required high doses of thyroid medication over the years?

Are you someone who has always had issues with finding the right dose for your body?

If you answered yes to any of these conditions then they all may impact how long it will take for your own thyroid gland to begin functioning again. 

In these cases, you will want to make sure that you give your body a sufficient amount of time to recover before you determine that you can’t get off of your medication. 

In most cases, the thyroid system is able to recover anywhere between 2-6 months. 

#6. Use Thyroid Supplements to Support Thyroid Function

If you aren’t already, I would also recommend that you consider using thyroid supplements to help your thyroid gland as you wean off of your thyroid medication. 

Even though you are reducing your thyroid medication you can still support thyroid FUNCTION in your body with the use of certain supplements. 

And these supplements can help your thyroid gland work more efficiently as long as you use the right supplements. 

When trying to get off of your thyroid medication, here are the supplements you’d want to consider using: 

  • Supplements that support thyroid production from the thyroid gland – As your thyroid comes back online you can help support it by providing it with the nutrients it requires to directly produce thyroid hormone. Remember, your thyroid gland produces T4 and T3 thyroid hormone when it is stimulated by the brain via TSH. Most important on this list include iodine, tyrosine, and iron. These nutrients are required at various different steps in the production of T4 and T3 thyroid hormone and taking them in supplement form may help your thyroid more easily produce the thyroid hormone your body needs. When it comes to iron, you’ll only want to take it if you have low iron lab tests. The other nutrients (tyrosine and iodine) can be taken without testing. 
  • Supplements that support thyroid conversion – In addition to supporting thyroid hormone production, you will also want to support T4 to T3 conversion. Thyroid conversion is the process your body uses to produce the most powerful thyroid hormone T3. Optimizing T3 production both from your thyroid gland and from thyroid conversion can help ensure a smooth transition from thyroid medication to the production of thyroid hormone from your own gland. Supplements that help this process include zinc, selenium, and guggul extract
  • Supplements that support thyroid hormone sensitivity – Next, you can take nutrients that help the thyroid hormone that your thyroid gland produces do its job at the cellular level. Vitamins A and E, as well as zinc, assist in this process. 
  • Supplements that contain thyroid glandulars – Another ingredient to consider using would be thyroid glandulars. Thyroid glandulars are portions of thyroid glands from animals that contain ingredients, prohormones, proteins, and enzymes that can help your thyroid function. 

Using supplements can help improve your chances of getting off of thyroid medication and take the edge off of negative symptoms that you may experience as you do it. 

Example of Titrating Off of Thyroid Medication: What it Looks like

To illustrate how this might look for you, let’s create two different scenarios: 

Example #1:

Let’s imagine you are someone who is taking 100mcg of levothyroxine. In this case, you have been taking levothyroxine for 2-3 years and you are using it for hypothyroidism of unknown cause (you don’t know why you are taking thyroid medication except that your labs showed you needed it). 

Because you’ve only been taking thyroid medication for 2-3 years (which is a fairly short time period for thyroid patients) and because you are taking levothyroxine, you can try to get off of your thyroid medication using the standard approach. 

This is what it would look like for you:

  • Start by taking thyroid support supplements for 2-3 months before you attempt to reduce your dose
  • After 2-3 months of using your thyroid supplements, you would reduce your dose of levothyroxine down to 75mcg (from 100mcg)
  • After 2 weeks you would then decrease your dose down to 50mcg
  • After another 2 weeks (1 month from when you started) you would reduce your dose down to 25mcg
  • After another 2 weeks (6 weeks from when you started) you would then reduce your dose down to 0mcg
  • Allow your body 2-4 weeks to acclimate before rechecking your labs (TSH, free T3, free T4, and reverse T3)
  • *Note: you should recheck your labs at the 6 week mark or if you experience a sudden or abrupt worsening in your thyroid symptoms (if you find that your TSH is > 10.0 this is a sign you are not responding well)

In this example, you would be able to completely come off of your thyroid medication in about a 6 week period. 

Because levothyroxine stays in the system for about 1 month (due to its half-life of 7 days (4)), you will still have some residual thyroid hormone floating around in your body for 4 weeks after you completely go off of your thyroid medication. 

This is good because it gives your own pituitary gland some time to come back online. 

Most people feel really good when they start going off of their thyroid medication and it isn’t until 1 month after they completely stop taking it that they feel the effects. 

So it’s around this time that you want to pay close attention to how you are feeling. 

Let’s use another example. 

Example #2:

Now let’s imagine that you are someone who has been on thyroid medication for 10 years and, in this case, you are using Armour thyroid to treat low thyroid function from Hashimoto’s thyroiditis. 

Your dose of armour thyroid is 60mg and you’d like to try to wean yourself off of it. 

This situation is a little bit different from the first because Hashimoto’s can lead to permanent thyroid gland destruction

This is something you have to keep in mind if you are trying to wean yourself off of thyroid medication if you have Hashimoto’s. 

If your Hashimoto’s has been around for many years then you can bet that there is at least some permanent damage present but there’s no way to know how much until you try to go off of your medication. 

Because of this, and because you are using a thyroid medication that contains T3 (which has a half-life of about 2.5 days (5) compared to the 7 day half-life of T4), you will want to wean yourself off a little bit slower than our first example. 

This is what it might look like:

  • Start by taking thyroid support supplements for 2-3 months before you attempt to reduce your dose
  • Reduce your dose from 60mg of Armour thyroid to 45mg
  • After 2-4 weeks (depending on how you feel), reduce your dose from 45mg to 30mg
  • After 2-4 weeks (depending on how you feel), reduce your dose from 30mg to 15mg
  • After another 2-4 weeks (depending on how you feel), reduce your dose from 15mg to 0mg
  • Allow your body 2-4 weeks to acclimate before rechecking your labs (TSH, free T3, free T4, and reverse T3)
  • *Note: you should recheck your labs at the 6 week mark or if you experience a sudden or abrupt worsening in your thyroid symptoms (if you find that your TSH is > 10.0 this is a sign you are not responding well)

This method is similar to the first but allows for extra time in between dose reductions. 

Using this strategy, you can reduce your dose down to 0 in as short as 6 weeks or as long as 12 weeks. 

This slower approach is ideal for people using Armour thyroid (or other medications with T3) because the half-life for T3 is less than half of that of T4. 

The half-life refers to how long it takes your body to eliminate half of that ingredient. 

And it takes about 4 to 5 half lives (6) for any medication to completely clear your system. 

This means that medications that contain T4 will be in your system for 35 days (7 day half-life x 5 half-lives for elimination) and that T3 will be in your system for 12.5 days (2.5 day half-life x 5 half-lives) after your last dose. 

This means that that T3 won’t stick around in your body as long as the T4 will once you go off of your medication. 

And because T3 is much more powerful than T4, you are likely to feel more symptomatic as you drop your dose compared to someone taking only T4 medications like levothyroxine or Synthroid. 

This isn’t always true but it’s a general rule that you can use to guide your deprescribing. 

Your Next Steps

Is it possible to wean yourself off of thyroid medication? 

Yes, but it should never be done without physician supervision. 

There are some thyroid conditions that REQUIRE thyroid medication and you would not want to try and go off of your thyroid medication if you have one of these conditions. 

If you are serious about getting off of thyroid medication then I would encourage you to get aggressive with natural therapies before you give it a try. 

As you take supplements, change your diet, reduce your stress, and get more sleep, you will give your body the best shot it has at getting off of your medication. 

Please note that not everyone will be able to do this, though, so don’t be frustrated if you are someone who can’t. 

Just because you can’t right now doesn’t mean you won’t be able to in the future. 

Now I want to hear from you:

Did you know that some people can get off of their thyroid medication?

Have you ever tried to wean yourself off of your thyroid medication?

How did it work for you? Did you feel better or worse as you did it?

Are you planning on discussing this with your doctor to see if it’s right for you?

Leave your questions or comments below! 







how to wean off of thyroid medication

About Dr. Westin Childs

Hey! I'm Westin Childs D.O. (former Osteopathic Physician). I don't practice medicine anymore and instead specialize in helping people like YOU who have thyroid problems, hormone imbalances, and weight loss resistance. I love to write and share what I've learned over the years. I also happen to formulate the best supplements on the market (well, at least in my opinion!) and I'm proud to say that over 70,000+ people have used them over the last 6 years. You can read more about my own personal health journey and why I am so passionate about what I do here.

P.S. Need more help? Check out my free thyroid downloads and resources.

27 thoughts on “How to Get Off of Thyroid Medication Safely”

  1. I have been taking levothroxine for several years probably 10 or more. I wanted to come off of it because I no longer trust that I am going to be able to get this medication and because I am feeling vulnerable with the way that government is controlling medications that doctors can prescribe now. I have been off of it now for around a month maybe a month and a half. I took 50MG and had skipped to every other day for about a week. I am taking iodine right now and vitamin D3. What other supplements should I take. I did this without support from my doctor because the office I used to go to closed down. I will go to a doctor but now I am very hesitant to take “any” medications because I don’t know what is in them or where they come from.

    • Hi Kim,

      In terms of supplements, I would recommend using this bundle:

      As mentioned in the article, I would strongly recommend seeking out physician help when you wean yourself off or your thyroid medication. There are some people that must be on thyroid medication for life and that’s something that a doctor can help you understand. The supplements linked above can help support your thyroid while you wean yourself off but would not be a substitute for medical advice. Hope this helps!

    • Hey Dr. Child’s. What’s the best way to take probiotics that come in packets? People are saying that it’s not working well when you mix with water. I have an idea i’d like to message you about privately. If your interested shoot me an email. Thanks!

      • Hi Hunter,

        My own probiotic (Gut Bomb 350 billion) comes in a packet and I’ve had people take it with water for years without any issue.

  2. Hi Dr. Childs; I’ve searched the blog and can’t find anything that addresses my questions directly (but I’m sorry if I’ve missed it somehow). I have had symptoms of low thyroid for years, but docs would check my TSH/FT4/FT3 and say they were “normal” and dismiss me. I went through 3 pregnancies and again, never got diagnosed. When I check my labs against your recommendations, I would have qualified for low FT4 and FT3 every single time; but my TSH was always under 2. I had TPO antibodies and so forth, but I ended up going gluten free for digestive issues and they cleared up after that. That being said, I got in as a patient with an “old school” endocrinologist who treats based on symptoms more than normal TSH; and when he checked my labs (1 time) my TSH was 3; so he said that combined with symptoms, I needed to be treated for low thyroid. That being said, I’ve been on the meds for a year now (NP Thyroid); and I haven’t lost any weight (in fact, when I started meds it felt like my appetite went away completely but I kept gaining weight), my energy is slightly better but I still crash in the afternoon, my cold hands/feet are better but body temp is still under 97 when I wake up, I still have brain fog and difficulty concentrating, etc. All of that being said, I thought when I started meds and got the dose titrated up, I would feel “normal”, and I still don’t. He has said it will just take time. My TSH is now 0.03, and my FT4 and FT3 have come up (but just barely). The doc I see doesn’t believe in checking labs routinely, he only does it if your symptoms are problematic. He’s upped my dose to 150 mg NP Thyroid, but I started having palpitations, so I went back to 90 mg (what I had been on before). I guess in looking through your blog, I just am wondering: can it take over a year to get your dose normalized and to start feeling well? And is it possible that the TSH being over 3 was a fluke, and I really have more of a euthyroid syndrome going on (with low FT4/FT3)? But can that happen with TPO antibodies, or does that strictly mean hashimotos? Is it possible to not feel better with treatment if you have Hashimotos? I guess I am just not sure what to think/what to try.

  3. Hi , I am on 75 mcg of Levothyroxine for several years, prior to being on Armour for 10 years, before that Synthyoid for 10 years.
    The drugstore has given me Euthyrox instead of Levothyroxine. I am requesting drugstore for the levothyroxine as prescribed.
    My Tsh is 0.337 and T4 is 1.42, T3 is 2.5. I take zinc, selenium, probiotic, D3, B12, B1, K2, Magnesium, lots veggies/fruits, lean meats, Himalayan salt. I really want to come off Levothyroxine and let my body work as it is suppose to. I am 67 years old, very healthly otherwise, what can I add to help supplement? Can I reduce the levothyroxine on my own, if so how often. I read the information to slowly reduce, maybe see results in six weeks.

  4. Hi,
    I am taking 13mcg of Tirosint for 6 months, and before that I was on 25mcg for 2 years (on and off)
    currently my TSH level is just over 4, (when I was taking 25mcg my TSH was a bit higher)
    I have lost a bit of weight 3-4 kg’s due to diet and daily jogging (10 mins a day)
    I’m 49 years old 5’9″ and now 86kgs
    I take Selenium / zinc / D3 (5000iu) / K2 / and a digestive enzme with pre-pro biotics (from zenwyse) with each meal (otherwise I burp a lot).
    I eat breakfast and lunch as a vegan (pretty light meals), and I eat a balanced meal (with non-veg food too) in the evenings.
    How would you suggest to me to come off this medication?
    also are there other things I should implement into my life?
    I will discuss this with my dr. too

    • Hi Harj,

      The recommendations listed in this article would apply to Tirosint (and all other thyroid medications).

  5. Hello Dr. Westin,
    I take 100 mcg of Tirosint and 25 mcg of Cytomel. I didn’t see an example on to wean off these meds for that combination. My doctor has me estrogen and progesterone which have helped with my menopausal symptoms. She mentioned that when your hormones are in balance that can also help your thyroid . I’ve been on meds since 2015.

    • Hi Margie,

      The same basic principles would apply on that combination of thyroid medication. You’d want to slowly reduce your dose over a period of time but you’d want to only do 1 thyroid medication at a time. I would probably start first with the T3 and then move to the T4 because of the half-life but there’s no right or wrong way to do it.

  6. Hello Dr. I have found this very helpful. Why? Because you give an eg of how wean self of meds. My Dr not believe I can ever stop, yet my cat scan shows small increments of growth in the thyroid. On thyroid meds for >20yrs, diagnosed with Hashimoto’s since about 7yrs (at which time told I’d have had it at least 10yrs – more in my estimation) ..long time use natural remedies. I have many ??s already started reducing what I take but.. so much to say… can I use Lugols solution to replace dr’s meds? My TSH at times over 10, antibodies came down from over 2,000 to now in 4-500’s. I’m 75. Still have a chance? Await your response, see if you need more info. THANKS SO MUCH, you give me hope.

    • Hi Ingrid,

      Unfortunately, it’s hard to predict who will be able to get off of their thyroid medication with a high degree of certainty. Generally speaking, the longer you’ve had your thyroid condition, especially Hashimoto’s, the less likely you are to be able to get off of it. This is why it’s so important to start early if you can.

      In regards to your other question, there isn’t a good replacement for prescription thyroid medication but some supplements can help assist thyroid function as you wean yourself off. I mentioned a couple in this article which may help but they are not considered a substitute for thyroid medication.

  7. Hi Doc!

    I am on 2 thyroid medications, Levothyroxine 50mng Np 60- plus daily Iodine 12.5 mg

    I want to get off the Levo-Artificial one, I don’t even know why I’m on both.
    I do bioidentical hormones pellet every 3 months 75 mg of testosterone and 6 mg of Estrogen and 200 mg Progesterone at night

    Thank you

    • Hi Deena,

      It would probably be best to consolidate if possible! You will want to touch base with your current provider to make it happen. At the very least you will want to ask why you are on that combination so you can get a better idea of what the person who prescribed it was thinking.

  8. I had to increase my dose in February from 75 to 88 because I was feeling hypo. It worked but then I wanted to go back to 75. I know once you keep increasing it’s hard to come down since your body gets used to it.

    From then I was able to slowly lower the dose on my own. Every month I went down by 3.5 to 4 and lastly a 5 point drop. I didn’t feel a difference. I did feel a change one or two months.

    I took it upon doing it this way because initially when I attempted to do it I had dropped 12 points and noticed a hypo difference. I figured best to go slow. I’ve been at 75 since June.

    And since I started working on a small protocol on my own to help eradicate Sibo I am loosing a lot of hair which makes me think I may be over medicated. Of course, I have filled in my doctors on this and they approve of it. However, just yesterday I asked whether if I needed labs down before I change my dose and the answer was you can change your dose if you want to, because we ultimately will go with how you feel then paper.

    In attempt to help increase my ferritin the ND wanted to try another iron supplement this is what caused my stable ferritin to drop to 22. Initially it was at 48. My hair is suffering the most now. Loosing a lot and it’s very thin and fragile. I hope I still have hair left after this.

    With hashimoto there can be many things correlated. I hope I found my root cause being my gut so I can finally find a path to heal and get to remission.

    My goal from diagnosis was and still is to get off the med and get under remission. God willing I will achieve it.

  9. Have been on Levothyroxine 100mcg for nearly 30 yrs. Saw a naturopath about 3 yrs ago and he increased my Levo to 125mcg and added Cytomel 25 mcg. Initially I felt much better but TSH was down to .01. FP freaked out!
    Reduced dose but still on Cytomel.
    Decided on my own to try being off Levo and just take Cytomel with your recommended supplements. Feeling ok but haven’t had labs checked. My FP says she wants to treat my sx not labs. Have some fatigue and lack of motivation. Lazy or age? I’m 76

    • Hi Sandy,

      It’s hard to say for sure because fatigue can be caused by so many different things ranging from how well you sleep to how active you are and everything in between. I would first focus on the easy things like getting enough sleep each night and staying active. From there you can then move onto other potential causes such as your adrenals and thyroid.

  10. Hi
    I’m on 10mcg of liothyronine for about 2 years. I have celiac and Sjogrens. I don’t like taking it but it did improve my body temp (it was low) and I started perspiring more ( I didn’t perspire hardly at all before). I’m wondering if there’s a supplement that can help while I’m weaning off? I was borderline hypothyroid so I went on it as a trial and it did help with the above symptoms but I don’t like taking it because I’m concerned about the ingredients (what is even in Liothyronine)?

  11. All should research a carnivore diet. For the first time in 15 years all symptoms are disappearing and I’ve been coming off my thyroid meds.

  12. I am 66 and have been on levothyroxine 50mcg for decades ever since my bloodwork indicated Hashimotos with no symptoms other than difficulty losing weight.

    I am 5’ tall and have a slow metabolism. I have tracked calories and activity for years, I have a degree in Dietetics, and I’m pretty sure I only need around 1100- 1200 cal to stay the same. I recently lost 57 pounds on Optavia (Medifast) … I am not at goal, would like to lose 20 pounds more. But since going off of Medifast using their transition program yo “take a break” I now only seem to need about 1000 cal. Meanwhile my husband went on the program with me, lost his weight in a quarter of the time, and still needs about 2200 cal to stay the same (he is 6’ 77 yrs old)

    After reading your articles I am feeling that perhaps my levothyroxine 50 MCG might be just working against me particularly since I never had symptoms of low thyroid and I have never had to alter the dose.

    My internist laughed at me, I think he doesn’t believe that I know how to count calories. It’s very frustrating. I have ordered the bundle. I’m thinking of just not taking my 50 MCG and using the bundle and see what happens.

    I have another blood test scheduled with my doctor in December, and if I start to develop symptoms I could certainly just start taking it again.

    In the meantime I did get my reverse T3 levels tested and I’m awaiting results. If my reverse T3 levels are high could it be due to too much T4 In the form of levothyroxine? Could the level be putting me in starvation mode which has then been compounded by my dieting?

    At this point I’m sort of grasping at straws to try to find a solution. I am fairly active and increasing exercise just seems to add weight like it makes my “starvation mode” worse. What thoughts do you have for me?

  13. Hi Dr. Childs,

    The words, thank you, do not convey how much I appreciate all the work you have done in this area to help me understand what I can do to take charge of my own health when it comes to my under-active thyroid gland.
    I believe (based on electro-dermal screening) mine was damaged by radiation from dental x-rays, and a mouthful of amalgam fillings (all of which have been replaced). My life, and that of my father’s, turned into a nightmare of practically begging western medicine doctors for some relief which fell on deaf ears. I had to drink boatloads of coffee just to function (barely) for decades until I finally got help from a Naturopath.
    I have been taking your high dose iodine, and T3 conversion booster supplements since May of 2021, plus I have added everything else you have mentioned nutrient-wise in order to prep for going off thyroid medication. I had actually already started the process on January 2nd, 2022 after withdrawing from a small dose (12.5 mcg/ 2x per week) of levothyroxine.
    I am currently trying to get off Nature-throid since I do not think RLC Labs will be coming back anytime soon; when things went south due to the FDAH (not a typo) messing with them over a ridiculous amount (wasn’t it 3%?) of hormone level discrepancies (allegedly) in some of their products, I could see the handwriting on the wall. I have no desire to go back to Armour, or try synthetics since I never want to experience what I went through to finally get it right again.
    So now, I am cutting up some 113.75 mg (my old daily dose) tablets I found on the internet last year (for a premium) in hopes that I may have enough to seal the deal…time will tell.

    I came on here to share my story, hoping it will help others in some way, but I also have a couple questions.

    1. Why is this statement “Are a woman (women are twice as likely to get off of their thyroid medication compared to men)” true?

    2. Given that I have to cut tablets to play around with the dosing reductions, would it be wise to put them in liquid form to titrate down?
    ( I ask because I have been taking it sublingually for years, and I understand the absorption rate is higher )

    And now to answer your questions:

    Did you know that some people can get off of their thyroid medication?
    I do now thanks to you!

    Have you ever tried to wean yourself off of your thyroid medication?
    Yes, and it has been difficult until now.

    How did it work for you? Did you feel better or worse as you did it?
    In January 2022, I started reducing my dose 10-15 mg PER WEEK, then I went to every other week, but by May I started feeling hypothyroid again; it was too intense, so I upped my last dose reduction back to where it was, and stayed at that level until June at which time I changed my morning dose to be more equal to my evening dose.

    Are you planning on discussing this with your doctor to see if it’s right for you?
    I did, she was supportive, and the issue with Nature-throid no longer being available sent me over the edge. Thanks to my doc, she helped me stock up a little before RLC went dark, and then I scoured the internet for unrecalled bottles.
    I have decided, based on my experience so far, everything I have learned from you (and about myself), that I am ready, and fully competent to do this without further consultation with a doctor.

    • Hi Timetothrive,

      I don’t think anyone knows for sure why men are more likely than women to get off of thyroid medication except to say that’s what’s observed. My guess is that it probably has to do with thyroid hormone sensitivity in men vs women probably due to hormones like testosterone but that’s just speculation.

      Lastly, I suppose you could try dissolving your thyroid medication in liquid but I would be cautious with that approach. There’s a chance that if you are playing chemist you may alter the hormone and impact its absorption.

      • Thank you for your quick reply Dr. Childs. I kept refreshing the page to see if my comment posted, so my apologies for double submissions.

        Your point about possibly altering the hormone is not something I care to take a chance with, so I plan to stick with cutting tablets.

        One question I forgot to ask is:

        Based on your experience with people weaning off thyroid medication, would I be better off reducing my evening dose, or my morning dose?

        (It seems like an either/or choice to me, but it would be more difficult to play around with the morning dose than the evening given what I have to work with, and I’m assuming I would need more T3 during the day, than during the night?)

        Once I have adjusted to taking a single dose per day it should be a lot easier to manage.

        Although I feel good about my decision to attempt to go off, any other thoughts you have about what I am doing, and my thinking would be much appreciated; it is a bit scary on some level…

        Kind regards,


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