Thyroid Medications, Is a Specific Formula or T4:T3 Ratio Best? Debunking Dogma

Dr. Ruscio Radio, DC: Health, Nutrition and Functional Healthcare

Dr. Michael Ruscio, DC

Medical, Health, Functionalmedicine, Alternative Health, Health & Fitness

4.5 • 774 Ratings

🗓️ 28 December 2020

⏱️ 28 minutes

🔗️ Recording | iTunes | RSS

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Summary

Many functional medicine providers promote the view that combination thyroid medication — including both T3 and T4 — is better than using T4 alone, or that certain ratios of T3 to T4 are preferred for better health outcomes. But is this true? In today’s podcast, I share what the research says. https://drruscio.com/thyroid-medications-debunking-dogma

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Transcript

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0:00.0	Welcome to Dr. Rousho Radio, providing practical and science-based solutions to feeling your best.
0:15.1	To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player.
0:22.6	For weekly updates, visit Dr.Ru-R-R-U-S-C-I-O.com.
0:30.6	The following discussion is for educational purposes only and is not intended to diagnose or treat any disease.
0:37.3	Please do not apply any of this information
0:39.3	without first speaking with your doctor. Now, let's head to the show. Hi, everyone. Welcome back to
0:46.4	another episode of Dr. Roush Rodya, this Dr. Ruch show. And today, we are going to discuss
0:50.6	thyroid hormone medications, specifically, is there something special about a combination
0:58.0	formula of T4 plus T3?
1:02.0	And if you're a patient or a clinician, you've likely heard of Synthroid or Lebo Thyroxin.
1:08.1	However, there's this other theory that you should have a thyroid hormone that also
1:14.3	contains T3. And there's speculative reasons for this because a thyroid gland itself releases
1:20.2	bultifor in T3. So something like armor or naturoproid or WP thyroid or adding cytomel in conjunction with your
1:31.5	libothyroxin-throid is purported to be better. So that's what we're going to discuss today.
1:37.8	The short answer to the question is no. The preponderance of the evidence does not support that T4 plus T3 is better for the majority of patients.
1:49.0	It's more like 10% or less. And then to the counter argument that is sometimes levied against that, which is, well, you need to have a special ratio.
1:58.7	When looking even further into this issue, you don't find that a certain ratio is needed either.
2:05.1	So that's what we're going to outline today.
2:08.3	So if you remember back, well, for some of us, for those who read the clinician's newsletter,
2:15.8	you may recall that I went through a fairly deep dive
2:19.5	analysis on this maybe a year or a year and a half ago. Because it's a fair question. One of the
2:26.3	most common, I guess, philosophies or principles in functional medicine is we must have this particular ratio or we must more simply
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