If NDT Is Good Enough for a Former First Lady, Surely It’s Good Enough for Me?

Yes, Hilary Clinton has an underactive thyroid. Yes, she takes Armour, a brand of NDT for it. 

In case you’ve been living under a rock, Hilary Clinton is the former first lady of the USA and she was also the 67th United States Secretary of State from 2009 to 2013. Since then, Hilary has become the Democratic Party’s nominee for President of the United States in the 2016 election.

Conflicting opinions arrive with every election cycle, which echoes the conflicting opinions among healthcare professionals in regards to appropriate treatment of hypothyroidism, and this is where Hilary taking NDT for her hypothyroidism joins both politics and hypothyroidism together in an interesting discussion.

Most healthcare professionals will spout unwavering support for T4-only medicine such as Levothyroxine and Synthroid, whereas a growing number of thyroid patients insist that they feel/would feel better on Natural Desiccated Thyroid (NDT), just as Hilary does. The use of NDT, which dates back to the early 1900’s, was long the only choice for hypothyroidism treatment before falling out of favour when pharmaceutical companies started mass-producing isolated T4-only medicine in the 1960’s, patenting them. NDT such as Armour, which is the brand Hilary uses, meets the stringent guidelines of the US Pharmacopeia and is available on prescription in most countries.

However, T4-only medicine does not alleviate hypothyroid symptoms for all patients. It just doesn’t, no matter what the doctors say, as they prescribe more and more drugs to mask the remaining symptoms. Due to many mainstream doctors refusing to acknowledge NDT’s effectiveness, a growing number of hypothyroid patients are taking to going private to access NDT medication, or self-sourcing, which is obviously far from ideal.

I’m a key example of how a hypothyroid patient can do so disgustingly badly on T4-only medicine like Levothyroxine, yet make drastic improvements on NDT.

Why is NDT often not favoured?
Let’s start with some basic science; NDT contains real thyroid gland from pigs, and unlike synthetic T4-only medicine such as Levothyroxine and Synthroid, NDT is natural and gives you exactly what your own thyroid would be giving you; T1, T2, T3, T4 and Calcitonin. When you have hypothyroidism, you’re typically low in any of these hormones, namely T3 and/or T4.

Unfortunately, many doctors inadequately treat a lot of patients’ thyroid conditions with T4-only medication, when they need a medicine which contains all the hormones shown above in NDT, which then leaves them hypothyroid. Symptoms of this include but are by no means limited to:

  • Constipation
  • Depression
  • Slow movements, speech and thoughts
  • Itchy and/or sore scalp
  • Muscle cramps
  • Dry and tight feeling skin
  • Brittle hair and nails
  • Pain, numbness and a tingling sensation in the hand and fingers
  • Numbness in limbs
  • Irregular periods or heavy periods
  • Brain fog/confusion/memory problems
  • Migraines
  • Hoarse voice
  • A puffy-looking face
  • Thinned or partly missing eyebrows
  • Itchy eyes
  • Poor stamina
  • Long recovery period after any activity
  • Arms feeling like dead weights after activity
  • Inability to exercise, or withstand certain exercises
  • Being overly emotional
  • Inability to tolerate cold – cold hands and feet
  • High or rising cholesterol
  • Acid reflux
  • Easy bruising
  • Swollen legs that impede walking
  • Shin splints
  • Difficulty standing on feet
  • Joint stiffness and pain
  • Fertility issues

NDT is not commonly prescribed for hypothyroid patients, despite there being research available and many patients on it who show the positive impact of this medication. Frustratingly, down to outdated informationmisinformation and myths, NDT has a somewhat bad reputation these days, which stops many thyroid patients from receiving this medicine when it would likely solve so many of their symptoms and ‘other health conditions‘.

The NAH report that one of the false beliefs that continues to circulate is that NDT can transfer diseases from animals to humans (I’ve had an endocrinologist say this to me), as well as the ratio of T3 to T4 being too high and that it causes heart conditions and hyperthyroidism. All these statements have been found to be false (given that the NDT is used responsibly) yet they are still spouted by many practitioners. There is a sufficient lack of evidence to these claims, yet there is evidence that NDT works well for many patients.

The AACE and ATA even stated in their 2014 Hypothyroidism Guidelines that: “There is no evidence to support using natural desiccated thyroid hormone in preference to Levothyroxine in treating hypothyroidism…therefore desiccated thyroid hormone should not be used for the treatment of hypothyroidism.” After making this bold claim, interestingly, they didn’t present any research proving Levothyroxine’s superiority over NDT, nor did they present any research showing the risks of taking NDT. They failed to mention that there is no evidence to support using Levothyroxine over NDT either. Because there is none. However, they didn’t say ‘therefore Levo should not be used for the treatment of hypothyroidism’, did they?

Many thyroid patients would say that Big Pharma are to blame for Levo-pushing doctors we face. But that’s a rant for another day!

A study conducted by Thanh D. Hoand, DO, who presented his research at the Endocrine Society Annual Meeting in June 2013, backs up the positive effects of treating hypothyroidism with NDT. Dr. Hoang’s research proved that NDT is a viable alternative to Levothyroxine. Almost half, 49%, of the seventy patients involved in the study preferred NDT treatment compared to just 19% of patients who preferred Levothyroxine.

Hopefully Hilary Clinton’s notoriety will bring greater awareness to thyroid conditions and treatment options, including the ‘unconventional’ Natural Desiccated Thyroid. Afterall, if such a medicine is good enough for the possibly soon-to-be president of the United States, isn’t it good enough for the rest of us?


If you found this article informative, useful, helpful or in other words are grateful you stumbled across it, please consider helping me keep The Invisible Hypothyroidism running, so that we can carry on building a strong community, spreading awareness and helping each other. Running the site comes at the expense of my personal time and money from my own pocket. You can make a one-off or monthly donation to support me keeping this website going, by clicking the button below.

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I run a Facebook group, called Thyroid Family: Hypothyroidism Advice & Support Group. This group is for underactive thyroid/hypothyroidism patients only, and not medical professionals or anyone else. If you have any questions on living with hypothyroidism, or want some support, help or advice, please join us. 

I also run a group for the spouses, partners and other halves of hypothyroid patients, called Hypothyroid Patients Other Halves – Support & Advice Group. This is for the other halves only and not patients. 

-Rachel

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