# 636. How to Titrate Up Your T3 the RIGHT Way

An episode of [The Thyroid (and Hormone) Fixer Podcast: Thyropause, Menopause, Metabolism and How to Fix It](https://invisiblenetwork.ai/podcast/1529800263), 5 Jun 2026, 29 min.

Audio: https://episode.flightcast.com/waufmvwmc28t8iyccap2vqnx.mp3

In this episode, I’m answering one of the most common questions I receive from patients: how do you actually titrate T3 safely and effectively? We walk through the practical side of increasing both natural desiccated thyroid medications and T3 medications like Cytomel or liothyronine, including why the process looks different for different people. I explain how T3 works in the body, why sensitivity varies so much from person to person, and what symptoms can signal that you’re moving too quickly - or not quickly enough. I also discuss the realities of thyroid optimization, including why progress is rarely linear and why patience is often one of the hardest parts of the process. What you’ll learn: • Why T3 titration is rarely a one-size-fits-all process • How natural desiccated thyroid medications differ from standalone T3 medications • The role sensitivity to caffeine, stimulants, and medications may play in determining dosing strategies • What symptoms can suggest you’ve increased your dose too quickly • Why reverse T3 is an important marker to monitor during thyroid treatment • How to think about dose increases when progress feels inconsistent • The potential drawbacks of remaining on very low doses of T3 long term • Why thyroid optimization often requires ongoing adjustments rather than a fixed protocol If you're currently taking T3, considering adding it to your treatment plan, or wondering why thyroid medication hasn't produced the results you expected, this episode will help you better understand the titration process and the factors that can influence how you respond. Grab your Thyroid Fixer here: https://betterlifedoctor.com/ New here? Use code LISTEN20 for 20% off your first order Returning customers can use code LISTEN10 for 10% off SHOP DR. AMIE’S FIXXR® SUPPLEMENTS: betterlifedoctor.com LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free thyroid and hormone solution call: https://dramiehornaman.com/pages/book-a-call CHECK OUT MY FREEBIES... JUST CLICK BELOW Thyroid Optimization Guide: https://health.dramie.com/thyropause 7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Dr. Amie and The Thyroid Fixer Podcast! If you’re enjoying our journey together, I’d be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click HERE, scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven’t subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow HERE and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group and get questions answered LIVE weekly, Just Fix Your Thyroid, for a Community of HOPE and SUPPORT in your thyroid journey. https://www.facebook.com/groups/dramie/ Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine Subscribe on YouTube: Dr. Amie Hornaman Follow me on Instagram: @dramiehornaman

## Transcript

[0:00] The important thing is to also remember that progress is not linear. You might get better and then get worse and then get better and then have a step back. And you're not going to know what actually is going on. You're going to think that you're failing. You're going to think that the treatment isn't doing what it's supposed to do, but it actually is because that is the progression to thyroid optimization.
[0:22] Welcome to the Thyroid and Hormone Fixer podcast. If you've been told everything is fine, but you're gaining weight despite doing all the right things, struggling with brain fog, mood swings, low libido, or feeling like a stranger in your own body, you're in the right place.
[0:38] I'm Dr. Amy, The Thyroid Fixer, and I want you to know right now, I see you, I believe you, and you don't have to figure this out alone anymore. We're going to do this together. But I'm also not here to play nice with bad medicine or empty promises. This show is meant to disrupt the entire health space. We're gonna challenge the status quo, connect all the dots other providers miss, and give you real practical science-backed tools you can use today.
[1:07] You're not going to get any more recycled biohacking advice, just truth, strategy, and hope. Let's get you back to feeling like the badass human you're meant to be.
[1:21] This is a question I get asked all the time. And really, this episode should be secretly hidden for patients only. But for you, I'm kind of opening up the vault. So the patients will get access to this. But if you're listening to it, then you're very, very special because you also get access to my secrets of increasing your T3 or titrating it the right way.
[1:50] So before we dive into the how-to, let's just talk about the medications in general containing T3. So if you are on natural desiccated thyroid, so this could be armor thyroid, NP thyroid, ren thyroid, a combination of T4 and T3 that's compounded at a pharmacy. Usually those pharmacies are using the porcine-based medications.
[2:13] T4, T3 blend. So animal-derived porcine thyroid gland or thyroid glandular. It's just dried pig's thyroid gland. That's basically what makes up all natural desiccated thyroid. Now, when we are talking about a thyroid glandular supplement, which we don't know as of right now at this recording, we do not know what the FDA is going to do with all natural desiccated thyroid medications. You might be listening to this and going, well, those aren't in existence anymore. It's possible.
[2:43] Same with the supplements that are derived from bovine or cow's thyroid gland. We just dry that up and put it into a capsule. Both porcine and bovine contain T4 and T3. The fallacy that's out there, that really is out there to...
[3:02] protect the supplement manufacturers because, as we know, we're not allowed to sell a prescription in a capsule form. But the reality is, when you dry out a cow's thyroid gland, very similar to a pig's, that which is in the natural desiccated thyroid medication or prescription medication, when you dry a cow's thyroid gland out,
[3:23] Guess what? The T4 and T3, they're still in there. Now, I have other podcasts that cover this all about glandulars, but I just want to give an overview before we dive into the how-to. So you have your NDT medication. That contains 20% T3. Now, if you are titrating up just NDT,
[3:41] Just NDT. And you are freshly starting. Or maybe you came from being on T4 only and you're making a transition to using natural desiccated thyroid medication. A great step in the right direction might not be enough, but we'll go over that in a minute. So you're making that transition from...
[3:59] from however many micrograms of Synthroid, Levoteuracin, over to the milligram amount of natural desiccated thyroid. So it's a little bit different in the measurement, microgram to milligram. But that's because in NDT medication, you have...
[4:16] T1, T2, T3, and T4. T1 and T2 are in minuscule amounts. I've talked about this before as well, that the T2 amount that you actually need to increase your basal metabolic rate is going to be between 150 and 300 micrograms. So that's what's in supplemental form. I talk about this in the book, special chapter on T2. That is what is in supplemental form in thyroid fixer and metabolism fixer.
[4:43] So you're not going to get enough T2. I don't want you to get too excited when I say that T1 and T2 are in NDT medication because it's maybe 6 to 9 micrograms in a 60 or 90 milligram tablet. So differences in the measurement microgram to milligram. But what's important is that when you're looking at the milligram amount, this is a really quick way to do some math.
[5:08] you're looking at, let's say, a 60 milligram tablet of armor, the way to find out approximately, this is just a very raw calculation, the way to find out approximately how much T3 is in that NDT is,
[5:24] is to multiply it by 20% or 0.20. So then we get roughly 12-ish micrograms of T3 in a 60 milligram dose of armor. Now of that too, we have to almost take off some because it's not a pure 20% of the total amount of milligrams. Remember, we have fillers in there, we have T1, we have T2. So when we actually look at it, I always back it down a bit
[5:50] And I'll say, okay, I'll take it from 12 to maybe nine. Nine micrograms of T3 is what is present in a 60 milligram dose of armor thyroid or REN or NP, any natural desiccated thyroid. Now you can do the same for the thyroid glandulars. So let's say you have a thyroid glandular that's 100 milligrams. You're getting roughly 20 micrograms
[6:17] of T3 in that, and then we back off a little bit, drop it down from 20 to maybe 15 to 17 micrograms of T3 in that dosing of bovine thyroid glandular in a supplement form. Okay, you're following me, right? So we see T3 spanning natural desiccated thyroid. So as you're starting off,
[6:40] The usual dose is a 30 milligram tablet. Now, if you're very, very sensitive, like sensitive to caffeine, are you sensitive to medications, are you easily stimulated, then you're going to want to start really low and slow. Maybe cutting that 30 milligram tablet in half and dosing it 15 milligrams twice.
[7:02] twice a day. Why do we say twice a day? Because T3 has a very fast action on the body and a very short half-life. So T3 is essentially in and out of your system within eight hours, peaking at the four-hour mark. Now, we know that some is left behind because
[7:19] Because if it was truly all gone, we would never have a T3 level. But it does build up over time, and that's what is getting to your cells. You're literally feeding your cells with the thyroid medication or with the thyroid hormone that's required to attach to the receptor site on the cell. So you want to split dose that 15 and 15. 15.
[7:38] If you're not that sensitive, I would say most people can start with 30 milligrams twice a day, 30 in the morning and 30 in the afternoon. Now, we dose that second dose usually between noon and 3 p.m., 1 and 3 p.m. at a time where you're not eating. If you are eating throughout the day, that's a whole other issue that we have to deal with.
[8:00] But putting your medication on an empty stomach in the afternoon without food away from lunch, that is when that second dose needs to occur. So now you're breaking it up 30 and 30. So let's say it's time for an increase. You've been doing that for a while. I always advise beware of baby doses of T3. Beware baby doses of NDT as they can do more harm than good.
[8:24] They can actually send that negative feedback signal to your hypothalamus and your pituitary, which will essentially tell your thyroid gland to just stop producing thyroid hormone altogether. That's fine if your thyroid gland isn't really working that well to begin with, but here's where the issue comes in. When you shut down production, what little production is actually happening, I always say it's like firing a lazy employee. You're not really losing anything by getting rid of them, but you're going to need to bring in
[8:52] better employees or a better employee at some point in time very, very quickly to do the job that you just needed to boot the lazy employee for. So same thing, your thyroid gland's not working that well anyways. We don't really care about the shutdown. However, we want to make sure that there's enough thyroid hormone IET3 on board to fuel your cells and to give you life. Remember, from head to toe, the thyroid runs the show. So we need to fuel every single cell with that active
[9:22] Then we need to make sure that you are properly converting that 80% of T4 in the NDT medication over to T3 because that's what should happen to T4. I don't care if you're on Levo, Synthroid, Tersent, which is straight up T4, or if you're taking NDT medication, which is 80% T4.
[9:40] You have to do all the things to make sure that that converts over and becomes T3. Now, that has nothing to do with titrating up your T3. That's a side note PSA for you in that you better make sure that you're converting. So you always, always, always want to check the reverse T3. I know I say that all the time. Can't hurt to repeat, right? Can't hurt to hear it again.
[10:03] So we check that reverse T3, and if reverse T3 is high, consider possibly adjusting your dose down. Again, whether it's NDT medication or T4 medication, when reverse T3 is above a 12, that's when we need to reduce the T4 medication. Now, we'll get into titrating after T3 in a moment, but we want to check that reverse before we go up any further. So if we are at 30 and 30 of NDT, and let's say we go to
[10:32] 45 and 45, and then we go to 60 and 60, we need to be checking reverse T3 because with every step up in natural desiccated thyroid medication, you're stepping up the T4 by 80%. Yes, you're stepping up the T3 in that 20% box that it's in, but you're also increasing the T4 in the NDT.
[10:54] Now, when we are titrating up, whether it's NDT medication or straight up T3 medication, which I'll get to in a minute, we are always listening to our body, listening to signs, signals, symptoms of going a little bit too fast.
[11:11] These are the hyperthyroid symptoms. And these can occur not because you've moved into a Graves' disease state or a hyperthyroid state, but these can occur simply because you went up too quickly in your T3. There was a non-patient. She was actually in the Just Fix Your Thyroid Facebook group. She made a post wondering why she feels so horrible when she finally got to start T3 medication by her doctor. She said,
[11:34] Well, her doctor, who is uneducated on how to properly titrate up T3, started her at 25 micrograms twice a day. That is way too high to start. When we start the titration of straight T3, lyothyronine, cytomine, when we start that, we start at 5 micrograms twice a day and go up from there. But the same thing can occur with natural desiccated thyroid medication
[12:04] can also jack you up a little bit, make you feel speedy, make you feel like you're a little bit, I call it icky and sticky. When you get that icky and sticky feeling, you need to back down. So let's say you went 30 and 30, then you went 45 and 45, then you went 60 and 60. And at that point, you're like, oh, no, wait, something is wrong. I feel that icky and sticky. I feel jittery. I feel anxious. I can't sleep. I'm sweaty. I'm a little bit hot. What's happening?
[12:31] Well, your metabolism is kicking in. That is true, but you also just added maybe too much T3 for you. Maybe you did that too quickly. Now, when we do that increase, let me back up to the timing of that increase. This is very individualized.
[12:47] So if you are on NDT, we could certainly tell you, okay, you're going to increase by, you're going to start at the 30 and 30, you're going to increase by 15 micrograms at each dose every five to seven days. Well, that is an in general rule. And then it comes down to how do you actually respond to that? So let's just say you go up by 15 and 15, you're at that 45 and 45 mark, 45 in the morning, 45 in the afternoon.
[13:17] And then you climb to 60 and 60. You don't feel well. Maybe what you do first is back down on that afternoon dose. Take it back down to where you were before. Just leave in the 15 extra micrograms in the morning. So have 60 in the morning.
[13:34] and then 45 in the afternoon. If that doesn't do it, you pull it back again, back down to the 45 and 45. You hang out there maybe for two, three weeks until you start to stabilize again, until your body can get used to that T3. At that point of time, then you try again, but you only try with that 15. You only pull that morning lever and add the 15 in the morning so you can monitor how you feel regularly.
[14:01] by adding just 15 milligrams to that dose. So that is NDT. Now, this applies to further increases as well. 60-60, 90-90, whatever your dose is that you're moving to, you always want to follow the same rules of listening to your body,
[14:19] titrating up slowly. Some people can titrate up, I call it like the double ladder step, where we're adding an extra dose to each one, to the morning and the afternoon one at the same time. You're stepping up that ladder. But sometimes we need to climb the single ladder like rungs. So that's where we go up just in the morning, hold for a while, go up just in the afternoon, hold there.
[14:41] Then increase the morning, hold. Then increase the afternoon again, hold. It all depends on your unique biochemistry and how you respond to T3. There might not be a way to know how you're going to respond or how fast you have to titrate up.
[15:00] The only thing we really have to go on and what I see consistent across the board with patients is that those people, those individuals who are very sensitive to caffeine, sensitive to any kind of stimulant, even green tea makes you a little bit jittery. There is a stimulating effect of T3. So in that subset of the population, you're probably going to need to go very, very low and slow.
[15:24] Okay, now speaking of very, very low and slow, let's move over to T3. This is cytomeloliotyrenine. It could be a slow-release compounded T3, but slow-release, we don't really have to break up. We don't have to double-dose it. And we don't really have to baby-step up, unless you're working with a practitioner, you're working with my team, that specifically says, okay,
[15:47] Sally, we're going to start you on 5 micrograms of slow-release compounded T3. And then maybe we'll add in another 5 micrograms of slow-release compounded T3 to that same morning dose, because it's slowly released out of the body. Maybe we'll do that in like another 2 to 4 weeks. So very, very, very slow. And very, very, very slow titration up. Like length of time increases now.
[16:14] between the increased dose. Whereas again, I would say the average patient that is on immediate release TA3, they can do either the double liner or the climbing.
[16:25] When we start T3, whether we are doing T3 only to bring down an elevator reverse T3, whether we are adding T3 to your synthroid levothyroxine or tyrosine dose, your synthetic, biosynthetic T4 only dose, or whether we are adding T3 to your natural desiccated thyroid medication dose,
[16:48] to change that 80-20 ratio, because when we add in straight up T3 to something that is 80% T4 and 20% T3, we have now changed the ratio. So now we're adding it in and we're tweaking it to maybe be 60-40, maybe 40-60, maybe 30-70. Maybe we want more T3 than T4. So we can do that with the addition of lyothyronine and cytomine.
[17:13] When we start lylothyrinine and or Cytamil, well, or Cytamil, it'd be one or the other. Lylothyrinine is the generic T3. Cytamil is the brand T3. Whenever we start that, again, for the first time ever, like you have never been on this medication before, this thyroid hormone replacement before,
[17:33] And again, this is the biosynthetic T3. We are going to start low and slow. Now, most of the time we can start at five and five. We're adding in five micrograms in the morning, adding in five micrograms in the afternoon. Now, nothing changes with the other medication that you're on.
[17:49] If this is T3 only that we're doing to lower your reverse, that's one thing. But if we're adding it in addition to the T4 or the NDT that you're on, those stay the same unless directed by your practitioner because maybe they want to lower it based on your reverse T3. But in general, for the purpose of this talk...
[18:09] We are only, we're assuming that you're static on your T4, your NDT dose, that remains the same. Maybe you're split dosing the NDT. Maybe you're just taking the T4 in the morning. That remains the same. The only thing that changes is we're adding in the T3. So we'll go five micrograms twice a day. Then we'll go maybe 10 in the morning, five in the afternoon. We're doing the climbing of the ladder. Then we'll go 10 in the morning, 10 in the afternoon.
[18:34] Then we'll go 15 in the morning, 10 in the afternoon. Then we'll go 15 in the morning, 15 in the afternoon. Then we'll go 20 in the morning, 15 in the afternoon. Then we'll go 20 in the morning, 20 in the afternoon. So you can see how we are climbing the ladder. Individuals that react to nothing. This would be me, very steep handful of my patients, I would say. They're just rock solid is the only way to describe it. Like nothing moves them. Nothing affects them. They're not sensitive to anything. Right?
[19:03] They can go up like the double ladder. So even though we're adding in straight T3, we can go 5-5, 10-10, 15-15, 20-20. Sometimes that happens over the course of four weeks. A person is getting the 20 micrograms twice a day. The sensitive person over four weeks might be at 10 micrograms in the morning and five in the afternoon. You just don't know, but there is no one right way to do it.
[19:30] There is no one size fits all to this. This is unique to you. This is not a sprint. This is a marathon. We want to do this the right way. If you sprint with Thai training up your T3, you're going to be back down at a lower dose because it's going to catch up to you.
[19:46] You're going to feel icky and sticky. You're going to feel jittery unless you are one of those people that you know. You know nothing moves you. Nothing bothers you. I know I am a high hormone individual. I can take higher doses of T3, higher doses of estrogen, higher doses of progesterone. Testosterone is the only thing that I have to keep a little bit lower or else I'll get acne. But everything else, I can go at a much higher dose. Okay.
[20:11] When it comes to CBD, much higher dose. Even when it comes to Delta 8, much higher dose to get me to sleep. Melatonin, way higher dose. If you are one of those people, then you will most likely be able to titrate up your T3 much quicker, much quicker. So same rules apply. Listen to your body as you're titrating up that T3, especially if you're adding it to natural desiccated thyroid medication. Remember, you're adding T3 to existing T3.
[20:41] So in that case, you want to pay attention, again, because the T3 is already on board in a 20% mark. We're adding T3 to that. To increase your dose of T3, to bring down your reverse T3, to increase your free T3, to give you the T3 you need for your cells, and basically to get you feeling better overall. But again, you have to listen to your body.
[21:04] Now, if you're working with my team, always just be in communication with your nurse practitioner because it takes guidance. And sometimes in that titration, in that climbing of the ladder, you might stop at some point and go, wait, wait, I just really want to check in on this. I just all of a sudden started feeling X, Y, Z. Now, this bears repeating as well. I tell our patients this.
[21:29] I tell my audience this, thyroid optimization is not linear. So while I am encouraging you to reach out to your practitioner with any questions, even if you're not working with our team, reach out to your practitioner with any questions on how you're feeling as you're titrating up your T3.
[21:48] But the important thing is to also remember that progress is not linear. You might get better and then get worse and then get better and then have a step back. And you're not going to know what actually is going on. You're going to think that you're failing. You're going to think that the treatment isn't doing what it's supposed to do, but it actually is because that is the progression to thyroid optimization. You're going to get better at first because initially when you give your body that beautiful thyroid hormone that it needs,
[22:17] It just lights up and smiles. But then over time, it's like a sponge. It's absorbing the water. That dry sponge is absorbing the water. And it's like, wait, I just poured a bunch of water on this dry sponge and now it's dry again. Need more water. So oftentimes...
[22:33] People ask, well, I started feeling better and then I just felt like I did at the beginning again. Well, we need to do that increase of T3. Maybe that is you adjusting to the T3 medication, T3 uptake, or the dosing increase very, very quickly.
[22:49] And you need to increase even faster than the average person. So while Suzy Q over here might take two months to get to 20 micrograms twice a day, you just got there in three to four weeks. So now you need another increase. This is communication 101 with your prescriber. You communicate, you communicate, you communicate, and you ask questions. Okay.
[23:14] Because that's the only way you're going to get to that finish line of optimization if you are working with someone who knows what they're doing with the thyroid. Okay, so we covered titration of NDT medication. We covered titration of T3 medication. Even with T3, I do want to mention, once again, baby doses. Okay.
[23:32] If you are working with someone who has a cap, basically, on the amount of T3 they will give you, then that is a huge problem. Because what did I just say? Someone who titrates to 20 micrograms twice a day in three to four weeks is going to need more.
[23:48] They might be one of those individuals that needs 100 micrograms twice a day, 75 twice a day, 50 twice a day. We can't put a cap on how much T3 that we're going to prescribe because what if you need more?
[24:03] That is personalized medicine. Not having a block, not having a cap, but yet being open-minded to that person in front of you, being a unique biochemistry set, a unique individual that needs your nuanced glasses on
[24:20] to personalize their treatment. The problem with baby doses of T3 and what are baby doses, I would say if you are capped out at 10 to 20 micrograms daily, if your doctor, your clinic says, we will not go above 20 micrograms of T3, we feel like it's dangerous, then,
[24:39] then what that's going to do, it's going to keep you at a non-optimized dose for you. And a non-optimized dose of T3, and please, especially if let's say your conventional medicine doctor gave you five micrograms of T3 and that's it. I've heard that many, many times. Or five micrograms twice a day, and that is it. Don't you dare come back and ask for more. Okay.
[25:02] What that's going to do is the same thing we talked about with NDT. It's going to produce a negative feedback loop to the hypothalamus and the pituitary, and you are going to shut down all thyroid production, and you will feel worse. And this won't be a progress isn't linear feel worse. This will be you're going hypothyroid, and you're going to stay there unless you jump ship and go to somebody that knows what they're doing because that baby dose of T3 is making you sick.
[25:24] sicker because now you have just enough T3 on board to shut down your own thyroid production, but you do not have enough T3 to feed every single cell in your body from head to toe. Runs the show. From head to toe, you have receptor sites on your head, on your skin, on your heart, on your brain, in your gastrointestinal tract, muscles, everything.
[25:46] Every cell has a receptor site on it for T3. So if you don't have enough on board, something is going to suffer. And your body will always prioritize survival. So your body will give that T3 to your heart, to your brain, but not to your hair, not to your metabolism, not to your GI tract. So you're going to remain fat. You're going to lose your hair and you're not going to be able to poop every day. And that is the hardcore truth. Hardcore truth. Yeah.
[26:13] And this is why I can't publish this because I just said the word fat and somebody will be offended out there. But the reality is that's what I hear from my patients, that I am fat, frumpy, fatigued, frustrated, all the things. I got foggy brain, all of the F's I am. I get that. I totally get that because I was there. And when my thyroid wasn't optimized, I was fat. I was fat.
[26:38] There's no two ways. There's no pretty spin on that whatsoever. And in the thyroid fix, you'll actually see a chapter on use of the word fat and the controversial use. And I fought for it because the reality is that's how patients feel. They don't come in and say, I'm overweight. They say, I'm fat.
[26:58] When you talk to a woman who is frustrated about not being able to fit into her clothes, what does she say to her girlfriend? I am so freaking fat. That's how we feel. That's what hypothyroidism does. And you know what? It takes even a stronger connotation when we're doing all the things.
[27:16] when we're eating right, when we're exercising, and we're doing all the things. So if you don't have enough T3 on board, then you will stay right where you are, and you will not climb that optimization ladder whatsoever. So there are dangers in baby dosing T3.
[27:32] in baby dosing natural desiccated thyroid medication. I don't care about baby dosing T4 because the opposite is true with that. Too much T4 causes a problem because T4 is the only hormone that converts over and becomes reverse T3. That's not a problem whatsoever. In fact, we want to keep T4 a little bit on the lower side. You know, we want to keep it in the mix as your savings account, but we want to keep it on the lower side.
[27:56] But with T3, we want to make sure we hit that optimal range. And that requires you listening to your body and titrating up very, very slowly. And when you do so and you find your optimized dose, no matter how long that takes, I'm going to remind you again, this is not a sprint. It is a long marathon. And if it takes you six months, if it takes you a year to reach your optimal dose, then who cares?
[28:23] You at least made that first step to get there, to get to the finish line, to get optimized. You said enough is enough. You said that you were done being told that you're normal and everything looks good while you're suffering with symptoms. So you're on the right path. Just be patient. Listen to your body as you're titrating up. Do it the right way.
[28:44] and you will find your optimal dose of T3. Now, I will leave you with this. Again, repetition. You've heard me say this before, but I'll say it again. When asked, what is my favorite dose of thyroid medication? What's my favorite thyroid medication? What's my favorite dose? What's the average dose of T3?
[29:01] To all of those questions, I say the one that works for you, in the combination that works for you, and in the dose that works for you. Make sure you personalize your optimization journey with your thyroid and with your hormones, because that is what is going to make you the badass human that you're meant to be.

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