I've had Hashimoto's nearly forever now. I've discovered early on that I don't convert T4 to T3 well. Leading to all sorts of fatigue and health problems. My doc put me on Armour many years ago and it worked great. When Armour was pulled from the market, I switched to ERFA from Canada, which was very much like the old Armour. Until one day, the ERFA pill stopped working and I ended up with severe problems.
One doc tried to put me back on Synthroid T4 and I failed fast.
I moved to NP thyroid and Westhroid attempting to mimic the old Armour. Over time I developed additional health issues like exercise intolerance and coma like fatigue. I was unable to function, despite taking more and more meds. I had to take NP thyroid pills multiple times per day, or crash and fall asleep at work.
Fast forward to just over a year ago, I figured out that I need T3. As I was having to dose myself multiple times per day just to function. The fast acting T3 was the only thing keeping me alive.
I now take only T3, multiple times per day.
Something to keep in mind, T4 may convert to T3 better if you exercise.
One doc tried to put me back on Synthroid T4 and I failed fast.
I moved to NP thyroid and Westhroid attempting to mimic the old Armour. Over time I developed additional health issues like exercise intolerance and coma like fatigue. I was unable to function, despite taking more and more meds. I had to take NP thyroid pills multiple times per day, or crash and fall asleep at work.
Fast forward to just over a year ago, I figured out that I need T3. As I was having to dose myself multiple times per day just to function. The fast acting T3 was the only thing keeping me alive.
I now take only T3, multiple times per day.
Something to keep in mind, T4 may convert to T3 better if you exercise.