Thyroid extract usually means desiccated (dried) animal thyroid, most often from pigs. It contains both T4 and T3 hormones, unlike plain levothyroxine which is only T4. People look at thyroid extract when they still have symptoms on levothyroxine or when they prefer a "natural" product. It’s a prescription medicine in many countries and should be managed by a clinician.
Because it provides both T4 and T3, thyroid extract can raise hormone levels faster and sometimes change how you feel. Some patients report more energy or clearer thinking after switching, but others get palpitations, anxiety, or sleep trouble. The strength of desiccated thyroid can vary between batches, so lab monitoring matters. Typical monitoring includes TSH plus symptoms; if T3 levels are high you may need dose changes quickly.
Brands you might see include Armour Thyroid and WP Thyroid. Each tablet contains a fixed mix of hormones, not an isolated synthetic T3 or T4. That mix means dosing is not a straightforward milligram-for-milligram swap with levothyroxine—your doctor will guide any change and usually retest labs 6–12 weeks after a switch.
1) Talk to your doctor first. Don’t switch meds on your own. Your clinician will check heart health and other risks, especially if you’re over 60 or have heart disease.
2) Start low if you have cardiovascular risk. Faster hormone increases can stress the heart. Older adults typically need lower starting doses and slower titration.
3) Get labs and watch symptoms. Test TSH and free T4/T3 around 6–12 weeks after any dose change. If you feel palpitations, weight loss, or tremor, tell your clinician—those can be signs of too much thyroid hormone.
4) Take consistently. Take thyroid extract the same way every day—empty stomach is best, 30–60 minutes before breakfast. Keep timing consistent to help stable blood levels.
5) Know interactions. Iron, calcium, and some antacids reduce absorption. Separate these by at least 4 hours. Some medications and supplements also change thyroid needs; review your full list with your provider.
6) Pregnancy and fertility. Levothyroxine is usually preferred in pregnancy because dosing can be adjusted precisely and outcomes are well studied. If you’re trying to conceive or pregnant, discuss options with your doctor right away.
If you want more details or a review of specific brands and dosing concerns, check reliable sources and talk to an endocrinologist. Changing thyroid therapy needs care, labs, and follow-up—handled the right way, it can improve symptoms safely.