NDT Before and After Photos

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Before and after photos of switching thyroid medication from something that wasn’t working to something that does, are powerful and say volumes. 

The most common ‘before and after photos’ we see in the thyroid community tend to involve a ‘before’ on Levothyroxine and an ‘after’ on a different medication type such as Natural Desiccated Thyroid.

In my Facebook support group, members have told me they find them really helpful and inspiring to look at. So, I committed to taking photos of myself throughout my thyroid journey of switching to NDT, to show the difference it has had on me, too.

March 2015

This picture makes me feel sad whenever I look at it.

A selfie of Rachel looking very ill before NDT
Taken in March 2015.

I was at my worst, symptoms-wise, when I took this photo. I felt like no one believed how awful I really felt. I was lost, confused and pretty darn scared. I was overwhelmingly exhausted, my body ached like the worst flu I’d ever had, and so I knew something wasn’t right. I’d been feeling this way since September 2014 and it was only getting worse as time went on.

Doctors eventually ran a bunch of blood tests in April 2015, after I hadn’t gotten any better seven months later, and it came back with my TSH being ‘borderline‘ high, at around a nine, when the range used was 1-10, and I was also shown to be anaemic (in ferritin).

I was put on iron tablets for the anaemia but thyroid medication was withheld. I was told to wait another two months to see if the iron tablets would ‘fix the thyroid problem’. Then we’d look at thyroid medication.

Of course, I felt nothing but worse, two months later. At that point, my TSH was even higher, and I was started on Levothyroxine for my hypothyroidism in July 2015.

The most noticeable differences in how I looked here, compared to when I was a healthy twenty-year-old, include the huge bags under my eyes, uneven skin tone, pinky-purple lash lines, thinned eyebrows, and a gaunt look to my face. I generally look very sick.

October 2015

A photo of Rachel looking tired whilst on Levothyroxine
Taken in October 2015

I had been on Levothyroxine for almost four months when this photo was taken. My face had started getting puffier and my symptoms only got worse with time. You can see I still had the big bags under my eyes but my eyebrows were growing back a little. My skin was looking somewhat better. I was gaining weight as well.

I had over 20 total symptoms by this point, meaning I had gained more than when I was just tired back in March before being put on Levothyroxine.

I was gaining more and more symptoms whilst on Levothyroxine.

These included, but were not limited to:

Doctors carried on telling me that my TSH was ‘in range’ so I was being ‘optimally treated’. They told me all these symptoms were all in my head and that I had to ‘let them go’.

I searched for information in research, studies and books about why I could still be feeling unwell with a ‘fine’ TSH, and I started to realise that my doctor going by TSH alone wasn’t the correct way to measure how I was doing on my thyroid meds. I started looking at NDT medication too, and began reading that it sometimes had a higher success rate than Levothyroxine.

January 2016

By November, I decided that I wanted to try a medication that made a lot more sense to me than Levothyroxine; NDT. However, after asking many doctors, none would prescribe it so I decided to self-source it. I must stress here though that I never recommend this lightly and always suggest obtaining it from a doctor wherever possible. Buying your own medication online is incredibly risky and can be dangerous. 

A selfie of Rachel looking healthier just after starting NDT
Taken in January 2016

I started it in mid-December, and I was seeing results within a couple of weeks. By January, I was feeling significantly better, and all but one symptom had gone; my fatigue. I was so pleased that I was able to exercise and workout again, that I took this photo. Please see my blogs about my NDT journey here.

All of those symptoms mentioned above, besides the fatigue, had gone.

I also found out in January that I had adrenal fatigue (though it is more accurately referred to as hypothalamic-pituitary axis dysfunction), likely the culprit for my ongoing tiredness, so I started working on fixing this. Needless to say though, I was feeling loads better just by switching to NDT.

You can see in the photo that my skin was more even and healthy looking, the puffiness in my face was gone, the bags under my eyes were a lot better and I generally looked a lot healthier than before.

July 2016

I was still on NDT and doing well, although still had adrenal fatigue, but my quality of life was good and I was generally doing well day-to-day. My GP was happy with my progress on the medication and continued to monitor me closely, adjusting my dosage with me.

A selfie of Rachel looking healthier and happier
Taken in July 2016

It was from this time that I started being able to live without my hypothyroidism being a  conscious thought or problem.

This is how I’ve ‘looked’ since, and I don’t think there is any improvement to be had in terms of looking any healthier. You can see it in my skin, eyes, face shape etc. that I was much healthier on the NDT compared to nothing at all a year earlier, or Levothyroxine just eight months prior. I’d been on NDT for 8 months and I was already lots better in how I looked and felt.

See my NDT milestones here. 

You can click on the hyperlinks in the above post to learn more and see references to information given.

Do you look back at old photos and realise just how unwell you looked?

Be Your Own Thyroid Advocate Book CoverSee also:

The book Be Your Own Thyroid Advocate: When You’re Sick and Tired of Being Sick and Tiredwhich builds on this article in detail. It tells the story of how I went from being undiagnosed and very ill with hypothyroidism, to taking back control and thriving again.

If you found this article beneficial, please take a moment to share it so we can help others get better with hypothyroidism and Hashimoto's, whilst also raising awareness. "Be Your Own Thyroid Advocate."

Written by Rachel, The Invisible Hypothyroidism

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6 thoughts on “NDT Before and After Photos

  1. Wow, your improvement on NDT is amazing!
    I am also on NDT (self-sourced) but am having trouble fine-tuning the dosage….I spent 16 years on T4 only and felt terrible (plus put on almost 30 kilograms of excess weight), and I have managed to lose most of it while on NDT, but I have started developing some unpleasant symptoms lately. They are symptomatic of both hypo- and hyperthyroidism which may be considered normal since I have Hashimoto’s disease where you supposedly swing from hypo to hyper back to hypo, but I have had Hashi’s for over 20 years and these symptoms have developed recently which makes me think I’m doing something wrong…either getting too much T3 from the NDT, or not enough T4, meaning the T3:T4 ratio in NDT is wrong for me and it would be wise to add some synthetic T4 to the mix…however, I’ve also wondered if the brand I’m using (Thai brand Thyroid-S) is the problem as it contains over 20 fillers and binders. I have been considering trying another brand of NDT with fewer fillers to see if it makes a difference. Can I ask you which brand of NDT you’re on, and how much you’re taking? Also, do you have any idea what your free Ts should ideally look like when optimally dosed on NDT (midrange, close to upper or lower normal limit), just to give me a general idea? I understand the TSH is unimportant as it will be below range when you take T3, and mine has been undetectable ever since I went on NDT.
    Thank you.
    Kind regards,

      1. Natural Dessicated Thyroid is measured in mg’s not mcg’s like t4. So to say you are on 150 is wrong. However, saying you are on 1.5 grains is correct. 1.5 grains is equal to 90 to 95 mg and contains approximately 57mcg of t4 and 13.5 mcg of t3.

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