Today at Doctor’s Choice Pharmacy, a new prescription came in for a compounded thyroid blend:
Levothyroxine 20 mcg / Liothyronine 3 mcg capsule – a combination we’re seeing more often in bioidentical thyroid hormone therapy.

Not long after, the patient called and asked:
“Hi, I usually just take Synthroid, so why did my doctor switch me to this combo with two hormones?”

I smiled and said, “Great question! Your new prescription combines T4 (levothyroxine) and T3 (liothyronine)—two hormones that your thyroid naturally produces. Most commercial medications only provide T4, but some patients don’t convert T4 to T3 well in the body, and that’s where custom-compounded T4/T3 combos come in.”

She paused. “So… it’s for better balance?”

“Exactly!” I said. “T4 is the storage hormone, and T3 is the active form that your body uses right away. Some people feel much better—more energetic, more focused, and less fatigued—when they have a small, steady dose of both.”

She asked, “Why are the doses so specific—like 20 mcg and 3 mcg?”

“That’s the beauty of compounding,” I explained. “We work with your doctor to tailor the dose to your exact needs—not just the standard commercial strengths. Even a few micrograms can make a big difference when it comes to hormonal balance.”

Then she asked, “Do I take this like regular thyroid meds?”

“Yes,” I said. “Take it on an empty stomach, first thing in the morning with a full glass of water, and wait about 30–60 minutes before eating. And it’s important to take it at the same time every day for consistent absorption.”

Before hanging up, I added, “We compound these capsules using hypoallergenic, dye-free, and filler-free bases, so they’re also ideal for patients with sensitivities or allergies. And of course, we offer free delivery so you never have to worry about missing a dose.”

She sounded relieved. “This feels so much more personalized than I expected. Thanks for explaining it, Rania!”

At Doctor’s Choice Pharmacy, we’re proud to support personalized thyroid therapy, offering patients real solutions that go beyond the standard—and making sure you always understand what you’re taking.

Until tomorrow,
Rania – Your Friendly Pharmacist at Doctor’s Choice Pharmacy

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