636. How to Titrate Up Your T3 the RIGHT Way
2026-06-05 · 29 min · 17 entities
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Link in episode "636. How to Titrate Up Your T3 the RIGHT Way": https://facebook.com/groups/dramie
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Link in episode "636. How to Titrate Up Your T3 the RIGHT Way": https://dramiehornaman.com/pages/book-a-call
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Link in episode "636. How to Titrate Up Your T3 the RIGHT Way": https://betterlifedoctor.com/
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Episode description as stored
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.
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