Liothyronine (T3) Capsules
Liothyronine (T3) slow-release capsules, used to support thyroid hormone levels and metabolic function. Prescribed and dosed by a licensed physician.
Capsule
from $79/mo
Taken by mouth · Once a day
ThyroidEnergyNatural
Armour Thyroid: desiccated porcine thyroid gland containing both T4 and T3, the two forms your body actually uses. Oral capsule. Established therapy for hypothyroidism and optimization.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(desiccated porcine thyroid gland)
Armour Thyroid is made from pork thyroid gland tissue. It contains thyroxine (T4) and triiodothyronine (T3), the two hormones your thyroid naturally produces. Unlike synthetic T4-only replacements, Armour provides both forms. Your body uses T4 as a reservoir; cells convert it to T3, the active hormone. Armour gives you both upfront, which some people find more effective for energy and mood.
Natural
desiccated thyroid with native T4 and T3 ratio
Armour Thyroid works for hypothyroidism and subclinical hypothyroidism. Dosing is individual; your physician starts low and adjusts based on symptoms and TSH/Free T3 levels.
People with hypothyroidism who did not feel well on levothyroxine alone.
Dried pig thyroid containing both T4 and T3. Guidelines prefer levothyroxine; some people do better on this.
Empty stomach, same time every day, and no coffee or calcium for an hour.
fatigue lifts as thyroid levels normalize
mood and sleep rhythm often improve together
brain fog clears; focus and concentration return
cold intolerance eases as metabolism normalizes
Day 1
A US-licensed physician reviews your thyroid symptoms (fatigue, cold intolerance, weight, mood), medical history, and medications. Discusses how thyroid hormones work and the importance of lab-guided dosing.
1Week 1
Start with an initial dose (usually conservative) of your prescribed thyroid hormone, taken once daily in the morning with water on an empty stomach.
2Weeks 4-6
Thyroid hormones accumulate slowly; effects build over 4-6 weeks. Energy, temperature regulation, and mood may shift gradually. Keep a symptom journal.
3Week 6-8
First lab check: TSH and Free T4 (or Free T3 if on T3). Your physician adjusts dose if needed. Repeat this cycle every 6-8 weeks until TSH and symptoms align.
4Beyond
Thyroid hormones work best on a stable dose. Annual labs and check-ins ensure your dose stays right as your body and needs change.
5Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a day
Armour Thyroid was the standard therapy before synthetic T4 became available in the 1960s. It provides both T4 and T3; some people tolerate it better than T4-only therapy.
Small studies suggest T4/T3 combinations can improve energy and mood compared to T4 alone in some people, though results are mixed. Your physician weighs this against lab values and symptoms at every check-in.
Learn moreThyroid hormones regulate metabolism and affect every cell. Overdosing causes tachycardia, palpitations, anxiety, insomnia, and heat intolerance; underdosing leaves fatigue and brain fog. Thyroid hormones are not for weight loss in people with normal thyroid function. Do not use if you have uncontrolled high blood pressure, active angina, or untreated adrenal insufficiency. Tell your physician about all medications, especially beta-blockers, stimulants, and any cardiac history. Stop and seek care for rapid heartbeat, chest pain, severe shortness of breath, or signs of thyroid storm (high fever, confusion, agitation).

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Armour Thyroid educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Taken by mouth, once a day, in the morning. The starting prescription is 1 tablet (30 mg) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 2: 30 mg, 60 mg. Your physician chooses which one you get.
30 tablets at the starting strength, shipped to your door from a licensed US pharmacy.
Not necessarily. Armour works well for many people; others do better on synthetic T4 or a T4/T3 combination. The key is dosing to your TSH and Free T3 levels, and adjusting until you feel well. Your physician chooses based on your labs, symptoms, and preference.
Thyroid hormones accumulate in your tissues and bloodstream over weeks. The half-life of T4 is about 7 days, so it takes 4-5 half-lives (1 month) to reach steady state. Be patient; your physician will adjust if needed at your 6-8 week check.
No. Thyroid hormones are not weight-loss drugs. They work only in people with low thyroid function. Overdosing a person with normal thyroid function causes dangerous side effects (tachycardia, heat intolerance) without weight loss.
No. Thyroid dosing requires lab values (TSH, Free T4, Free T3) to be safe and effective. Too much causes palpitations and anxiety; too little leaves you fatigued. Your physician adjusts by the numbers and your symptoms, never by guessing.
Some people need T3 added or prefer a T4/T3 combination or natural desiccated thyroid. Your physician will try adjusting the T4 dose first, then explore other formulations if needed. This takes patience and close communication.
Liothyronine (T3) slow-release capsules, used to support thyroid hormone levels and metabolic function. Prescribed and dosed by a licensed physician.
Capsule
from $79/mo
Combination of T3 (Liothyronine) and T4 (Thyroxine) in slow-release capsules for comprehensive thyroid hormone replacement. Prescribed and dosed by a licensed physician.
Capsule
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Thyroxine (T4) slow-release capsules for thyroid hormone replacement therapy. Prescribed and dosed by a licensed physician.
Capsule
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Hypothyroidism: evidence-based diagnosis and management in adults.
N Engl J Med, 2017Levothyroxine replacement in primary hypothyroidism: a clinical update.
J Clin Endocrinol Metab, 2012Armour Thyroidfrom $119/mo