Armour Thyroid
Armour Thyroid, a desiccated thyroid extract used to treat hypothyroidism. Commercial formulation prescribed and dosed by a licensed physician.
Tablet
from $119/mo
Taken by mouth · Once a day
ThyroidT3Energy
Liothyronine (T3): pure, active thyroid hormone in capsule form. Works faster than T4; some people feel a difference within hours. Used alone or added to T4 therapy for energy and mood.
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.
(synthetic triiodothyronine)
Liothyronine is synthetic T3, the active thyroid hormone. T4 works by being converted to T3 in your tissues; liothyronine skips the step. You feel effects sooner, often within hours. T3 has a shorter half-life than T4, so it is dosed twice daily. Some people use it alone for hypothyroidism; others add a small dose to T4 therapy to sharpen energy and mood.
Active
T3 that works within hours
T3 is potent; dosing requires careful monitoring of heart rate and TSH. Do not use if you have uncontrolled high blood pressure or active angina.
People on T4 whose symptoms persist and whose physician wants to add T3.
T3 is the active thyroid hormone. It acts in hours, not weeks.
Palpitations, tremor or trouble sleeping mean too much.
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
T3 has a faster onset and shorter duration than T4. It is the active hormone; your cells use it directly without conversion. At high doses, T3 can raise heart rate and blood pressure.
Adding a small T3 dose to T4 therapy improves energy and mood in some people. Your physician monitors your heart rate and lab values closely, as excess T3 can trigger palpitations or tachycardia.
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.

Liothyronine 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 capsule (6.5 mcg) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 3: 6.5 mcg, 12 mcg, 22 mcg. Your physician chooses which one you get.
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
T3 acts faster and some people feel better on it, especially if T4 alone does not lift their energy. Because T3 is potent and has a short half-life, it requires twice-daily dosing and closer monitoring. Your physician weighs the benefits against the need for frequent check-ins.
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.
Armour Thyroid, a desiccated thyroid extract used to treat hypothyroidism. Commercial formulation prescribed and dosed by a licensed physician.
Tablet
from $119/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
from $69/mo
Thyroxine (T4) slow-release capsules for thyroid hormone replacement therapy. Prescribed and dosed by a licensed physician.
Capsule
from $69/mo
A weekly dual-action GLP-1/GIP injection for meaningful weight loss and appetite control, paired with vitamin B12 for energy.
Injection
from $208/mo
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, 2012Liothyronine T3 Capsulesfrom $79/mo