Thyroid Patient Advocacy

Changing the perception of thyroid disease and its treatment

TPA is run by thyroid patients, for thyroid patients — we are all volunteers. We aim to help patients get a timely diagnosis and to empower them to seek the best treatment for their underactive or overactive thyroid.

Understanding your thyroid

Common and rising with age

Thyroid diseases are common and increase with ageing. The consequences can be decreased or increased secretion of thyroid hormones — hypothyroidism or hyperthyroidism.

T3 is essential

T3, the active thyroid hormone, is essential for the proper functioning of nearly every cell in the body.

Not a simple deficiency

Hypothyroidism is a complex disease, not a simple hormone deficiency, and is not always easily diagnosed.

A 'normal' TSH isn't the whole story

Thyroid function is usually monitored by the TSH blood test, but a normal TSH does not guarantee that tissue-level functioning is optimal.

T4 must convert to T3

Levothyroxine (LT4) is the standard treatment, but the body must convert T4 into active T3. Simply increasing T4 does not always fix a deficiency of T3 in the cells.

Treatment should fit the patient

Many patients do much better on a combination of T3 and levothyroxine, or on NDT. Some cannot tolerate the synthetics and only recover their health on NDT.

Learn about your condition

Clear, research-based information on every part of the thyroid story.

The Thyroid System

How the thyroid works — hormones, the HPT axis, conversion and the recycling gut.

The Stress System

The stress response, the HPA axis, allostatic load and effects on the thyroid.

Vitamins & Co-factors

The minerals and vitamins thyroid hormones depend on, and what can go wrong.

Are You Hypo or Hyper?

Symptoms, causes and why more women than men are affected.

Diagnosis

Thyroid function tests, reference ranges and the categories of thyroid disease.

The Treatments

Levothyroxine, liothyronine, T4/T3 combination, NDT and more.

Associated Conditions

Illnesses linked to thyroid disease, higher-risk groups and NTIS.

Resources

Symptom checklists, drug lists, references, glossary, FAQs and the archive.

About Thyroid Patient Advocacy

Thyroid Patient Advocacy (TPA) is an independent, user-led organisation established to ensure that everyone with thyroid disease (and thyroid-related disease) is given a correct diagnosis and receives effective treatment. TPA believes patients should have access to all relevant tests and all appropriate treatments, including the active thyroid hormone T3 (synthetic or natural). We base our information on scientific research, reviewed and updated as needed, and welcome everyone with thyroid-related symptoms on our forum.

Latest from the blog

Meet people like you

Join a private, supportive community of thyroid patients sharing answers, experience and encouragement.