NP Thyroid by Acella has once again been recalled!


Yup. It's happened again. The following lots of NP Thyroid by Acella Pharmaceuticals LLC have been recalled due to sub-potency! 15-mg, 30-mg, 60-mg, 90-mg and 120-mg NP Thyroid®

And as the creator of Stop the Thyroid Madness (STTM) patient-to-patient movement, I'm not surprised.

Since Acella brought NP Thyroid back after the recall(s) in 2019, there have STILL been complaints by some hypothyoid or Hashimoto's patients!! No, not all. But enough to cause concern. The complaints have occurred in thyroid groups directly associated with STTM…and even in groups that are not directly associated with STTM. I was hearing those complaints in STTM coaching calls. I was hearing about them from many patient volunteers who contact me!

What were the continued complaints? They revolved around not being able to fully get out of one's hypothyroid state.

And this is the second time for a recall of NP Thyroid

The first recall(s) happened in 2019. And you can read my blog post about it here. You will read that in some patients, their newly obtained NP Thyroid prescription was causing problems in the Summer of 2019. Then by Fall of 2019, there were obvious changes along with a return of hypothyroid symptoms, like a "cat piss" or "ammonia-type: smell. Patients reported back then:

  1. It now smells and tastes horrible,worse than before.
  2. The tablets look different from previous o nes
  3. I'm feeling much worse now on the same dose that made me feel great. Symptoms are back.

Then in the same blog post, you will read about the recall due to sub-potency, then later "super potency". Either way, it was clear that too many patients were NOT feeling well on it anymore. Even those who said they still did feel well, didn't have labs to prove it would last.

So what do you do now if you had returned to using NP Thyroid since it came back out again?

Still to this day for what appears to be the majority of hypothyroid patients, Armour desiccated thyroid is working (even though there have been periods in the past where it had problems, but they seem to have been corrected a few years ago). So is using synthetic T4 with synthetic T3. Examples of the two synthetics are Tirosint for T4, with Cytomel or Sigma Pharm for T3. Honestly, all the brands have worked.

BUT….we as patient learned that to make either work correctly, we have to have the following:

1) The right amount of cortisol, otherwise we get hyper-like symptoms when raising. You can read this page to see clues that you might not have the right amount of cortisol. i.e. some levels being too low, others too high. All can cause hyperlike symptoms when raising a product with T3 in it. It's the results of pooling.
2) The right amount of iron levels, otherwise we get rising RT3 (reverse T3), an inactive hormone which can block us from achieving the right amount of T3.
3) Optimal free T4 and optimal free T3. Optimal is NOT midrange. Optimal is not below midrange. Optimal is not just slightly above midrange. Read the page on optimal.

So let's talk. Use the Comment feature below.

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Here are links about the recall: https://www.prnewswire.com/news-releases/acella-pharmaceuticals-llc-issues-voluntary-nationwide-recall-of-certain-lots-of-np-thyroid-thyroid-tablets-usp-due-to-sub-potency-301280741.html

https://www.empr.com/home/news/safety-alerts-and-recalls/np-thyroid-tablets-recall-liothyronine-levothyroxine-label-amount-recall/–

I will be adding more links to this blog post as they come out.

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