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Some people find one particular brand or generic better for them than another, probably due to an intolerance to one of the inactive ingredients. You may be aware of all the problems that French patients have had with the Merck brand of levothyroxine. Merck substituted lactose for mannitol in their levothyroxine and many patients were suffering side effects from this - www. The pharmaceutical company Teva have recently made the same changes and we are hearing that some patients are suffering side effects. You can access this document here: NHS England held a consultation in 2017 - "Items which should not be routinely prescribed in primary care: Their decision was that patients already on T3 should be referred to an endocrinologist for a review and that any new patients should be referred to an endocrinologist to ask for a trial of T3.
Some Clinical Commissioning Groups, however, are not adhering to this decision. Also, many endocrinologists do not agree with treatment with T3 and therefore it would be a waste of time for patients to visit an endocrinologist such as this. Some patients' GPs and endocrinologists are, however, prescribing T3 on a private prescription which they can then use to obtain T3 from outside of the UK at a much cheaper cost.