Thyroid care that starts with your actual labs.
For some people, a standard thyroid product does not fully settle their symptoms, and a compounded formulation gives a clinician more room to match the medication to the labs. A US-licensed clinician reviews your TSH, free T3, and free T4, then prescribes compounded thyroid medication only when it fits your picture. Compounded in the USA by licensed 503A pharmacies. No hidden overseas supply chain.
- Clinician-led, US-licensed
- TSH and free T3/T4 reviewed
- Compounded in the USA by licensed 503A pharmacies
- Free online visit, no consult fee
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
What it is
Compounded thyroid medication, matched to your labs
The thyroid makes two main hormones: T4, the storage form, and T3, the active one. Standard thyroid products supply T4 and rely on your body to convert it to T3. For some people that works well; for others, symptoms persist and a clinician may consider a formulation that includes T3 directly, either on its own as liothyronine or as a T3/T4 combination.
Compounding lets a clinician prescribe a specific strength or ratio, including sustained-release T3, that is not available as a standard off-the-shelf product. This is a lab-driven clinical process. A US-licensed clinician reviews your TSH, free T3, and free T4 alongside your symptoms and history and prescribes only when it is appropriate. Every dose is compounded in the USA by a licensed 503A pharmacy under your prescription. Compounded thyroid medication is not an FDA-approved drug.
How the process works
Labs first, the right formulation, monitoring throughout
Your labs come first
A clinician reviews TSH, free T3, and free T4 alongside your symptoms before anything is prescribed. Thyroid is a lab-driven decision, and the labs are what tell the clinician whether a compounded formulation makes sense for you.
T3 or a T3/T4 combination
Depending on your labs, a clinician may prescribe liothyronine (T3) on its own, including a sustained-release form, or a T3/T4 combination at a strength or ratio compounded for you. You state a preference in your intake; the clinician makes the call.
Monitored over time
Thyroid dosing is adjusted to follow-up labs, not set once and forgotten. Your clinician rechecks your levels and fine-tunes the formulation as your symptoms and numbers change.
Sourcing and safety
Lab-guided, US-compounded, and prescribed by a clinician of record.
From who writes the prescription to where your thyroid medication is compounded to what gets measured over time, the chain is transparent by design.
A clinician of record
A US-licensed clinician reviews your labs and intake, discusses the trade-offs, and is your prescriber of record. Your thyroid medication is prescribed, never sold off a shelf.
Compounded in the USA
Your thyroid medication is compounded in the USA by a licensed 503A pharmacy under your prescription, at the strength or ratio your clinician selects. No hidden overseas supply chain.
Guided by real labs
TSH, free T3, and free T4 are reviewed before any prescription and rechecked over time, so the formulation stays matched to your physiology rather than guessed at.
Who it's for
For adults whose thyroid symptoms deserve a closer look at the labs.
Compounded thyroid medication is considered for adults whose symptoms and labs suggest a standard product is not the full answer, or who need a formulation that is not available off the shelf. Eligibility is a clinical decision made by your prescriber after reviewing your labs and history.
- Thyroid symptoms persist even though you are on a standard thyroid product
- Your labs suggest a conversion or T3 issue your clinician wants to address directly
- A clinician has discussed a T3 or T3/T4 approach with you
- You want a lab-guided plan and a clinician of record, not medication sourced off a shelf
Your clinician reviews your history and labs and prescribes only when the evidence supports it. Not everyone needs or qualifies for a compounded thyroid formulation, and if it is not appropriate you are never charged for a medication you were not prescribed. Compounded thyroid medication is intended for patients under clinical management, not as self-directed care.
What you receive
One plan. Everything included.
A flat monthly price covers your compounded medication, the clinical care, and shipping. Your clinician sets the exact formulation and dose from your labs and adjusts it over time.
- A free online visit with a US-licensed clinician and a review of your TSH, free T3, and free T4
- Compounded thyroid medication (T3 or T3/T4) prescribed for you when appropriate
- Compounded in the USA by a licensed 503A pharmacy
- Follow-up lab review with dose adjustments over time
- Async messaging with your care team
- Cancel or pause anytime
Starting from
Free online visit. You only pay when prescribed.
- Cancel anytime
- No insurance needed
- Discreet shipping
- HSA/FSA eligible
Compounded thyroid medication is not an FDA-approved drug. It is prescribed by a US-licensed clinician based on your labs and health history, and is intended for patients under clinical management. Formulation, strength, and dose are determined by your clinician. Not everyone needs or qualifies for a compounded thyroid formulation.
Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.
Thyroid questions
Things people ask before they sign up.
If something is not here, reach out, we'd rather answer it plainly than have you guess.
What is compounded thyroid medication?
It is thyroid medication prepared by a licensed 503A pharmacy to a specific strength or ratio your clinician prescribes, including liothyronine (T3) or a T3/T4 combination and sustained-release forms. It is compounded in the USA under your prescription and is not an FDA-approved drug.
What is the difference between T3, T4, and a T3/T4 combination?
T4 is the storage form of thyroid hormone and T3 is the active form; your body converts T4 to T3. Standard products supply T4. A clinician may prescribe T3 (liothyronine) directly, or a T3/T4 combination, when your labs and symptoms suggest that fits you better. Your clinician makes this decision from your labs.
Do I need lab work before starting?
Yes. Thyroid is a lab-driven decision. Your clinician reviews TSH, free T3, and free T4 before prescribing and rechecks them over time to adjust your dose. There is no prescription without a look at your labs.
Is compounded thyroid medication FDA-approved?
No. Compounded thyroid medication is not an FDA-approved drug. It is prescribed by a US-licensed clinician and compounded in the USA by a licensed 503A pharmacy under your individual prescription. We never imply FDA approval for compounded medications.
Can I switch from my current thyroid medication?
That is a clinical decision for your prescriber. A US-licensed clinician reviews your current regimen, your labs, and your symptoms, and decides with you whether a compounded formulation is appropriate. Any change is managed and monitored, never abrupt or self-directed.
How much does it cost?
The online visit is free. If a clinician prescribes, the program is $139/month on the 3-month plan ($417 billed every 3 months), covering the medication, clinician care, and shipping. Lab fees may apply separately depending on your state.
Start with the labs.
Take the free assessment. A US-licensed clinician reviews your thyroid labs and symptoms, then prescribes a compounded formulation only when it fits. The online visit is free, and you only pay if you're prescribed.