Save NDT — Protect Women’s Health and Patient Choice

Recent signers:
Tami Hooker and 19 others have signed recently.

The Issue

Millions of women with hypothyroidism and Hashimoto’s disease are at risk of losing access to the medication that keeps them healthy.

Natural desiccated thyroid (NDT) medications — such as Armour®, NP Thyroid®, and others — contain both T4 and T3 hormones, closely mimicking what the human thyroid naturally produces. For many women, synthetic T4-only or T3-only medications do not adequately manage symptoms like fatigue, brain fog, weight gain, and depression. Without NDT, countless patients could face a return of these debilitating symptoms.

The urgent problem:

On August 6, 2025, the FDA issued warning letters to manufacturers and distributors of NDT because these products are not currently FDA-approved. While safety and consistency in medications are essential, these actions could lead to restricted access or complete removal of NDT from the U.S. market — without a clear, immediate replacement for patients who depend on it.

This is not just a medication access issue — it’s a women’s health crisis.

  • Hypothyroidism affects an estimated 14 million people in the U.S.
  • 80–90% of those diagnosed are women.
  • NDT has been prescribed safely for decades and remains the only option that provides both T4 and T3 in a natural balance for certain patients.

Losing NDT would disproportionately harm women’s health, livelihoods, and quality of life.

What we’re asking:

We call on the FDA and lawmakers to:

  • Allow NDT to remain available while manufacturers work toward FDA approval.
  • Provide an expedited pathway to meet FDA standards without disrupting care.
  • Engage with patients and clinicians to ensure policy decisions reflect real-world treatment needs.

We believe in patient choice, individualized care, and the right to work with our healthcare providers to find the treatment that works best for us.


📢 Please sign and share this petition to protect access to safe, regulated, and effective NDT for the millions who rely on it to live full, healthy lives.

9,651

Recent signers:
Tami Hooker and 19 others have signed recently.

The Issue

Millions of women with hypothyroidism and Hashimoto’s disease are at risk of losing access to the medication that keeps them healthy.

Natural desiccated thyroid (NDT) medications — such as Armour®, NP Thyroid®, and others — contain both T4 and T3 hormones, closely mimicking what the human thyroid naturally produces. For many women, synthetic T4-only or T3-only medications do not adequately manage symptoms like fatigue, brain fog, weight gain, and depression. Without NDT, countless patients could face a return of these debilitating symptoms.

The urgent problem:

On August 6, 2025, the FDA issued warning letters to manufacturers and distributors of NDT because these products are not currently FDA-approved. While safety and consistency in medications are essential, these actions could lead to restricted access or complete removal of NDT from the U.S. market — without a clear, immediate replacement for patients who depend on it.

This is not just a medication access issue — it’s a women’s health crisis.

  • Hypothyroidism affects an estimated 14 million people in the U.S.
  • 80–90% of those diagnosed are women.
  • NDT has been prescribed safely for decades and remains the only option that provides both T4 and T3 in a natural balance for certain patients.

Losing NDT would disproportionately harm women’s health, livelihoods, and quality of life.

What we’re asking:

We call on the FDA and lawmakers to:

  • Allow NDT to remain available while manufacturers work toward FDA approval.
  • Provide an expedited pathway to meet FDA standards without disrupting care.
  • Engage with patients and clinicians to ensure policy decisions reflect real-world treatment needs.

We believe in patient choice, individualized care, and the right to work with our healthcare providers to find the treatment that works best for us.


📢 Please sign and share this petition to protect access to safe, regulated, and effective NDT for the millions who rely on it to live full, healthy lives.

The Decision Makers

Dr. George F. Tidmarsh, M.D., Ph.D.
Dr. George F. Tidmarsh, M.D., Ph.D.
Director, Center for Drug Evaluation and Research, FDA
Members of the U.S. Congress
Members of the U.S. Congress
Office on Women’s Health
Office on Women’s Health
Office on Women’s Health
Dr. Martin A. Makary
Dr. Martin A. Makary
Commissioner, U.S. Food and Drug Administration

Supporter Voices

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Petition created on August 11, 2025