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The Elle Russ Show


Aug 13, 2026

Elle Russ chats about some of the biggest misconceptions around thyroid hormone dosing. From T4-only and T4/T3 combinations to NDT, direct T3, slow-release T3, dose splitting, timing, and sublingual dosing, Elle breaks down why there is no one-size-fits-all protocol—and why people often mistakenly apply T3-only dosing rules to completely different thyroid hormone protocols. She also shares her own experience having used T3-only, T4/T3 combinations, and navigating reverse T3 issues over the years.

If you've ever wondered whether you need to dose multiple times a day, whether your thyroid medication should be split, or why a dosing strategy that works beautifully for one person makes absolutely no sense for another, this episode clears up the confusion.

Learn more about Elle Russ HERE