Om kampanjen for å få Armour dekket av helsevesenet i englan

[kris]

Skriver du ikke brevet i et Word-dokument eller noe på PCen, altså? For da kunne du jo bare kopiere og lime inn...

[Hansen]

Trur det skal kunne gå an å scanne det rett inn ? Hva har vi teknikken til ? Men den er jo litt lunefull enda da

[kris]

Hmm... Nei, da må du vel lagre det som et bilde på en eller annen server før du kan linke det hit med en sånn 'Image'-tag, tror jeg...? Eller mente du å scanne det inn i et Word-dokument? Det går an med en del scannere å gjøre om et bilde til tekst.

[Hansen]

Ja, det er med en sånt tekstgjennkjenningsprogram da. Det er det jeg sliter litt med, men det skal gå ?

[kris]

Tja - har litt delte erfaringer med der... Det blir ofte mye rart når det programmet prøver å tolke bokstaver, så det fører som regel til mye feilretting etterpå...

[nora]

Jeg har bra erfaringer med tekstgjenkjenningsprogrammer.
Det kan være lettest å velge at de ikke skal beholde all formateringen, men at man lagrer det som .txt eller noe enkelt .

Hvis man skal lage et nytt word-dokument så kan man lime det inn der uten all den gamle formateringen da.

Selvsagt hjelper det hvis det ikke er grå felter og smuss på originalen.

Jeg har scannet kapitler i bøker etc. Canon scanner D660U.

nora

[Hansen]

Har Cannon D1250U2F. Skal se på hele opplegget snart. Noe er feil tror jeg. Kanskje jeg kan spørre deg seinere ?

[nora]

Jer skanner først i høy oppløsning (360?) i png, flere soder om gangen, altså hele kapitlet og etterpå åpner jeg dem alle sammen i OCR-programmet. Så driver programmet med alle sammen . Ettterpå blir det et word-eller rtf- dokument hos meg. Så må jeg stille inn størrelsen til A4 siden det dukker opp i amerikansk størrelse, litt større ark. Tralala det er det hele. (og så må man rette opp noen feil)
nora

[nora]

Her er teksten fra hypomaarniethappy-siden som faktisk sier noe om historien til skjoldkjertelekstrakter i europa:
http://www.hypomaarniethappy.nl/thyreoidum.htm

Thyreoïdum
Animal thyroid gland hormone for humans is mainly supplied as dried and powdered porcine thyroid gland. For animal thyroid gland hormone the term ‘natural’ is frequently used, from the idea of natural = good. This, however, tells nothing about quality, origin and composition of the above thyroid gland powder. In the Netherlands, animal thyroid gland powder has already been used for a long time in the treatment of hypothyroidism.

Thyranon (in 1987) have withdrawn from the market the trade-mark named thyroid gland powder Organon, beside the American Armour Thyroid in the Netherlands has been used there wrongly? labeled unlabeled (no brandname)(merkloos?) thyroid gland powder under the name thyreoïdum. There is no Dutch producer of thyroid gland powder, the thyreoïdum originates from the company Biofac in Kastrup, Denmark. Thyreoïdum is introduced into the Netherlands by BUFA/Fagron, importers of pharmaceutical products. This raw material is sold by means of the pharmaceutical trade, such as Brocacef and OPG, to apothecaries. Zi-nummer (formerly Knmp-nummer) of Biofac-thyreoïdum are 90000039,5 zeros therefore).

Thyreoïdum is a good alternative for Armour Thyroid because this latter one is only available with difficulty. Each apothecary could already order thyreoïdum as a raw material via the wholesale trade, to make capsules out of it, but since mid-March thyreoïdum has been, of course on prescription, and only as tablets. It concerns divisible tablets of 0.057 g (57 milligram). They are brought on the market by:


Fagron Farmaceuticals BV.
Hoogeveenenweg 210
2913 LV Nieuwerkerk a/d IJssel
Tel 0180 331133
Fax 0180 331111


The thyreoïdum tablets are not re-imbursed at this moment by most of the health insurance funds! This is of course a very bad matter. “Hypo but not happy” will undertake to do something here.

The proportion T4/T3 in thyreoïdum can vary of 2.3 : 1 up to 3.8 : 1, dependent on the batch. Within one batch of thyroid gland powder, the composition is constant. Thyroid gland powders in Europe must satisfy the so-called Pharmacopeia. This is a collection pharmacological standards, meant to monitor the quality of medicines. Thus, besides the European Pharmacopia several others exist (German, French...). Also, there are American Pharmacopeia (United States Pharmacopeia, USP).

Danish thyreoïdum satisfies the USP-standard. The most important objection of many doctors against the use of animal thyroid gland hormone applies to so-called 'instability': the quantities of T4 and T3 in thyroid gland powder would be divergent from that expected.

Investigation(as in asking around among patients) learns however that most of the users see nothing wrong with this aspect.

It can be individually stipulated at what ratio of T4:T3 people feel themselves optimally treated for hypothyroidism.

In the Netherlands every supplier of thyroid gland powder provides an analysis report.

The importer checks these analyses on the basis of random samples in it’s own laboratories. For each batch of thyroid gland powder the proportions of T4-T3 are calculated and quality is screened before provision to pharmacies.

This way, it can examine what proportions are then used in practice. Bad experiences with dessicated thyroid gland powder in the past, arise generally from inaccurate analysis and dosing. There used to be no laboratory techniques with which required measurements could be carried out.



Appendices



analysis reports of Thyreoïdum:

analysis 1 and analysis 2

'conversion table' of grains to microgram

*)encloses Correct encloses is bijsluiter/bijsluiter of thyreoïdum *)

It is already stated that people with hypothyroidism remain under-dosed, according to the emphatic statements of the pharmaceutical manufacturers.

Forest Pharmaceuticals, responsible for the 'conversion table', state that the functioning of 1 grain Armour Thyroid is similar to 100 mcg T4.

Experience teaches that this is somewhat on the tight side. Also a simple ‘rack’ sum shows this:

The biological functioning of T3 is commonly considered to be 4 x stronger than those of T4. One grain Armour Thyroid contain 38 mcg T4 + 9 mcg T3 = 38 + 4 x 9 = 74 mcg T4...

For this reason it is more correct to state that the functioning of 1 grain Armour Thyroid is more likely similar to the range 74 ~ 100 mcg T4.

nora

[nora]

Nå har det seg slik at de får thyreoïdum dekket av forsikringen nå,spesielt når de tar det i kombinasjon med litt thyroxin. (thyreoïdum har mindre t4 enn Armour så det er for lite t4 for mange)

Her er for ordens skyld flere detaljer, fra hypoforumet på hypomaarniethappy:

"Hi Nora,

The thyreoidum in Holland comes from the company: Biofac in Kastrup, Denmark. It is in Holland imported by Fagron Farmaceuticals. They sell it to wholesaletrades and then it goes to the farmacies.
The farmacies make capsules.
A lot of us get our thyreoidum from the farmacie:
Rivieren Apotheek
Maasstraat 135-137
1079 BE Amsterdam
tel. 020-6425595"

"Nora,

The price of 90 capsules with 75 mg of thyreoïdum is about € 10,00 = NOK 78,5196"

Min kommentar: de er heller 60 mg per kapsel.
De kommer i 60, 30 og 15 mg.

"Nora,

My brother-in-law is a chemist and he makes the capsules for me to measure.
The strenght of thyreoïdum can change a bit in every batch, but Fagron Farmaceuticals has the obligation to deliver an analysisreport on every batch, so the chemist can calculate how much T4 and T3 compares to te prescription of my endo.

Thyreoïdumcapsules can be made in every size you need, but most farmacies refuse to do that, because they say it is too labourious and they need special supplies by way of precaution.

In thyreoïdum T4 : T3 is about 3 : 1, so most people here take some extra levothyroxine.

As "raw material" thyreoïdum is registered. Wy can get here capsules of that "raw material", handmade in the farmacy, but Fagron Farmaceuticals delivers (or delivered) tablets too. But the tablets are much more expensive!

Grts, Jos"
Det kan forklare de 75 mg, at svogeren hennes lager 75 mg for henne etter "mål"

I tråden "sammenstelling thyeoïdum" står det mere detaljer:

"In de thyreoïdumtabletten van Fagron zit aan T4 en T3 resp. 23.7 en 9 ug per tablet. " (tablettene)

"De volgende hoeveelheden van T4 en T3 zit in de capsules van de rivierenapotheek. Dit is hetzelfde gebleven ten opzichte van de vorige bulk grondstof.

In de capsules van 60 mg zit 25,4 mcg T4 en 9 mcg T3.
In de capsules van 30 mg zit 12,7 mcg T4 en 4,5 mcg T3.
In de capsules van 15 mg zit 6,35 mcg T4 en 2,25 mcg T3 "

Her om Thyroid USP:
"The ratios for 1x USP Thyroid and 3X USP Thyroid will be the same as I stated for Full Strength, typically 3.9 to 4.43. The USP allows higher or lower. Ideal numbers are as follows:

1X USP T4 = 38 ug/gr T3 = 9 ug/gr (Ratio 4.22)

3x USP T4 = 114 ug/gr T3 = 27 ug/gr (Ratio 4.22)
"
(10%opp eller ned er innenfor USP slik som for andre medisiner)

"Berekening is toch niet moeilijk, Irma.
In 1 gram (= 1000 mg) zit dit jaar 399 ug t4 en 136 ug t3.

Dus voor T4 is de som (60 x 399) : 1000 =
23.94 ug T4 in 60 mg caps.
En voor T3 is het sommetje (60 x 136) : 1000 =
8.16 ug T3 in 60 mg. caps. "
(det er forskjellig mengde t4 og t3 hvert år i pulveret fra Danmark. Alt er som kjent analysert slik at man vet hva styrken er.
Thyroid USP kan ha litt forskjellig sammensetning også:
"a. USP XXl specification: 8.1 to 9.9 mcg/65mg (1 grain) b. USP specification: 32.3 to 43.7mcg/65mg (1 grain) c.Lot 1516; 1-grain, tablets. d. pharmaceutical basics, Inc e. reference 3" fra armourinfo sin side
http://www.armourinfo.freeuk.com/document_1.html

nora