Hello,
I am wondering if its possible to split dose for example take 25mcgs in the morning and 25mcgs in the evening and if anyone has found that there are less side effects splitting it this way?
Increased to 37.5mcg (by cutting 100mcg tablet) on 13th January and then went to 50mcgs on 25th January.
I am feeling very unwell - sometimes feel like Im going to collapse, hard getting out of bed as feel so weak and sometimes heart racing and other times pulse beating hard but slow. Thanks
yes you can split dose
Many do so indefinitely
So find they need to initially but can then go to single dose in few months time
Taking half dose waking and half dose at bedtime….or mid or late afternoon if you prefer
What are your most recent vitamin D, folate, B12 and ferritin results
Have been planning to get my vitamin tests done but have been too unwell to go. Thank you, I will try the morning and afternoon/evening and see how it goes.
What vitamin supplements are you taking
Are you on gluten free or dairy free diet
Vitamin B12, Vit D&K2 spray and iron drops - gluten free but not dairy free. Was doing Slimming World for last 2 weeks and feel much worse.
You really don’t want to be trying to diet when hypothyroid
Weight gain is as a result of being hypothyroid. Most important thing is to get your thyroid medication at good levels
What was your last folate result
And last B12 results
Rather than just taking B12, also taking separate vitamin B Complex
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
Difference between folate and folic acid
healthline.com/nutrition/fo...
Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.
thyroidpharmacist.com/artic...
B vitamins best taken after breakfast
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)
Thorne currently difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay
Igennus B complex popular option too. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose
Post discussing different B complex
healthunlocked.com/thyroidu...
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12 until over 500
Post discussing how biotin can affect test results
If these were your results 25 days ago, then you should be focusing on optimising thyroid medication (and key thyroid vitamins) not depriving yourself of calories:
TSH 4.36 (0.27-4.2)
T4 14.1 (12-22)
TSH should always be under 2, with most members feeling best when this falls significantly under 1.
I would look to test FT3 (in addition to TSH and FT4) plus key thyroid vitamins privately, as many members (myself included) do. Optimising thyroid meds and key vitamins will really help.
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