Some advice needed about the timings of taking vitamins, supplements and how they might react with prescribed drugs.
The prescribed meds I take daily are 2 x 200mg Hydroxy, 2 x 30mg Lanzoprazole, 2 x Adcal-D3. I've been having loads of GI problems since my cholecystectomy last year (bile reflux as well as long term acid reflux) and a recent endoscopy has diagnosed Grade C gastritis. I also have a 6cm sliding hiatus hernia and very slow transit of food through the gut so I also take fibre supplements (psyllium husk). All in all the old GI system doesn't work too well.
I bought some iron tablets because I thought they might help with fatigue. I also get a lot of cramps (mostly in my feet/toes) so I've been doing a bit of research on good old Dr Google and wondered if magnesium would help. The problem is working out how to avoid taking things that shouldn't be taken at the same time.
I have to take Lanzoprazole first thing in the morning at least an hour before food and at night an hour before bed. Hydroxy has to be taken with food, as does the Adcal but there needs to be 4 hours between the Adcal and iron supplements. I've now discovered that I shouldn't take Adcal within 2 hours of eating foods rich in oxalic acid, phosphate or phytic acid - eg spinach/rhubarb, bran or whole cereals - all of which are pretty good when you have slow transit of food through the gut and can get constipated easily.
I know there are some wonderful contributors out there who have a wide knowledge of the benefits of supplements so it would be good to know how others manage potential conflicts. I know supplements shouldn't be used to replace a good, balanced diet but that's not always possible with GI problems. Any advice would be appreciated.