Daughter update

[Shaws1]

Hi guys

My daughters results came back

4.3 TSH

13.3 T4

Vit D 52.2

Doctor suggests multivitamin supplement

Can I give this with thyroxine in the AM or better at night?

He also suggested changing from TEVA brand

And also an increase to 75mg per day

Thanks

[Nanaedake]

I think it's a good idea to change from TEVA brand. Lots of people on this forum have had problems with TEVA levothyroxine, you can do a keyword search to find out what people have said. A dose increase is needed as the doctor has advised.

Did the doctor tell you what the multivitamin should include and what it should not include? Why did he/she advise a multivitamin? Supplements and vitamins should be taken at least 4 hours apart from levo.

[Shaws1 in reply to Nanaedake]

Hi it was to supplement vit D

[Nanaedake in reply to Shaws1]

Sorry, just edited. Did the doctor advise how much vitamin D3 to take? You need to add the lab range to the vitamin D result so that knowledgable people on here can advise.

[Shaws1 in reply to Nanaedake]

Oh heck I didn’t ask for the range 🤦🏼‍♀️ he said that under 50 would require a supplement and she is 52.2 but in winter this may come down so he said a decent multi vitamin would be good all round

Would it be ok to take at same time as thyroxine or would it hinder its use

[SeasideSusie Remembering in reply to Shaws1]

Shaws1

Don't use a multivitamin to supplement Vit D.

Multivitamins are pretty useless as they contain too little of anything to help, use the wrong, cheapest and least absorbable forms of ingredients and if they contain calcium and/or iodine these should be tested first and only supplemented if found to be deficient. If they contain iron then that affects the absorption of everything else because iron needs to be taken 2 hours away from other supplements.

To increase Vit D your daughter needs a Vit D supplement along with it's important cofactors.

Vit D 52.2

Assuming that the unit of measurement is nmol/L then The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L.

For that level, the Vit D Council suggests the following

To achieve 100nmol/L take 2000 IU D3 daily

To achieve 125nmol/L take 3700 IU

To achieve 150nmol/L take 5800 IU

As we can't make Vit D naturally from the sun during the winter, I'd aim for the higher end of the suggested range.

I would suggest she takes 5000iu D3 daily for 6 weeks, reduce to 5000iu alternate days for 6 weeks, then retest. Once she's reached the recommended level (100-150nmol) then she'll need a maintenance dose which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. She can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/

There are important cofactors needed when taking D3 as recommended by the Vit D Council -

vitamindcouncil.org/about-v...

D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.

Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds

naturalnews.com/046401_magn...

Check out the other cofactors too.

If your daughter has autoimmune thyroid disease, aka Hashimoto's, confirmed by raised antibodies, then an oral spray is best as it gives the best absorption, eg BetterYou.

[Shaws1 in reply to SeasideSusie]

Thank you very much yes she does and I will go for the spray before bed, she also has lots of autistic traits and strongly relies on routine, I can only guarantee that routine

AM or PM due to work/school etc

So I will give thyroxine AM and spray PM

Thank you

[Shaws1 in reply to SeasideSusie]

Would it be ok to use better you 3000 spray VitD and better you magnesium goodnight spray?

Thanks

[SeasideSusie Remembering in reply to Shaws1]

Would it be ok to use better you 3000 spray VitD and better you magnesium goodnight spray?

Yes, I can't see any problem with that at all.

If it's easier, they do a D3/K2 combined spray, but do check how many sprays you need to get the required dose, I think the D3 and D3/K2 are different.

[fibrolinda in reply to SeasideSusie]

Yes they are, d3/k2 combined spray is 1000 d3 in 1 spray so 3 sprays a day to get 3000.🙂 I was using it for two weeks before I actually realised that ☺

[JOLLYDOLLY in reply to Shaws1]

Hi Shaws1, I agree with SeasideSusie, But surprised they have not given you a vitamin Supplement though.

I always take my chewables for vitamin D at night and my thyroid meds first thing in the morning but never together because of the absorption.

My sister had learning difficulties and a stickler for routine, she took her thyroid meds in the morning before breakfast and her iron supplement before she went to bed. Always reminded me as well lol.

Regarding thyroid meds, I can't use Tevo, currently got Morningside brand, seems to be ok. Did they increase your daughters meds, as her T4 is on the lower side of the range?

Hope all works well.

Take care

[Angel_of_the_North]

You don't need a multi vitamin, you need high dose vit D2 (at least 3000iu) plus vit K2 and magnesium to get vit D up to the recommended 100-150 and in increase in thyroxine (which he recognised, thanks goodness). You'll need to be retested in 6 weeks and probably need another increse. You must not take other supplements with thyroxine, especially not calcium, iron, magnesium or oestrogen. You can't tell what other vitamins you might need as they haven't been tested. Lots of people don't get on with Teva, so good idea to change brand

[greygoose in reply to Angel_of_the_North]

D2? Really?

[Angel_of_the_North in reply to greygoose]

Effing keyboard! Obviously D3.

[greygoose in reply to Angel_of_the_North]

I know the problem. lol

[Shaws1]

Thanks or the response everyone

I’m co fused does she need magnesium supplement or not?

Angel of the north said must not take other supplements with thyroxine but also said take magnesium?

Many thanks

[SeasideSusie Remembering in reply to Shaws1]

Shaws1

Yes, as explaned in my reply further up, magnesium is needed so that our body can use the D3.

Angel of the North meant don't take any supplements (or other medication) at the same time as Levo. Timing is given in my reply further up. But if your daughter uses a magnesium spray, there's no problem with timing as it's topical and not being taken orally.

[Shaws1 in reply to SeasideSusie]

Seaside suzie thanks so much

[Shaws1]

Hi all just to say I have bought the vit D + K2 3000

The manufacturer recommended I start her on 1 squirt = 1000 IU and 75 UG a day

I have also bought magnesium lotion to apply to her feet before bed at a dosage of 120mg a day

Retest in 6 weeks

Does this sound ok?

Many thanks

[SeasideSusie Remembering in reply to Shaws1]

Sounds good

Don't start them both at the same time. Start with one, I'd say the D3/K2 spray. Use that for a week or two, if no adverse reaction then add in the magnesium. If there is any reaction then you'll know what caused it.

[Cup-cake7]

Hi may I ask what the magnesium should be