When should I take supplements?

[Fmljkl]

I take t3 at 6am and 1:30pm and t4 at 10pm.

When should I take my multivitamin?

Vitamin D?

B12?

Fish oil?

Please let me know. Thanks!

[SeasideSusie Remembering]

Fmljkl

Are you monitoring your nutrient levels so that you know that you are taking the correct dose of supplements and that you needed them in the first place?

Vit D should be taken 4 hours away from thyroid medication. It's essential to take the correct dose dependent on current level and what is needed to reach the level recommended by the Vit D Concil/Vit D Society, and once the recommended level is reached then find your maintenance level to keep it there. It's also essential to take the important cofactors necessary when taking D3, i.e. Vit K2 and magnesium. Magnesium should be taken 4 hours away from thyroid meds. D3 and K2 are fat soluble so should be taken with the fattiest meal of the day or at least some dietary fat.

B12 should be taken 2 hours from thyroid medication. When taking B12 a B Complex is also needed to balance all the B vitamins, again taken 2 hours away from thyroid medication. As B vitamins can be stimulating it's recommended that they're taken either with breakfast or lunch rather than later in the day.

Fish Oil is not listed with the supplements requiring a 4 hour gap from thyroid medication, so one assumes that a 2 hour gap is sufficient.

Multivitamins - these generally are not a good idea. They contain too little of anything to help low levels, tend to contain the wrong, cheapest and least absorbable form of ingredients, and often contain things we should be tested for before supplementing, and only take if we are deficient, i.e calcium, iodine, iron. If they contain iron then that affects absorption of everything else as iron needs to be taken 2 hours away from other supplements.

Best to test and supplement what is necessary and monitor levels - twice a year for Vit D, possibly only once a year for the others.

[Fmljkl in reply to SeasideSusie]

Hi, what about iodine? I just added iosol iodine drops into the mix.

[SeasideSusie Remembering in reply to Fmljkl]

As I said in my previous reply, iodine is one of the things that should be tested for and only take if we are deficient, and if we are deficient in iodine then supplement only under the guidance of an experienced practioner.

Why are you taking iodine?

Did you test first?

Iodine used to be used to treat overactive thyroid so it can make hypothyroidism worse, and it's definitely not recommended when Hashi's is present.

[Fmljkl in reply to SeasideSusie]

I'm reading Stop the Thyroid Madness and the book recommends taking iosol for Hashimoto's.

[SeasideSusie Remembering in reply to Fmljkl]

It's not a book I've read, it's not popular with everyone, also it's written by an American so maybe based on all things US. I don't know about iodine in food in the US, but here in the UK we get plenty of iodine in our food from milk, yogurt, cod, haddock, scampi, etc.

bda.uk.com/foodfacts/Iodine...

Iodine deficiency in the UK is not a common occurrence. Also Levothyroxine contains iodine (not as an added ingredient).

Maybe read another point of view about iodine where Hashi's is concerned, by another American:

thyroidpharmacist.com/artic...

From the Mayo Clinic:

mayoclinic.org/diseases-con...

A scientific study:

ncbi.nlm.nih.gov/pubmed/970...

[Lalatoot]

Why not take levo with one of your t3 doses then you have clear time for other things.

[Fmljkl in reply to Lalatoot]

I want to stick with timing of thyroid meds. Just need to work vitamins in too