Is Achilles tendinitis possible after taking 1000 iu of D3 for a week?

Hi

I am hypo with raised TSH 3.74 (0.22- 4.20) and over range TGO antibodies - 270 (<115) TPO 20 (<34)

My main symptom is muscle aches, mainly of the vastus medialis - I am a keen cyclist.

Currently trying 1 grain of NDT for the last 4 days after many months on 50 Levo, which didn't help the aches all.

Also, I have been on 1000 iu of D for a week.

Today, I noticed that both achilles were sore. Not sure why.

3 months ago, I tried the same regime of 1000 iu of D, but didn't get any achilles problems, just increased muscle aches - so, stopped the D and after a week the aches improved.

I understand Vitamin D is fat soluble, so can be stored in the body?

My last Vitamin D bloods was 69 (>50 is Sufficient) in August, but I was only taking 400 iu of D a day then.

Reading up, I came across 2 posts from people who said the same thing - that after trying Vitamin D their achilles were sore too.

Then, when they stopped the Vitamin D, the aches went away, but only after a week or so.

I'd love to know if anybody else has come across this please?

Thanks

Alps Holiday

[Ruby1]

There are plenty of people here more knowledgeable than me, but I would say you are under medicated. My TSH is usually below 1. I think if you’re hypo and on thyroxine you should be low in range to feel well.

I’m sorry I don’t know about vitamin D.

[Hidden in reply to Ruby1]

Thank you ruby1

Yes I agree that my TSH is too high

And the plan is.

To continue with NDT and slowly increase it till the TSH is about 1

Thanks

Alps holiday

[silverfox7 in reply to Hidden]

Typical readings when taking NDT-TSH suppressed, (0.01 or similar), FT4 can fall lower in its range and FT3 high in the range but never over.

[Hidden in reply to silverfox7]

Thank you silverfox

[userotc]

Hi.

A quick Google would indicate the opposite is true ie D helps tendons/muscles, but I then digged deeper. The link below (same one you found?) indicated that it could indeed be the D based on anecdotal evidence with a theory that the D is taking out too much magnesium. The answer seems to be to cut back on D and/or increase Mg.

I also have recently experienced tendonitis and am on 5000 iu/day vit D supplements. In my case, my D level is now quite high (148 last reading) so I could back off on the supplements whilst increasing Mg (I supplement it for the D but could increase Epsom baths).

easy-immune-health.com/vita...

[Hidden in reply to userotc]

Thank you userotc

Yes that's the page I read!

Wow your 148 D is superhigh?

I didn't realise with added D you have to up the Magnesium as well

I shall now increase mag to 300

Thank you

Alps holiday

[Hidden]

I dont know much about the vit D either but you need vit K and magnesium if you take over 1000 iu. Mine was low and 4,000 wasn't enough to raise it much so increased to 8000 for a while. Last test was middle of range so I decreased back to 4000 and now trying 2000 before testing again.

Apparently vit K directs vit D to the bones instead of depositing in blood vessels. It has to be vit K mk7.

Made a mistake and misread about TSH. Corrected now. Sorry for confusion

[MaisieGray in reply to Hidden]

Hidden Are you sure you've looked at the correct numbers - the OP's TSH is not 'very low' at 3.74 (0.22- 4.20) and as far as I can see there is no FT3 result given. In the absence of the FT3 and FT4 results the TSH result would seem to indicate she is more likely to be under-medicated than over - 1 grain NDT is only a low dose.

[Hidden in reply to MaisieGray]

OOPS!!! Must have been looking at another thread and somehow got it on this one! Thanks for pointing it out. Thought I saw a figure of 0.005 or similar. A TSH of over 3 is high! Sorry Hidden

Was using my phone instead of desktop, which would account for it - eyesight not brilliant these days

[Hidden in reply to MaisieGray]

Corrected it now

[Hidden in reply to Hidden]

Thank you jnetti

Yes I do take K2 Mk 7 after my wife pointed out what you just have

That it takes calcium out of the blood

Thanks

Alps holiday

[SlowDragon Administrator]

50mcg Levothyroxine is only a starter dose.

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH significantly under one) and most important is that FT4 in top third of range and FT3 at least half way in range

All four vitamins need to be regularly tested and frequently need supplementing to maintain optimal levels

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Also what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)

if TSH was 3.74 after 6-8 weeks on 50mcg Levothyroxine you were in need of 25mcg dose increase in Levothyroxine

Bloods will need retesting 6-8 weeks after starting on NDT

What other supplements are you currently taking?

When supplementing Vitamin D we often need magnesium too

[Hidden in reply to SlowDragon]

Thank you slowdragon

I plan to continue with 1 grain NDT as it's not making my aches worse, and, as you say, retest at the 6 week mark, then hopefully up it to 1 1/2

I take 5 ug B12, 1g calcium, 100 magnesium, 1 K2 Mk 7 and a Multi B Vit

Thanks

Alps Holiday

[HashiFedUp]

I’m under active and have pain in many joints/tendons. Because your Achilles is the longest tendon in the body, if you have inflammation, it’ll show itself there. It’s very common. You can try exercises to strengthen it -YouTube “Achilles tendiopathy”. Same with vastus med. I have Celebrex for my joint bad as it’s chronic. Don’t let them give you pregabalin or gabipentin. I have Sports massage ever four weeks too which makes a massive difference.

[Hidden]

Thank you hashifedup for some very useful tips

Alp holiday

[Hidden]

Thanks all for some very helpful pointers which I shall be considering

I understand that Vitamin D is fat solube, and is stored in body fat?

I shall stop any additional D now and test it again in 2 weeks time

Can anyone say what the likely D level will be in 2 weeks time, (it was 69 in August) without any supplementation please?

Thanks

Alps Holiday

[olga67]

Hi, it is hard to predict what your levels will be in two week as vit D has a long half-life of about three weeks, that is how it builds up in the body. If you are not deficient, it is best to get Vit D from the sun or food, like mushrooms, salmon, etc. You cannot overdose in this way. Besides, through food you also get all the cofactors that work in harmony. And you can get calcium from food too , lots of veggies are rich in calcium, you can look it up. We are popping too much pills, in my opinion.

[Hidden in reply to olga67]

Thank you olga