Hello, I’ve been feeling really well for a while now and have my tests done through blue horizons twice a year just to make sure I’m not taking too many vitamins etc
I currently taking 100mcg of Levo and b12 1000 and 2 x b complex. I am 100% gluten free and have been now for 4 years.
Recently my joints have become really week, my shoulders, hip, ankles and wrists and when I get out of bed in the morning they really hurt for quite a while. I’m even seeing a physio for my hip
Pain.
I’ve just realised that I normally start taking vitamin d in September and haven’t started yet, so will start taking that immediately. Is the low vitamin d the probable cause of the joint pain?
Also, my anti thyroidperoxidase antibodies are increased since my last test. Is there anything I can do to reduce these?
Any other advice on my results would be greatly appreciated.
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Jillycee
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I take for pains: Turmeric and Swanson's Boron (6mg x3 times per day) along with many other supplements; Plus : OMega 3,7,9 with Krill oil; Make sure you tkae 45mcg of K2 from MK7 for every 1000 IU of D3 otherwise you will get more pains as Calcium is driven into the bones thanks to K2 as opposed to in soft tissue....
Is the low vitamin d the probable cause of the joint pain?
It could be, low Vit D can cause joint and muscle aches and pains. The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml) and yours is only 50nmol/L (20ng/ml).
If you wish to raise your current level to their recommended level, then the Vit D Council suggests taking 4,900iu D3 daily (nearest is 5,000iu).
As you have Hashi's then for best absorption an oral spray is recommended (eg BetterYou) although some Hashi's patients do well on an oil based softgel (eg Doctor's Best).
Retest in 3 months time.
When you've reached the recommended level then you'll need a maintenance dose to keep it there, 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. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
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 if taking tablets/capsules/softgels, no necessity if using an oral spray.
90-100mcg K2-MK7 is enough for up to 10,000iu D3.
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 if taking tablets/capsules, no necessity if using topical forms of magnesium.
Check out the other cofactors too (some of which can be obtained from food).
Your folate is a bit low, it's recommended to be at least half way through range. What B Complex do you take? Good ones (eg Thorne Basic B or Igennus Super B) contain the bioavailable forms of the vitamins, eg methylfolate, methylcobalamin. 400mcg methylfolate may be enough to raise and maintain your level.
Some people find that adopting a strict gluten free diet can help reduce antibodies but it's not guaranteed. Also, supplementing with selenium l-selenomethionine 200mcg daily can help reduce the antibodies, as can keeping TSH suppressed.
H&B B Complex contains folic acid and this has to be converted to folate which not everyone is good at. You'd be better off getting a better quality supplement that contains the bioavailable, already converted form - methylfolate. As mentioned above, consider Thorne Basic B or Igennus Super B.
H&B own brand supplements are generally poor quality and are best avoided.
Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.
Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.
Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
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