Prepregnancy mutivitamin suitable for Hypothyroidism

[rabeya_2008]

Please can somone recommend a best name of multivitamin for prepregnancy preperation for Hypothyroidism patient.

Contains:

Folate, Iodine, Iron, Vit D, Zinc, Vit B .....

[SeasideSusie Remembering]

rabeya_20008

Why iodine? Iodine used to be used to treat overactive thyroid and can make hypothyroidism worse. Iodine shouldn't be taken unless tested and found to be deficient. Iodine is naturally available in common foods such as milk, yogurt, white fish, etc:

bda.uk.com/resource/iodine....

It's also contained in Levothyroxine (not as an added ingredient) so if you're taking Levo and regularly consume those foods mentioned then you're unlikely to need to supplement iodine.

[greygoose]

There's no such thing as a 'best' multi-vit:

* If your multi contains iron, it will block the absorption of all the vitamins - you won't absorb a single one! Iron should be taken at least two hours away from any other supplement except vit C, which is necessary to aid absorption of iron, and protect the stomach.

* If your multi also contains calcium, the iron and calcium will bind together and you won't be able to absorb either of them.

* Multi's often contain things you shouldn't take or don't need : calcium, iodine, copper. These things should be tested before supplementing.

* Multi's often contain the cheapest, least absorbable form of the supplement : magnesium oxide, instead of magnesium citrate or one of the other good forms; cyanocobalamin instead of methylcobalamin; folic acid instead of methylfolate; etc. etc. etc.

* Multi's do not contain enough of anything to help a true deficiency, even if you could absorb them.

* When taking several supplements, you should start them individually at two weekly intervals, not all at once as you would with a multi. Because, if you start them all at once, and something doesn't agree with you, you won't know which one it is and you'll be back to square one.

With a multivitamin, you are just throwing your money down the drain, at best, and doing actual harm at worst. Far better to get tested for vit D, vit B12, folate and ferritin, and build up your supplementation program based on the results. A vitamin or a mineral is only going to help you if you need it, anyway. More of something you don’t need is either pointless or even dangerous, as with calcium, iron or vit D.

[SlowDragon Administrator]

Before TTC you need to get FULL thyroid and vitamin testing

Always test vitamin levels BEFORE starting on any vitamin supplements

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels

You may need to get full Thyroid testing privately as NHS refuses to test TG antibodies if TPO antibodies are negative

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Is this how you do your tests?

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies

thyroiduk.org.uk/tuk/testin...

For thyroid including antibodies and vitamins

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random

[rabeya_2008 in reply to SlowDragon]

Thanks for your reply, actually endo recommended iodine, folic acid, iron and vitamin D as a pre pregnancy preperation, he also advised for set of blood test.

[SlowDragon Administrator in reply to rabeya_2008]

You should test first

As you are on levothyroxine you are getting iodine in this and extra iodine is very controversial if you have hashimoto’s

Do you have Hashimoto’s?

Diagnosed by high thyroid antibodies

thyroidpharmacist.com/artic...

drknews.com/iodine-and-hash...

Come back with new post once you get thyroid and vitamin results

TTC

verywellhealth.com/infertil...

Pregnancy guidelines

thyroiduk.org.uk/tuk/about_...

gp-update.co.uk/files/docs/...

thyroiduk.org.uk/tuk/guidel...

See pages 7&8

btf-thyroid.org/Handlers/Do...