QUESTION: I have uploaded another photo showing recommendations for increasing my Vit D levels. Should I take the loading dose or slower route - 3m!! Are there issues with doing this faster with the loading dose?? Also how do I know if my magnesium level is low - I wasn't tested for that and how much magnesium do I need to take for the increase in Vit D?
Not been feeling great lately. Tired, feeling dizzy, aggravated, constipated, blurred vision, brain fog/memory probs. Can anyone decipher my results I just got this week - all apparently normal! Please see photo.
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Minimouse1
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Hi SlowDragon, I haven't really noticed any difference going Gluten free & I've been doing it over a year but I started it around same time as levo & began to feel better but I just thought it was the Levo working. All your information is very helpful. It's a lot of info to get my head around particularly with all the tiredness & brain fog. I will have to work through each bit separately. All of my tests at the GP are indicated satisfactory no further action - even the Vit D. Couldn't understand why I've been feeling so low!!
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.
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.
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)
Or Thorne Basic B is another option that contain folate, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
With such low B12 result taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
Hi SlowDragon I haven't been taking any vitamins or supplements as I felt ok until a few month ago. My GP did not check my ferritin levels I'm afraid. I currently take 125mg of Levo & have been on this dose for a year. Unfortunately I have been getting different brands from the chemist.
Unfortunately I have been getting different brands from the chemist.
Many people find Levothyroxine brands are not interchangeable.
Many patients do NOT get on well with Teva brand of Levothyroxine. Teva contains mannitol as a filler, which seems to be possible cause of problems. Teva is the only brand that makes 75mcg tablet. So if avoiding Teva for 75mcg dose ask for 25mcg to add to 50mcg or just extra 50mcg tablets to cut in half
Are you currently taking Teva?
Teva, Aristo and Glenmark are the only lactose free tablets
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach and then nothing apart from water for at least an hour after
Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime
No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.
Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away
(Time gap doesn't apply to Vitamin D mouth spray)
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal
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