When to take T3?

[jessjbf]

Hello,

I normally take my T3 with my T4 on an empty stomach . I take my next meds (Sertraline, lansoprazole and probiotics about an hour later) Is this correct?

Thanks in advance

Jess 🙂

[SlowDragon Administrator]

No

Levothyroxine should be minimum 4 hours away from taking any PPI like Lansoprazole

No medications or supplements within 2 hours of levothyroxine

How much levothyroxine are you currently taking

Do you always get same brand levothyroxine at each prescription

How much T3 and do you normally split T3 into 2 or 3 smaller doses spread through the day

How long have you been on PPI

What vitamin supplements are you currently taking

Extremely important to regularly retest vitamin D, folate, ferritin and B12

Being hypothyroid frequently causes low vitamin levels

Taking a PPI will also reduce vitamin levels

Request vitamin levels tested now

Suggest you change time on levothyroxine to bedtime or change time of PPI

Retest thyroid and vitamin levels after 6-8 weeks on new regime

all thyroid blood tests early morning, ideally before 9am last dose levothyroxine 24 hours before test

On T3 or NDT - day before test split daily dose into 3 smaller doses, spread through the day at approx 8 hour intervals, taking last 1/3rd of daily dose 8-12 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

[SlowDragon Administrator]

As per replies in previous post 3 years ago

healthunlocked.com/thyroidu...

It’s ESSENTIAL to regularly retest folate, ferritin and B12 at least once a year

Ideally test vitamin D twice year

[SlowDragon Administrator]

Any PPI will tend lower vitamin levels

gov.uk/drug-safety-update/p...

webmd.com/heartburn-gerd/ne...

pharmacytimes.com/publicati...

gut.bmj.com/content/early/2...

Iron Deficiency and PPI

medpagetoday.com/resource-c...

futurity.org/anemia-proton-...

onlinelibrary.wiley.com/doi...

sciencedirect.com/science/a...