NDT timings

[Spangle15]

Hi everyone

I’m struggling a bit with medication/supplement and food timings now I am back on thyroxine and NDT.

I take thyroxine plus half grain of ERFA at 7.00 am and that’s fine, I leave an hour until breakfast.

But I am supposed to take another half grain at noon and I’m struggling because I assume that means I can’t eat between 10 am and 1 pm (2 hours before, 1 hours after). Is that right with NDT? I also take Lenzetto HRT spray and I need to leave 4 hours with that and thyroid meds, so I take at 4.00 pm now. I also have supplements I take vitamin D, calcium (I’m low in calcium so have to take it unfortunately, diet doesn’t work as I have had parathyroid tumours), B complex and magnesium (I take this at night).

Does anyone have any tips?

Thanks

[SeasideSusie Remembering]

Recommendation is to take NDT on an empty stomach one hour before or two hours after food.

But I am supposed to take another half grain at noon

I don't think it would matter if you adjust that time. Just make sure that time gap is correct for supplements:

HRT, Vit D, calcium and magnesium require 4 hour gap

B Complex requires 2 hour gap

[Spangle15 in reply to SeasideSusie]

Thank you SeasideSusie.

[greygoose]

If your HRT is a spray, it doesn't matter when you take it because it doesn't go into the gut. And, it's in the gut that things affect the absorption of thyroid hormone.

[Spangle15 in reply to greygoose]

Ah ok, that’s interesting. Everytime I change my HRT dose, it does effect my thyroid levels which is why I’ve been taking them apart but maybe it doesn’t matter when I take them, perhaps it would effect the levels regardless.

[greygoose in reply to Spangle15]

Yes, I think it would. I think - although I have no personal experience - that taking HRT increases your need for thyroid hormone.

[Panda_26]

I think the same applies with the NDT re absorption. - I take mine by letting it dissolve in my cheek, no chewing . The idea is it's absorbed into bloodstream without digestion playing a part. That's what I was told some years ago anyway , you might like to check!

[Spangle15 in reply to Panda_26]

I’ve not heard that, thank you.

[MinervaMcG in reply to Panda_26]

May I ask what brand of NDT you take? I’m looking for a brand that I can take sublingually. Thanks.

[Panda_26 in reply to MinervaMcG]

I think you can take most sublingually, I now take Erfa , but have taken previous brands , - naturethroid, Wp thyroid etc all this way, You just let it dissolve in your mouth rather than swallow or chew it....

[MinervaMcG in reply to Panda_26]

Thank you. The ones I take have been discontinued and so far I have only found sugar coated tablets or capsules which will not work. I should have started a new thread I guess.