Timing of meds and supplements?

[musette]

I wonder if anyone is able to share their optimal timing schedule- I feel like there aren’t enough hours in the day for all the different tablets with their exclusion zones! Not to mention fitting coffee into the day! This is what I currently take:

On waking: ferograd C iron (every other day)

Midday: Methyl folate 400mcg

D3+K2

biotin 10,000mcg

Collagen

before bed: 100 mg levothyroxine

Sandrena estradiol gel 1 mg sachet + 200 mg Utrogestan (every 2 weeks)

But then yesterday I saw a reply mentioning that I oughtn’t to take levo alongside the HRT so am now a bit stuck as to where I move the HRT - can it be taken with iron? I don’t have any tolerance problems with anything, just trying to maximise my body’s uptake.

thanks in advance for any help.

x

[SlowDragon Administrator]

That’s a huge dose biotin

Remember to stop taking any vitamin supplements that contain biotin at least a week before blood test as biotin can falsely affect test results

Why not take iron at lunch time

Vitamins and HRT in morning

Thyroid levels should be retested 6-8 weeks after starting (or stopping) HRT

[musette in reply to SlowDragon]

oh, didn’t realise about the biotin - I get all my info about supplements from here (GP advises against any as my blood tests always show just within bottom range), so must have read it somewhere. Will reduce - what levels do most people need?

Thanks for your help- will take iron mid afternoon 2 hours after my last coffee.

[SlowDragon Administrator in reply to musette]

Looking at previous posts

You have Hashimoto’s

Vitamin D needs testing twice a year when supplementing

Testing folate, B12 and ferritin at least annually

Generally we recommend taking a good quality daily vitamin B complex as this will keep all B vitamins in balance

Frequently Hashimoto’s patients have low folate and low B12…..but can have low B1 (thiamine) too

Difference between folate and folic acid 

chriskresser.com/folate-vs-...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) 

currently approx £18 on eBay

IMPORTANT......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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement

 

Are you on strictly gluten free diet or dairy free diet

As 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

Come back with new post once you get results