I'm having cancer treatment and as some may recall, have several co-morbidities. I've added B12 lozenges and Thorne basic B to my pharmacy intake.
Firstly, how long after initiation should i test to see any improvement? It's 4 weeks so far.
Secondly, an idiot question - do i need to test separately for effectiveness of B vit additions and thyroid tests if i have to stop B vits 1 week before thyroid tests as i also want to check new levels of T3 after increasing.
Thirdly, I've started experiencing nausea/dyspepsia 1-2 hours after eating. Which is more likely to be the cause - the change to Roma T3 capsules or the niacin B3 in the Thorne B as I've read that it can inhibit cytochrome 450 enzymes (CYP2D6 and CYP3A4) and make other meds that use this pathway (my cancer and heart meds) more potent. The smell of those horrible Thorne Basic B capsules also puts me right off them. Ruling these out before consider changes to my cancer status.
What might be a good alternative just to increase folate (apart from dietary improvements)?
Regards, Cicely24.
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bikebabe
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Bikebabe have you told your Oncologist about the vits minerals you are taking? When I went through cancer treatment my Oncologist wanted to know about any supplements taken.I do know treatment played havoc with my digestive system, sense of taste, amongst other things. Can recommend boiled sweets for that nasty taste and crystallised ginger for nausea.
Thank you - maybe I will give the nurses a complete list but not sure that anyone has an overall handle on my multiple comorbidities except me, or has the time to check things outside their remit. I highlight what I think are potential problems. That’s westernised fragmented medicine for you - we need a ‘dr Greg House’ in the house who makes the connections.
It's best to tell your Oncologist and its certainly not outside their remit. They need to consider your health conditions alongside their treatment. They should be aware of them from your medical file. My hospital has electronic patient files which helps. But doubt your medical file will record vitamins and minerals that you take independently. Hope all goes well with your treatment and the se's are minimal. ❤️❤️
You’re right and thank you for advice. they know all my meds and I’ve sent my nurses an update of my fairly modest pharmacy intake with timings and the proposed new ones and asked if when how they can be fitted in. they’re also all listed on my e- record incl supplements at the various nhs trusts. I trust my docs to be aware of red flags eg St Johns wort but it’s the smaller things that can get overlooked as no one has an overview of how they all interact.
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