walnuts

[haggisplant]

hello,

I’m post breast cancer treatment and on tamoxifen. There’s been a bit of thyroxine wobbling as I started that so being monitored.

I’m eating more nuts, particularly / including walnuts (good for Bc) for extra protein as I’m exercising and lifting weights.

how long would you wait before eating after thyroxine? Google is very unclear.

[SlowDragon Administrator]

Minimum an hour

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

verywellhealth.com/best-tim...

markvanderpump.co.uk/blog/p...

markvanderpump.co.uk/blog/p...

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

[haggisplant in reply to SlowDragon]

Thank you - and thanks for the vit d spray as I had wondered about that.

mornings are best for me as that’s more predictable. I’m going to make sure it’s an hour though from now on; I think it’s been slipping over Xmas which may have been the cause of an higher tsh than expected.