Morning. I have taken my first dose of Levothyroxine this morning. I have a recollection of being told / reading about timing of taking other medication being important but can’t find it to refresh myself.
Would someone be able to tell me when I am best to take my vitamins..? B12, B complex and D as well as selenium are on the cards rather than anything more exciting 😀
Thank you.
I like to take B vitamins in a morning, at least 2 hours away from levothyroxine
With iron supplements there should ideally be a 2 hour gap between these and any other supplement and a 4 hour gap with thyroid medication.
Vitamin D is fat soluble, so ideally with fattiest meal of the day.
You need to be careful not to go above range with selenium. Studies have shown that those supplementing high doses (400ug daily) may have toxic levels. As such, it’s recommended to take no more than 100ug daily as a supplement (or 200ug if you have active Thyroid Eye Disease) or eat 1-2 Brazil nuts (as each nut may contain 50-90ug selenium dependent upon soil type).
You may find this link helpful.
only make one change or add one supplement at a time, otherwise can’t work out what’s helping
if vitamin D is mouth spray you can take after breakfast….
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D and thyroid disease
grassrootshealth.net/blog/t...
And a separate magnesium supplement best afternoon or evening at least 4 hours away from Levo
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Recipe ideas
bbc.co.uk/food/articles/mag...
Interesting article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
Many people find it more convenient, possibly more effective to take Levo 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
Best test selenium
Might only need it 2-3 times a week
Vitamin E and Vitamin B ok to take with Levothyroxine? 
Levothyroxine time of day
Best time to take Levothyroxine?
Best timing to take Levothyroxine?
