Which magnesium to take?: I'm a bit out of my... - Thyroid UK

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Which magnesium to take?

Caradoc1a profile image
34 Replies

I'm a bit out of my depth and I'd appreciate some guidance on this, thanks. I've just read in another post from Grey Goose that magnesium is needed with Vit D. I take 3000iu Vit D with K2, bit no magnesium as I didn't know about this.

I also take calcium for osteoporosis as well as sublingual Vit B12 as I've been experiencing what looks like peripheral neuropathy. These symptoms reduced after 10 days of the VitB12, although reappeared yesterday after a trial bike ride of 2K. Not sure why.

There are different types of magnesium and I'm a bit lost as to which is best.

Thank you!

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Caradoc1a profile image
Caradoc1a
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34 Replies
Tina_Maria profile image
Tina_Maria

The best magnesiums to take which have high bioavailability are:

magnesium citrate (can be laxative at higher doses)

magnesium glycinate

magnesium maleate

magnesium taurate

Avoid magnesium oxide, as our body cannot easily absorb this, however some products are 'buffered' with this, so always check the label. Amazon offers magnesium supplements at good prices, but get one where you can see the exact ingredient list or label, so you know that there are no nasties or fillers in them.

Caradoc1a profile image
Caradoc1a in reply toTina_Maria

Thank you

greygoose profile image
greygoose

lt all depends what you want the magnesium to do for you. If you are constipated, magnesium citrate is your best bet. But if you want something that will support your heart, magnesium taurate would be better.

This not-very-good article gives you a run-down on the different types of magnesium available. But it talks about getting if from food, which - I'm lead to believe - is not easy these days because soils are depleted. And even more difficult if you're hypo. So, ignore that bit and get some supplements..

healthline.com/nutrition/ma...

:)

Caradoc1a profile image
Caradoc1a in reply togreygoose

Thank you

greygoose profile image
greygoose in reply toCaradoc1a

You're welcome. :)

greygoose profile image
greygoose in reply togreygoose

I also take calcium for osteoporosis as well as sublingual Vit B12 as I've been experiencing what looks like peripheral neuropathy.

Forgot to say, calcium is neither a cure nor a prevention of osteoporosis. In fact it could make the problem worse by making the bones brittle. Calcium tablets are very badly absorbed at the cellular level and can build up in the arteries and soft tissues, cause problems. Really not a good thing to take, and not helpful.

Magnesium and vit D, and good levels of thyroid hormones are far more important for good bones. And taking vit D will increase your absorption of calcium from food.

Just taking one isolated B vit is not a good idea. All the Bs work together and need to be kept balanced. So you'd be better off taking a good methylated B complex.

Caradoc1a profile image
Caradoc1a in reply togreygoose

Thanks. I take VitK2 with the calcium and Vit D and I'll add magnesium to the mix. I take this lot 4 hours from any T hormone. Yesterday I started Thorne Basic B complex alongside the sublingual B12. I've got NOW methyl folate 1000mcg but thought it best to wait 2 weeks before adding to the repertoire of supplements and drugs.

greygoose profile image
greygoose in reply toCaradoc1a

If you're taking vit D I very much doubt you need or want to take calcium supplements. Too much calcium is just bad, with or without K2. And I'm not even sure that K2 will help with the absorption of calcium supplements, they're not like the calcium you get from food.

Caradoc1a profile image
Caradoc1a in reply togreygoose

I didn't realise that!!!

greygoose profile image
greygoose in reply toCaradoc1a

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

A couple of articles that might interest you.

Caradoc1a profile image
Caradoc1a in reply togreygoose

definitely food for thought - thank you

Caradoc1a profile image
Caradoc1a in reply togreygoose

I have been having a look around to see what other calcium products there are - ones which are not rock or shell based. I can really only see algae based products. Given I do no longer have a functioning thyroid, is this Ok to take? I have absolutely no idea!!

greygoose profile image
greygoose in reply toCaradoc1a

But why do you want to take calcium? It's highly unlikely that you need it. When did you last have your calcium tested?

Caradoc1a profile image
Caradoc1a in reply togreygoose

In August this year. Serum calcium was 2.32 (2.2-2.6). The orthopedic hospital told me it was too low when I had zelodranate infusion in August.

greygoose profile image
greygoose in reply toCaradoc1a

Well, what do I always say? Never take nutritional advice from a doctor! They know nothing about it. As far as I can see your level is fine. But it will rise rapidly if you take calcium supplements because if the calcium isn't absorbed into the cells, it will stay in the blood. And that's not good.

Caradoc1a profile image
Caradoc1a in reply togreygoose

Thanks!

traveltime profile image
traveltime

Not medical, but I take Mag Malate in the morning, bisglyconate in the evening. That suits me at the moment, but it will also depend on your body. I've had B12 replacement every other day injections, and while my neurological symptoms are improving, I find I have to watch my energy expenditure, otherwise I crash/symptoms return. They've also returned over the past 3 weeks while I've been away and not had any injections. (Can't wait for them to resume on Wednesday). Have you tested B12/Folate/Iron?

FallingInReverse profile image
FallingInReverse

Here are the replies when I asked similar questions:

healthunlocked.com/thyroidu...

Caradoc1a profile image
Caradoc1a in reply toFallingInReverse

Thank you - very useful!!

Caradoc1a profile image
Caradoc1a

Thanks for replying. So maybe I did too much too soon. I did cycle up the small hill near my house - in bottom gear...but...still more effort/energy than I have used for 6 weeks.

November blood results:

serum Vit B12 334 ngL (180-640) (too low and since 14/11 taking Cytoplan B12 1000mcg sublingual; since yesterday, Thorne basic B complex)

serum folate 9.30 (3- 20) (too low and waiting to take NOW methyl folate 1000mcg - wait 2 weeks)

serum ferritin 123 (28-200) this is OK

The peripheral neuropathy is not diagnosed as such. I researched my symptoms and it all seemed to make sense. Waiting to hear back from Endo as he requested the blood tests. The GP says they can't intervene.

On the NHS website, I saw it could be peripheral neuropathy and the jigsaw pieces started to slot together. I fulfil the symptoms of:

Sensory neuropathy: pins & needles in feet; sharp burning or sharp pain in feet; impaired balance resulting from less ability to tell the position of my feet

Motor neuropathy: muscle weakness and cramp

Autonomic neuropathy: nausea; rapid heartbeats (last night 120bpm whilst trying to sleep meditating and doing Yoga Nidri); night sweats

Mono neuropathy: carpel tunnel symptoms ( which started in June) )I had RAI Jan 2024 and became hypo April 24)

When I looked at the causes of this condition on the NHS website, two things resonated with me: hypothyroidism and Vit B12 deficiency.

The NHS website Vit B12 deficiency symptoms which relate to me are:

• Loss of appetite

• Feeling nauseous at times

• Rapid heartbeats and palpitations

• Vision issues – I have had double vision on and off since July. I saw the optician who thought it may be ocular migraines

• Tiredness and weakness

• Brain fog and memory issues

• Balance and coordination problems - I keep dropping things and feel dizzy at times

• Pins and needles starting in feet and travelling up the body

From this forum I learnt that hypoactive thyroid can lead to reduced stomach acid (hypochlorhydria) which inhibits the absorption of Vit B12 from food. (I have an excellent diet) It can also lead to indigestion, which I am also experiencing recently.

Sorry for info overload.

traveltime profile image
traveltime

b12/ hypo/ iron issues can go hand in hand. The uk pa soc (and their community here on HU) have great info.

Caradoc1a profile image
Caradoc1a in reply totraveltime

Thank you.- I'll pop in and have look 👍

Caradoc1a profile image
Caradoc1a in reply totraveltime

It's very helpful. A bit mind blowing when I read about PA. It fits with my symptoms. Got endo appointment next Tuesday.

Stills profile image
Stills

I’ve been following this thread and wondered what the outcome of the endo appointment was if I may ask.

Caradoc1a profile image
Caradoc1a in reply toStills

The Endo reckons that B12 malabsorbtion is not to do with thyroid. In Oct 23 my B12 was 601 when I was hyperthyroid. I had RAI last Jan and became hypothyroid in April so it is not autoimmune related. My B12 reduced by just under 50% in 12 months, so as he says, something is going on! He's put it back to GP who did B12 test on 3/12, it is now 601 (180-640) & folate is 11.7 (3-20). GP will not give B12 injections- very resistant despite me being very assertive and bringing evidence etc. So I take 2 x 1000mcg B12 sublingual pills a day, B complex, magnesium, Vit D & K. Endo recommended coeliac and H Pylori tests. I did reduce to 1 x B12 a day on 5th and 6th but buzzing began in my feet so on 7th I went back to 2 per day. I'm negative for coeliac and waiting for antibiotics to clear my system before I do the H Pylori test. (Ongoing ear problems) I've got appt on 18th Dec with a different GP in the practice. I will suggest other atrophic gastritis tests if H Pylori is negative and try again for B12 injections. I felt so much better last week - feet and leg pain gone, able to pick up a glass with one hand, no ataxia or aphasia. Walked 1.5k on 6/12 with no ill effects. BUT, last night (8/12) walking to the bathroom before bed, my left heel momentarily hurt and in bed it was very odd: my whole foot throbbed, pain started to radiate up my left leg like forked lightening followed by burning sensation all the way up to my bum. My left hand and arm similarly. Neurological. Today my left leg tingles and is painful and I'm shattered. I didn't do much over the weekend- cooked and had friends here to play cards.

Caradoc1a profile image
Caradoc1a in reply toCaradoc1a

Forgot- Endo upped my T4 to 37.5 a day from 25. He suggested 50 one day and 25 the next. I think I'll split pills and be even on each day. Still on 2x 10mcg T3 a day. (I've experienced problems with T4)

Stills profile image
Stills in reply toCaradoc1a

Interesting update, I’ll follow your posts and hope you get answers and feel well.

Caradoc1a profile image
Caradoc1a in reply toStills

I forgot to add that when I asked for injections last week, it was not the GP but a advanced nurse practitioner and she tried to fob me off by saying that the latest research shows that sublingual or oral B12 is just as effective as injections. I asked her to provide the source as I could look it up as I have access to a full academic library. She said she could not do that at that moment. When I suggested that it may be due to cost, she said the injections were in themselves quite inexpensive and then went onto say the cost is staff time administering them.

Stills profile image
Stills in reply toCaradoc1a

We deserve better, it’s why we pay NI

Caradoc1a profile image
Caradoc1a in reply toStills

Yes - although I can understand the immediate pressures in primary health care after 14 years of year on year cuts in NHS funding. Health care has always been 'rationed' but now it is so much worse all round as the resources just cannot cover what is needed. The irony is that it will be turning fairly simple issues into multi layered complex issues down the road - which will cost more.

Stills profile image
Stills in reply toCaradoc1a

Also ironic when seeing a private specialist who then transfer you to his NHS list, it’s a mess and imho cannot be repaired so reform is necessary but don’t see how this can be achieved with the huge population surge requiring treatment

Caradoc1a profile image
Caradoc1a

Thank you!! I've just received a printed copy of Endo letter to GP and he has asked them to consider B12 injections due to neurological symptoms so maybe there may be more of a chance of this now :-)

Stills profile image
Stills in reply toCaradoc1a

Fingers crossed

Caradoc1a profile image
Caradoc1a in reply toStills

thank you!!

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