Posted by softheprairie on November 11, 2011, at 19:47:15
In reply to Re: Anyone currently augmenting with cytomel/T3? » softheprairie, posted by Roslynn on November 11, 2011, at 14:25:40
I had thought about mentioning calcium, but then it can get complicated and I don't know how much to write about it. When I mentioned my laxer opinion of timing on taking the thyroid med, I am getting that from a question and answer I got from my pharmacist, although it was some years ago, and it may have been that the thyroid med I was taking then was a generic Synthroid or Armour (two I have tried previously), so I am not exactly sure on if the dietary directions apply to all of them the same or not. I used to take the thyroid med by itself aroud an hour (maybe just 45 mins.) before eating or taking any other meds, but it's just too much of a hassle, when I don't think it makes all that much difference. I also know someone from a message board for a different health issue who thinks it is fine to take with food first thing in the morning, and she does it herself, and I have a high opinion of her scientific knowledge. That said, I avoid taking it at the same time as I take my calcium citrate and magnesium supplements. I do also make sure that my calcium is kept separate from my iron supplement by two hours (they compete for the same receptors, I have read).
I haven't heard that thyroid meds and calcium need four hours apart. That seems excessive. Although, I coincidentally follow that in my supplements schedule.
I don't know how much to go into my complicated situation, but I have to take lots of supplements daily in various batches to live healfully with a malabsorptive weight loss surgery I had, called the duodenal switch. (I knew beforehand that this would be required. It is still not a bad tradeoff for all the benefits I have gotten from the surgery.)Here is my current schedule:
-waking up: 2.5 mg Bystolic; 200 mg desipramine; 50 mcg liothyronine; a Kroger imitation of Centrum multivitamin, split*
-2 hours later: my iron and a sublingual vit. B12
-at least two hours later: individual capsules of vitamins A,D,E, and K1 (and sometimes K2 as well), specially made to be "dry"/not in oil; 2 pills of 315 mg each calcium citrate; 400 mg magnesium
-2 hours later: 2nd batch of calcium and magnesium
-2 hours later, or, when I want to encourage myself to be getting tired: 1.5 pills of 4 mg each perphenazine; 200 mg desipramine again; and another split multivitamin
-then, usually, a 3rd daily dose of calcium and magnesium a few hours later, around when going to bed (this third dose is the one I occasionally miss if I got off-track earlier in the day)* the multi-vitamin does have I think 200 mg calcium carbonate, but I don't count it, since it (carbonate form of calcium) is not all that well-absorbed after my surgery. Or, if some of it is, that is countered by my pretty high amount of T3 (50 mcgs is a pretty high dose).
This is working okay for me in my circumstances, but, that is, I am not working. I am on disability for my mental problems. Also, I keep a notebook and write down the dates and times I take all of these, because otherwise I forget where I am at in doses and what I have taken already or not.
poster:softheprairie
thread:1002178
URL: http://www.dr-bob.org/babble/20111110/msgs/1002308.html