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HYPO and vitamins

so am on Levo cause my thyroid is still crapping out.. yay.

Anways, I take a multivitamin that has pretty much EVERYTHING including probiotics and herbs etc.

Part of my hypo goodness is that I get a lot of muscular aches pains and god hates me feelings. It was suggested to me that I take a highly absorb-able form of Magnesium (like Citrate) which I tried and it felt really good, it was like a muscle relaxer.

I never really tried continuously since I was on all this other stuff and so got worried.

I take LEVO // NEXIUM // MENS ONE A DAY (whole foods kind) // BEER

is it safe to take the Magnesium Citrate?
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1756321 tn?1547095325
Sorry i didn't explain the digestive enzyme process very well. Having more enzymes with meals help break down proteins.  An excerpt from an article explains it well...i can't post the link however..."During digestion the stomach secretes acid to lower its pH to around 1.5-2.5 range. More protein in the meal results in a greater need for stomach acid. Individuals with non-obstructive acid reflux are often not able to get their pH low enough. The LES is known to be a pH sensitive valve that initiates closure when pH drops under 3.0. When the stomach does not have enough acid, the LES remains open and acid can spill into the esophageal region and damage the tissue."
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1756321 tn?1547095325
Why is there no editing on here...spelling error in big letters lol i need sleep :P
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1756321 tn?1547095325
No wonder you are feeling bad. The purple pill of misery = nexium. This is a short term drug only. The FDA made a statement to only take up to 14 days, 3 times a year. Also, a a new warning of magnesium deficiency was issued for anyone taking PPI's (eg: nexium, prilosec). That is in addition to the black box warning of increased risk of fracture to wrist, hip and spine. You need stomach acid to release nutrients from proteins, release instrinsic factor which binds to vitamin B12 for absorption in the gut, and kill off bacteria, parasites, and fungi.

However, most cases of non obstructive acid reflux is due to INSUFFICENT stomach acid.  Hypothyroidism is one of the common causes of insufficient stomach acid as slow metabolism causes the parietal cells in the stomach to produce less stomach (hydrochloric) acid. Besides hypothyroid hormone replacement, taking digestive enzymes to help digest food and prevent the need for more stomach acid needing to be secreted by the parietal cells is an good way to prevent acid reflux.  You can also trial betaine HCI with pepsin or apple cider vinegar to make up for stomach acid insufficiency. You may experience a rebound effect when stopping nexium. In one study, healthy people with no acid reflux developed acid reflux when stopping nexium. Take enzymes with meals straight away to minimise these symptoms.

As for magnesium supplementation, if you have kidney or heart problems then do not take magnesium supplements. An interesting fact: signs of kidney failure show up on the nails as half white at the bottom and the top half red/pink.


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Avatar universal
I am low inf Vit min D and have been supplementing, it was 23 now have it upto 32.. so that's good.


My main worry was that I wanted to try it again but was afraid that with all the supplements and then the nexium and levo that it might not be a good thing?
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Avatar universal
I don't know about magnesium per say.

But often times people who have Thyroid problems (especially Hypo) are often low on Vitamin B-12, D3 and selenium.

B-12 is very difficult to raise generally very much with oral supplements.  D3 is a bit easier and many people take more than 4,000 IU's of D3 a day depending upon your levels.

Both B-12 and D3 help with fatigue.

Calcium is the one supplement that is known to hinder absorption of Thyroid meds.
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Avatar universal
ok so how about them vitamins??
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Avatar universal
You should make sure to always get tested for Free T3 and FreeT4 (not total T3 and total T4), along with TSH each time you go in for testing.  Free T3 is the most important because it largely regulates metabolism and many other body functions.  Scientific studies have shown FT3 to correlate best with hypo symptoms, while FT4 and TSH did not correlate.

When taking thyroid meds, TSH is even less reliable than during early diagnosis.  You should make sure your doctor is making decisions about your meds based on how you are feeling (symptoms) and the levels of your FT3 and FT4.  Many members report that symptom relief for them required that FT3 was adjusted into the upper part of its reference range and FT4 adjusted to around the midpoint of its range.  

A good thyroid doctor will treat a hypo patient clinically by testing and adjusting FT3 and FT4 as necessary to relieve symptoms, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.
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Avatar universal
my second to last lab test showed me very hyper (ie above range in tsh, ft3/4)
doc said to stop the meds for a while..
Stopped taking the levo for about 4months and there was a two month period where I felt GREAT.. then last month I could feel a difference. so checked TSH and it was 14...(range 5) didn't even check the t3/4 so am on a starterdose of levo to start with .25mcg almost a month on it now and have two more weeks before next blood work, prolly get uped to .50mcg.

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Avatar universal
What are the latest levels for your Free T3 and Free T4 tests, along with reference ranges shown on the lab report?
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thanks. yeah I am aware of not taking anything within 4hrs of levo.

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Avatar universal
Make sure that you take your Levo on an empty stomach and then wait for a couple hours or whatever your Rx says before eating or taking vitamins.

I believe some vitamins or supplements can decrease the absorption of Levo.

I know also that they say Magnesium can help with the conversion of T4 into T3.

Sorry can't help you more than that.
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