I have the same problem
I was told to stay away from pes shift
In for further answers
Is any of you on meds? Im on levothyroxine and I dont avoid anything. Havent discuss it with doc if I should
Hope you're not using a multi, or a meal heavy in calcium or iron near this.
Should be 4+ hours away
Supplement wise, L-carnitine and carnitine salts should be avoided
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And do your utmost to dose at the same time daily
I wouldn't schedule my thyroid meds so close to Phytates, a multi, and a large calcium dose... if it were me (unsure of your whey, some pack over 50% RDA of calcium)
But if that has been consistent and your thyroid readings are in range you'll be fine

Why should one with hypothyroidism avoid calcium?
Why should one with hypothyroidism avoid calcium?
Also I thought KSM - 66 would help on thyroid?
They are soft capsules.You could take levothyroxine under the tongue and not deal with timing of other things. You may not like the taste though. Ask your doctor if sublingual administration is ok.
They are soft capsules.
They are soft capsules.
Really? Mine have been tablets for years
ok ...
returning to the post ...
ignit3 I could take? or is it not recommended?
same thing for forskolin, yes or no?
Hope you're not using a multi, or a meal heavy in calcium or iron near this.
Should be 4+ hours away
Supplement wise, L-carnitine and carnitine salts should be avoided
And do your utmost to dose at the same time daily
This recent study from 2016 actually showed that carnitine supplementation significantly improved PFS (physical fatigue score) and MFS (mental fatigue score) in patients younger than 50 years and those with free T3 ≥ 4.0 pg/mL compared with placebo.
L-carnitine supplementation for the management of fatigue in patients with hypothyroidism on levothyroxine treatment: a randomized, double-blind, placebo-controlled trial. (Endocrine Journal, 2016)
Ok?
So one symptom of the still hypo-thyroid patient was alleviated?
But thyroid hormones could still dive as we've seen previously.
I wouldn't risk it personally, but ask your doc
Obviously, the first thing to do!When it comes to something like that I would talk to your doctor. Thyroid issues can be tricky. Better to be safe then play games with it.
Really? Mine have been tablets for years
Nevermind then
Capsule, meet tablet
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I actually had my thyroid removed a little while ago. I take those T4 tabs daily, with my coffee in the morning. I don't avoid any foods, drinks, or supplements, and I get my blood tested regularly -- so if anything were affecting my levels, I'd probably be able to pinpoint it. For whatever it's worth, my energy levels are as high as they've ever been, and, even though my thyroid hormone levels were normal prior to surgery, my body composition actually improved following the removal of my thyroid. (Not that it was bad to begin with!)
I don't think that you need to avoid any foods or supplements. But, yeah, if you're on T4, take it on an empty stomach, and don't take it alongside a multivitamin/mineral or anything like that.
The best advice I can give you would be to read "The Complete Thyroid Book" by Dr. Kenneth Ain. Dr. Ain is the world's most eminent thyroid expert, and the book is full of useful information and sensible tips. It's not a medical textbook, but it's fairly technical.
Thank you!
Tomorrow begins the treatment, levothyroxine. Let's see how he reacts to my thyroid.
The first thing I would immediately see, is the return of energy ... is from 3 months I feel "off", tired, sleepy, low libido, cold, deteriorated strength.
After 30 days I will examine the TSH, and I'll see or results.
I do intermittent fasting, so no problem.
However in a few weeks I wanted to use AMMO, or reduce xt ...
currently only this ... I think it should not interfere with the thyroid.
Thanks again for your testimony.
Yeah, you should be fine with those supplements. Out of an abundance of caution, I would suggest that you take your T4 first thing in the morning, on an empty stomach, and wait at least 45 minutes before eating a heavy meal or taking any supplements.
T4's easy enough. You'll probably feel like your old self within a couple of days, and then everything will be "business as usual" -- as long as you don't forget to take your meds! Even then, it's not that bad; T4 has a half-life of five days, so if you forget your morning dose, you can take it in the afternoon, or make up for it later in some other fashion. (i.e., if you're on 100mcg/day and forgot your dose, take 125mcg/day over the next four days, and you won't even notice the difference.)
I would suggest that you avoid T3 and glandular thyroid products. T3 is sub-optimal for HRT due to its short half-life -- it's not nearly as forgiving or as easy to take as T4. The glandular products suffer from excessive batch variation and inconsistency.
Oh, and keep your T4 tabs refrigerated if you can. Dr. Ain: "Although this is not common knowledge to pharmacists or doctors, T4 is very sensitive to heat. A good rule of thumb is to use the “chocolate bar” rule. If the temperature is warm enough to soften a milk chocolate bar, then it will cause the T4 pill to go bad fairly quickly. Although the pill will look OK, it will not work, providing far less T4 to you than a fresh pill would. I’ve had patients who kept their T4 pills on a shelf above the stove, insisting that they were taking their T4 pills, yet ending up severely hypothyroid with TSH levels greater than 50."
Anyway... I'm sure you're going to feel better than ever within a day or two. Best of luck with everything!
I figured I'd ask this here. I have relatively recent labs that show elevated TSH values, but it still falls within LabCorp's reference range. I have a friend who is an MD that lives in another state that reviewed my labs and said that she would classify it as sub clinical hypothyroidism. Obviously I can't get an RX from my primary because they're just working off of the set ranges from LabCorp. Would a supplement like PES shift be a good idea to try to see if I notice improvement in fatigue, brain fog, etc?
Well... Did you get your free T3/T4 levels checked? If not, that should be your next step.
I have nothing else to add, but it might be worth mentioning that the effects of mild hypothyroidism can be extremely subtle. I know that I was mildly hypo for a few weeks, while the docs were dialing-in my T4 dosage, and yet I felt totally normal the entire time.
What's your diet like as far as Iodine goes? Lots of fish, milk, iodized salt on everything? You know what I'd say: Add an extra 1-2mg of Iodine a week (Mon AM, Thur PM) on top of your Multi with it's 150mcg/day (which equals 1.05mg/week itself). Of course, 9x% of the board will say that any iodine that isn't in a multi - will basically kill your entire family - so YMMV. I mean, you're sub-clinical right now anyway - probably feeling pretty crappy. Oh no, Iodine!
Been there, done that - waking temps in the 95's and unable to break 96-97 by 2PM (Ovulation Thermometers are great for this).
***Note - I am not talking about walking around with a bottle of Lugols, sipping all day, like an $8 5% Nutrition Milk Jug. I get IOPlus tabs, quarter them in a pill cutter, and then cut those in half with a razor = ~1mg slivers. Some people *are* nuts, recommending 25-50mg of Iodine per day - I like the minimalist, safer approach.
I'll be honest, I've been using sea salt mostly. I don't drink too much milk either. In attempts to get to the root cause of the fatigue and brain fog issues, I've removed dairy and gluten from my diet. Perhaps for the time being add iodized table salt to my foods and see how I feel?
You can try - but just using salt, if it works at all, would take foooooooooooooreveeeeeeeeeeer. And that's assuming you get fresh Morton's and go through a canister pretty quick - the Iodide undergoes sublimation:
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I use these after cutting them into 1mg chunks.
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Okay I will give it a look. Thank for your help!