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Old 12-08-2016, 07:24 AM   #1
kristina
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They say to avoid Calcium and Iron

till 4 hours after the levothyroxine dose...


can't find a food NOT fortified with them (other than oatmeal or eggs)

what DO you eat for breakfast?

I have to get more serious as my Dr said I have a mild goiter (inflammed thyroid) and probably Hashimoto's.

Can't eat yogurt or cereal and millk.

guess I could just eat lunch for dinner...but, bread is fortified too
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Old 12-08-2016, 07:49 AM   #2
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My pharmacist said that the 4-hour 'rule' is for supplements--like the calcium in my multi-vitamin, and that for food, 2 hours is OK.

However, I don't worry about 'minor' calcium or iron in food (less than 2%), but I would avoid calcium-rich foods like milk and yoghurt.

You also might consider what I do with Synthroid. Since I always get up a couple of times during the night to use the bathroom, I take it on one of those 'trips' (I keep the pills and water on my nightstand), and then there's no worry about timing in the morning.
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Old 12-08-2016, 08:10 AM   #3
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good idea I do go once per night about 3 or so...


and, then, there's the fiber thing. I'm eating oatmeal, and they say fiber can effect the levo too.

guess I'm being too picky
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Old 12-08-2016, 10:57 AM   #4
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Fiber can affect any meds, but it would have to be a LOT of fiber, so I really wouldn't worry about the oatmeal. But if you start taking your Synthroid in the middle of the night, you won't have any worries.

If you think you have problems, I not only take Synthroid (T4) but also Cytomel (T3). The Cytomel has to be taken three different times during the day, so I have to be really careful to keep it away from my multi-vitamin--and watch what I eat all the time. But it's essential to keep my metabolism functioning, so I just deal with it.
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Old 12-08-2016, 07:51 PM   #5
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My thyroid meds say to wait 30 minutes before eating and 3 hours before taking minerals.

I keep them on my nightstand and take them right when I get up. 30 minutes goes pretty fast if I want to eat, and I take minerals at lunch or bedtime.
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Old 12-09-2016, 03:33 AM   #6
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Gina-
Do you take Cytomel? My instructions (and the drug website) says that Cytomel can be taken with food (the calcium/iron has to be avoided, of course).
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Old 12-09-2016, 06:22 AM   #7
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Not brand-name Cytomel, but a compounded T3.

I am pretty sure the doc said it when he first prescribed it (but not positive, it was years ago now). I remember asking if coffee was ok. I almost never eat breakfast anyway so I wasn't concerned about that, but a 'no coffee' rule would matter.
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Old 12-09-2016, 01:35 PM   #8
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I have to take my Cytomel 3x a day (10 mcg each time), so being able to eat is important. I have enough trouble scheduling to keep calcium away
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Old 12-09-2016, 05:03 PM   #9
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Like Leo, I've always heard that if you get up to go to the bathroom in the nigh consistently, to put your pills and a glass of water (so you don't have to fill a glass even) and take your meds then. Or have them by the bedside table to take the instant you wake, giving you some extra time there too.

I've never heard this about coffee though...maybe they "assume" you'll be drinking it with cream/milk??? I'm not help there.
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