[Stacy2012]

Hmm, the other thread about timing of meds made me question what I am doing.

I take my thyroid meds at 7 am and then an hour later at 8am I take my sublingual B12.

Then I eat 1 hour after B12.

I thought an hour between was enuf time but now I am not sure.

Does anyone have an opinion on the timing of this?

thanks

Oh, I also take thyroid meds again at 10pm and B12 again at11pm.

[mrsD]

Between the two of these is okay.

It is the FOOD that absorbs microgram doses of drugs/B12 that prevents the absorption.

Now thyroid has warning about calcium and iron, and cobalt is IN B12 but not a free ion. So I don't think the B12 is an absolute restriction with the thyroid. Both are minute doses, and with water would be fairly dispersed in the stomach and small intestine.

So I think you are okay with what you are doing. The new night time dosing of thyroid is still new. It is FOOD you need to be looking at.

[Stacy2012]

So do you feel it is ok to eat food an hour after thyroid or B12???

I was under the impression food needed to be 1 hour BEFORE or 3 hours AFTER.

Thanks MrsD

[mrsD]

Has to be an empty stomach, empty intestine.

one hour before meals/food is typical. The average empty time is
20minutes on an empty stomach. People with gastroparesis would have to lengthen that.

A large meal can stay in the stomach longer than 3 hrs, depending on what was in it.

So I think 1 hr before food, is going to be more accurate.

Also consider your tests. If you seem stable from year to year,
and your TSH is in the low end of the range, then whatever you are doing is working for you. But for people difficult to stabilize then the time of day taken, and all the rest is much more critical, for them.

[Stacy2012]

I am a little past due on time for blood work. Been trying to pay the last tests off, but I will do a full panel thyroid soon and know.

thanks

[Idiopathic PN]

I know that Vitamin B12 is one of the deficiencies to look at when nerve problem symptoms show up. However, I did not realize that thyroid problems can cause VitaminB12 deficiency. This is because of digestive problems which are related to hypothyroid problems. Here is an article that says so clear about VitB12 can be deficient if you have thyroid issues.

http://www.stopthethyroidmadness.com/b12/

I have been having problems with my stomach. It feels queasy. THis feeling was already a problem even before taking the antibiotic combo. Its just more queasy now, bloated and very uncomfortable. I take Kefir (thanks to Mrs.D) and other yogurts everyday. I think this minimizes the nausea.

I dont know how accurate the statement about hypothyroid causing low acid instead of high acid. Is there a test to confirm whether one is low or high acid? My GI doctor does not believe that low acid has the same symptoms as high acid. Some articles I read say symptoms for both are the same. It is very important for me to control my acid (if indeed I am acidic) to avoid aspiration to my lungs.

[mrsD]

Low acid causes symptoms because food is not digested and broken down properly. It then ferments in the intestine and gas comes up to push any stomach fluids back into the esophagus.

I can see hypothyroid causing lower acid. Thyroid hormone runs our whole body and when it is in short supply some areas probably slow down. In fact older people develop low acid (called achlorhydria) 30% of them, after age 50 or so. But it can spontaneously happen earlier.

There are many papers suggesting using Betaine HCl for GERD.

[Idiopathic PN]

Originally Posted by mrsD

Low acid causes symptoms because food is not digested and broken down properly. It then ferments in the intestine and gas comes up to push any stomach fluids back into the esophagus.

I can see hypothyroid causing lower acid. Thyroid hormone runs our whole body and when it is in short supply some areas probably slow down. In fact older people develop low acid (called achlorhydria) 30% of them, after age 50 or so. But it can spontaneously happen earlier.

There are many papers suggesting using Betaine HCl for GERD.

Thank you Mrs D for your (quick) comments.
I was reading about betaine after reading your post. It has to be taken when you have low acid. But determining if you are low or high is the first step. Doctors always assume that patients with stomach problems are high in acid and therefore will give the typical meds for GERD.

[jalero]

I am brand new here so I don't have a clue what I'm doing. I was recently diagnosed with PN but am skeptical. First does anybody know if it just happens overnight? Second, it seems odd to me that it all of a sudden happened in both feet. Anybody know anything about that?