Supplements
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Supplements
Look for a reputable company. At Pelvic Health Support, we most often choose Pure Encapsulations, a local company based in Sudbury, MA. All of their products are free from wheat, soy, dairy, eggs, tree nuts, peanuts, sesame, gluten, artificial colors, flavors and sweeteners, coatings & shellacs. You can read more about their standards here.
Supplements for consideration:
Calcium: We get enough in our regular diet. It’s best to get your Calcium from food.
Click here to learn more about the recommendations from the International Osteoporosis Foundation recommendations and which foods have Calcium.
Vitamin D3 supplement in gel (most bioavailable form)
D3: 5000IU soft gel (from another reputable source: Swanson)
Dr. Mark Hyman's article on Vitamin D
Additional supplements:
Women over 40: multivitamin
General multivitamin (MVI)
-Multivitamin with Coq10
(If on thyroid hormone replacement please read this. In general, patients taking biotin should stop the supplement for at least 3-5 days before getting thyroid levels tested.)
Whichever multivitamin you choose from the options above also add:
N- acetyl- cysteine: to support respiratory function, glutathione production and detoxification
AND
Fish oil
Prenatal Vitamin Options:
Does not contain Iron
Choline: 100mg
Iron glycinate: 27mg
Choline: 150mg
Iron bisglycinate: 27 mg
Iron:
Which levels should I have checked?
Hematocrit, hemoglobin, ferritin, and TIBC
Iron Supplements: these may be less constipating than Ferrous Sulfate, Ferrous gluconate
Ferrous Fumarate
Lucky Fish product
Fatty acids
The stability of this molecule can be compromised when mixed with other vitamins found in a Prenatal supplement so it is best to take a separate DHA / EPA supplement
Ask your OBGYN for specific recommendations but a good place to start is
400mg DHA
200mg EPA (to help DHEA cross the placenta (can go too high in pregnancy, don’t go higher than 500mg/day- can have blood thinning effect)
Fatty Acid Supplements
Nordic Naturals prenatal: 480 DHA/ 205 EPA
Carlson fish oil: 500 DHA/ 50 EPA
Probiotic:
Florahealth- gut health
Vaginal + urinary tract health: Jarrow
Fatty15: pentadecanoic acid
SPMs:
Metagenics: Specialized pro-resolving lipid mediators (SPMs) help promote resolution of physical stress after strenuous physical exertion
Article here
Mg Threonate: 300-400mg qd, 30-60 min before bed
L-Theanine: 100-400mg qd, 30-60 min before bed
Apigenin: 50mg- qd, 30-60 min before bed
Myo-inositol: 900mg q 3 nights or when awoken mid-sleep