I take several supplements that I consider essential to my health, but I was advised to present those supplements for review. Here they are: whey protein powder, wheat grass powder, spirulina, daily fiber formula, milled flax seed, Humann Super beets powder, Prostagenix prostate formula, Perfect Aminos by Advanced Bionutritionals, milk thistle, vitamin d, vitamin c, glucosamine, chondroitin, MSM, calcium, magnesium, Garden of Life Vitamin Code multivitamin, alpha lipoic acid, coQ10, Nordic Naturals omega 3, Omega XL, colostrum, dhea. Thanks for taking a look. I'll wait to start taking my hep c medicine until I hear back about these supplements!
Welcome ekimyennep to the forum! Thanks for your question. I'm sure Dr James will take a look at this extensive supplements list and give you his opinion about any possible interactions. It should be noted that ekimyennep takes many of these supplements due to a low thyroid issue, and will be treated with generic Epclusa, I know that because he sourced it from FixHepC.
With Epclusa, the problem to hand is that it is not very well absorbed and a high fat meal improves that so while the official line is that it can be taken with or without food, I suggest with a meal with some fat in it.
2) While many patients with Hep C do take liver supplements (nd were likely included in the trials) formal testing of drug interactions with almost all the supplements you list has NOT been done.
3) While most people think of a tablet of (say) vitamin C as being a vitamin C supplement it also typically contains half a dozen other ingredients that turn the API (vitamin C) into the tablet.
My suggestion would be to leave the supplements alone for the duration of your treatment. In order of "known not to be a problem"
DHEA is part of the steroid axis, and although it is not specifically listed at the Liverpool interactions checker www.hep-druginteractions.org/checker we can see things like female HRT (oestrogens and progestogens) and cortisols do not interact. In addition, you would probably start to miss this after 3 months
Milk thistle contains silymarin and is helpful in liver disease. If the liver disease is cause by Hep C then any of the new DAA Rx are MORE helpful but plenty of my patients took it during their Rx with no problem. Note that after patients liver function numbers come back to normal on treatment the logic for it evaporates
Now let's look at some of the things that you might like to consider, both short and long term.
Vitamin D is a fat-soluble vitamin, produced in the skin, from exposure to sunlight. Less sunlight in the northern/southern extremes and the need for vitamin D is one of the reasons humans evolved to become paler skinned. Fat-soluble == this vitamin accumulates. This can be a problem www.mayoclinic.org/healthy-lifestyle/nut...oxicity/faq-20058108
With Vitamin D there is a simple blood test. If you are not deficient you don't need it. If you are deficient you may like to consider sunshine for its side effects...
I encourage new mothers to breastfeed. That gives their newborn children what nature intended, but that said...
Nature did not really intend for humans to consume cow's milk - it was designed for baby cows. Are cow antibodies likely to be useful for you? Cow growth factors? ...
Colostrum is a liquid and contains live cells as well as other proteins that will not survive spray drying so (and this is probably a good thing) people consuming colostrum are not getting the fresh product, they are getting the "processed food variety".
I'm none of paleo, vegan or vegetarian so quite happy to eat my yoghurt and cheese. That's a taste/protein thing rather than a health thing.
In general, a diet that has variety will almost invariably everything needed for good health - supplements are marketed but are not required.
The story of Fish Oil
Fish oil is not a health food. It's probably toxic, but here is how it enters the zeitgiest.
In the decades after WWII it is noticed that Japanese living in Japan have less heart attacks and strokes then genetically related Japanese living in the USA.
Why? Theory - it is the diet. Ah ha, what is different. Ah ha, fish vs McDonald's. Ah ha, what is in fish? Ah ha oil!
If you've ever been to Japan, and stayed in a hotel, and visited the breakfast buffet, you might have noticed that ~ 90% of all the food on the Japanese side is more or less unrecognisable to Western eyes ie the Japanese diet differs in almost ALL respects to a Western diet.
Anyway, it turns out that after you have filleted a fish what is left are the bones. What do you do with them? Well, we used to make blood and bone fertilizer but that is a low value add...
If you crush waste fish and bone you can remove the oil and put it in a gelatin capsule so thick the consumer will not be able to taste or smell the rancid fish oil flavour and market it...
So starts a 20+ year human experiment. You can look up the results yourself but it turns out stale fish oil does not deliver the same health benefits as a Japanese, living in Japan, eating a Japanese diet.
Thank you for your extensive review of the supplements that I take!
I'm a little bit perplexed about your advice to not take any supplements during my 3 month treatment. My naturopath went over the same supplement list and he didn't think there would be any problem with them, but I also realize that he is not a heptologist, so I've decided to take a bare minimum of my supplements. I will be taking a multivitamin, vitamin c capsules, glucosamine/chondroitin/MSM, CoQ10, amino acids, milk thistle, a protein drink with whey protein powder/wheat grass powder/spirulina and daily fiber formula, Omega XL and Kyolic circulation formula.
I will take the supplements first thing in the morning and I will take the generic Epclusa with my dinner meal(including some fat to help with absorption).
If this protocol seems unworkable to you, I will gladly accept any additional advice about it.
I normally work out 3 or 4 times a week. Is exercising something that you are ok with or should I avoid it for the 3 month treatment period?
Thank you again for your help,
I'm just going to jump in here and wish you well as you start your treatment. I am one of the many people who were cured of Hep C a few years ago with the (then) new antiviral drugs and with the support of Dr Freeman and fixhepC.
It's sounds as if you are giving yourself the very best chance of success. Looking forward to hearing how you are going.
G1a probably early 1980's, Biopsy F1(2010), F2-F3(2015). VL 5+mill; 2+mill (2014) Tx naive. Accessed Sof/Led through Dr Freeman at GP2U and Buyers Club (lifesavers!!!)
Commenced tx 12/11/15. 9 wk: VL <15 Detected but LFT = Normal 12 week results: UND (Yay!) Due to slow response commenced Sof/Dac 4 Feb for 12 weeks. EOT @ 24 weeks 27 April 2016. (With thanks to Dr Freeman et al). SVR11 result: VL 1,950,000. It's back!
New tx 030916 (Viekira Pak, Solvadi, Ribavirin UND @ 111116. EOT 170217.
SVR12 and SVR 24