Insulin and Alli and Thyroid meds....

Fasting Insulin

8-16 hours fasting

< 30 mIU/ml

The normal range here doesn't give all the information. A fasting insulin of 10-13 generally indicates some insulin resistance, and levels above 13 indicate greater insulin resistance.

My fasting insuling was at 18 I did some online reading to see if Alli affects your fasting insulin, and everything I found says that Alli makes the Fasting insulin level lower So, I could continue taking the Alli...however, I then did research about thyroid meds and Alli, and it says that because Alli gets rid of vitamins and nutrients your body needs, it could interfere with the medication being absorbed.. On Alli you have to take a multivitamin at bed time, cause its the longest time in the day that you are not taking Alli, and the vitamins will absorb.. The thyroid meds need to be take in the morning on an empty stomach... so that wouldn't work.. but I wonder what would happen if I would take the thyroid medication at night... Anyways, it's food for thought...

Hmmm and for some reason I don't think you can take a multivitamin and thyroid medicine at the same time?  Strange!

I have been taking thyroid medication for about 2.5 yrs. I take it first thing in the morning like you and then a vitamin at night because somehow it reduces the effectiveness of the thyroid meds. I think you only have to wait 3 hours after your meds to take a vitamin but I am just use to taking my vitamin at night.

Candy

The best time to take a multivitamin is at night - when you are putting fewer things into your body that interfere with the absorption.  Most people start their day with coffee, that alone interferes significantly with mineral absorption (iron & calcium particularly). This is not true for WLS people who should take vits with meals. Alli causes a malabsorption of fat, so your fat soluble vitamins are most at risk of getting depleted.  This is more of a long term issue.  Your body keeps a good store of the fat soluble (ADEK) vitamins in the liver and deficiency is rare. Insulin resistance is at the cellular level and is a result of the cells getting big (with weight gain) and  then it takes longer for insulin to find its receptor site & do its job.  When your body has too much circulating glucose, your insulin production will ramp up to put the glucose into the cell where it belongs.   Circulating insulin gets higher when there is "resistance" at the cell level.  I don't really understand why you are trying to tie your thyroid, insulin and Alli all together. Take the thyroid medication in the morning, take the Alli with meals, and take your multivitamin at night.