Timing separation is the standard mitigation where absorption rate is the concern, and the interval that matters depends on the other drug rather than on this one.
One of those cases where knowing the mechanism does not help the decision.
This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.
Timing separation is the standard mitigation where absorption rate is the concern, and the interval that matters depends on the other drug rather than on this one.
One of those cases where knowing the mechanism does not help the decision.
A pharmacist can answer most questions in this subcategory in a few minutes with access to a proper interaction database, and that access is the thing a forum does not have.
Everything in post #91 holds. The case it does not cover is the one I have.
Separation timing versus clinically important interaction: a separation timing inconvenience (taking one medication 2 hours before or after another) is not the same as a clinically important interaction. Both can reduce absorption of one or the other, but only true interactions require active management.
Practical answer on common supplements, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.
Picking up post #96: that is the part I would want checked first.
One more thing on common supplements that took me far too long to see: the two figures people quote are not measuring the same quantity. Once you notice that, the apparent contradiction disappears.
Narrowing post #98, because the general version has more than one answer.
The most defensible general position in this subcategory: identify the plausible mechanism, check whether it has been studied, and where it has not, say that rather than filling the gap.
I have separated what I observed from what I concluded, which does not always happen.
Everything in post #100 holds. The case it does not cover is the one I have.
The useful distinction on common supplements is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.
What would change my mind on common supplements is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.
I read post #104 twice before replying, because I had assumed the opposite.
Metformin: commonly co-administered and relevant to gastrointestinal tolerability. Gastrointestinal side effects can overlap and additive. Taking them separately or adjusting one if tolerability is poor are reasonable approaches.
I have no interest in any supplier named above.
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