Supplements and the Big 3

Posted by Tina Sims @tinaesims, Aug 24, 2019

I have been diagnosed with MAC for about 6 months and have not been on medications because I feel fine with no coughing. The MAC now showed up in the smear test so my pulmonologist wants to start me on the Big 3 for 7 days a week. I've resigned myself to this and my cousin is the nurse practitioner in his clinic so I have a support system. My question is what supplements can I not take. I'm currently taking Vitamin D, Calcium, NAC, and Immune System Support. I asked him about Pro-Biotic and he told me not to go on a crazy high dose. Sometimes that can make things worse. The doctors are not into vitamins I have found!

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Hi Tina, I have been on the big 3 since last Aug, 3 times a week. I take the antibiotics 2 hours apart in the am and take my probiotics in the evening. I take 2 capsules and have had no problems. The big thing is to take them several hours from the time you take your antibiotics as they will make the prebiotic less efficient. Good luck

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@sueinmn

@tinaesims Supplements, multi-vitamins and probiotics are 3 different issues, I think.
Probiotics do seem to help me with the digestive issues while I am on the big 3. The flood of antibiotics is so devastating to the normal flora in the GI tract that I see a difference. If I lay off them for a week, it seems like I have constant, watery diarrhea. If I take them 3-5 times a week, alternating 2 different formulas, I just have frequent, loose stools. Live culture yogurt does seem to help, but less than the probiotic.
Multi-vitamins are the ones the docs think just mostly go out the liver and kidneys.
Specific supplements are targeted to an individual's specific needs. I take a divided dosage of calcium, magnesium and zinc because I am at high rick for osteoporosis and actually had too-low levels. The levels have stabilized and I am not showing any bone loss after doing this for over 10 years - I am doing well compared to my same-age cousins who don't take calcium. I also take a magnesium supplement to help regulate my (slightly) elevated blood pressure in lieu pf blood pressure meds I do not tolerate well. These both must be taken far from the time I take my antibiotics to avoid diminished effectiveness of the antibiotics, so I take them with breakfast and dinner. (I take my antibiotics at bedtime.)

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Hi Sue, Just wondering how you took the Big 3. My Dr. wants me to take all 3 at once, Mon, Wed & Fri. I asked if I could start one at a time, a week apart to see if I had any reaction and he said No. I am worried now about having the Flu and RSV vac's , just had Prevnar 20. I'm pumping all this stuff into my body. I'm thinking I should wait to take the meds until after I've had the vaccines. I don't have any symptoms of MAC and it's nodular rather than cavitary. I value your opinion. Thank you so much.

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@bbeers

Hi Sue, Just wondering how you took the Big 3. My Dr. wants me to take all 3 at once, Mon, Wed & Fri. I asked if I could start one at a time, a week apart to see if I had any reaction and he said No. I am worried now about having the Flu and RSV vac's , just had Prevnar 20. I'm pumping all this stuff into my body. I'm thinking I should wait to take the meds until after I've had the vaccines. I don't have any symptoms of MAC and it's nodular rather than cavitary. I value your opinion. Thank you so much.

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Did your doctor explain why he wants you to start them all at once? I had a cranky old pulmonologist, and didn't know any better, so I started them all at once. It was tough!

Later, I also went to an ID doc in the same clinic, and as he read my record, he commented that their protocol was to start them one at a time "But Dr A does things his way." When the ID doc changed my meds from 3X/week to daily because I wasn't getting better, we did it one at a time, with a week lag between. That was almost 5 years ago, now he would probably add Arikayce instead.

I did get vaccines while I was on the meds, and I don't remember it being any problem - they work on different parts of the immune system. But as you are saying you have no symptoms, and MAC grows slowly, would the doc be okay with waiting a month?

Of course, keep up the airway clearance. And maybe get a start on a good probiotic and start eating extra high protein foods to build up your body while you wait.

All that said, I guess it all comes down to how much you trust the doc - is he a pulmonologist, and does he seem up to date on matters like airway clearance and 7% saline?
Sue

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@sueinmn

Did your doctor explain why he wants you to start them all at once? I had a cranky old pulmonologist, and didn't know any better, so I started them all at once. It was tough!

Later, I also went to an ID doc in the same clinic, and as he read my record, he commented that their protocol was to start them one at a time "But Dr A does things his way." When the ID doc changed my meds from 3X/week to daily because I wasn't getting better, we did it one at a time, with a week lag between. That was almost 5 years ago, now he would probably add Arikayce instead.

I did get vaccines while I was on the meds, and I don't remember it being any problem - they work on different parts of the immune system. But as you are saying you have no symptoms, and MAC grows slowly, would the doc be okay with waiting a month?

Of course, keep up the airway clearance. And maybe get a start on a good probiotic and start eating extra high protein foods to build up your body while you wait.

All that said, I guess it all comes down to how much you trust the doc - is he a pulmonologist, and does he seem up to date on matters like airway clearance and 7% saline?
Sue

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Thank you Sue. It was actually the nurse that I talked to and when I questioned her on it she gave me a reason but quite honestly I forgot what she said. He is a pulmonologist but has made no mention of airway clearance and saline. I can ask if I can wait a month. I may just decide to take the meds the way some of the other people on here have taken them rather than the way he wants. He won't like it, but it is my life. I do have a call into a Infectious Disease Dr. had to leave a message to get an Appt.

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@windwalker

@tinaesims Sounds like your dr is on the ball. Starting on the Big 3 one at a time is the proper way to begin treatment. I hope you have a blast in NYC. I love that place!

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Thanks for sharing, still waiting on decision to start the Big 3 drugs for MAC. Feeling scared.
Happy for this group.

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