Transplant anti-rejection medications. What's your advice?

Thank you, @cmael , I ordered some today.

While taking tacrolimus:
NO grapefruit: flavoring, juice, peel, dried, if it comes from grapefruit, the answer is NO. If it includes any part of grapefruit in it (mixed juices,, cocktails, flavorings, etc) the answer is NO. Do not consume.
NO pomegranate. It is very popular currently in drinks, salads, juices, mixed drinks, main courses, smoothies, plus as a whole fruit like the grapefruit, etc. Be careful to read labels and do not consume pomegranate.
NO Seville oranges. They are in all kinds of foods from every marmalade to SE Asian foods. They are bitter oranges with jillions of little pips/seeds -- they won't be in your orange juice in US stores, but they are in jams and chutneys. Also the main ingredient in Bigarade, a brown French sauce. Do not consume Seville oranges.

My hair has experienced the same loss. My unusually thick individual hairs thinned and the number of hairs on my head crashed. I went from having too much hair for a ponytail holder to only needing the tiny kid stretchy plastic bands. I had a liver transplant and gastric sleeve done at the same time 26 months ago. My hair is not rebounding. I am not anemic.

@cmael Have you had any side-effects from Fosamax? I am still deliberating on which medication I want to encourage my endocrinologist to recommend.
JK

@cmael I don't have to worry about my grapefruit juice being consumed by my husband, due to his transplant. My diet is much more restrictive than his.
Ginger

At my recent 2 year checkup at Mayo I saw a endocrinologist, since I have thyroid nodules and have been diagnosed with osteopenia. He put me on Fosamax. I also take Prednizone

MY close family knows about certain things that I cannot have, but there are events, like graduation open houses, wedding and baby showers etc., where we really have to be diligent about checking with the host/hostess to see if any of those ingredients are included. Because of the virus, we're not attending those events so much, however.

@rosemarya I just avoid anything with them in them and make sure I check ingredients. The ingredients I was told to avoid were grapefruit, pomegranate, and Seville oranges, plus many herbals. I think it's always wise to check the ingredient list when purchasing something new. I had not heard of clementines before when I have those around I would only two, or a maximum three in a day. More often just one.

Good info in the link. Being on sirolimus since tacrolimus was causing a creatinine problem for me I only have to take it once a day. I have chosen to take it without food so I can take a smaller dose. When I changed from taking it with food to without I went from 4mg to 2.5mg. For me the reason was feeling that the fewer drugs I take the better but for people who have to pay for their medications that could be a good reason to take it without food.

I was surprised at how many drugs it said you may take at the beginning. I took tacrolimus, Cellcept, and prednisone. I think I took Cellcept for 6 months and then just the other two. I know many people are able to get off prednisone but due to my blood counts I will probably need to take it forever. For those of you who are taking prednisone, please be aware that it does weaken your bones. I now have osteoporosis because of it.

One more thing, before I take any medications prescribed by other doctors I run it by the transplant team. I think many other doctors are not aware of the potential problems that some medications can cause. To us, it doesn't seem as if transplant patients are such an oddity but when I went to my gynecologist after my transplant he said I was the first patient he had ever had who had a transplant! He was about 60 so not a new doctor either.
JK

Yes, they told me that after my transplant. Also nothing with pomegranate or Seville oranges.

Not too long ago, pomegranates were the rage. I don't see it so much now, but it does slip into menues now and then. I don't honestly know how much it would take to interact, so I choose to simply avoid anything questionable.
How does anybody else handle with these hidden ingredients?