okay so here are the ingredients of your prenatal vittymins:
Beta-Carotene (source of vitamin A) 2700 IU
Vitamin B1 (thiamine mononitrate) 3 mg
Vitamin B2 (riboflavin) 3.4 mg
Niacinamide 20 mg
Pantothenic Acid (calcium pantothenate) 5 mg
Vitamin B6 (pyridoxine HCl) 10 mg
Vitamin C (ascorbic acid) 120 mg
Vitamin E (dl-alpha tocopheryl acetate) 30 IU
Copper (cupric oxide) 2 mg
Iodine (potassium iodide) 0.15 mg
Iron (ferrous fumarate)* 35 mg
Magnesium (magnesium oxide) 50 mg
Zinc (zinc oxide) 15 mg
* Elemental amount
What the important nonmedicinal ingredients are:
PregVit® pink (a.m.) tablet contains:
ammonium hydroxide, N-butyl alcohol, carnauba wax, D&C Red #27, FD&C Blue #1, FD&C Blue #2, FD&C Red #40, FD&C Yellow #6, isopropyl alcohol, macrogol/PEG 3350, magnesium stearate, microcrystalline cellulose, polyvinyl alcohol, propylene glycol, shellac glaze, simethicone, sodium croscarmellose, sodium lauryl sulfate, starch (corn starch), talc, titanium dioxide.
Each oval shaped, blue (p.m.), film coated, immediate release tablet contains:
Folic Acid 1.1 mg
Vitamin B12 (cyanocobalamin) 12 μg
Vitamin D3 (cholecalciferol) 250 IU
Calcium (calcium carbonate)* 300 mg
* Elemental amount
PregVit® blue (p.m.) tablet contains:
ammonium hydroxide, N-butyl alcohol, carnauba wax, D&C Red #27, FD&C Blue #2, FD&C Red #40, FD&C Yellow #6, isopropyl alcohol, macrogol/PEG 3350, magnesium stearate, polyvinyl alcohol, propylene glycol, shellac glaze, simethicone, sodium croscarmellose, sodium lauryl sulfate, talc, titanium dioxide.
that's great that they are staging the intake through the day, and interesting to note that they separate the mag and D3.
the amounts seem very small though - much lower than is recommended for MS patients, let alone pregnant ones. i'm a little concerned about the copper being in there too... especially when ms-ers are low in zinc. the copper zinc ratio is a pretty important one...
and, those non-medicinal ingredients go on forever!! some of them are pretty scary...
BUT, it's good to hear that you don't have to worry about pharma nutrient depletion.
you DO need to worry about nutrient depletion courtesy of little junior, however!
there are a few nutrients that are particularly important for the eye... vitamins A, C, E, selenium, zinc, and fatty acids.
and here are the issues with these same nutrients in MS patients:
...The levels of four antioxidant vitamins [JL note: ascorbic acid, betacarotene, retinol and alpha tocopherol - basically A, C, and E] were significantly lower in MS patients compared to controls (p < 0.05).
...Vitamin A promotes healthy surface linings of the eyes
the link to zinc:
the importance of zinc to MS for all kinds of things like supporting the blood brain barrier, fixing intestinal permeability, supporting your liver to produce adequate uric acid etc etc is clear
...Breast-milk beta-carotene concentrations were higher in all women supplemented with beta-carotene, but breast-milk retinol concentrations were higher only in women who received beta-carotene + zinc.
...Zinc supplementation during pregnancy improved the vitamin A status of mothers and infants postpartum, which indicates a specific role of zinc in vitamin A metabolism
...Zinc is required to make retinol binding protein (RBP) which transports vitamin A. Therefore, a deficiency in zinc limits the body's ability to move vitamin A stores from the liver to body tissues .
...The Se content of whole blood was low (52.6 +/- 11.3 ng/ml) in MS patients from this high-risk area [JL note: that would be low soil selenium] compared to the controls (68.8 +/- 11.0).
... Selenium: Selenium is used in the synthesis of T3 from T4. If the blood test reveals that your T3 levels are lagged behind your T4 levels, you should try for the supplement that contains the selenium. However, one should take this supplement after consulting the doctor...
i think it's pretty well established that we ms-ers need more omega 3 fatty acids..
punchy i suggest that pregvit is suited for essentially healthy mothers. we ms-ers have greater need of various nutrients. and baby will get what he or she needs first, while you get the scraps. pregnancy is particularly draining wrt zinc, too.
here's what you could do to augment the pregvit:
-in the morning, consider also taking a b50 complex, such as genestra liquid b-complex. if you're not familiar with genestra, it is only sold in stores that have a nutritionist on staff. it has low folic acid in the daily teaspoon so since your prescription has plenty, you shouldn't be overdoing it. if you start to feel 'phantom itch', your folic acid has probably gone too high.
[an aside related to the thyroid...
...B vitamins: The group of vitamin B is extremely helpful to the body’s synthesis of T4. A standard vitamin B complex supplement will ensure that you are getting enough nourishment for your thyroid gland.]
-try and find an A-C-E antioxidant blend to get your daily vitamin E intake up to 400IU, with the A and C balanced to match - you can take A up to 10,000 IU daily and C you can take grams of it all day.
-this is more for the ms side of things, not so much the pregnancy or the vision issues, but consider bumping up your daily magnesium intake, you can get powdered magnesium citrate in 250mg capsules, and i'd suggest taking one with the morning pregvit pill, and another with the pm one.
-you should be able to safely add another 25mg per day of zinc, and 200mcg per day of selenium (you can get that 200mcg from 3 brazil nuts)
-think about adding 900mg calcium and 3000IU vitamin d3 at bedtime.
-and finally for the eyes and ms, find a nice fish oil supplement, try to check the vitamin A content if you can, to ensure you don't go over 10,000 IU daily.
here's a link to diet for eye nutrition:
http://www.allaboutvision.com/nutrition ... ummary.htm
now to bloodwork - if you can get levels of b12, 25(OH)2D3, zinc, uric acid, copper, vit E, calcium, magnesium, and essential fatty acids that would be a very useful set of information. also, selenium would be good to know but that's not covered by OHIP - maybe you have other coverage that will pay for selenium testing.