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  Twin Sister to Queen Boobie
Posts: 13315
       Location: East Tennessee but who knows?! | Hot, could you tell us a little more about Vitamin D and how it impacts the body and how labs are done to draw the levels.
The reason Im asking is that I've always been low in Vitamin D even with getting enough sun to get tanned (putting up hay or riding on the weekends) and drinking plenty of milk and eating plenty of spinach. Why is that? |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | I'm on the phone, but I'll get back on here. |
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 Bite Me
Posts: 3311
     Location: Cap'n Lindsey Rotmeat | I want to know too. I have low vitamin d. |
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 The Vaccinator
Posts: 3810
      Location: Slipping down the slope of old age. Boo hoo. | This should be a good / informative thread! My internist has taught me quite a bit about Vit D in the past several years. I have been taking the supplements at levels per her direction twice daily and I am tested 2x a year to monitor my level. Looking forward to 'da Bear's comments. |
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Extreme Veteran
Posts: 503

| Interested too! I've been taking a supplement but would like to know more. |
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I Need a Xanax!
Posts: 2774
     
| I am interested as well! |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | I'm posting a link here that I think is from a fairly reliable source and yet it is "user friendly" without a lot of esoterica. I'll try to give a capsule summary. Vit D deficiency can produce a lot of symptoms, in addition to increasing the risk of fractures. Various muscular aches and pains can be because of vitamin D deficiency. I have suspected that a lot of people with achiness in bones, joints, and muscles seem to get better when their vitamin D levels are restored to normal. Some studies suggest that. Of course, the most widely known result of severe vitamin D deficiency is ricketts, which everyone has heard of. Osteoporosis and osteopenia can be improved with vitamin D and calcium replacement. There have been studies that suggest a role for vit D deficiency in type II diabetes, hypertension, depression (especially "SAD"), childhood asthma, and even a possible role in certain cancers and MS. We are beginning to see more and more people who are vitamin D deficient. I don't routinely check everyone for Vit D deficiency, but I do check all adults who come in for annual physicals, and the vast majority up here are at least "insufficient". I always check levels in people over 70. We also know that the most active form of vitamin D is normally produced in the skin and that requires UV light (sunlight). The problem is that we have all been taught to avoid excessive sunlight exposure, either by wearing long sleeves, etc, or sunscreen with a high SPF. People have been doing this, but the downside is that they don't get that active vit D production, so we see a lot more people with vitamin D "insufficiency" or worse yet, "deficiency". Because of this the FDA has been raising the RDA for Vit D. I think it's gone from about 400IU to 800 IU in the elderly, and 600 IU for people under 70. Many people believe that RDA is too low and feel it should be more like 1000 IU minimum. Sometimes the FDA tends to be cautious and conservative with things like this. I personally measure "total Vit D" levels and treat based on that for the typical patient. You can check other forms of Vitamin D if you want to be more exact, but as a practical matter this is probably just as good, when all is said ad done. If a person is "insufficient" or "deficient" I usually recommend 50,000 IU twice a week for a month if they are insufficient, and for 2 months if deficient. After that, I will recommend 2000 IU a day for maintenence. I re-check levels after say 2 months to see where we're at. After that, I continue on the same dose and re-check a year later. 2000 units may sound like a lot, but it's really not and it's been shown to be a safe maintenence dose in most people. There are several kinds of "protocols" recommended for vitamin D replacement and maintenence, but this is what I do. I am on my 2nd month of 5000 IU a day and after 3 months I plan to drop to 2000 IU a day. I probably would be just fine with 5000 IU a day. One final note that I should mention is that there are several other variables that lead to vitamin D deficiency, including obesity (BMI >30), vegetarian diets, or just poor diets in general, poor absorbtion (ie from intestinal diseases like Crohn's disease), and dark skinned people. Look up a table online if you need a list of foods high in Vitamin D. One or more of these factors may be why some of you can't seem to get your levels up to mormal. I also want to say that I still recommend sunscreen, etc... Skin cancer can be a lot more harmful than vitamin D deficiency. Replacement is the way around this dilemma. Also, please don't go hog wild and start eating mega doses of Vitamin D. Get your levels checked and do it right. Excess Vitamin D can cause some severe problems. Here is a link, but there are many others. Anything by the Mayo Clinic is a safe bet, and anything by the NIH is also very good.
http://www.webmd.com/food-recipes/vitamin-d-deficiency |
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Blessed 
                      Location: Here | Thanks |
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  Angel in a Sorrel Coat
Posts: 16030
     Location: In a happy place | Thank you for answering this question. I wonder about myself if this could be something I am having a problem with considering everything. I have been through with radiation since November 22 and I am still so sick and nauseated and hurt all over my body. Could this be due to Vitamin D deficiency. My doctor is not concerned at all. |
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Extreme Veteran
Posts: 350
    
| I am a big believer in Vit D! Ive been taking 10,000 units per day for over a year....and have been exposed to lots of sickness and i havent gotten sick! I believe it really helps your immune system to fight off things...i just take 2 5,000 unit pills every day. Its cheap insurance to not get sick. |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | sorrel horse ranch - 2014-01-01 11:28 PM Thank you for answering this question. I wonder about myself if this could be something I am having a problem with considering everything.
I have been through with radiation since November 22 and I am still so sick and nauseated and hurt all over my body. Could this be due to Vitamin D deficiency. My doctor is not concerned at all.
I don't think the nausea is very likely due to vit D deficiency, but it could be contributing to aches and pains. You should have it checked, Linda. |
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | lucky2 - 2014-01-02 12:32 AM I am a big believer in Vit D! Ive been taking 10,000 units per day for over a year....and have been exposed to lots of sickness and i havent gotten sick! I believe it really helps your immune system to fight off things...i just take 2 5,000 unit pills every day. Its cheap insurance to not get sick.
Be careful with that, Lucky. That's an awful lot. Have a level checked, because you don't want to wait to develop symptoms to discover you are Vit D toxic. Look up Vit D toxicity. |
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Extreme Veteran
Posts: 350
    
| Ok? i will have to do that...the doctor at the health food store recommended 10 to 15 per day to me.... and i was sticking with 10 ....is that a blood test that stands alone by itself... thanks! |
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  Angel in a Sorrel Coat
Posts: 16030
     Location: In a happy place | HotbearLVR - 2014-01-01 11:34 PM sorrel horse ranch - 2014-01-01 11:28 PM Thank you for answering this question. I wonder about myself if this could be something I am having a problem with considering everything.
I have been through with radiation since November 22 and I am still so sick and nauseated and hurt all over my body. Could this be due to Vitamin D deficiency. My doctor is not concerned at all. I don't think the nausea is very likely due to vit D deficiency, but it could be contributing to aches and pains. You should have it checked, Linda.
Thank you for your answer. I think I would rather continue to be sick nearly every day than try to get help from my doctor. What I have found is they skirt the bad issues and just tell you every one reacts differently. They tell me it may or may not get better and could take up to two years to get better. I know now that there aren't many doctors like you that are kind and caring. Your patients are so lucky to have you. |
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  Twin Sister to Queen Boobie
Posts: 13315
       Location: East Tennessee but who knows?! | You are an awesome doc! Thank you for taking the time to answer so thoroughly! This was great!!
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 BHW Resident Surgeon
Posts: 25352
          Location: Bastrop, Texas | lucky2 - 2014-01-02 1:07 AM Ok? i will have to do that...the doctor at the health food store recommended 10 to 15 per day to me.... and i was sticking with 10 ....is that a blood test that stands alone by itself... thanks!
Yes, you can have Vitamin D levels checked as a separate test. You probably ought to have a serum calcium level checked at least once as well, if you really want to do it right. A lot of people, particularly women who are post menopausal, take calcium supplements along with Vit D. |
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Expert
Posts: 1488
       
| Very good info Doc
Thank you |
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| Doc, do you think there is a link between low vit D and the anti-acids we take nowadays? I have to take Prylosec OTC 2x a day or prescription strength 1x a day (that upsets my tummy is why I take 2x of the OTC). |
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 Underestimated Underdog
Posts: 3971
         Location: Minnesota | Would a low level of Vitamin D have any relation to hair lose? |
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 Forever Young
Posts: 6768
       Location: relocated to Texas | HotbearLVR - 2014-01-02 9:13 PM I'm posting a link here that I think is from a fairly reliable source and yet it is "user friendly" without a lot of esoterica. I'll try to give a capsule summary.
Vit D deficiency can produce a lot of symptoms, in addition to increasing the risk of fractures. Various muscular aches and pains can be because of vitamin D deficiency. I have suspected that a lot of people with achiness in bones, joints, and muscles seem to get better when their vitamin D levels are restored to normal. Some studies suggest that. Of course, the most widely known result of severe vitamin D deficiency is ricketts, which everyone has heard of. Osteoporosis and osteopenia can be improved with vitamin D and calcium replacement. There have been studies that suggest a role for vit D deficiency in type II diabetes, hypertension, depression (especially "SAD"), childhood asthma, and even a possible role in certain cancers and MS.
We are beginning to see more and more people who are vitamin D deficient. I don't routinely check everyone for Vit D deficiency, but I do check all adults who come in for annual physicals, and the vast majority up here are at least "insufficient". I always check levels in people over 70. We also know that the most active form of vitamin D is normally produced in the skin and that requires UV light (sunlight). The problem is that we have all been taught to avoid excessive sunlight exposure, either by wearing long sleeves, etc, or sunscreen with a high SPF. People have been doing this, but the downside is that they don't get that active vit D production, so we see a lot more people with vitamin D "insufficiency" or worse yet, "deficiency". Because of this the FDA has been raising the RDA for Vit D. I think it's gone from about 400IU to 800 IU in the elderly, and 600 IU for people under 70. Many people believe that RDA is too low and feel it should be more like 1000 IU minimum. Sometimes the FDA tends to be cautious and conservative with things like this. I personally measure "total Vit D" levels and treat based on that for the typical patient. You can check other forms of Vitamin D if you want to be more exact, but as a practical matter this is probably just as good, when all is said ad done. If a person is "insufficient" or "deficient" I usually recommend 50,000 IU twice a week for a month if they are insufficient, and for 2 months if deficient. After that, I will recommend 2000 IU a day for maintenence. I re-check levels after say 2 months to see where we're at. After that, I continue on the same dose and re-check a year later. 2000 units may sound like a lot, but it's really not and it's been shown to be a safe maintenence dose in most people. There are several kinds of "protocols" recommended for vitamin D replacement and maintenence, but this is what I do. I am on my 2nd month of 5000 IU a day and after 3 months I plan to drop to 2000 IU a day. I probably would be just fine with 5000 IU a day.
One final note that I should mention is that there are several other variables that lead to vitamin D deficiency, including obesity (BMI >30), vegetarian diets, or just poor diets in general, poor absorbtion (ie from intestinal diseases like Crohn's disease), and dark skinned people. Look up a table online if you need a list of foods high in Vitamin D. One or more of these factors may be why some of you can't seem to get your levels up to mormal.
I also want to say that I still recommend sunscreen, etc... Skin cancer can be a lot more harmful than vitamin D deficiency. Replacement is the way around this dilemma. Also, please don't go hog wild and start eating mega doses of Vitamin D. Get your levels checked and do it right. Excess Vitamin D can cause some severe problems.
Here is a link, but there are many others. Anything by the Mayo Clinic is a safe bet, and anything by the NIH is also very good.
http://www.webmd.com/food-recipes/vitamin-d-deficiency
Did you mean 50,000 or 5,000? We have talked about this before and I thought you had said 5,000. |
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