Guest guest Posted March 12, 2009 Report Share Posted March 12, 2009 Rheinholdt Vieth, vitamin D researcher says 10,000 IU/day is safe but the govt still hasn't changed the lowest observed adverse effect level from 3800 IU. One doctor in San Fran prescribes 50,000/day for his MS patients and some others. I took 50,000 to raise my blood levels quickly and at three weeks experienced headaches, a sypmtom of vitamin D toxicity, so I cut down to 5,000. I now take 8500 and will re-test soon. A store in San Fran sells 50,000 per capsule. You might try that dose for a few weeks to raise your blood level, then drop to something like 10,000. Email me directly if you want the store phone number. It seems like something you are taking is reducing your body's conversion. Mooney www.michaelmooney.net www.medibolics.com > > Since starting raltegravir I have deveoped a vitamin D deficiency. I have been taking 9000 IU daily for several months and still get a test result of 17 ng/mL. I will say that this is an increase from 13 ng/mL when I was taking 4000 IU a day. > > I know that up to 10,000 IU a day is generally considered safe. My question is this: With a deficiency as severe as mine, would an even higher dose be recommended? I would of course have my level monitored periodically. > > My doctors have not been too helpful with this situation, neither my hiv specialist or internist. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2009 Report Share Posted April 2, 2009 That is the treatment we use. And, yes, our surgeon writes an order for it. , RD, LDBariatric SolutionsFrom: Amy Gehrig <gehrigamy@...> Sent: Thursday, April 2, 2009 7:52:18 PMSubject: Vitamin D Deficiency I just received lab work from a patient and her Vitamin D level was 8.8ng/ml. The recommendation for deficiency is 50,000 IU ergocalciferol taken orally, once weekly, for 8 weeks (this is from ASMBS). Does the doctor write a prescription for this? Is this the only recommendation to correct a deficiency? Thanks in advance, Amy Gehrig, RD, LDN Atlantic Bariatric Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2009 Report Share Posted April 3, 2009 Yes the doctor writes a prescription and that along with the rest of her vitamin/minerals is what we recommend. Of course you want to recheck the level at 8 weeks. Theresa From: [mailto: ] On Behalf Of Amy Gehrig Sent: Thursday, April 02, 2009 7:52 PM To: Subject: Vitamin D Deficiency I just received lab work from a patient and her Vitamin D level was 8.8ng/ml. The recommendation for deficiency is 50,000 IU ergocalciferol taken orally, once weekly, for 8 weeks (this is from ASMBS). Does the doctor write a prescription for this? Is this the only recommendation to correct a deficiency? Thanks in advance, Amy Gehrig, RD, LDN Atlantic Bariatric Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2009 Report Share Posted April 5, 2009 Thank you! From: M.R. and Theresa Wehrly <tmjrj@...>Subject: RE: Vitamin D Deficiency Date: Saturday, April 4, 2009, 12:28 AM Yes the doctor writes a prescription and that along with the rest of her vitamin/minerals is what we recommend. Of course you want to recheck the level at 8 weeks. Theresa From: BariatricNutritionD ietitians [mailto:BariatricNu tritionDietitian sgroups (DOT) com] On Behalf Of Amy GehrigSent: Thursday, April 02, 2009 7:52 PMBariatricNutritionD ietitiansSubject: [bariatricNutrition Dietitians] Vitamin D Deficiency I just received lab work from a patient and her Vitamin D level was 8.8ng/ml. The recommendation for deficiency is 50,000 IU ergocalciferol taken orally, once weekly, for 8 weeks (this is from ASMBS). Does the doctor write a prescription for this? Is this the only recommendation to correct a deficiency? Thanks in advance, Amy Gehrig, RD, LDN Atlantic Bariatric Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2009 Report Share Posted October 30, 2009 Their proposed blood level equals 30 ng/ml. The conversion formula divides their nanomole number by 2.496. The world authorities on vitamin D consider this to be the lowest blood level where any kind of protection is possible. It is probably too low for most health benefits. They undershoot by 10 to 45 ng/ml, according to five of the leading vitamin D researchers. Most labs in the US use ng/ml. The proposed optimal range is something the experts differ on so far. 40 to 60 ng or 50 to 75 ng. However, 50 ng/ml is noted by all as a good target. Mooney www.michaelmooney.net www.medibolics.com www.twitter.com/michaelkmooney www.facebook.com/michaelkevinmooney www.myspace.com/michaelkmooney http://wehonews.com/z/wehonews/archive/page.php?articleID=4033 - for other articles by me search for " Mooney " " Do the thing you fear and the death of fear is certain. " Ralph Waldo Emerson > > I am at the Adverse Reaction Conference > > More and more data on bone loss and vitamin D deficiency associated with HIV, Viread, Sustiva/Atripla > > Get your doctor to check your Vit D blood levels > > One of the researchers mentioned this loading program for those with Vit D defiency > Endocrine Abstracts (2009) 20 P250 > Colecalciferol loading dose guideline for vitamin D deficient adults > Lenneke van Groningen, Adriaan van Sorge, Darryl Telting, Astrid Giesen & Hans de Boer > Rijnstate Hospital, Arnhem, The Netherlands. > ________________________________ > > Introduction: Severe vitamin D deficiency is very common in northern Europe. It is not limited to the elderly, but occurs in a large variety of subjects. Colecalciferol dosing guidelines for rapid correction of vitamin D deficiency are not available. > Objective: To assess the optimal Colecalciferol dose regimen, based on body weight, for rapid correction of vitamin D deficiency, in a variety of subjects. > Materials and methods: One hundred and twenty-three subjects (age ranging from 20 to 90 years, female/male ratio 1.9:1, body weight ranging from 41 to 175 kg) with vitamin D deficiency (defined as serum vitamin D level <50 nmol/l) were treated with solubilised Colecalciferol 50.000 E/ml, in a dose of 25.000 IU every 2 weeks during 8 weeks (total dose 100.000 IU), 25.000 IU every week during 6 weeks (total dose 150.000 IU), or 25.000 IU every week during 8 weeks (total dose 200.000 IU). The Colecalciferol dose per kilogram body weight ranged from 625 to 4000 IU/kg. Serum creatinine, calcium, phosphate, albumin, PTH, 25-OH-D3 were measured at baseline and 10 days after the final dose of Colecalciferol. > Results: Mean 25-OHD3 increased from 20.2±0.7 to 69.5±2.9 nmol/l (mean±S.E.M., P<0.0001). Serum calcium, phosphate, albumin and PTH levels did not change significantly. The Colecalciferol dose required to achieve the optimal serum level of 75 nmol/l was related to the vitamin D deficit (Π" 25-OHD3=75 †" actual 25-OHD3 level) and body weight. The dose per kg body weight required to achieve normalisation of serum 25-OHD3 was: > Dose (IU/kg)=40 (Π" 25-OHD3)+400 (R2=0.42, P<0.0001). > Conclusion: Correction of vitamin D deficiency by Colecalciferol should be based on the degree of vitamin D deficit and body weight. > > Regards, > > > Vergel > powerusa dot org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 I believe you are correct the 50,000 IU dose is only in D2 form. We have all our patients on 50,000 IU long-term + 1000-2000 IU per day. With a level of 4, I would be very surprised if it is even near normal in 8 weeks. We have had several patients take it for 12-18 weeks, reach a normal level but after a couple months off they drop below normal again. We do have limited sun exposure here though. If this person has already been on 4000 IU I think you are going to need the 50,000 IU for quite a long time. Best of luck Laschkewitsch RD LDDietitianGood Samaritan Weight Management InstitutePortland, OR(503) 413-8135 -----Original Message-----From: [mailto: ]On Behalf Of jenniferkirkpatrick12Sent: Wednesday, August 04, 2010 8:48 AM Subject: vitamin D deficiency I have a patient with vitamin D 25-hydroxy of 4.4, despite several months of taking 4000 IU per day. For this type of deficiency, ASMBS recommends 50,000IU vitamin D2 orally or IM once/week x 8 weeks, then recheck levels. I am wondering why D2 instead of D3? Is 50,000 IU only available in D2? Just curious what any of you would recommend in this situation? Kirkpatrick, RD, LD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2010 Report Share Posted August 4, 2010 Thanks ! So you have them take the 50,000 IU once a week. And is this the IM or oral? Is there something specific as far as a product that I should ask our surgeon to prescribe in this case?----- RE: vitamin D deficiencyDate: Wed, 4 Aug 2010 08:54:11 -0700 I believe you are correct the 50,000 IU dose is only in D2 form. We have all our patients on 50,000 IU long-term + 1000-2000 IU per day. With a level of 4, I would be very surprised if it is even near normal in 8 weeks. We have had several patients take it for 12-18 weeks, reach a normal level but after a couple months off they drop below normal again. We do have limited sun exposure here though. If this person has already been on 4000 IU I think you are going to need the 50,000 IU for quite a long time. Best of luck Laschkewitsch RD LDDietitianGood Samaritan Weight Management InstitutePortland, OR(503) 413-8135 -----Original Message-----From: [mailto: ]On Behalf Of jenniferkirkpatrick12Sent: Wednesday, August 04, 2010 8:48 AM Subject: vitamin D deficiency I have a patient with vitamin D 25-hydroxy of 4.4, despite several months of taking 4000 IU per day. For this type of deficiency, ASMBS recommends 50,000IU vitamin D2 orally or IM once/week x 8 weeks, then recheck levels. I am wondering why D2 instead of D3? Is 50,000 IU only available in D2? Just curious what any of you would recommend in this situation? Kirkpatrick, RD, LD ____________________________________________________________FIRE SALE: iPads for $23.74?SPECIAL REPORT: Unique auction site can save you 90% off retail.ctips.net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 7, 2010 Report Share Posted August 7, 2010 Bio-Tech (www.bio-tech-pharm.com) makes a 50,000 IU cholecalciferol (D3) product called D-3-50. To comment on your patient with a 25(OH)D of 4.4 ng/mL, I have several patients who take 5,000 - 10,000 IU of cholecalciferol daily to keep their levels at or above 50 ng/mL. Gemmel, RDMinimally Invasive Surgical AssociatesLansing, MI-- Live. Love. Laugh. Learn. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 I don't know if many of you have vitamin D deficiency, but maybe a few of you might relate. I was diagnosed with a severe vitamin D deficiency last fall. I couldn't tolerate the once a week 10,000 IU Vitamin D2 that was prescribed to me (gave me heart palpitations) so I switched to 1000 IU D3 gel capsules. My symptoms improved greatly but within the last couple months or so, I've been having vitamin D deficiency symptoms again (fatigue, joint and muscle soreness, headache, panic attacks, etc.). At first I didn't put it together. I take the supplement every day and never missed a dose. I thought the fatigue muscle and joint pain had to do with the arthritis and the headaches were from sinus / allergies. But then my headaches got worse and realized my muscle aches were spreading all over. I took a double dose of the vitamin D3 but strangely, that only made me feel worse, not better. Yesterday I had a bad panic attack and my muscles were so sore, I couldn't even use the mouse or type on a keyboard for very long without my wrists and arms hurting. That's why I took the day off from work today. i did some research and some people can get an allergic reaction to the gel capsules preventing them from absorbing the vitamin. I don't know if that's what's happening, but I have a doctor appointment today to find out. I also bought some new vitamin D3 tablets that profess to be free from wheat, gluten, corn, sugar, yeast, soy, and preservatives. I just bought it yesterday, so it probably won't help right away. Here's hoping I find some answers. This vitamin D deficiency stuff is really starting to get to me. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 26, 2011 Report Share Posted July 26, 2011 remember, one of the best sources for vit d is from the sun. :-) it sounds like you might have other issues going on. hope the dr finds out. keep us posted. > > I don't know if many of you have vitamin D deficiency, but maybe a few of you might relate. I was diagnosed with a severe vitamin D deficiency last fall. I couldn't tolerate the once a week 10,000 IU Vitamin D2 that was prescribed to me (gave me heart palpitations) so I switched to 1000 IU D3 gel capsules. My symptoms improved greatly but within the last couple months or so, I've been having vitamin D deficiency symptoms again (fatigue, joint and muscle soreness, headache, panic attacks, etc.). At first I didn't put it together. I take the supplement every day and never missed a dose. I thought the fatigue muscle and joint pain had to do with the arthritis and the headaches were from sinus / allergies. But then my headaches got worse and realized my muscle aches were spreading all over. I took a double dose of the vitamin D3 but strangely, that only made me feel worse, not better. Yesterday I had a bad panic attack and my muscles were > so sore, I couldn't even use the mouse or type on a keyboard for very long without my wrists and arms hurting. That's why I took the day off from work today. i did some research and some people can get an allergic reaction to the gel capsules preventing them from absorbing the vitamin. I don't know if that's what's happening, but I have a doctor appointment today to find out. I also bought some new vitamin D3 tablets that profess to be free from wheat, gluten, corn, sugar, yeast, soy, and preservatives. I just bought it yesterday, so it probably won't help right away. Here's hoping I find some answers. This vitamin D deficiency stuff is really starting to get to me. > > > > > Quote Link to comment Share on other sites More sharing options...
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