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Vitamin D

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Well I sent the wrong link sorry, now I can't fid it. I'll keep looking

vicki

In DS_Friends_Keshishian , " vicki Blackburn "

wrote:

>

>

> I've been reading about sunshine and Vitamin D. Here's one link that talks

about fat

> absorption, bypass surgery and Vitamin D.

>

> http://www.uptodate.com/patients/content/topic.do?topicKey=endocrin/5283

>

> Vicki B

>

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Vicki,

Up To Date is an excellent resource. It is what we use at work, at our

desks. We use the physicians' version. I never realize that there was

a patient's version, so thanks. Maybe I can use the information to

educate my patients.

Marta

>

>

> I've been reading about sunshine and Vitamin D. Here's one link that

talks about fat

> absorption, bypass surgery and Vitamin D.

>

> http://www.uptodate.com/patients/content/topic.do?

topicKey=endocrin/5283

>

> Vicki B

>

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Vicki, the linked worked fine for me. We do not have a bypass, of

course, but the information is quite good. I skimmed it a bit, but

have to move on to other stuff now...

marta

> Well I sent the wrong link sorry, now I can't fid it. I'll keep

looking

>

> vicki

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Guest guest

Hey, Pearl. How are you doing? Haven't heard from you in awhile and was

wondering.

Love and blessings,

< Re: Re: Vitamin D

More than once I have heard Dr. K suggest we go out and lay naked for 20

minutes if possible a day, for the sun to make our bodies work better.

That is

better than any pill.

Pearl

**************Wondering what's for Dinner Tonight? Get new twists on

family

favorites at AOL Food.

( http://food.aol.com/dinner-tonight?NCID=aolfod00030000000001

<http://food.aol.com/dinner-tonight?NCID=aolfod00030000000001> )

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Guest guest

>

>More than once I have heard Dr. K suggest we go out and lay naked for 20

>minutes if possible a day, for the sun to make our bodies work better. That is

>better than any pill.

>

Pearl,

Not exactly easy to do when your back yard cannot have a fence because it

backs up against a creek bed and right across the creek is a fairly busy

street. Oh, almost forgot to mention the county sheriff that lives in the

front apartment of the building directly behind the house. Not sure the

locals would appreciate Dr. K's advice on this, even if it was in writing

on a prescription form. LOL

Jerry

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Guest guest

>

> >

> >More than once I have heard Dr. K suggest we go out and lay naked

for 20

> >minutes if possible a day, for the sun to make our bodies work

better. That is

> >better than any pill.

> >

> Pearl,

>

> Not exactly easy to do when your back yard cannot have a fence

because it backs up against a creek bed and right across the creek

is a fairly busy street. Oh, almost forgot to mention the county

sheriff that lives in the front apartment of the building directly

behind the house. Not sure the locals would appreciate Dr. K's

advice on this, even if it was in writing on a prescription form.

LOL

Jerry

_______________________________

..........Same here Jerry ! I can see the headlines now ! PW arrested

for indecent exposure ! The parsonage has no fence and there is a RR

Track in the back up on the hill... I can hear the train whistles

now ! LOL Those darn tracks !

Ginger <><

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  • 3 years later...

Quinn In the swamp in secluded recesses, a shy and hidden bird is warbling a song. Walt Whitman----- Forwarded Message -----From: Suzi Q

Sent: Saturday, November 12, 2011 8:00 AMSubject: vitamin d

Hepatology in FocusISSUE: OCTOBER 2011 | VOLUME: 62:10Patients With Chronic Viral Hepatitis Should Be Tested for Vitamin DLow Prevalence of Testing Despite High Prevalence of Insufficiency By WildChicago—Retrospective findings presented at the 2011 Digestive Disease Week meeting revealed that 64% of patients with chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection have low levels of vitamin D (abstract Su1302). In light of the results, researchers are urging clinicians to monitor vitamin D levels in all patients with chronic viral hepatitis.“If we treat vitamin D deficiency, we can potentially decrease the high

rate of osteopenia and osteoporosis in this population,

including bone loss related to some of the antiviral therapies†said co-investigator Maya Gambarin-Gelwan, MD, assistant professor of clinical medicine, Weill Cornell Medical College, New York City.Up to 53% of patients with viral hepatitis–related cirrhosis develop osteoporosis. Given the risk for bone loss associated with low levels of serum 25-hydroxyvitamin D (25[OH]D), investigators set out to determine the prevalence of vitamin D deficiency and insufficiency among patients with HBV and HCV treated at Weill Cornell Medical Center. They defined vitamin D deficiency as serum 25[OH]D less than 20 ng/mL and vitamin D insufficiency as levels between 20 and 30

ng/mL.Among 2,312 patients with chronic viral hepatitis seen at the center

between 2007 and 2009, only 17% (395 of 2,312) had been tested for vitamin D levels. Of those who underwent vitamin D testing, 31% (122 of 395) were vitamin D insufficient and 33% (132 of 395) were vitamin D deficient. The prevalence of vitamin D insufficiency was similar among the 29% (115 of 395) of patients with chronic viral hepatitis who had cirrhosis and those who did not (26% vs. 33%, respectively; P=0.10). However, the difference in vitamin D deficiency among patients with cirrhosis and those without cirrhosis was significant (44% vs. 29%; P=0.01).Interestingly, vitamin D insufficiency was more prevalent among those infected with HBV than among those infected with HCV (73% vs. 60%, respectively; P=0.01). Although she suspects that ethnicity may play a role in this difference, Dr. Gambarin-Gelwan said that her data set did not include adequate information on ethnicity to draw a

conclusion.Zobair Younossi, MD, MPH, a liver specialist who was not involved in the study, said that prior studies have shown low vitamin D levels tend to be more common in patients with advanced stage fibrosis and cirrhosis. “However, this study shows insufficiency can also be seen in non-cirrhotic patients with hepatitis B and C, and particularly in those with chronic hepatitis B,†said Dr. Younossi, vice president for research, Inova Health System, and chairman, Department of Medicine, Inova Fairfax Hospital, Falls Church, Va.Dr. Gambarin-Gelwan said that she hopes her research will spur clinicians to routinely monitor vitamin D levels in patients with chronic HBV and HCV infection. She said the small percentage of patients who were screened for

vitamin D levels demonstrates that

“gastroenterologists and hepatologists are paying too little attention to vitamin D levels.â€------------ --------- --------- --------- --------- --------- -Dr. Gambarin-Gelwan has nothing to disclose. Dr. Younossi reported relationships with Salix Pharmaceuticals, Tibotec Pharmaceuticals and Vertex Pharmaceuticalshttp://www.gastroen donews.com/ ViewArticle. aspx?d=Hepatolog y+in+Focus & d_id=481 & i=October+ 2011 & i_id= 778 & a_id= 19475 Quinn In the swamp in secluded recesses, a shy and hidden bird is warbling a song. Walt Whitman

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