Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 posted this some time ago. It's recommended that patients with cholestatic liver diseases like primary biliary cirrhosis and primary sclerosing cholangitis do get checked for fat-soluble vitamin deficiencies such as vitamin D and A, and then take supplements to correct any deficiencies. But you have to be very careful not to over-dose. A good guide is this article: http://www.healthsystem.virginia.edu/internet/digestive-health/nutritionarticles\ /april2006.pdf Has she been tested before? If not, it's possible she's always been low. One of the articles I've seen would lead me to believe that low vitamin A/D may be contributing to PSC symptoms, not that it's a result of PSC. UC, in general may by itself cause malabsorption of nutrients. Arne > .... My daughters last test results showed she was low in her Vitamin A & D and has been put on supplements for both. ... My question is does this mean anything her PSC progressing?.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 posted this some time ago. It's recommended that patients with cholestatic liver diseases like primary biliary cirrhosis and primary sclerosing cholangitis do get checked for fat-soluble vitamin deficiencies such as vitamin D and A, and then take supplements to correct any deficiencies. But you have to be very careful not to over-dose. A good guide is this article: http://www.healthsystem.virginia.edu/internet/digestive-health/nutritionarticles\ /april2006.pdf Has she been tested before? If not, it's possible she's always been low. One of the articles I've seen would lead me to believe that low vitamin A/D may be contributing to PSC symptoms, not that it's a result of PSC. UC, in general may by itself cause malabsorption of nutrients. Arne > .... My daughters last test results showed she was low in her Vitamin A & D and has been put on supplements for both. ... My question is does this mean anything her PSC progressing?.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 posted this some time ago. It's recommended that patients with cholestatic liver diseases like primary biliary cirrhosis and primary sclerosing cholangitis do get checked for fat-soluble vitamin deficiencies such as vitamin D and A, and then take supplements to correct any deficiencies. But you have to be very careful not to over-dose. A good guide is this article: http://www.healthsystem.virginia.edu/internet/digestive-health/nutritionarticles\ /april2006.pdf Has she been tested before? If not, it's possible she's always been low. One of the articles I've seen would lead me to believe that low vitamin A/D may be contributing to PSC symptoms, not that it's a result of PSC. UC, in general may by itself cause malabsorption of nutrients. Arne > .... My daughters last test results showed she was low in her Vitamin A & D and has been put on supplements for both. ... My question is does this mean anything her PSC progressing?.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 My daughter has been tested many times thoughout that past 4 years and it's only been that last 1 year that her A & D is low. Not bragging but she is a really good/healthy eater, we really watch carefully and keep away from the junk. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 My daughter has been tested many times thoughout that past 4 years and it's only been that last 1 year that her A & D is low. Not bragging but she is a really good/healthy eater, we really watch carefully and keep away from the junk. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 My daughter has been tested many times thoughout that past 4 years and it's only been that last 1 year that her A & D is low. Not bragging but she is a really good/healthy eater, we really watch carefully and keep away from the junk. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 , Hi! It sounds like you're having a bit of a rough time dealing with some of your questions about your daughter's medical status with her in the room. I'm so sorry things are rough and I can absolutely understand why you wouldn't want to upset your little girl. Do you know if this doctor would be willing to set up a time to speak with you without your daughter present? They may charge you an office visit fee, but if it gives you peace of mind and you're able to ask all the questions you need, you may find it's worth it. As to whether or not a deficiency in Vitamins A and D indicate a progression in her PSC, my guess would be no. Many PSC patients suffer from low levels of Vitamins A and D, so it's not uncommon she'd find herself in that boat, but my levels have been low and vitamin dosages have had to be prescribed/increased without a significant impact on my PSC staging at all. I'm not a doctor, and if you're worried I'd definitely check with one, but I think that this might be one less thing you have to worry about for now. At least, I certainly hope so! Best of luck! Sandi in VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2009 Report Share Posted March 5, 2009 , Hi! It sounds like you're having a bit of a rough time dealing with some of your questions about your daughter's medical status with her in the room. I'm so sorry things are rough and I can absolutely understand why you wouldn't want to upset your little girl. Do you know if this doctor would be willing to set up a time to speak with you without your daughter present? They may charge you an office visit fee, but if it gives you peace of mind and you're able to ask all the questions you need, you may find it's worth it. As to whether or not a deficiency in Vitamins A and D indicate a progression in her PSC, my guess would be no. Many PSC patients suffer from low levels of Vitamins A and D, so it's not uncommon she'd find herself in that boat, but my levels have been low and vitamin dosages have had to be prescribed/increased without a significant impact on my PSC staging at all. I'm not a doctor, and if you're worried I'd definitely check with one, but I think that this might be one less thing you have to worry about for now. At least, I certainly hope so! Best of luck! Sandi in VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2009 Report Share Posted March 6, 2009 Sandi- I concur with Dave " astounded! " remark regarding your doctor's lack of education on body temperature.MINE (and my blood pressure) would have risen a few degrees just listening to him lecture me with inerrant information! (Did you check to see if he really WAS a doctor, or was he just playing one at the Mayo Clinic?) That's pretty scary, and seriously, I'd " report " him to someone there. BTW, my PSCE (Empathy) is acting up, probably on your behalf. (My way of showing how much I care about you!) I too have low body temp - always under 97 in the am. (Has registered as low as 95.5 AT the doctor's office.) And recent lab tests show I'm deficient in Vitamin D. Now, they HAVE to figure out how to help you and get you better. I don't know how much more of this I can take! Praying, pulling, rooting, cheering for you, XXXOOO, Wife of Fred, PSC, 03/04, UC, 03/06 Quote Link to comment Share on other sites More sharing options...
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