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Hi

Wannette

Check out the following link and in the search box type in

Vitamin D http://www.labtestsonline.org.uk/understanding/analytes/fsh/test.html

They should be asked WHY patients are not

allowed to know the reference ranges . As we are entitled to access our medical

records, then we are entitled to the reference ranges that go with each test we

have had done How

to access your medical records.doc also look at this link http://www.ico.gov.uk/Home/what_we_cover/freedom_of_information.aspx. Perhaps they should be reminded

of your rights.

Read the information about Vitamin D here Vitamin

D.doc and read also LACKING

IN ESSENTIAL VITAMIN D.doc

Luv - Sheila

Can anyone tell me what the reference range for Vitamin D is ( NHS lab).

I have rung the lab and they tell me they are not allowed to give out

reference ranges to patients. I should have told them I am doctor- how

would they know over the phone?

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I've copied the details below about reference ranges for Vit D from

the Medical Journal of Australia website. Hope this helps.

To the Editor: In addition to its well established link with rickets

and osteoporosis, vitamin D deficiency has been associated with

increased risk of autoimmune, malignant and cardiovascular disease.1

Marginal deficiency occurs at serum 25-hydroxyvitamin D [25(OH)D]

levels of 25–50 nmol/L and frank deficiency at levels < 25 nmol/L,2

but there is some evidence that levels < 80 nmol/L3 or even < 110

nmol/L2 could be suboptimal. In Australia, vitamin D deficiency is

most frequent in nursing home residents, dark-skinned veiled women,

and residents of southern latitudes.2 However, those who are

instructed to habitually minimise sun exposure following a diagnosis

of skin cancer may also be at particular risk.

Here is the website where I got the info (above) from.

http://www.mja.com.au/public/issues/190_02_190109/letters_190109_fm-

7.html

P

>

> Hello,

> Can anyone tell me what the reference range for Vitamin D is ( NHS

lab).

> I have rung the lab and they tell me they are not allowed to give

out

> reference ranges to patients. I should have told them I am doctor-

how

> would they know over the phone?

> Thanks,

> Wannette

>

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,

If the test you had was 25-Hydroxy-D, the reference range that you

were given is incorrect. I know this for a fact. Please see message

that I sent to Wannette for reference range details.

P

Hi Wannette

I recently had my results and was told it was a range of 1 - 300. What

was your result ? ... mine was 23.

julia

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Hi ,

Mine was 16...what does this actually mean, because I am under the impression that levels rise and fall according to the season..so what is the winter range? ( sounds like a catalogue!)

so your doctor says this is too low and you are supplementing?

Wannette

From: <juliamoonrock@...>thyroid treatment Sent: Wednesday, 4 February, 2009 11:21:38Subject: Re: D

Hi Wannette

I recently had my results and was told it was a range of 1 - 300. What was your result ? ... mine was 23.

julia

From: wannette7 <wannette7 (DOT) .co.uk>thyroidpatientadvoc acygroups (DOT) comSent: Wednesday, 4 February, 2009 10:43:49Subject: [thyroidpatientadvo cacy] D

Hello, Can anyone tell me what the reference range for Vitamin D is ( NHS lab).I have rung the lab and they tell me they are not allowed to give out reference ranges to patients. I should have told them I am doctor- how would they know over the phone?Thanks,Wannette

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Hi Sheila,

Yes i tried lab tests on line, can't find the reference range there!

See exactly, i think that anybody should be able to ring up and ask for a reference range, its not a trade secret, its the NHS, its public. Absolutely what use are our records without reference ranges, we have a right to see this, so yes, I am completely puzzled. I did try to put it to the person on the other end of hte phone that I knew my level I just didn't have the reference range , but oh no, only through your doctor. pathetic.

Wannette

From: Sheila <sheila@...>thyroid treatment Sent: Wednesday, 4 February, 2009 11:40:15Subject: RE: D

Hi Wannette

Check out the following link and in the search box type in Vitamin D http://www.labtests online.org. uk/understanding /analytes/ fsh/test. html

They should be asked WHY patients are not allowed to know the reference ranges . As we are entitled to access our medical records, then we are entitled to the reference ranges that go with each test we have had done How to access your medical records.doc also look at this link http://www.ico.

gov.uk/Home/ what_we_cover/ freedom_of_ information. aspx. Perhaps they should be reminded of your rights.

Read the information about Vitamin D here Vitamin D.doc and read also LACKING IN ESSENTIAL VITAMIN D.doc

Luv - Sheila

Can anyone tell me what the reference range for Vitamin D is ( NHS lab).I have rung the lab and they tell me they are not allowed to give out reference ranges to patients. I should have told them I am doctor- how would they know over the phone?

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Hi Wannette,

It doesn't quite work like that, even though levels do fluctuate

depending on exposure to sun. 16 is very, very low.

I put the info (below) in another message, but I've copied it again

for you to have a look at.

I've copied the details below about reference ranges for Vit D from

the Medical Journal of Australia website. Hope this helps.

To the Editor: In addition to its well established link with rickets

and osteoporosis, vitamin D deficiency has been associated with

increased risk of autoimmune, malignant and cardiovascular disease.1

Marginal deficiency occurs at serum 25-hydroxyvitamin D [25(OH)D]

levels of 25–50 nmol/L and frank deficiency at levels < 25 nmol/L,2

but there is some evidence that levels < 80 nmol/L3 or even < 110

nmol/L2 could be suboptimal. In Australia, vitamin D deficiency is

most frequent in nursing home residents, dark-skinned veiled women,

and residents of southern latitudes.2 However, those who are

instructed to habitually minimise sun exposure following a diagnosis

of skin cancer may also be at particular risk.

Here is the website where I got the info (above) from.

http://www.mja.com.au/public/issues/190_02_190109/letters_190109_fm-

7.html

P

> Mine was 16...what does this actually mean, because I am under the

impression that levels rise and fall according to the season..so

what is the winter range? ( sounds like a catalogue!)

so your doctor says this is too low and you are supplementing?

Wannette

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Hi Wannette,

I hope you don't mind me adding my two cents. My number was 28 and my

doctor has me taking 50,000 units twice a week for a month. Before I

went in for my test in which I WAS taking D before it, I had missed

only one week without the D and my number went down very quickly. I

could not believe I was down to 28 just missing a week of no D.

My husband was 16 and the doctor put him on 50,000 once a week. We

are not sure why my number went down so quickly hence my taking it

twice a week for a month and then we will see where I am at.

If you go to vitamindcouncil.com, you will find a lot of info about

the benefits they are finding by taking a proper amount of Vit. D.

Venizia

-- In thyroid treatment , " patersonia "

<patersonia@...> wrote:

>

> Hi Wannette,

> It doesn't quite work like that, even though levels do fluctuate

> depending on exposure to sun. 16 is very, very low.

>

> I put the info (below) in another message, but I've copied it again

> for you to have a look at.

>

>

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Thanks P,

I have had a look at this...so the NHS is measuring in nmols/ L?

Wannette

From: patersonia <patersonia@...>thyroid treatment Sent: Wednesday, 4 February, 2009 14:10:34Subject: Re: D

Hi Wannette,It doesn't quite work like that, even though levels do fluctuate depending on exposure to sun. 16 is very, very low. I put the info (below) in another message, but I've copied it again for you to have a look at. I've copied the details below about reference ranges for Vit D fromthe Medical Journal of Australia website. Hope this helps.To the Editor: In addition to its well established link with ricketsand osteoporosis, vitamin D deficiency has been associated withincreased risk of autoimmune, malignant and cardiovascular disease.1Marginal deficiency occurs at serum 25-hydroxyvitamin D [25(OH)D]levels of 25–50 nmol/L and frank deficiency at levels < 25 nmol/L,2but there is some evidence that levels < 80 nmol/L3 or even < 110nmol/L2 could be suboptimal. In Australia, vitamin D deficiency ismost frequent in nursing home residents, dark-skinned veiled women,and

residents of southern latitudes.2 However, those who areinstructed to habitually minimise sun exposure following a diagnosisof skin cancer may also be at particular risk.Here is the website where I got the info (above) from.http://www.mja. com.au/public/ issues/190_ 02_190109/ letters_190109_ fm-7.htmlP> Mine was 16...what does this actually mean, because I am under the impression that levels rise and fall according to the season..so what is the winter range? ( sounds like a catalogue!)so your doctor says this is too low and you are

supplementing?Wannette

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Hi Venizia

this is great, thank you.

I have bought some over the counter D's at Boots,

I am taking two 12.5ug, one tablet is 250% RDA.

I am completely confused by all the different reference ranges I have seen and different units.

Do you know if I am supplementing enough, or should I go and get a script?

I will check out the Vitamin Council, thanks,

Wannette

From: venizia1948 <nelsonck@...>thyroid treatment Sent: Wednesday, 4 February, 2009 14:33:11Subject: Re: D

Hi Wannette,I hope you don't mind me adding my two cents. My number was 28 and mydoctor has me taking 50,000 units twice a week for a month. Before Iwent in for my test in which I WAS taking D before it, I had missedonly one week without the D and my number went down very quickly. Icould not believe I was down to 28 just missing a week of no D.My husband was 16 and the doctor put him on 50,000 once a week. Weare not sure why my number went down so quickly hence my taking ittwice a week for a month and then we will see where I am at.If you go to vitamindcouncil. com, you will find a lot of info aboutthe benefits they are finding by taking a proper amount of Vit. D.Venizia-- In thyroidpatientadvoc acygroups (DOT) com,

"patersonia"<patersonia@ ...> wrote:>> Hi Wannette,> It doesn't quite work like that, even though levels do fluctuate > depending on exposure to sun. 16 is very, very low. > > I put the info (below) in another message, but I've copied it again > for you to have a look at. > >

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PLEASE REMEMBER TO CHECK YOU HAVE DELETED MESSAGES ALREADY READ BEFORE SENDING

TO THE FORUM. I HAVE DELETED THESE FOR YOU ON THIS OCCASION. LUV - SHEILA

_________________________________________

Wannette,

If your number was that low, I would get a script. If you do go over

the counter, you need to make sure what you are taking is Vitamin D3.

I am in the U.S. and the RDA here is not enough for people that are

deficient in " D " . I would go back to your doctor maybe with info from

the Vitamin Council and tell him you think you should be a prescritive

dose. Let us know how you do.

Venizia

> this is great, thank you.

> I have bought some over the counter D's at Boots,

> I am taking two 12.5ug, one tablet is 250% RDA.

> I am completely confused by all the different reference ranges I

have seen and different units.

> Do you know if I am supplementing enough, or should IÂ go and get a

script?

> I will check out the Vitamin Council, thanks,

> WannetteÂ

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Wannette,

You've made me think.... I am based in Australia, so I'm not sure

what measurements the NHS uses.

I've mainly seen measurements for Vit D (25-Hydroxy-D) in nmol/L used

across a range of countries, but on a web search just then, I noticed

a US study that recorded Vit D levels in ng/ml.

http://www.nhs.uk/news/2008/06June/Pages/VitaminDinpregnancy.aspx

I just had a look and found something on the NHS UK website that made

reference to nmol/L. This particular study used Vitamin D blood

results collected as part of the 'Health Survey England' in 2000. The

measurement used was nmol/L. The article also makes reference to the

reference ranges used during the study.

http://www.nhs.uk/news/2009/01January/Pages/DementiaVitaminD.aspx

Can you call your doctor to find out the units used when you had your

Vit D test done? Surely they will give you this simple information.

Perhaps if you speak to another person, they will also give you the

reference range. I have no idea why they would keep this info from

you - it doesn't make sense at all as the unit that something is

recorded in isn't confidential, and neither is the reference range!

Maybe you need to use my technique and call until you get the answers

you need. I'm persistent in that way!

P

>

> Thanks P,

> I have had a look at this...so the NHS is measuring in nmols/ L?

> Wannette

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Just another point Wannette.

Perhaps it would be best to go back to the doctor to find out about an

optimal dose of Vit D based on your personal medical circumstances.

All that we can do on this forum is to mention our own experiences and

none of us are medically trained. It is really important to check

everything out with your doctor because they know your medical

history. Might be better than trying to guess a dose to take. You

might then be able to obtain the reference range, the measurement unit

used and your optimal dose of Vit D all in one hit.

Good luck with it all.

P

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Hi C -

I had emailed you, but didn't receive a reply? I am just this

weekend trying to do some catching up on all these posts. Goodness! I

just read last week about your most recent difficulty and had privately

emailed you. I hope you are OK. I have had a lot going on and am in the

midst of great confusion. Please contact me.

D. (RI)

>

> Hi ,

> I was thinking about you my counterpart :) How are the vocals?

> How are the knees? When do you see Glazer again? C

>

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Hi C -

I had emailed you, but didn't receive a reply? I am just this

weekend trying to do some catching up on all these posts. Goodness! I

just read last week about your most recent difficulty and had privately

emailed you. I hope you are OK. I have had a lot going on and am in the

midst of great confusion. Please contact me.

D. (RI)

>

> Hi ,

> I was thinking about you my counterpart :) How are the vocals?

> How are the knees? When do you see Glazer again? C

>

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Hi C -

I had emailed you, but didn't receive a reply? I am just this

weekend trying to do some catching up on all these posts. Goodness! I

just read last week about your most recent difficulty and had privately

emailed you. I hope you are OK. I have had a lot going on and am in the

midst of great confusion. Please contact me.

D. (RI)

>

> Hi ,

> I was thinking about you my counterpart :) How are the vocals?

> How are the knees? When do you see Glazer again? C

>

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  • 7 months later...

Oh my gosh did I miss something. D had more surgery on her neck? Oh

the poor thing...I " m going to email her right now..

>

> ,

>

> I am wondering how your visit with DrGlazer went last week....??!

>

> Is there a plan?

>

> Take Care, Cam

>

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  • 2 months later...

Hey C!!

My knees are healed and my neck feels great!! I am sooo happy that Dr.

Glazer had me get them all fixed up first. I honestly couldn't imagine having

all that pain on top of it all AND them having to address it after. It is my

hope that after March 17, 2011, surgery of any kind will be on the back burner

for many, many years to come!!! Although, I do have bunions and I do want to get

them fixed one day!! Ha! Ha! I tell my daughter all of the time, " If I could

just have the surgery of my choice (meaning the bunions, both feet too!! They

run in my family!!), I'd be a lot happier!! " and she says, " Mom, you are not

really going to have another surgery down the road on your feet are you? " and I

say, " H***, yeah! " !!!! But then, I'm done!!! Of course, unless some plastic

surgeon would offer a free tummy tuck, well then, I'd probably go for that too!!

Now.....if only my back felt so wonderful. I am just like everyone else here who

is pre-revision -- pain is worse than ever, especially in the hips and legs and

my tailbone hurts too if I sit straight for more than 5 minutes. I can walk for

about 10 minutes though without pain, more just discomfort but I can only stand

in one position for about 2 minutes before needing to lean on something.

Needless, to say ALL Christmas shopping is being completed online this year. I

am still in regular PT (which Dr. Glazer recommended I stay in right up until

surgery) and I'm plugging along with some long hot baths, PT,

anti-inflammatories, lots of moist heat and an occasional narcotic!! If only I

could sleep for more than 20-30 minutes at a clip.......

D

>

> Hi D.

> How are you? Are you all healed up knees and neck? Drop me a line?

> c

>

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Hi D,

Awesome. I am glad both surgeries worked out so well. Now have a health winter

and by summer you'll be oh so much better.

C

> Hey C!!

> My knees are healed and my neck feels great!! I am sooo happy that Dr.

Glazer had me get them all fixed up first. I honestly couldn't imagine having

all that pain on top of it all AND them having to address it after. It is my

hope that after March 17, 2011, surgery of any kind will be on the back burner

for many, many years to come!!! Although, I do have bunions and I do want to get

them fixed one day!! Ha! Ha! I tell my daughter all of the time, " If I could

just have the surgery of my choice (meaning the bunions, both feet too!! They

run in my family!!), I'd be a lot happier!! " and she says, " Mom, you are not

really going to have another surgery down the road on your feet are you? " and I

say, " H***, yeah! " !!!! But then, I'm done!!! Of course, unless some plastic

surgeon would offer a free tummy tuck, well then, I'd probably go for that too!!

Now.....if only my back felt so wonderful. I am just like everyone else here who

is pre-revision -- pain is worse than ever, especially in the hips and legs and

my tailbone hurts too if I sit straight for more than 5 minutes. I can walk for

about 10 minutes though without pain, more just discomfort but I can only stand

in one position for about 2 minutes before needing to lean on something.

Needless, to say ALL Christmas shopping is being completed online this year. I

am still in regular PT (which Dr. Glazer recommended I stay in right up until

surgery) and I'm plugging along with some long hot baths, PT,

anti-inflammatories, lots of moist heat and an occasional narcotic!! If only I

could sleep for more than 20-30 minutes at a clip.......

> D

>

>

>

>

>

>

>

> >

> > Hi D.

> > How are you? Are you all healed up knees and neck? Drop me a line?

> > c

> >

>

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  • 4 months later...
Guest guest

,

Will look forward to hearing your update after you see her. So glad it's finally over, and she's onto healing.

Colorado Springs

[ ] D

's surgery is finally completed. She is in a lot of pain and i am on my way to Boston to visit with her. I will keep you posted.

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