help with vit D levels

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  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    Nice job, Patty!!

  • coonie
    coonie Member Posts: 7,618
    edited June 2010

    Juli---hehe lol........not feeling better yet, but tomorrow is the day I take my second 50,000 IU's. So.............I'm hoping by the end of the day tomorrow I'll be able to run a marathon........wooohoooot.....can't wait!!

    I wasn't able to go to Curves everyday last week, and I can really tell when I don't exercise. I went this morningt and do feel much better, but there are going to be some weeks I can't get to the gym, so I'm counting on these cute little green vit d pills to get me going.

    Thanks to all of you for all the research and advice. What would we do without one another???? Hey, maybe we could start our own breast care clinic.....I bet between all of us, we could help someone.

    Love and hugs

  • ananda8
    ananda8 Member Posts: 2,755
    edited June 2010

    I am still concerned about your little green pills perhaps being D2.  I took little green clear gel caps when I was on D2. They were 50000 IU. 

    The vitamin D3 my sister bought was tiny yellow gel caps that contained 2000 IU each which she takes twice a day.  I take medium white tablets, two in the morning and two at night for a total of 4000 IU.

  • Luna5
    Luna5 Member Posts: 738
    edited June 2010

    YAY!!! PATTY!!!

    I finally got mine up to 61...we are almost twins!

  • juli0212
    juli0212 Member Posts: 1,415
    edited June 2010

    notself & coonie:

    Okay, I called pharmacy to double-check.  notself, you are correct.  When I asked if I was getting the D3 at the time of script pickup, I was told 'yes'.  I called and talked to pharmacist today.  The green capsules, 50,000ius ARE D2.  HOWEVER:  That is metabolized in the kidneys and changed OVER to D3.  There is NOT a concentration that high for D3, just over the counter 2,000ius.  That is why one takes this mega-dose for many weeks. 

    So, here's hoping that the 12 weeks of the 50,000ius for me (and others) which is D2, changes over to D3 and levels come back up.  Then I will talk to my endocrinologist/oncologist about what supplement is BEST to take to keep that D3 level UP there. 

    I have to thank you again notself for bringing this up again.  The more we know....right?!   :)

    ~juli

    Congrats to the ones whose levels have improved!

  • seaotter
    seaotter Member Posts: 1,083
    edited June 2010

    Thanks so much Makraz and Luna. I don't know about you gals but it has felt like a full time job getting that level up!! I can stay the course. Now I can take a vacation!!! Kiss

    Patty

  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    Juli,

    I have 50,000 IU's of D3 that I bought over the counter.  You can get it, you don't need a script for it.  I ordered it from the pharmacist and it was pretty cheap!!  16.00 for 100 capsules.  The brand is Bio Tech and it's called D3-50.  I did shop around and could not find it in stores so I ordered it from the pharmacy.

    Best of luck to you.

    Patty, now that you can take a vacation, go somewhere warm and sunny and get some free Vitamin D!! LOL!

    Linda

  • juli0212
    juli0212 Member Posts: 1,415
    edited June 2010

    makraz:  Thank you for the info.  I will continue to take this D2/50,000ius for the 12 weeks, then see what my level is, and then confer with my endo/onco on what to take to keep that D3 level up.  If I have to order from a pharmacy, we have a compounding one near us. I wrote that brand down, Bio-Tech.  Thank You! ~juli

  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    You're welcome!

    I also took the D2 but when I stopped my level started to drop.  I need to get mine up there!!

    I went to Walgreens and ordered the D3.  No special pharmacy needed.

    Best of luck to you.

  • juli0212
    juli0212 Member Posts: 1,415
    edited June 2010

    Same to you Makraz, thank you, you've really inspired me, and I wouldn't be surprised if most here were not inspired by you and your research.  I had thought I researched pretty well, lol...NOT!   I will await my levels, then see about the D3 (I already had taken 1000ius daily for a couple years before my levels became deficient again).   Cool on just needing the regular pharmacy, I'll use where I get my meds, thanks again!  Best of luck to everyone really!   ~juli

  • tkw50
    tkw50 Member Posts: 7
    edited June 2010

    I understand that 40-80 is acceptable level, but if you are having issues the 60-70 is optimum level.  I was taking 50,000 units per week to get mine up and now I take 2,000 units per day to keep it that way.

  • ananda8
    ananda8 Member Posts: 2,755
    edited June 2010

    Ladies,

    Those of you who are or are thinking of taking 50,000IU of D3, please be careful.  10,000IU of D3 is the highest recommended dose that is safe.  D3 is much more effective in raising levels of D than D2 because it does not have to be converted.  I got my levels up from a low of 30 to 54 in less than five months taking only 4000 IU per day.

    Please do your own research since many doctors are just getting up to speed themselves.  Here is a link.

    http://www.grassrootshealth.net/

  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    I agree, notself.  After taking the RX for 12 weeks, I started on 5,000 IU's daily for 12 weeks.  My levels dropped from 37 to 35. (I initally was 20).  I decided to try the 50,000 IU's.  I was taking it once a week which is like 7,000 IU's daily.  Now that I have been spending the weekends at the bveach (YAY!!I) I have cut back on the D. I may take one every other week or so.  It's tough to figure out in the summer, but I hope I am doing it right.

    Thanks for the link.

  • olivia218
    olivia218 Member Posts: 257
    edited June 2010

    I started taking 1000 IU's of D3 yesterday with Magnesium citrate and calcium. I do not feel well this evening, my stomach is nauseous, my head feels a bit fuzzy and I am exhausted.  When I took the 50,000 IU's of D2 prescribed by the oncologist because my vitamin d level is 18, I had similar reaction but more severe. I could barely function. When I read the side effects on the prescription it said if I had headache, nausea, irritability, mood swings, and a few other things I can not remember at the moment (vitamin D brain) call poison control.  What am I doing wrong?

    Olivia 

  • olivia218
    olivia218 Member Posts: 257
    edited June 2010

    I started taking 1000 IU's of D3 yesterday with Magnesium citrate and calcium. I do not feel well this evening, my stomach is nauseous, my head feels a bit fuzzy and I am exhausted.  When I took the 50,000 IU's of D2 prescribed by the oncologist because my vitamin d level is 18, I had similar reaction but more severe. I could barely function. When I read the side effects on the prescription it said if I had headache, nausea, irritability, mood swings, and a few other things I can not remember at the moment (vitamin D brain) call poison control.  What am I doing wrong?

    Olivia 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2010

    Olivia, did you call poison control?  I wonder if they can point you in the right direction.  I would also call my onc and PCP, and anyone else.  This is your health - please call - YOU are not doing anything wrong.  Please take care.

  • olivia218
    olivia218 Member Posts: 257
    edited June 2010

    Not tonight because I have only taken 1000 IU's of D3 today. I stopped taking the 50,000 IU's and the oncologist told me when I told her that she had never heard of anyone having those reactions. I told my PCP as well and she told me to stop the 50,000 IU's and start with 1000 IU's of D3. This is only day two of the 1000 IU's D3 after along break from the 50,000 IU's (about a month).  

    I guess I will read the bottle and see what it says about reactions. I just do not understand why my body will not accept Vitamin D. I don't feel well after I am out in the sun either - UGH!

    Olivia 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2010

    Thanks for responding.  You had me worried.

    Oncologists are nortorious for not hearing about reactions to anything they prescribe.  I think one of their medical courses is tunnel vision - they only learn about the meds, not the se's.  (of course there are onco's who are exceptions!)

    I wonder if it's possible to be allergic to vitamin D, even that from the sun?

  • olivia218
    olivia218 Member Posts: 257
    edited June 2010

    I just looked up allergies to Vitamin D, that is possible.  Thanks

    Olivia 

  • Luna5
    Luna5 Member Posts: 738
    edited June 2010

    From Oct to Jan I supplemented with 2,000 mg D 3 and my level dropped during the winter from 31 to 22.  I then supplemented for 4 months with 20,000 mg a day of a different brand, Thorne, and my level went to 61. Doc says alternate 15,000 one day and 20,000 the next and see how it does.

  • Blundin2005
    Blundin2005 Member Posts: 1,167
    edited June 2010

    I came by this link in Living Strong .... and think you'll enjoy it too.  There are a lot of food choices for the vitamins and minerals that we need.  Our metabolism and absorption of these nutrients varies between each individual.  This is why a one size fits all solution does not help everyone in the same way.  There are only baselines and recommendations for starting points to mold your particular needs around....the art of healthy choices so to speak.

    http://www.livestrong.com/video/1707-healthy-food-choices-osteoporosis/

    http://www.livestrong.com/video/2481-healthy-food-choices-vitamin-d/ 

    About magnesium .... my experience several years ago was that when I took a supplement of magnesium pidolate my energy increased, pain and depression decreased.  At the time I was managing side effects of Arimidex.

    Along the way of our discussion boards here about vit D, calcium and magnesium, one of the ladies told me that she learned doctors where using magnesium to treat pain in sickle cell anemia patients. I researched the researchers and tracked down one of them who is a now a pathologist at Harvard.  The kind man responded to my inquiry as to why it was helping me and was it safe to continue with my diagnosis of breast cancer.  He felt that it couldn't do any harm and that if I took too much it would only result in the body releasing the excess through the bowel.  I was grateful to find something to relieve the pain.  I shared this with the surgeons here.

    "Never run faster than your guardian angel can fly"

    Marilyn 

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited June 2010

    Olivia---Keep in mind that many supplements (and almost all drugs) have other ingredients in them, and it is not only possible but common for someone to be allergic to one of those chemicals.  I've known people who could only take the name brand of a drug because they were allergic or had bad reactions to the fillers, colors, or other chemicals in the generic versions, or even in another company's version.  You may be reacting to one of the other chemicals in the D3, magnesium or calcium.  Please do whatever your doc and poison control tell you to do.  Ask your doc about stopping them all for a few days, then starting with just one. After a few days add another.  Then start the third a few days after that.  If you have another reaction you will know if it's from one of the supplements and which one, then you can look at the ingredient list and see what is different--that may be the culprit  Keep us up to date!

  • cs7777
    cs7777 Member Posts: 570
    edited June 2010

    Olivia definitely talk to your doc once again.  NativeMainer's suggestion for one at a time is a good one if you start up again.  Also, while you obviously need to increase your vit D, it could be that your bad reaction is because you're also off-balance with something else that makes you more sensitive to added D.  We have so many vits & mins and nutrients we need, plus our own hormonal balance, that it would be easy for one to affect our rxn to another.  Finally, if you re-try the D, you might try splitting the dose - 500 iu in morning, 500 iu at night. (or start really low - 200/200). Take it with some food, incl some fat which is needed for it to absorb.  Your rxn in the sun sounds like my sister's, although she doesn't react to D supplements that way.  She found that when she was active in the sun and only drank water she'd get really sick/nauseous.  She switched to an electrolyte drink like gatorade and doesn't get sick anymore.  You can OD on water if you're also sweating out salts.  Don't know if your sun time is active or passive, but if active then you might watch waht you drink too.  (Nope I don't work for gatorade, in fact I detest the stuff!)  Best to you in figuring this out.

    CS

  • cs7777
    cs7777 Member Posts: 570
    edited June 2010

    juli0212, I don't know what your pharmacist was thinking but it is not correct that D2 is changed in the kidney to D3.  Naturally occuring (made by skin) or supplemented D3 is first metabolized in the liver to calicidiol (aka 25(OH)D3), and then in the kidney and other tissues to calcitriol, (aka 25(OH)2D3).  Supplemented vitamin D2 is similarly hydroxylated (the -OH groups added) in the liver then kidney, but at every turn, the bits of the molecule that make D2 different than D3 do not get changed to convert the D2 structure into the D3 structure.  If you're into chemistry, you can see the different molecular structures on this website:  http://en.wikipedia.org/wiki/Vitamin_D

    In addition, as someone else said, D3 IS available in the US at doses up to 50,000 IU/pill over the counter.  Your pharmacy may not have them, but at a health food store, Whole Foods, or online you can get them for sure.  Also, you don't necessarily have to buy a 50,000 IU pill.  I bought 5000 IU pills and took 10 of them 1x/wk to get the 50,000 IU 1x/wk dose (they're tiny, its easy).  I did that because I only needed a few of the 50,000 doses and intended to switch to a 5000 IU daily dose after 6 wks, and I didn't want to waste most of a jar of 50,000 IU pills.

    For anyone concerned about the 50,000 IU dose, note that when this is used it's almost always prescribed as 50,000 IU 1x/wk, or even 1x/month, NOT daily.  That would indeed be a very high daily dose.  I too have heard/read taht there's some evidence to say 10,000 IU/day is safe, but not higher than that.  The data above 2000 IU/day is sketchy though, on my reading of all this. 

    juli this is not to say that your D2 won't be helpful to you.  The data are mixed as to whether it works as well as D3 supoplements to get your level up and keep it up.  My own pragmatic view is that since there is this question, and our body makes and is evolved to use D3, why use D2 when you can obtain and use D3. 

    just my 14-cents worth...

  • gogo_xago
    gogo_xago Member Posts: 131
    edited June 2010

    my mom when first had test for vitamin D levels, had 32. Today, after 3 months on 5000 UI daily, had a new test and her levels are on 61. I suppose this is good, but I'm wondering if she must continue on 5000 UI or must to decrease the dosage (maybe 2000-2500 daily). Any suggestions?

  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    Gogo, While I am not sure as to the answer of your question, you should also consider the amount of time yoru Mom spends outside in the sun.  Also, how many months a year can she do this to get vitamin D naturally.

  • juli0212
    juli0212 Member Posts: 1,415
    edited June 2010

    gogo_xago:  I would definitely defer to the doctors here.  That's what I am doing, I'm gaining alot of information here on this thread, but I still defer to my doctors.  I will then decide when my 12 weeks are up (taking the 50,000ius) and if my vitamin D(3) level has improved dramatically (hopefully), what then to consult with my docs about taking to KEEP that level up there.  You've all helped me tremendously here, and I thank you most kindly.    ~juli

  • coonie
    coonie Member Posts: 7,618
    edited June 2010

    Hey sistahs!

    Well, after reading this great information on this forum, I decided to call my pharmacist and ask him about the little green pills (D2 or D3)..........ohhhhhh,,,,, he said....they're D3. Well, for some reason that didn't sit too well with me. I went inside the store yesterday and called him over to the little consultation desk and ask him personally. He went back and checked, and suuuuuuuure nufffff it was D2.......I've taken 2 of those little pills, and not feeling any better as far as joint and bone pain, but once I'm done with the other 2, I'll be calling my oncologist to get my d levels checked again, and hopefully, will be given D3 to actually boost those levels up. I may even have to print what you ladies hare researched and provided for us. In the back of my mind, I knew ya'll were right all along!! Thanks for the information and keep it coming. Now......should I still keep taking 2,000 IU's in the morning and 2,000 IU's at night along with the 1 green pill once a week?? I sure don't want to OD on vitamin D for pete's sake!!! ((((Hugs ya'll))))

  • ananda8
    ananda8 Member Posts: 2,755
    edited June 2010

    The last round of D2 I was on, my doctor said I could take 2000 IU of D3.  The D2 did nothing for my levels but the D3 was up almost immediately.  I ended up with D2 at 30 (up from 22 after a year) and my D3 was at 30 (after 4 months).  The D2 faded and now I am at 54 ng/ml of D3.  I will be retesting in another month.

  • Makratz
    Makratz Member Posts: 12,678
    edited June 2010

    Coonie, I took them both at the same time.  The once a week 50,00 IU's of D2 and 5,000 IU's of D3.  But remember, I live much farther north than you do so if you are getting a lot of sun exposure you may not need that much.  XOXOXO

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