help with vit D levels
Comments
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Patoo, The same thing happened to me. D3 is not a RX so the pharmacy cannot fill it. You can just buy it over the counter, even 50,000 IU's. I did it too!
I don't bellieve it it peed out since it is fat soulable. We store it in our fat. How convenient! I think I read somewhere it stays in our bodies for about 4-6 months. I'm sure someone else will know better.
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Well if it's stored in my fat I've been carrying it around for way more than 6 months!!! LOL
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Me too!! LOL!
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Just be careful with those high doses of D3. It is not the same as D2 and the safest amount of D3 that I have heard of when taken on a daily basis is under 10,000. Levels will come up quickly on as little as 4000 IU per day of D3.
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Juli- Sam
I will get my parathyroid levels retested soon. My PTH level was at 68, and has been between 52 and 68 for a few years, but my calcium levels are always 9.2.... so it's only slightly elevated, but has not gotten any higher. On the SCARY DOCTOR SITE that is prevalent on the internet.... you know which one, it often says that you can have wavering levels of PTH for years before it's full blown PTH. My endocrinologist and my internist have followed me, but did not seem to feel like I have primary hyperparathyroidism based on my results and records from the past 5 years. Who knows? I could have it, but at this point, am feeling so much better from the Vit D supplements that I am not too concerned at the moment.
As for calcium citrate supplements, I tried that for my IBS, but it didn't really help me out too much, so I stopped. I have not been supplementing with calcium, but I hear if you are prone to kidney stones, it is best to stay away from the calcium carbonate, and you should use citrate.... less opportunities for stones, apparently.
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LOL on the fat sotrage...for real. surprised the bottle didn't jump off the counter into my belly and yell I'm home!
so I intended to take the D3 50,000 every week like the D2...are there issues with this? My pharmacy is at the medical building, and I do trust the pharmacist...he did th same with his mom who has fibormyalgia.
but I am open to all cautionary tales...
Traci
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fat storage...I swear I can't see the little print anymore...typo city
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squid - the 50,000 1x/wk is a very normal repletion regimen and not to be feared. (notself - Good warning about the high doses but the gals speaking of the 50,000 are on 50,000 1x/week, not daily.
As for how long D stays in the body...25-OH-D3, the metabolite of D3 that's found in the blood, has a residence time of 1-2 months there. You probably pee some of it out but it sticks around quite a long time.
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I did take 5,000 IU's daily after I did the D2 for 12 weeks. My level went from 37 to 35.
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Notself has already pointed out that Vit. D2 and Vit. D3 are not the same. Out bodies can more easily use the D3, so before you take those large amounts, please do more reading from trusted medical sites on the web. (I'd say ask your docs, but so many are not really up on the Vit. D.)
In the case of Vit. D3 = less is more.
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Marianna: Thank you for your response about the parathyroid, yes, I'd be interested in your next test results, Sam too. I am getting mine checked again after the 12 weeks of the 50,000 D2. I do not feel any differently, still extremely fatigued, but been that for years, so that's normal for me. (I've been taking the D2, 50,000ius now for 6 weeks)
About the PTH, you'd be VERY surprised how my levels fluctuated since radiation (and yes, the parathyroid glands can be closer to the chest, my tumor was removed towards the left breast--the parathyroid gland and tumor). My levels ranged from a high of *gulp* 787 (!!!) to 343, then back to 'high' of 87. Calcium has been inching up again to a 10.0, endo is not worried, he feels the vitamin d deficiency is causing these levels. This is a new endocrinologist for me, I switched after my *ex* endo 'just had no idea' WHY my levels were around 700????? :O
Yes, that stupid scary parathyroid site, I REALLY recommend NOBODY read anything on there, but that's 'our' opinion, lol. My endo and surgeon had said I definitely developed primary hyperparathyroidism AGAIN, even after levels returned to normal after my parathyroidectomy in 2002. I think radiation skewed everything up again. (ended radiation 2/2007) Who KNOWS where my three other parathyroid glands are, if the one diseased one was towards my chest, could certainly be towards my other side that was radiated. Docs don't believe that one, tho, of course! ALL my best, have a great Friday...going to get port flushed today (yep, will keep that power-port for as long as it works, it's a replacement port for the port-a-cath that developed a sheath and had to be removed this past March--all my docs agreed since it's impossible to get blood outta my one arm, to get another port--YES!)
~juli
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[quote]Makraz wrote:
I did take 5,000 IU's daily after I did the D2 for 12 weeks. My level went from 37 to 35. [unquote]
Well, that is not a good thought. I was planning on switching to the D3, 5,000ius (after discussing first with endocrinologist after my 12 weeks are up in August). So the D2 after 12 weeks did not increase your level at all, or at least very minimally? Disturbing...our docs should KNOW that D2 is not going to help our D3 levels. I'm really stumped...I am trying to listen to my doc and just do the D2 until I'm done, but wow, Makraz.
That's saddening. How long did you take the 5,000ius of D3 daily before being tested again, may I ask? Boy, this sure is something we really ought to keep track of. Thank you. ~juli
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Hi Juli,
When I was first tested, I was at 19. Dr put me on D2 for 12 weeks (1x per week). I also was taking 5,000 IU's of D3 per day. I tested after 12 weeks and my level was 37. I took 5,000 IU's of D3 for 12 weeks and was retested, my score was 35! UGH! So now I was taking the 50,000 IU's per week (which is only about 7,000 a day). I have stopped this because it is finally summer in Boston and I can get free Vitamin D. I do still take vitamin d with my calcium and multivitamin. I also take about 2,000 IU's a day if I know I did not get out in the sun. With 2 boys, I am always outside!
I don't want to be tested again until late fall because of the sunny climate now. I'm sure my levels are rising.
Best of luck to you. Hope this clarifies some things.
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Makraz, thank you for your response. My BF reminded me that last time I took the 50,000ius of D2 for 8 weeks, I had same symptoms, extreme fatigue/migraines up a notch (level 5 anyway daily, out of 0-10), but that my D level did increase (tried to look thru my massive lab reports, and cannot find that far back). I cannot abide being outdoors (daily migraines don't take kindly to sun/heat/humidity). That's a good idea to get tested later in the Fall, keep me posted! But, WOW on the amount of D2 AND D3 you were taking and not much increase in level. I'm going to have a LONG talk with my endo after I get tested in August (after the 12 weeks + 1 week to get absorbed) about UPPING the level of D3, what he feels is a 'safe' daily dose.
Have a great weekend, hope it's sunny in Boston! ~juli
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I take 15,000 to 20,000 of Thorne D3 per day now that my level has increased from 22 to 61. Will check levels again in 4 months. For now Doc said stick with this dose.
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I took 50,000 units of D3 for 8 weeks and went from 25 to 54 level. I was then put on 1,000 units daily of D3 - HOWEVER have not been taking any for about 3 weeks!!! I was trying to find Calcium to take with the D3 but only find Calcium with D3 included? Does anyone know how much Calcium I should be taking with 1,000 units of D3? And -- would it be ok to get Calcium with D3 included as well as taking 1,000 units of D3?
Thanks,
Loretta
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Precioustime: I became very deficient while taking 1,000ius of D3 daily. I cannot take calcium, so I don't know the answer to your question. I 'assume' (hate to do that, lol) that you have an endocrinologist? I'd ask him about the calcium question. I'm still in the middle of taking 50,000ius of D2 (prescription ordered by endo), so will wait til done with that in August for testing, then a HUGE talk with endo about specifically Vitamin D3, not D2. Good Luck to you....juli
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juli0212 (or anyone else who may know) - wondering why you assume there's an endocrinologist? Is this something else I'm unaware of (because docs fail to tell you what you need to know). What are the criteria for seeing an endocrinologist? Thanks.
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precioustime
I struggled with this one too - finally settled on taking a good calcium citrate with magnesium and 400 iu of vitamin D3, and once a week, I take a single 1000 iu of D to make up the difference.
Oh, yeah, and then once a month I take 50000 ius to make my endocrinologist happy, and keep my D over 20
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Good question, I see the endocrinologist due to hypothyroidism and hyperparathyroidism. He also watches the Vitamin D levels, as it affects the calcium/PTH (parathyroid) since I've already had a parathyroidectomy (removal of a parathyroid gland and benign tumor). Since the endocrinologist is involved in the hormones, I'd think there would be one involved due to our cancer issues (if estrogen positive). My onco does all the ordering of tests though (bone scans, ct scans), endo orders the bone density & vitamin d/thyroid tests.
Icandothis: Have you asked what you optimum level of Vitamin D3 should be? 20 is SEVERELY deficient. Mine want it up to 70 (oncologist/endo/breast surgeon/PCP). Curious if taking just the one dose of 50,000ius a month is bringing your level WAY up? I took daily 1,000ius of vitamin d3, and am deficient. Taking the 50,000ius a week for 5 more weeks, then test, then review what daily dose of Vitamin D3 I should take **it will be more than 1,000ius a day** have a great 4th weekend everybody! ~juli
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Thanks juli, lost my post but in a nutshell I'm guessing my Onc/PCP didn't recomment endo because as far as they are concerned my D3 is normal and as far as I know I don't have a thyroid issue. They are not up on Vit D3 and cancer. So on my own I'm supplementing with 3000 IU's daily plus another 800 that I get from my multi and calcium. My Onc orders blood work every 4 mohths so we'll see what it reads next - end-September visit.
(actually lost it again but did a copy first - hehehe)
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lol patoo...let me know when you get tested what your levels are, cus that sounds like a good dose to me, 3800ius of D3 daily. I cannot take multivitamins or calcium, so just D3 for me. I think with us having ER+ cancer, it can't hurt to have as many supporting physicians as we can (gynecologists, endocrinologists, oncologists, breast surgeons, mammograms, etc...), you know what I mean? Though it does seem to be one appt. after another, lol. I feel it's necessary, as I have not been told I'm in remission as of yet, tumor was against the chest wall, not palpable. Will continue the good fight, as we all are. ALL my best to you...juli
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Does anyone know if Vitamin D deficiency can cause you to be thirsty all the time and a very dry mouth?? I'm experiencing this now.....just cannot eat enough popcicles or ice.
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My labs of D came back around 20. I supplemented for several months at 5000/day, and it only budged the number a little (30). The target is 60+, and many want it higher than that if cancer is involved. So, I increased to 10,000 D3/day for about 2 months. Now, finally, I'm near 60. I'm still wanting to go higher, since most studies still show no side effects, even if the levels are up in the 150 range. Someone outdoors every afternoon (lifeguard) for 4 hours takes in 20,000/day, just to give you a perspective. For me, it's taken so much more D3 than I'd have guessed in order to get that number up higher.
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kcshreve...mine was 22 and I ended up changing brands to Thorne 5000 and using 15,000 to 20,000 a day to get to 61.
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Coonie...I had dry mouth with arimidex, are you taking that??
When I finished up it went away and it is listed as a possible side effect
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And so we can stay confused:
"This suggests that there's a healthy level for vitamin D and, if you are deficient, you have an increased risk of metastasis, but if you go above [a certain point], your risk of death goes up again," Goodwin said.
Although it's not a firm conclusion, Goodwin added, the finding "is raising a red flag. It's probably not safe to take very high levels and get vitamin D levels up really high."
but then just noticed that the article is 2 years old so who knows - just putting it out here FWIW:
http://www.washingtonpost.com/wp-dyn/content/article/2008/05/16/AR2008051601472.html
Someone have more recent data on how much may be too much?
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patoo-
I agree that there is some conflicting info. I had decided to shoot for between 80-100 - but My functional medicine doctor, who I really respect because of his commitment to staying on top of research, said he evaluated much of the recent research and told me that 79 is the optimal level for Vitamin D levels. So that is my new goal!
I know that there is a chart, somewhere, that showed that D3 levels above 52 showed a huge drop for breast cancer - I think 50% - maybe someone has that article saved.
Beth
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Jo: Wow, that's certainly not impressive on the increase in Vitamin D level. I also did the 8-week 50,000ius before being dx'd with cancer, then 1,000ius a day, got very deficient (17). I am going to be questioning my endo QUITE thoroughly after getting done this time with 12 weeks of the D2, 50,000ius (August). See what the level has gone up to.
Agree with posts that said above 65 is optimal for breast cancer survivors/fighers. Mine has recommended a level of 70. I very much doubt with the D2 script that I'll be anywhere close to that, so it'll be interesting. Lots of info here, thank you all so much. I SO believe it's imperative to have optimal levels as I also believe it affects who gets breast cancers (no cancer in my family at all). ALL my best to all of you~~juli
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It seems that the doctors don't have an agreement on this - my intern wanted me to get up to 35, my oncologist claims that 31 is good, the endo wants at leasst 40
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