PAGING Poet Kelly!!

OK, I'm at work, so I got to make this short...  But, my complete labs are posted on my profile if you need to look...

My current question is about Vit D (what else??)...  When I got my labs done Aug 4, my Vit D was 21 - PTH 118.  I ordered and took Vita Lady's 50,000 iu daily for approx 10 weeks and had labs done again.

I just received a call from my surgeon and they said my Vit D is now too high (yeah, that's their opinion) at 138.  I want YOUR opinion.

Since having my labs drawn 1 1/2 weeks ago, I dropped the Vit D down to 2 per week (100,000 iu weekly). 

The surgeon wants me to STOP Vit D completely until Dec 15 when I have my labs drawn again because they want me down to 50.  I prefer to be higher, closer to the 100 mark, so I think I'm going to go ahead and continue 2 per week to be my maintenance...  And see what it is in a month.

They said after taking my labs again in Dec, they might put me on a maintenance dose of 15,000 iu weekly or maybe none at all.

Just curious what your opinion on this is... 

Also, anyone else interested and knowledgeable in Vitamin levels are welcome to chime in too!

Thanks everyone for your help!

Dot

D issues are common with post ops. That's why I and many other post ops advocate the 50K IU dry D3.  I would not stop, just take one less per week.  You want levels to be 80-90 or a little higher.  Don't know how many you took before your test, but backing off slightly should be fine.  Having D levels at 50 is not the best idea for post ops.  Calcium citrate is maximized with D levels at 80-90, your chances of coming down with several cancers is decreased by 50%, etc. Lower levels of D will likely lead to teeth problems initially, and longer range there may be many other issues.  15K maintenance is probably useless.  I took 4 of the 50K IU dry D3 per week for 2 1/2 years and my D labs finally reached 65. In the past year since that test, I've been taking one of those 50K IU daily. Labs due shortly.  If numbers are as high as you had, I'll decrease D intake slightly , BUT I WON'T STOP as it's taken me 4 years to get to a 65 for D.  Each pateint is different with their body's assimilation of vitamin D.  Some say they can get 80 labs for D on 5K three or 4 times a week.  Some, like myself, need much more.  DAVE

Wow teeth problems...mine have been killing and my vit d came back last month at 4 ( nurse told me it was neg 4 after posting here poet kelly said no such thing so asked my pcp and she said she's right it's reg 4) I was orginally taken 3x a week 50000 from vitalady to begin w/so pcp was shocked. Now I take it once a day and see the endocronolgist next Friday. I hope they gave you a referal to one.

Vitamin D is fat soluble, therefore it can be stored in the fat cells and reach toxic levels.  80-100 are considered to be optimum.  50 is still too low, I don't care what your surgeon says.  100 is the upper limit.

The first sign of vitamin D toxicity is hypercalcuria (excess calcium in the urine) followed by hypercalcemia (high blood calcium). The following symptoms may present:

• nausea
• vomiting
• poor appetite
• constipation (possibly alternating with diarrhea)
• weakness
• weight loss
• tingling sensations in the mouth
• confusion
• heart rhythm abnormalities

The immediate symptoms of vitamin D overdose are:

• abdominal cramps
• nausea
• vomiting

Can I ask where you are coming up with 100 as the upper limit?

The Vitamin D Council.

http://www.vitamindcouncil.org/about-vitamin-d/what-is-vitam in-d/vitamin-d-toxicity/

Serum levels: upper limit and toxicity threshold

Upper limit for a substance is the amount up to which is considered safe and without risk of adverse effects in the majority of the population.

Toxicity threshold for a substance is the amount beyond which over-saturation occurs and symptoms of toxicity manifest.

These values for 25(OH)D are as follows:

• Toxicity threshold level - 200-250 ng/mL (500-750 nmol/L) ^{4 5 6 7 8}
• Upper limit - 100 ng/mL (250 nmol/L)

The large range between 25(OH)D’s upper limit and its threshold value implies a degree of safety at serum levels up to 100 ng/mL (250 nmol/L), since concentrations twice this amount have yet to ever be associated with toxicity

Maybe she will think twice now about offering people trophys when they post that their levels are 230++ !!!

I have posted this link 4 times in the last couple of weeks!  

Vitamin D toxicity is very rare, but it can happen, especially with mega dosing, like we do.  And the consequences can be just as dire as vitamin D deficiency.

As I am sure you did when you did your RN training, nutrition is quite an important component of my degree training in midwifery so to see people on here posting and giving medical advice which is WRONG just chaps my butt! Nothing wrong with questioning a medical practitioner but to tell other people to ignore theirs is a bit of a stretch - especially when people are putting themselves in medical predicaments by doing so!

Of course she cant see what I post as that was how she dealt with me the first time I told her she was wrong ...