Medical Forum / Diseases and Disorders / Arthritis / October 2007
Vit. D LEVELS
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johnie - 25 Sep 2007 20:10 GMT Noticing that several of us are coming up short on the D side lately I am real curious how widespread this has become. It is up in the Fibro group also. If you are having to supplement Vit. D because of low labs please check in here. What was going on that sent you or your Dr. looking in this direction. thanks...
D-less in the desert, johnie
california_chief - 25 Sep 2007 21:32 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro > group also. vitamin D - One of several vitamins having antirachitic activity. The vitamin D group, whic is fat-soluble, includes D2 (calciferol), D3 (irradiated 7-dehydrocholesterol, D4 (irradiated 22-dihydroergosterol, and D5 (irradiated dehydrositosterol). It is essential in calcium and phosphorus metabolism; consequently, it is required for normal development of bones and teeth. A deficiency of vitamin D causes imperfect skeletal formation, rickets, and caries.
rickets - A disease of bone formation in children, most commonly the result of vitamin D deficiency, marked by inadeequate mineralization of developing cartilage and newly formed bone, causing abnormalities in the shape, structure, and strength of the skeleton. This condition may be prevented by exposure to ultraviolet light (sunlight or artificial light) and administration of vitamin D in quantities that provide 400 I.U. of vitamin D activity per day. Vitamin D deficiency disease in adults is know as osteomalacia. EDTIOLOGY: Rickets has many causes, including diseases that affect vitamin D or phosphorus intake, absorption and metabolism; renal tubular disorders; and diseases in which the child is chronically acidotic, among others.
> If you are having to supplement Vit. D because of low labs please > check in here. > What was going on that sent you or your Dr. looking in this direction. My rheumatologist thought a calcium supplement along with a DMARD would be beneficial. He suggested a calcium-vitamin D combination. I also get 12 or more 5-minute exposures to sunlight (depending on the seasons) when I take a break from this keyboard. <g>
... I bring you these 15.....oops.....CRASH.....10 commandments.
sweetpickleNO@SPAMknology.net - 25 Sep 2007 22:08 GMT Dr. Saway didn't tell me why he decided to check my Vit D, but when he sent me to the lab, that was included. Gwen
>> Noticing that several of us are coming up short on the D side lately I >> am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 38 lines] > > ... I bring you these 15.....oops.....CRASH.....10 commandments. Nann Bell - 25 Sep 2007 22:45 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 6 lines] > D-less in the desert, > johnie I was tested last spring because of the extreme fatigue I've been battling and life around the 45th parallel is conducive to coming up short on D. I was taking 1000IU/day at the time in my multi-vit and calcium pills. I came up short on one of the 3 scales in the labs and he had me increase it by another 200 IU/day. Of course, we were also getting into the good natural D season up here so I can't really report until next winter.
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Adelle - 26 Sep 2007 00:13 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 6 lines] > D-less in the desert, > johnie My pain and fatigue levels weren't improving with treatment for my RA. They were also increasing over the course of the day, so he ordered the blood test, and sure nuff, the level was low. Eight weeks of a mega supplement fixed it. That was 18 months ago. Hasn't been an issue since.
Adelle
d'huit - 26 Sep 2007 00:15 GMT Noticing that several of us are coming up short on the D side lately I am real curious how widespread this has become. It is up in the Fibro group also. If you are having to supplement Vit. D because of low labs please check in here. What was going on that sent you or your Dr. looking in this direction. thanks...
D-less in the desert, johnie
what was going on was the low impact shattering of my wrist and the ulnar break near my elbow and the porosity of my bones. my hand surgeon called my rd and had her run tests on me for vit.d deficiency. (up here in the great northwest, vit. d deficiency is common.) labs turned out very low and i was put on 10,000 i.u. vit.d. daily for a time.
kate
jofirey - 26 Sep 2007 02:15 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 17 lines] > > kate I'm starting to wonder if somehow calcium supplements are causing the vitamin D deficiency. Is it possible that extra calcium is binding up vitamin D and taking calcium alone "uses up" the vitamin D in your system?
Either that or the doctors are suddenly testing D levels because they can.
Jo
Joan Carter - 26 Sep 2007 03:18 GMT >I'm starting to wonder if somehow calcium supplements are causing the >vitamin D deficiency. Is it possible that extra calcium is binding up >vitamin D and taking calcium alone "uses up" the vitamin D in your system? Jo, Vitamin D is necessary for the uptake of Calcium.
>Either that or the doctors are suddenly testing D levels because they can. Doctors have tended to ignore the need for Vitamin D. Years ago my mother was put on Calcium and not Vit. D. I told her at that time that she ought to be taking Vit. D as well, had her doctor not told her that? However, she was one of those who thought the doctors were gods, and a mere nurse knew nothing. Researchers have suggested that up to 4,000 I.U. if Vitamin D is necessary. I take 1,000 I.U. in summer and 2,000 in winter. I'll see if I can find the information on D.
I have never had my D level tested. What they do know now is that the recommended daily dose of 400 I.U. is not sufficient, and I think it was even lower in the states.
Joan
Joan Carter - 26 Sep 2007 03:32 GMT >I'm starting to wonder if somehow calcium supplements are causing the >vitamin D deficiency. Is it possible that extra calcium is binding up >vitamin D and taking calcium alone "uses up" the vitamin D in your system? > >Either that or the doctors are suddenly testing D levels because they can. Jo, try looking up Vitamin D and Dr. Reinhold Vieth and Vitamin D and Dr. Ashton Embry. The latter has backed off on his suggestion of up to 4,000 I.U. daily due to risk of toxicity. Embry is really big on diet and supplements. His son has MS and he was saying that diet and supplements was causing him to do well. As those of us with MS know, it can be good one day and bad the next practically, a lot like arthritis.
Vieth is now suggesting 1,500 I.U. per day. My rheumatologist said the 2,000 I.U. I take in winter is safe. Guess it depends on who you talk to. I see my neuro tomorrow for my annual visit, must ask him.
At the moment we still have summer weather, it was 30 degrees today and lots of sun. Too hot to be outside for long, but I still manage some sun. I have been able to be out for most days if it is not the hot part of the day. By the way, our temps are in Celsius, that translates to around 90 F. :-)
Joan
sweetpickleNO@SPAMknology.net - 26 Sep 2007 19:34 GMT Joan, I'm glad you explained the difference between C & F temperatures. I was shaking my head at 30 degrees being hot! Gwen
>>I'm starting to wonder if somehow calcium supplements are causing the >>vitamin D deficiency. Is it possible that extra calcium is binding up [quoted text clipped - 22 lines] > > Joan Alice Faber - 26 Sep 2007 04:10 GMT > I'm starting to wonder if somehow calcium supplements are causing the > vitamin D deficiency. Is it possible that extra calcium is binding up > vitamin D and taking calcium alone "uses up" the vitamin D in your system? > > Either that or the doctors are suddenly testing D levels because they can. It's the law of unintended consequences at work. It used to be thought that sufficient exposure to sunlight would allow the body to synthesize all of the vitamin D it needs. But now that people are being told to use sunscreen on any body part that might be exposed to the sun, even for a few minutes, that synthesis doesn't take place.
 Signature "[xxx] has very definite opinions, and does not suffer fools lightly. This, apparently, upsets the fools." ---BB cuts to the pith of a flame-fest
jofirey - 26 Sep 2007 04:42 GMT >> I'm starting to wonder if somehow calcium supplements are causing the >> vitamin D deficiency. Is it possible that extra calcium is binding up [quoted text clipped - 9 lines] > sunscreen on any body part that might be exposed to the sun, even for a > few minutes, that synthesis doesn't take place. I really don't know. I don't know anyone who is that faithful with the sunscreen. Of course some women have sunscreen in their makeup but that is just the face.
I do know that for me, I do not need to dump any more chemicals into my gastro-intestinal tract. But I've made a point of getting at least fifteen minutes of sun every day that I possibly can for years.
I sort of have to plan it into my day, because I pretty sun intolerant and can't sunbathe or spend a long time in the mid day sun or I get sun poisoning. Thankfully in northern California I can get enough sun before 11am or after 2 pm to keep a slight tan and keep feeling OK.
Jo
d'huit - 27 Sep 2007 04:59 GMT <.gentle snip>
I'm starting to wonder if somehow calcium supplements are causing the vitamin D deficiency. Is it possible that extra calcium is binding up vitamin D and taking calcium alone "uses up" the vitamin D in your system?
Either that or the doctors are suddenly testing D levels because they can.
Jo
i'm not sure what the exact answers are to those questions. however, my thought for the first question is that it seems unlikely to me. (i think it is more likely that taking calcium supplements is causing more cases of kidney stones than once was the statistical norm.) lifestyles have changed dramatically, in the past 40 years. the young are more indoor oriented, what with computer games, tv and such and thus more prone to deficiency; the elderly and the handicapped (except golfers<g>) generally spend more time indoors. more jobs are mainly indoors now, too, making people more prone to it.
my thought for your second question is that vitamin d is necessary for absorption, so the calcium taken alone simply would not be absorbed if there was no available vit. d present. but, what you are positing is possible.
as to the more widespread testing, i suspect that is because the largest generation in this nation's history is entering the stage in life where osteoporosis becomes a serious health issue (although, i did know a 12 year old boy in the ortho wards, back in '71, who had an extreemly severe case of osteoporosis and non-unions as a result.).
roughly about 10 years ago, i had a chiropractor take some xrays of my spine. at the time she mentioned that i might have some degree of osteopenia, also stated that xrays show only about 75% of whatever damage is actually occurring. that prompted me to do some information gathering about osteoporosis. so, this is old information and may or may not have been disproven since.
i stumbled upon what was pressumed to be fact, based upon research studies back then, that certain foods and beverages we consume bind to the calcium in our bones and remove it through our cleansing processes--things like carbonated beverages, almonds (which i'd never give up--my favs!) and assorted other very common things i can no longer recall.
i'm thinking, if this info is accurate, then it hurts those industries' bottom lines, so the information has been somewhat hushed up, because i rarely hear it mentioned. but these common foods and beverages could be also contributing to the seemingly sudden awareness of osteopenia/osteoporosis and more testing for bone density and vit. d deficiencies and the push to consume more calcium and vit. d.
kate
Alice Faber - 26 Sep 2007 00:32 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 5 lines] > > D-less in the desert, I think there must have been an HMO directive of some sort. A friend of mine with recalcitrant joint pains was just found to be massively deficient. My GP ordered the test for me at about the same time. My results were OK, with the level of supplementation I'd arrived at on my own, so I didn't get the loading dose, though I was told to keep up with what I'm doing.
 Signature "[xxx] has very definite opinions, and does not suffer fools lightly. This, apparently, upsets the fools." ---BB cuts to the pith of a flame-fest
Duckie - 26 Sep 2007 01:46 GMT Because of the pred and my post menapausal age, I have been taking calcium but the last 9 months the RD specially asked about extra D and I added it back then. Now I can say yes to him when he asks. So no test to my knowledge save the bone density which shows osteopenia. Duckie
> Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 6 lines] > D-less in the desert, > johnie ANN M - 26 Sep 2007 01:58 GMT I'm on D therapy for a specific problem not related to my RA. It's a very high level of Parathyroid Hormone Intact and a low level of two of the D vitamins. I take paricalcitol (1 MCG) every day and twice a week take 50,000 int'l units of ergocalciferol. The vitamin C levels continue to be fine which is curious. As a side effect, my latest bone scan showed a huge improvement over a year ago.
Ann
nanny - 27 Sep 2007 16:20 GMT johnie, Michael Baugh brought up the subject several times over the years about shortages of Vitamin D and how important it was to get it checked out. Probably a lot of us "shrugged it off" (as I did). Then, in the last year, with bone scans ordered for both my mother and me, it was found that we're both deficient in Vitamin D and that she has Osteoporosis as well. We are both on prescribed Vit. D supplements now, and I'm studying the list of foods rich in this vitamin. Nanny
> Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 6 lines] > D-less in the desert, > johnie Kate - 04 Oct 2007 02:17 GMT > Noticing that several of us are coming up short on the D side lately I > am real curious how widespread this has become. It is up in the Fibro [quoted text clipped - 6 lines] > D-less in the desert, > johnie Taking 50,000IU Vit D weekly cuz of osteoporosis not responding to calcium supplemetns alone...could it be the new meds doing this? Enbrel, hunmira etc? Kate-ps off to Disneyworld for the week! can't wait for that Tower of terror- my fav and the Blue Man Group
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