Medical Forum / General / General / October 2007
Truly high doses (up to 40 000 IU per day) of vitamin D for MS victims
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trigonometry1972@gmail.com - 01 Oct 2007 16:35 GMT Am J Clin Nutr. 2007 Sep;86(3):645-51.
Safety of vitamin D3 in adults with multiple sclerosis.
Kimball SM, Ursell MR, O'connor P, Vieth R.
Department of Nutritional Sciences, University of Toronto, Toronto, Canada.
BACKGROUND: Vitamin D(3) may have therapeutic potential in several diseases, including multiple sclerosis. High doses of vitamin D(3) may be required for therapeutic efficacy, and yet tolerability-in the present context, defined as the serum concentration of 25-hydroxyvitamin D [25(OH)D] that does not cause hypercalcemia-remains poorly characterized.
OBJECTIVE: The objective of the study was to characterize the calcemic response to specific serum 25(OH)D concentrations. DESIGN: In a 28-wk protocol, 12 patients in an active phase of multiple sclerosis were given 1200 mg elemental Ca/d along with progressively increasing doses of vitamin D(3): from 700 to 7000 mug/wk (from 28 000 to 280 000 IU/wk).
RESULTS: Mean (+/- SD) serum concentrations of 25(OH)D initially were 78 +/- 35 nmol/L and rose to 386 +/- 157 nmol/L (P < 0.001). Serum calcium concentrations and the urinary ratio of calcium to creatinine neither increased in mean values nor exceeded reference values for any participant (2.1-2.6 mmol/L and <1.0, respectively). Liver enzymes, serum creatinine, electrolytes, serum protein, and parathyroid hormone did not change according to Bonferroni repeated-measures statistics, although parathyroid hormone did decline significantly according to the paired t test. Disease progression and activity were not affected, but the number of gadolinium-enhancing lesions per patient (assessed with a nuclear magnetic brain scan) decreased from the initial mean of 1.75 to the end-of-study mean of 0.83 (P = 0.03).
CONCLUSIONS: Patients' serum 25(OH)D concentrations reached twice the top of the physiologic range without eliciting hypercalcemia or hypercalciuria. The data support the feasibility of pharmacologic doses of vitamin D(3) for clinical research, and they provide objective evidence that vitamin D intake beyond the current upper limit is safe by a large margin.
PMID: 17823429
ironjustice@aol.com - 01 Oct 2007 17:46 GMT >>On Oct 1, 8:35 am, trigonometry1...@gmail.com wrote:The data support the feasibility of pharmacologic doses of vitamin D(3) for clinical research <<
I wonder what the dose / absorption rate would be if the D3 was administered with lecithin .. since lecithin enhances most things by a large margin .. ?
AND most especially .. why .. D3 works.
I wonder at what point can D3 be actually **seen** to BE an effective iron .. chelator .. since iron depletes D3 and iron depletion raises D3 .. What significance is the fact in those with iron overload vitamin D is decreased .. in those with supplemental iron induced iron overload .. vitamin D is decreased.
Bleeding / venesection / bloodletting / phlebotomy .. RESTORES .. vitamin D3 .
<<snip>> The results reveal that the low serum 25-OHD concentration in patients with hemochromatosis is directly related to the extent of iron loading and it is improved by venesection therapy. <<snip>>
Iron induced decreased vitamin D.
<<snip>> when transferrin is saturated with iron, may impair bone formation and aggravate osteomalacia. <<snip>>
Saccharated ferric oxide (SFO)-induced osteomalacia: in vitro inhibition by SFO of bone formation and 1,25-dihydroxy-vitamin D production in renal tubules. Sato K, Nohtomi K, Demura H, Takeuchi A, Kobayashi T, Kazama J, Ozawa H Bone. 1997 Jul ; 21(1): 57-64
A 60-year-old man with portal hypertensive gastropathy due to type C liver cirrhosis developed severe bone pains, marked hypophosphatemia with inappropriately increased urinary excretion of phosphate (%TRP; 9.6%), and hyperalkaline phosphatasia, after intravenous administration of saccharated ferric oxide (SFO) at a dose of 80-240 mg/week over a period of more than 5 years. The total iron infused was estimated to be more than 25 g. On a diagnosis of SFO-induced osteomalacia, the infusion of iron was immediately discontinued, and phosphate and vitamin D2 (1000 IU/day) were administered. Serum levels of 25-OHD2 increased after 1 week, whereas levels of 1,25-(OH)2D2 did not increase until 3 months later, accompanied by improvement of renal tubular reabsorption of phosphate and gradual improvement of the bone pains. The patient has been doing well for the last 2 years, with normal serum levels of phosphate, calcium, and alkaline phosphatase, without any supplementation of phosphate, vitamin D, or iron-containing agents. In primary culture of neonatal mouse renal tubules, in which 1,25- (OH)2D3 was produced from 25-OHD3 in response to PTH, SFO significantly inhibited PTH-induced production of 1,25-(OH)2D3 at 30 mumol/L, which is attainable in the urine of patients receiving a therapeutic intravenous dose of SFO. Furthermore, SFO decreased the calcium content and inhibited 45Ca incorporation in cultured fetal mouse parietal bones at 3 mumol/L. Such SFO concentration may be transiently observed in the plasma of patients receiving excessive intravenous doses of SFO for a prolonged period. These in vitro findings together with the clinical observations suggest that SFO, after filtration through the glomerulus and reabsorption in the proximal renal tubules, impaired proximal renal tubular function, such as tubular reabsorption of phosphate and 1 alpha-hydroxylase activity, leading to hypophosphatemic osteomalacia. Furthermore, it is highly likely that SFO in the peripheral blood, when transferrin is saturated with iron, may impair bone formation and aggravate osteomalacia. Although SFO-induced osteomalacia is reversible simply by discontinuation of the agent, excessive and prolonged administration of SFO should be avoided.
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1: Gastroenterology. 1985 Apr;88(4):865-9. Related Articles, Links
Low serum 25-hydroxyvitamin D in hereditary hemochromatosis: relation to iron status.
Chow LH, Frei JV, Hodsman AB, Valberg LS.
Under normal conditions, vitamin D absorbed from the diet or synthesized in the skin is transported to the liver where it undergoes hydroxylation. The purpose of this study was to determine whether excess hepatic iron affects this process and the subsequent production of 1,25-dihydroxyvitamin D (1,25-[OH]2D) in the kidney. Mean serum 25-hydroxyvitamin D (25-OHD) concentrations in untreated hereditary hemochromatosis were 13 +/- 6 (SD) in 9 patients with cirrhosis, 13 +/- 6 in 5 patients with hepatic fibrosis, and 22 +/- 6 in 10 patients with normal hepatic architecture aside from siderosis and were significantly lower than the levels found in 24 controls matched for age, sex, and season, p less than 0.05. The mean serum 25-OHD levels in the two groups with hemochromatosis and hepatic damage were significantly lower than the value in the group with normal hepatic architecture, p less than 0.05. Serum 25-OHD levels in individual patients were inversely related to the size of body iron stores as measured by exchangeable body iron, r = -0.64, or serum ferritin, r = -0.47, p less than 0.05. In 15 patients removal of excess body iron by venesection therapy produced a significant increase in the mean serum 25-OHD from 20 ng/ ml to 30 ng/ml, p less than 0.05. In contrast, mean serum 1,25-[OH]2D levels were similar in iron-loaded and control subjects, indicating that the regulation of this metabolite was intact in patients with hemochromatosis. The results reveal that the low serum 25-OHD concentration in patients with hemochromatosis is directly related to the extent of iron loading and it is improved by venesection therapy.
PMID: 3838288 [PubMed - indexed for MEDLINE]
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http://health.enotes.com/genetic-disorders-encyclopedia/major-histoco...
Major histocompatibility complex
HLA disease associations Disease MHC allele Approximate relative risk
Ankylosing spondylitis B27 77?90 Patients with ankylosing spondylitis may have extremely low levels of 25(OH)D. http://tinyurl.com/8tonv Celiac disease DR3 + DR7 5?10 A low 25-(OH)D vitamin concentration was a typical biochemical abnormality in our patients (64% of men and 71% of women). http://tinyurl.com/b7b9d Diabetes, Type 1 DR3 5 decreased zinc and 25OHD serum levels in poorly controlled insulin-dependent (Type I) diabetic patients http://tinyurl.com/73fsu Diabetes, Type 1 DR4 5?7 Diabetes, Type 1 DR3 + DR4 20?40 Graves disease DR3 5 [High prevalence of secondary hyperparathyroidism due to vitamin D insufficiency in Graves' disease] http://www.hubmed.org/search.cgi?q=25-hydroxyvitamin+D+and+graves Hemochromatosis A3 6?20 Lupus DR3 1?3 There was a high prevalence of hypovitaminosis D (65.2%), http://tinyurl.com/8wfws Multiple sclerosis DR2 2?4 Vitamin D Defends Against MS http://www.hon.ch/News/HSN/516850.html Myasthenia gravis B8 2.5?4 Psoriasis vulgaris Cw6 8 These data suggest that exogenous active forms of vitamin D3 are effective for treatment of psoriasis and that the endogenous 1,25-dihydroxyvitamin D level also may be involved in the development of this skin disease. http://tinyurl.com/9c88e Rheumatoid arthritis DR4 3?6 We suggest that there is a disturbance in vitamin D metabolism in RA. http://tinyurl.com/df6zv ---------------------------------------------------------------------------?------------------
Prabhala, A., R. Garg, and P. Dandona, Severe myopathy associated with vitamin D deficiency in western New York. Arch Intern Med, 2000. 160(8): p. 1199-203. Five cases of severe myopathy associated with vitamin D deficiency are described. Each patient was confined to a wheelchair because of weakness and immobility. Two were elderly, 1 was a 37-year-old African American with type 1 diabetes mellitus, 1 was being treated for carcinoid syndrome, and 1 was severely malnourished due to poor oral intake. In each, weakness had previously been attributed to other causes, including old age, concomitant diabetic neuropathy, or general debility. Correct diagnosis was made initially by a high index of suspicion, following the demonstration of clinical proximal myopathy; confirmation was made by the demonstration of low 25-hydroxyvitamin D and elevated parathyroid hormone concentrations. Treatment with vitamin D caused a resolution of body aches and pains and a restoration of normal muscle strength in 4 to 6 weeks. Four patients became fully mobile and had normal 25-hydroxyvitamin D concentrations, and the fifth also became mobile. In the 4 fully recovered cases, parathyroid hormone levels on follow-up were lower but still elevated. This finding suggests a degree of autonomy of parathyroid secretion known to occur in cases of long-standing vitamin D deficiency. Myopathy, due to chronic vitamin D deficiency, probably contributes to immobility and ill health in a significant number of patients in the northern United States. An awareness of this condition may significantly improve mobility and quality of life in patient populations vulnerable to vitamin D deficiency.
Who loves ya. Tom
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Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore
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> Am J Clin Nutr. 2007 Sep;86(3):645-51. > [quoted text clipped - 54 lines] > > PMID: 17823429 trigonometry1972@gmail.com - 02 Oct 2007 02:53 GMT Nope, that is not how it works. You are reaching.
I suppose lecithin would be of benefit For SOME people in absorbing fat soluble vitamins. However, you have to take vitamin D3 supplement in the first place.
Follow your own advice and bleed yourself and then tell us how light headed you feel.
Not everthing is iron.
<snip>
> I wonder at what point can D3 be actually **seen** to BE an effective > iron .. chelator .. since iron depletes D3 and iron depletion raises <snip>
> Who loves ya. > Tom [quoted text clipped - 4 lines] > > DEAD PEOPLE WALKINGhttp://pages.ivillage.com/ironjustice/deadpeoplewalking ironjustice@aol.com - 02 Oct 2007 18:13 GMT >> On Oct 1, 6:53 pm, trigonometry1...@gmail.com wrote: Nope, that is not how it works. You are reaching. <<
You are saying vitamin D3 given in high doses does NOT decrease NTBI / nontransferrin bound iron .. ?
Annals of the New York Academy of Sciences 993:313-324 (2003) ? 2003 New York Academy of Sciences
Systemic Vitamin D3 Attenuated Oxidative Injuries in the Locus Coeruleus of Rat Brain
KUEN-BOR CHENa, ANYA MAAN-YUH LINb AND TSAI-HSIEN CHIUa
aDepartment of Physiology, National Yang-Ming University, Taipei, Taiwan bDepartment of Medical Research and Education, Veterans General Hospital-Taipei, Taipei, Taiwan
Address for correspondence: Anya M.-Y. Lin or Tsai-Hsien Chiu, Department of Medical Research and Education, Veterans General Hospital-Taipei, Taipei, Taiwan. Voice: 886-2-28712121x2688; fax: 886-2-28751562. myalin@vghtpe.gov.tw Ann. N.Y. Acad. Sci. 993: 313-324 (2003).
Iron-induced oxidative injuries in locus coeruleus (LC), a major source of noradrenergic projections in the central nervous system (CNS), were investigated in chloral-hydrate anesthetized rats. Local infusion of iron dose-dependently elevated lipid peroxidation of iron- infused LC seven days after infusion. At the same time, norepinephrine content in the hippocampus ipsilateral to the iron-infused LC was decreased in a concentration-dependent manner. Our immunostaining study demonstrated reduced tyrosine hydroxylase-positive neurons in the iron-infused LC, indicating a reduction of neuron number by iron infusion. The involvement of apoptosis in iron-induced oxidative injuries was studied. An abrupt increase in cytosolic cytochrome c content was demonstrated in the infused LC 48 hours after iron infusion. TUNEL-positive cells, an indication of apoptosis, were detected in the iron-infused LC. In an attempt to prevent iron-induced neurotoxicity, vitamin D3, an active metabolite of vitamin D, was systemically administered. Iron-induced increases in cytosolic cytochrome c and TUNEL-positive cells were reduced by this treatment. Furthermore, systemic administration of vitamin D3 attenuated iron- induced oxidative injuries in the infused LC. Our data suggest that local infusion of iron in LC induced oxidative stress and resulted in programmed cell death in the LC-hippocampal noradrenergic system. Furthermore, vitamin D3 may be neuroprotective and therapeutic in attenuating iron-induced neurotoxicity in CNS.
Key Words: iron ? oxidative injuries ? locus coeruleus ? hippocampus ? apoptosis ? neuroprotection ? vitamin D3
>> On Oct 1, 6:53 pm, trigonometry1...@gmail.com wrote: Not everthing is iron. <<
Ah .. I see ..
There is more to you than meets the .. eye ..
It seems you have .. **specifically** come to some type of conclusion about .. **iron** .. have ya ..
Based on .. study and intelligence ..
And you don't know what HFE .. means .. ?
You don't know what HFE .. means ..
Heh .. heh ..
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
california_chief - 03 Oct 2007 06:01 GMT pussy tommy wrote:
> Systemic Vitamin D3 Attenuated Oxidative Injuries in the Locus Coeruleus of Rat Brain
pussy tommy's brain was rejected. It was too corrupted.
... Don't tell pussy tommy's mother he's keyboarding on the usenet. ... She still thinks he's the piano player in a whorehouse.
trigonometry1972@gmail.com - 04 Oct 2007 11:23 GMT Ironinjustice, you did not read the abstract did you?
The additional vitamin D reduced the damage from the infused free iron. It wasn't the iron reducing the vitamin D at least not in this instance. Nor is this evidence that normal level of iron lower vitamin D.
trigonometry1972@gmail.com - 04 Oct 2007 11:29 GMT Not everyone is prone to iron overload. It is true, people should be concerned about the topic given its frequency. Just as people should be concerned about celiac disease given its frequency. But not everything is solved by looking at iron.
california_chief - 03 Oct 2007 05:57 GMT pussy tommy wrote:
> Bleeding / venesection / bloodletting / phlebotomy .. RESTORES ..vitamin D3 .
When are you going to slit your throat?
... pussy tommy reminds me of London -- always in a fog.
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