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Treatment for vitamin D deficiency - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vitamins
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor :   Hi
Doctor :   Dr xxx here
Doctor :   How may i help you?
User :   Thanks. My daughter is 17 years old and 5 feet 10. She has been very tired all the time. We have done a lot of tests. Her thyroid is not working well and her vitamin d levels are very low. She has been drinking her medicine for more than a month but she is more tired now than before. She weights only 124 pounds and is very active Please help
Doctor :   What are the blood haemoglobin levels?
Doctor :   Its most common for girls to suffer from anaemia during early puberty
User :   I don't know the doctor did not tell us that. They did test her for leukemia but the test came back negative. She skipped her period now for 2 months
Doctor :   Ok
Doctor :   Otherwise was her periods regular before, any conditions like excessive bleeds, painful menses?
User :   She is playing golf and go to the gym 3 times a week but we can't go on like this
Doctor :   Ok
User :   Her periods was regular everymonth since she was eleven years old when it started. No exsesive bleeding but very painful
Doctor :   What medicines is she put up on
Doctor :   At present
Doctor :   Vitamin D is of utmost importance for your body because its role is to help your body use the calcium and phosphorus from your food. It also regulates normal cellular differentiation thus preventing cancer and helps insulin secretion. Deficiency of this vitamin is connected to rickets
User :   1000mg Vitamin D and Thyroid (Armour) 30mg and amino acids
Doctor :   Ok
User :   What is rickets?
Doctor :   Deficiency of vitamin D will produce the following depression, chronic fatigue, weight loss, diabetes, heart disease, stroke and osteoporosis.
User :   She did loose a lot of weight the last month. Her blood pressure is also very low 90/50
Doctor :   Rickets is a disorder caused by a deficiency of vitamin D
User :   Do you think she needs to take more
Doctor :   Even calciuma or phosphate. It leads to softening and weakening of the bones and is seen most commonly in children .There are several subtypes of rickets, including hypophosphatemic rickets (vitamin-D-resistant rickets), kidney rickets (renal osteodystrophy), and, most commonly, nutritional rickets (caused by dietary deficiency of vitamin D, calcium, or phosphate). Classic nutritional rickets is also medically termed osteomalacia.
Doctor :   No the dose is age specific and she getting the requiree dose
User :   We can see that she is very tired and that she has no energy but we can not go on like this. What can we do about this
Doctor :   See this a condition more related to malabsorbtion of vitamins from the gut
Doctor :   Thats why we are giving her supplements
Doctor :   AS we are fighting against nature it takes a pretty long period to accomplish necessary stores and then give good results
User :   They did test her for malabsorbtion and it came back fine
Doctor :   okf
User :   The last test they did this week was they took stool samples
Doctor :   There are also some unknown etiology that means Some kind of improper usage of the vitamin too'
Doctor :   Even hypothroidism will cause tiredness
User :   But this has been going on for a year. She has lost 35 pounds in the last year
Doctor :   Hypothroidism is also a long term problem
User :   They also said that her body is rejecting her electrolites
Doctor :   Ok
User :   Will the medicine work for that or what can she do to feel better. She wants to become a golf pro but feeling like this she has no energy to hit a golf ball
Doctor :   All she needs is your Support
Doctor :   Because all the medications for her condition are already prescribed
Doctor :   There are no kind of extra medicine boosters for this condition
User :   She has that a 100%, but she is crying today and say she can't go on like this being so tired and without any energy
User :   She is struggling to concentrate as well
Doctor :   I would rather ask you to consult Your PCP and slightly increase the thyroid supplement
User :   Ok i will do that. Will vitamin B12 injections help to boost her energy
Doctor :   There are just a kind of placebo effect
User :   What do you mean
Doctor :   They do produce mild comfort levels But ultimately the touch of Doctor will make her feel better
User :   Will it be a good thing if her doctor send her to say UCLA to do more tests
Doctor :   These are drugs given as supplemnt and the moral is to give the patients moral support and confidence, though the drug doesnt produce as told effects
Doctor :   Tests as such will not be required
Doctor :   Just give her some more moral support and ask her to increase her outdoor activitiies moderately
Doctor :   And gradually she will gain power and stamina
Doctor :   As in your case she Should restrict outdooor axctivity and gradually increase day by day
User :   Ok thanks like i said we give her propper home made food and no junk food. She is practising her golf 6 days a week and play in tournaments every week so i don't think she can increase her outdoor activity more than she is doing now
Doctor :   So that she gets tuned up and gains confidence
Doctor :   you can cut it down to 5 days a week
Doctor :   Give her ample rest between practise sessions
User :   We will do that. They just started there school golf but i can tell the coach that she will not be practising on wednesdays
Doctor :   I meant slowly increase, that signifies reduce present load and then increase later
Doctor :   Thats will help her
Doctor :   Is she getting anykind of protien supplemnt drinks
User :   I give her muscle milk but don't know how much to give on a day
Doctor :   Give her only 100mg a day
User :   What do you suggest
Doctor :   I gues syou have powder form of it?
User :   I also give her organic fresh vegetables and fruit to eat. No junk food.
User :   I have not looked at the syou powder.
Doctor :   See to that you include more fibre rich diet
Doctor :   As i am not familiar with the brand cant advise regarding syou powder
Doctor :   IS it soya powder
User :   She eats weatabix for breakfast and yogurt in the morning
User :   No it is a pre mixed drink
Doctor :   Ok#
Doctor :   You can also add Fresh juices to her breakfast
User :   Yes she drinks a glass of orange juice with her medicine and she eats whole wheat bread. Very healthy eater
Doctor :   Ok
Doctor :   How much red meat does she consume on an average through out the week
User :   She eats beef about 4 days a week then some fish and chicken and she loves pasta
Doctor :   Ok thats is fine
User :   We steam her vegetables.
Doctor :   I know its difficult being a parent and to accept the medical condition of our children
User :   What would you suggest her calorie intake in a day should be
Doctor :   AS in her condition she faces most of the issues due to hypothyroidism
Doctor :   And vitamin D deficiency in both cases we aere fightiing against the body mechanism so will take some time for results
Doctor :   So all we have to do give her regular medicines, care and moral support
Doctor :   We should accept the faxct the these conditions are long lasting and takes considerable time for recovery, so modify our life style according to our physical status
Doctor :   Than facing difficulty due to strain
User :   We will do that. Thanks for your help i appreciate this very much
Doctor :   Her height is 5, 10" and weight is 124 right
User :   Yes she is almost 5,11"
Doctor :   Then she will require 2000kcal for moderate work
User :   and her weight is 124
Doctor :   during practise sessions do increase to 2500k cal
User :   Ok how do you do this if she has no appetitie
Doctor :   I would also suggest you to provide her electrolytes during praxctise sessions
Doctor :   Provide small quantity high energy feeds
User :   Such as
Doctor :   Like Red meat/ butter/ cheese/ milk shakes/ nuts/ salads / etc
User :   Ok we will do that. I have electrolytes that she can mix with water
Doctor :   That should really help her during practise
Doctor :   And also have a word with the coach explaining him her condition and request him to train her to her limits ( not to overdo training)
User :   We will do that and i will get her to drink milk shakes. She loves cheese and nuts so that will not be a problem. I have to go and pick her up from her match I will tell her that when i see her this afternoon
Doctor :   As children posses more interest to sports they tend to overplay that is also cause for early exhaustion
Doctor :   Is there anything else i can help you with?
User :   we know that but she always take 2 days of in the week.
User :   No i got some answers thank you very much
Doctor :   Thanks for consulting me
Doctor :   Wishing her a speedy recovery
Doctor :   Bye for now
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