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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For A Vitamin Deficiency

Please clear up the importance of taking Vit D2 and Vit D3 and Calcium in maintaining overall health and bone health for a 62 year old woman with great bone density. I was on estradiol for twelve years since my hysterectomy and was advised to taper off...my dr. just told me there is a negative effect of long-term replacement hormones. I have decided to drop the D vitamins, calcium, multi-vitamins and improve my diet to be sure I get the nutrients I need. Is this a wise decision? My blood test labs are all great...I already feel better not bothering with something that I may not need. I was treated for Graves Disease in 1993 with radioactive iodine...and take synthroid daily...as well as 20 mg of citalopram...which I am also considering lowering if possible, however, with the risk of Alzheimer's and Lewy Body dementia(father with Alzheimer's, mother with Alzheimer's and Lewy Body dementia), I have heard that untreated depression(I have chronic dysthymia) can contribute to dementia's onset/development. Thanks. Mainly I want to know if it sounds wise to drop all but my prescription drugs(I also take occasional allergy relief meds...zyrtec or allegra...and daily fluticort spray) and work on my diet...esp. to lose about 30 pounds.
Mon, 17 Aug 2015
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Dietitian & Nutritionist 's  Response
Hi there!
I suggest you get a vit D blood test to determine if you should continue with that as almost all tests come back low. The others you may not need at all.
However, you mention you are on medications which for the most part can CAUSE nutritional problems and/or deficiencies. Dietitians use a Drug-Nutrient Interaction Handbook to determine any nutritional issues caused by the medications themselves. Write back with the names of your medications and I can look them all up for you.

There is an entire science dedicated to "smart" drugs or nootropics and the list includes some supplements that might help mental clarity if you ever need to address that.

I see that by taking Citalopram it is fighting your weight loss. But don't stop taking it - it might just make things a little more difficult.

I wish you good luck. Thanks for coming to HCM. Kathy J. Shattler, MS,RDN
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Suggest Remedy For A Vitamin Deficiency

Hi there! I suggest you get a vit D blood test to determine if you should continue with that as almost all tests come back low. The others you may not need at all. However, you mention you are on medications which for the most part can CAUSE nutritional problems and/or deficiencies. Dietitians use a Drug-Nutrient Interaction Handbook to determine any nutritional issues caused by the medications themselves. Write back with the names of your medications and I can look them all up for you. There is an entire science dedicated to smart drugs or nootropics and the list includes some supplements that might help mental clarity if you ever need to address that. I see that by taking Citalopram it is fighting your weight loss. But don t stop taking it - it might just make things a little more difficult. I wish you good luck. Thanks for coming to HCM. Kathy J. Shattler, MS,RDN