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Done with Vitamin D test. Need suggestion - Online Doctor Chats

Date : 03-Oct-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hello Doctor
Doctor:How can I help you today?
User:I have got my Vitamin D test done yesterday
User:wanted to share the results with you and take opinion
Doctor:yes sure
User:the rsults is 9.48
Doctor:It is lower than the normal range
User:the sufficiency level on report says above 30 ng/ml
Doctor:So you need vitamin D supplements
Doctor:along with calcium and phosphate
User:I am not sure if its because of same but since year or so I feel exhausted
User:kind of tired and I had a chat regarding same on the same forum
User:that time they suggested Revital ..
User:but it did not help much
User:I always get yawning.. and even after taking enough sleep I still feel tired
User:can you suggest something
Doctor:What other blood tests did you get done?
User:complete blood picture
User:Fasting plasma Glucose
Doctor:other tests were normal?
Doctor:How about hemoglobin
User:hemoglobin is also normal 15.2
User:TSH is high...but i am anyways taking Thyronorm 75 mcg
Doctor:How much is TSH?
Doctor:t3 t4?
User:T3 - 0.94
User:T4 - 9.30
User:TSH - 7.47
User:rest all urine and blood tests are normal
Doctor:So TSH is raised
Doctor:For how long have you been taking thyronorm?
User:from last 2 yrs
Doctor:I am trying to guess if the yawning etc is due to worsening thyroid function
Doctor:Since then you were taking the same dose or it fluctua?tes
User:I usually get this done pretty much regularly
User:this time it was late ..may be after 6 months
Doctor:Everytime it came normal and this time it is high?
User:yeah..but I think I missed some doses these ays
Doctor:There is one more thing that you can try
Doctor:When taking thyroid supplements
Doctor:We need to titrate the doses according to the symptoms
Doctor:I guess you already know that
Doctor:For a few days you can try taking a higher dose and see if your symptoms are improved
User:but I was having similar feeling when it was normal range
Doctor:If your symptoms do not improve but you get symptoms of high thyroid instead
Doctor:Sometimes it is impending
Doctor:You know just when the body reserves are getting low, we get symptoms
Doctor:If your symptoms do not improve but you get symptoms of high thyroid instead- it means 75 mcg is right for you
Doctor:Consult a thyroid specialist
Doctor:regarding vit d deficiency
User:can you suggest something for Vit d
Doctor:Take shellcal 500 tab
Doctor:one tablet daily
Doctor:also whenever you get vitamin D levels tested also get calcium levels tested
Doctor:Since shelcal has calcium too
Doctor:shelcal has both calcium and vitamin d
Doctor:needed for bones etc
User:because its too low and not sure for how long
User:might be from years
Doctor:mostly it affects bones
User:so any direct suppliments for Vit D?
Doctor:in indian setting when we are exposed to sun, there are less chances that vit d will get low
Doctor:mostly it is in combination
Doctor:ARISTO is one that has vit a, d, e
Doctor:It can also be taken
Doctor:You will need to take it for atleast 3 months and then repeat the tests
Doctor:We need to make sure that oral supplements are working
Doctor:If not then maybe injections will be needed
User:Aristo is once per day?
Doctor:it is better to take with calcium
Doctor:since calcium will be needed to make the bones
Doctor:Just keep checking its levels every 3 months so that it does not get high
User:so you mean Shelcal + Aristo?
Doctor:just one at a time
Doctor:start with shelcal
Doctor:So do you have any question here?
User:no thanks
User:thanks for your time
Doctor:thanks for consulting me
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