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Suggest Remedy For Severe Vitamin D Deficiency After Gastric Bypass Surgery

Posted on Fri, 13 Mar 2015

Question: I have a severe Vitamin D, Iron And Vitamin B12 Deficiency due to gastric bypass surgery 10 years ago. I am in search of a Nephrologist that is willing to administer Vitamin D via IV. I have received Iron via IV and take monthly B12 injections but need a solution to my severe vitamin D deficiency. I have contacted several nephrologist i Salina, KS, however, they will not take my case because Im not on dialysis. My most recent ViT D level is 9.3 My Iron is 9, Iron Saturation 2% and Ferritin is 4.3. My HGB is 8.6. I have may concerns and getting very few answers on how to move forward and get these levels a normal level. Im 44 and healthy for the most part, just cant seem to get these levels up. Any suggetions

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
Severe iron deficiency

Detailed Answer:
Hello

Thanks for the query

What is more important at the moment is correction of severe Iron deficiency. I highly recommend you to receive Inj Encicarb 500 vials IV, it has to be given very slowly.
I have not administered IV Vit D in any of my patients who are on dialysis. I Give D-Rise 60,000 units once a week with milk for weeks and also Tab Laretol 0.25 once a day as maintenance. IV Vit D stands high risk of hypercalcemia.

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (21 minutes later)

I'm at a loss as to what I can do to get the vit d back to a normal range. I'm on my way to resolving the iron issue but very concerned about long term effects of vit d deficiency. Any suggestions??

Answered by Dr. Rakesh Madhyastha (5 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello

Thanks for getting back

Your vitamin d level is certainly low, I am sure it will improve if you follow the treatment line I have suggested. Low vitamin d is known to cause the following issues
1. generalised body ache and myalgia
2. Accelrated atherosclerosis
3. more risk for fractures
4. Easy fatigue
5. there are some studies which quotes low vitamin d is associated with endocrine issues like diabetes and thyroid disorder

I hope I was of help, if you have any further queries please get back to me

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar