HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Is The Cause Of Increased Vitamin D Levels?

default
Posted on Wed, 6 Aug 2014
Question: Hello,
I had blood work done and the results of the vitamin d level was increased to 1342 this is rare. It often indicateds that you have problems with the liver. Can you explain the additional blood work test that will be needed to rule out any problems with the liver etc? Gastrologists are often recommended for treat any diagnosis with the liver.
doctor
Answered by Dr. Dr. Klerida Shehu (2 hours later)
Brief Answer:
Following tests...

Detailed Answer:
Hi there,

Yes, you are right; gastroenterologist are the specialists who are taking care of patients with liver disease.

Having high levels of vitamin D level might be indicative for:
- overdose of supplements containing vit.D
- possible problems to liver (rare)
- kidney issues
- parathyroid glands

To rule out liver issues, you should run the following tests:
- transaminases
- total/direct bilirubin
- albumin
- alkaline phosphatase
- abdominal ultrasound

I also advise to run kidney function tests to rule out kidney problems that might alter excretion together with measuring parathormone level.

Please try to stop any supplement (containing vit.D) you might be taking, avoid fortified foods (dairies, bread, etc.).

Your vit.D level is slightly elevated, but not to the point of being worrisome and run the requested tests.

All the best!
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Klerida Shehu (2 hours later)
Thank you for answering my question and I do have a few more. Vitamin d gets excreted through the kidneys so other then having a problem with kidneys vitamin d cannot be stored so why would this d level be so high if supplements get excreted?. Alsisn't do you feel 1342 is not so high if the norm is 900-200? Also what is your intake on cambemezpine for all these years data indicates there can be problems with the liver with the consumption of carbemapine. What type of blood work should I get to follow up on this medication? Thank you
doctor
Answered by Dr. Dr. Klerida Shehu (34 hours later)
Brief Answer:
Following answers to your queries!

Detailed Answer:
Hi there,

The supplements get excreted if kidneys and liver are functioning properly. If not, the extra vit.D taken through supplements will remain in the system giving increased levels.

Usually, the use of anti-depressants (i.e. Cymbalta and carbamazepine) is associated with liver problems. That's why patients are advised to run liver function test every 3 months or more often based on the previous reports.

All the tests mentioned earlier (liver function test) is highly recommended. Can repeat the test of measuring vit.D level and parathormone level after 1 month (as mentioned earlier).

All the best!
Dr.Klerida
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Is The Cause Of Increased Vitamin D Levels?

Brief Answer: Following tests... Detailed Answer: Hi there, Yes, you are right; gastroenterologist are the specialists who are taking care of patients with liver disease. Having high levels of vitamin D level might be indicative for: - overdose of supplements containing vit.D - possible problems to liver (rare) - kidney issues - parathyroid glands To rule out liver issues, you should run the following tests: - transaminases - total/direct bilirubin - albumin - alkaline phosphatase - abdominal ultrasound I also advise to run kidney function tests to rule out kidney problems that might alter excretion together with measuring parathormone level. Please try to stop any supplement (containing vit.D) you might be taking, avoid fortified foods (dairies, bread, etc.). Your vit.D level is slightly elevated, but not to the point of being worrisome and run the requested tests. All the best! Dr.Klerida