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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Elbows After Taking Calcirol?

I have 4.22 level of Vitamin D3 deficiency. My Doctor suggested me one sachet of Calcirol per week for 8 weeks for the initial phase. Upon consumption of the sachet, I suddenly started having sharp pain in my elbows. Now I am afraid to take other doses. Do I take the one sachet contents slowly like instead of consuming 60000 IU at once, can i intake it in 1/4 ratio I.e. around 150000 IU for Four days in a week? Please suggest.
Fri, 12 May 2017
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Diabetologist,  's  Response
Hello, Thanks for the query.
When you have fairly severe deficiency of Vitamin D, then some times taking this supplement may cause some pain.
If you experience Pain from Vitamin D this very likely means that your bones have become somewhat demineralized from having vitamin d deficiency for a very long time. When your bones are demineralized and you begin Vitamin D Therapy, this can cause calcium to begin to go back into the bones. When the calcium goes into the bones it drags fluids with it. This fluid can actually cause a small expansion of the 'collagen matrix' inside the bones and this expansion pushes out against the exterior covering of the bone which is very inflexible and has extensive nerve endings. When this occurs, you can experience this as bone pain or even muscular pain. If you experience new or worsening pain from taking vitamin d, it is NOT Vitamin D Contraindication, a reason to be scared or to stop taking the vitamin d. If you continue with the Vitamin D Therapy, the pain should subside in several weeks. While uncomfortable, you will be better off in the long run if you manage the pain for this time and 'get through' to the other side.
So there is no need to reduce the dose, or take in multiple small doses. Please stick to the present schedule. Pain will go away. Thanks.
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What Causes Pain In The Elbows After Taking Calcirol?

Hello, Thanks for the query. When you have fairly severe deficiency of Vitamin D, then some times taking this supplement may cause some pain. If you experience Pain from Vitamin D this very likely means that your bones have become somewhat demineralized from having vitamin d deficiency for a very long time. When your bones are demineralized and you begin Vitamin D Therapy, this can cause calcium to begin to go back into the bones. When the calcium goes into the bones it drags fluids with it. This fluid can actually cause a small expansion of the collagen matrix inside the bones and this expansion pushes out against the exterior covering of the bone which is very inflexible and has extensive nerve endings. When this occurs, you can experience this as bone pain or even muscular pain. If you experience new or worsening pain from taking vitamin d, it is NOT Vitamin D Contraindication, a reason to be scared or to stop taking the vitamin d. If you continue with the Vitamin D Therapy, the pain should subside in several weeks. While uncomfortable, you will be better off in the long run if you manage the pain for this time and get through to the other side. So there is no need to reduce the dose, or take in multiple small doses. Please stick to the present schedule. Pain will go away. Thanks.