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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vitamin D Deficiency?

My doctor told me that I have a vitamin d def. Before I was told to take 5000 un weekly, now he tells me to take 50,000 unit weekly. Reading the reports from others, they have had some serious side effects. I am very uncomfortable putting that amount into my system. Why is there such an epidemic of low Vit D deficiency? My level was at 14/per the doctor. Isn t this too much?
Wed, 30 Mar 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.

Please note the Vitamin D status definition:

Severe deficiency      Deficiency      Sufficiency      >20 ng/mL
Risk of toxicity      >50 ng/mL

So your are in deficiency state.
Vitamin D is immunomodulator. It has hormone action, maintain bone and calcium metabolism. It also prevent diabetes, hypertension, heart disease, various cancer, bone fracture
So take treatment to prevent future complication

You should take 50,000 IU/week for 8 week.
You can also take stoss therapy: 3-6 lakh units over 1-5 days
keep the serum levels of 25(OH)D >30 ng/dL which is considered to be the optimal level.

Exposure to sunlight for 2 hour / week with open hand , forearm and face, feet between 10 am to 12 noon
However, to maintain vitamin D level in the sufficiency range the duration of UVR exposure particularly in relation to time of the day, season or skin pigmentation, remains to be determined.
Excessive exposure to sunlight dose not lead to vitamin D toxicity.

Take following advice:
Dietary and supplemental sources of vitamin D:
Oily fish such as salmon,
mackerel and sardines,
cod liver oil,
and liver and organ meats
Fortified milk.

Hope this may help you.
Best regards
Dr. Sagar
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What Causes Vitamin D Deficiency?

Hello dear Understand your concern. Please note the Vitamin D status definition: Severe deficiency Deficiency Sufficiency 20 ng/mL Risk of toxicity 50 ng/mL So your are in deficiency state. Vitamin D is immunomodulator. It has hormone action, maintain bone and calcium metabolism. It also prevent diabetes, hypertension, heart disease, various cancer, bone fracture So take treatment to prevent future complication You should take 50,000 IU/week for 8 week. You can also take stoss therapy: 3-6 lakh units over 1-5 days keep the serum levels of 25(OH)D 30 ng/dL which is considered to be the optimal level. Exposure to sunlight for 2 hour / week with open hand , forearm and face, feet between 10 am to 12 noon However, to maintain vitamin D level in the sufficiency range the duration of UVR exposure particularly in relation to time of the day, season or skin pigmentation, remains to be determined. Excessive exposure to sunlight dose not lead to vitamin D toxicity. Take following advice: Dietary and supplemental sources of vitamin D: Oily fish such as salmon, mackerel and sardines, cod liver oil, and liver and organ meats Fortified milk. Hope this may help you. Best regards Dr. Sagar