vit d3
The one he rx is the only kind he knows. They don't know the difference between D2 and D3, oil or not.
If 26 was my level, I'd do 50,000 dry D3 daily for 2 weeks, then every other day til the level on a D-25 test starts pushing 100. Then holding at 2-3 per week.
1 per week will not hold you. Our standard rny start on 25,000 per day, but that's after correcting the deficiency pre-op.
Dry form D3 cannot go toxic. Read that several times. The level can go higher, but it's not poisonous.
You can get 5000 dry when the 50k are done and take 3-4-5 per day or just stay with the 50k 3 per week (after a turbo blast off) and tweak your labs every 6 months for life). The price is the same if you get the 50k and take a few vs getting the 5000 and take a lot.
2000 per day is about the same as nothing. UNLESS your goal is just to be "clinically normal". If that's your goal, ok. If you want the vit D to actually work for you, the levels need to be much higher.
If you order my 5k, I'd want you to do 10 per day for 2 weeks, then 5 per day for like 90 days, test and adjust. Don't be afraid to order the 50. You cannot go toxic. Well, maybe I spose if you swallowed all 100 at once, you might not feel so good, but neither would you feel so good with that much vit C on board! LOL
If 26 was my level, I'd do 50,000 dry D3 daily for 2 weeks, then every other day til the level on a D-25 test starts pushing 100. Then holding at 2-3 per week.
1 per week will not hold you. Our standard rny start on 25,000 per day, but that's after correcting the deficiency pre-op.
Dry form D3 cannot go toxic. Read that several times. The level can go higher, but it's not poisonous.
You can get 5000 dry when the 50k are done and take 3-4-5 per day or just stay with the 50k 3 per week (after a turbo blast off) and tweak your labs every 6 months for life). The price is the same if you get the 50k and take a few vs getting the 5000 and take a lot.
2000 per day is about the same as nothing. UNLESS your goal is just to be "clinically normal". If that's your goal, ok. If you want the vit D to actually work for you, the levels need to be much higher.
If you order my 5k, I'd want you to do 10 per day for 2 weeks, then 5 per day for like 90 days, test and adjust. Don't be afraid to order the 50. You cannot go toxic. Well, maybe I spose if you swallowed all 100 at once, you might not feel so good, but neither would you feel so good with that much vit C on board! LOL
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
Toxic would be very high. I would prefer to stay below 125. However, if I hit 125, I would not panic. I'd just cut back. Now, if I got tested and was, say, 200, I'd be worried. But I can't imagine that ever, ever happening.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
The only form that CAN go toxic is the D2 in oil. But not for us, since we absorb pretty close to 0% of it.
Water soluble D3 can't reach toxic. To have any symptoms of discomfort, your level would have to reach nearly 800! You'd go broke long before you got there.
You must have medical background. I find that medical ppl are far more afraid of vitamin toxicity (in a generic sort of way) than deficiency which is very real and pretty much guaranteed for us.
Let go of that text book.
30 days will only sorta show if it's working for you. It takes more like 90 to see how much will be your own personal dose. After your daily, your level may jump. Do not be alarmed, just go to every day and test again 60-90 days after. If you stop completely, you'll drop right back to where you started.
Water soluble D3 can't reach toxic. To have any symptoms of discomfort, your level would have to reach nearly 800! You'd go broke long before you got there.
You must have medical background. I find that medical ppl are far more afraid of vitamin toxicity (in a generic sort of way) than deficiency which is very real and pretty much guaranteed for us.
Let go of that text book.
30 days will only sorta show if it's working for you. It takes more like 90 to see how much will be your own personal dose. After your daily, your level may jump. Do not be alarmed, just go to every day and test again 60-90 days after. If you stop completely, you'll drop right back to where you started.
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
Yes I do have a medical background, I work in a doctors office. And yeah I worry about toxicity more then deficiency(weird I know). I didn't know the diference between d2 and d3 though. Glad to know d3 you can't go toxic. I wish I knew why doctors and surgeons do not know these things about vitamins, especially for bariatric patients. Mainly surgeons. I mean I love my surgeon, he's wonderful. But I do notice not JUST surgeons, but my PCP, and other doctors don't know much about levels.
If you press the issue, most docs will admit that they had about 2 hrs training on vites. And most of that was to "fear" them.
When I told my PCP that I fixed 11 y rs of constipation with magnesium, he looked all worried and said something like, "You have to be careful with vitamins and minerals and that natural stuff."
O.
K.
I mean, of course, one should always be careful with what one puts in one's face, but seriously? I took every rx drug on the market for it and I finally solved it with something that occurs in food (in tiny doses)?
So, kind of across the board, I see it with any medical ppl, regardless of degree. The whole toxicity thing is more like the Monster In The Closet. Nobody knows what it is, or what it looks like, but do-o-o-n't open the closet!
Deficiencies are very real for us. And they can kill. But before that, people feel very bad for a long time.
Pre-ops are almost always short in iron, B12, calcium and vit D. In the fat soluble version, it's stored in the fatty tissue. If you ever were a pre-op with any fatty tissue, raise your hand? Right. So, we start out behind the 8-ball. Docs who are up on the latest studies know that 5k a day isn't enough, but some are still scared to go over 800 IU!
I have gazillions of studies, but to me what people actually experience carries a lot of weight. I'll send studies if you want them, but when people started raising their levels up into therapeutic ranges (vs clinical), I thought they were having some sorta placebo effect. Sure, your joints don't hurt so much and your mood is better (wink, wink), but then came the studies! And more studies! And more studies!
When I told my PCP that I fixed 11 y rs of constipation with magnesium, he looked all worried and said something like, "You have to be careful with vitamins and minerals and that natural stuff."
O.
K.
I mean, of course, one should always be careful with what one puts in one's face, but seriously? I took every rx drug on the market for it and I finally solved it with something that occurs in food (in tiny doses)?
So, kind of across the board, I see it with any medical ppl, regardless of degree. The whole toxicity thing is more like the Monster In The Closet. Nobody knows what it is, or what it looks like, but do-o-o-n't open the closet!
Deficiencies are very real for us. And they can kill. But before that, people feel very bad for a long time.
Pre-ops are almost always short in iron, B12, calcium and vit D. In the fat soluble version, it's stored in the fatty tissue. If you ever were a pre-op with any fatty tissue, raise your hand? Right. So, we start out behind the 8-ball. Docs who are up on the latest studies know that 5k a day isn't enough, but some are still scared to go over 800 IU!
I have gazillions of studies, but to me what people actually experience carries a lot of weight. I'll send studies if you want them, but when people started raising their levels up into therapeutic ranges (vs clinical), I thought they were having some sorta placebo effect. Sure, your joints don't hurt so much and your mood is better (wink, wink), but then came the studies! And more studies! And more studies!
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
i was low in vitamin D pre op, my PCP put me on 50k IU of D2( i thought it was d3 cause he said d3 when i seen him but script was d2). i took it once a week. when i read the symptoms of vit d deficiency i had a lot. though i wasn't sure how i was so deficient since i spent most of my time in the sun or in the tanning bed
stopped those like 3 weeks before surgery. so now i bought the 50k and i hope once i get them and after a month or so i see improvements with things. my only fear is if i lose my job that means i lose my health ins. if i lose my health ins i don't know how i'd get my blood work done so that i can actually check my levels. but i guess i'll cross that bridge when or if it ever comes to it
stopped those like 3 weeks before surgery. so now i bought the 50k and i hope once i get them and after a month or so i see improvements with things. my only fear is if i lose my job that means i lose my health ins. if i lose my health ins i don't know how i'd get my blood work done so that i can actually check my levels. but i guess i'll cross that bridge when or if it ever comes to it
See? When my husband was in the hospital, I worked with the phaarmacists to keep him on track. They had NO clue the diff between D2/D3. D2 is ergocaliciferol. D3 is cholecaliciferol.
I insisted they give him ours, so they put it in a little portion thingy marked: D3, ergo
Yeah, ok. If the pharmacist doesn't know, how do we expect the docs to know? That means your doc read studies on D3. But he didn't know that D3 is OTC. Only D2 is rx. And nobody believes that D3 comes in water soluble 50,000. One dietitian looked me right in the eye and told me there was no dose higher than 1000. Um. Well, I guess she told ME. LOL
You can buy a vit D test for under $70. You get the kit, poke your finger and mail to the lab. They give you a coupla wipes and even a bandaid! LOL You get your full results about a week later. Pretty cool. I noticed my regular labs bills it for around $230 and my ins pays about $130. That's just wrong when I can do it for under $70!
I insisted they give him ours, so they put it in a little portion thingy marked: D3, ergo
Yeah, ok. If the pharmacist doesn't know, how do we expect the docs to know? That means your doc read studies on D3. But he didn't know that D3 is OTC. Only D2 is rx. And nobody believes that D3 comes in water soluble 50,000. One dietitian looked me right in the eye and told me there was no dose higher than 1000. Um. Well, I guess she told ME. LOL
You can buy a vit D test for under $70. You get the kit, poke your finger and mail to the lab. They give you a coupla wipes and even a bandaid! LOL You get your full results about a week later. Pretty cool. I noticed my regular labs bills it for around $230 and my ins pays about $130. That's just wrong when I can do it for under $70!
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
About a month ago, I had a blood test for my vitamin D25 hydroxy and it came back greater than 150. They couldn't get a actually measurement it was so high. My Endocrinologist went nuts. She was okay when I was in the low 100, but this high she wasn't okay. She had me stop it for 1 week and get retested. It went down to 112. So, after that I cut my dose from 50,000 3 times per week to 50,000 2 times per week. I just had my levels rechecked on Thursday - don't know the results yet.
I can't believe how high my level got. I was on the 3 times per week dose for over a year and was pretty stable. I don't know if it is because of the all the surgeries and complications I went through the past 7 months or if it is just a fluke.
What are the symptoms of high vitamin D levels? I know you say you can't go toxic but really high levels must cause something.
I can't believe how high my level got. I was on the 3 times per week dose for over a year and was pretty stable. I don't know if it is because of the all the surgeries and complications I went through the past 7 months or if it is just a fluke.
What are the symptoms of high vitamin D levels? I know you say you can't go toxic but really high levels must cause something.
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