6 month labs and I have toxic level Vitamin D

 I just got my labs back and I have now gone from a low 23 on my Vitamin D to a high 204!!!!!  Now my PCP wants me to stop taking my Vitamin D until we can get out of the toxin range.  My B12 was at 946 which she considered high and wants me to back off two doses of the B12 too.  Also, my B7 is high so there go my B-Complex.  Everything else looks great.  Kelly, I would like you to look at my other numbers but I will have to list them later this afternoon when I get home from work.  Do you think I should stop the Vitamin D completely?  I so confused now.

I'll let others comment on the rest, but I have to say a B12 of 946 is pretty great and I don't know why your doctor is asking you to skip doses.

You have the highest D I've ever seen!  Don't worry, it's not causing you any problems right now, is it?  I would cut back on it, sure, but don't panic or anything.  How much D have you been taking?  I would not stop taking it altogether, because if you do it will be sure to drop too low again.  I would rather not play a yo-yo game with it, where I wait until it's seriously low, then take some to get it up high again, then let it drop really low again.

Your B12 is perfect, though.  I would absolutely not cut back on that.  It can drop quickly and can cause PERMANENT nerve damage if it gets too low.  Around 1000 is actually ideal for B12.  And it can safely be much, much higher.  If mine got close to 2000, I would cut back a little.

I'll be happy to look at the rest of your numbers when you get home from work.

At least we all know you've been taking your vitamins!

Don't FREAKIN touch the B12 levels, you're in the range desired of 900-1000.  You don't say how much D you take, and I'd assume it's the dry D3 form, probably the 50K IU dry D3.  I'd say that's the highest D level I've heard of too, but probabl not toxic. D levels may lessen shortly, so I'd not discontinue taking it. If you're taking it daily, then take it every other day.  Just cut back some. Desired levels are 80-90 or a bit higher. PCP's aren't normally "up to speed" on the needs of RNY patients.  My PCP said my D was "fine" at 65 and my B12 was fine at a 665.  My HMO bariatric liason doc said B12 should be the 900-1000, but thought B12 was kind of ok at 65.  I'm taking additional B12 now to get my levels back up. My D levels at 65 were from 4 of the 50K IU per week for over 2 years.  I've taken a 50K IU dry D3 daily for a year now, and hopefully my D labs will be in the 80-90 target range. DAVE

http://www.vitamindcouncil.org/about-vitamin-d/what-is-vitamin-d/vitamin-d-toxicity/

You most certainly are at a toxic level - 100 is considered to be the highest desired level for a human being - makes no difference whether you have had WLS or not!!!! There was someone else on here a couple of weeks ago with a level in the 230's (I think) so you are not the highest ever on here ...

I'm not sure why some people think that we have to have higher levels than anyone else - we may have to TAKE higher levels of vitamins to reach healthy levels but our levels don't have to be twice the same as a non-WLS person (last I checked we were still human beings)!!!

WLS determines whether you are able to absorb - your level has proven that you can absorb vitamin D overly efficiently ... The consequences of a toxic level of vitamin D are way worse than the consequences of a lower level!

A reduction in your vitamin D level would be a positive step right now ...

What D and how much are you taking?  If you are taking one 50000 i.u. a day, you can drop down to 5 a week instead of 7.  Drop down gradually, because it can tank as quickly as it goes high.

Your B12 is GREAT!  Do not decrease.  Keep doing what you are doing.

 Depends how much sun you were getting too as your skin absorbs vit d from the sun.

I would want that lab re-tested to confirm.

Thanks everyboby for responding.  I "was" taking 50,000 units of Dry D everyday.  I take 1000 units of B12 daily.  My labs are as follows:
PTT 32.3
B12/folate 946
folate, serum 19.1
white blood cell count 7.4
red blood cell count 4.55
hemoglobin 14.3
hematocrit 41.7
mcv 91.6
mch 31.4
mchc 34.3
rbc distribution width 12.6
platelet count 263
segs 55.0
lymphocytes 35.3
sodium 138
potassium 4.0
chloride 101
carbon dioxide 28
urea nitrogen 22
creatine.77
glucose 87
calcium total 9.1
total protein 6.5
albumin 4.0
sgot(ast) 31
alkaline phosphatase 70
total bilirubin .4
cortisol level 4
c-reactive protein .5
copper, serum 1017
ferritin 88
homocysteine 8.1
iron & tibc 79
total iron binding 265
% saturation 30
lactate dehydrogenase 129 Low (usually caused by to much Vit. C)
triglycerides 63
cholesterol 137
hdl cholesterol 51
ldl cholesterol 73
coronary risk ratio 2.69
magnesium 2.0
osteocalcin 12.5 High (to much Vit. D can raise this level)
phosphorus 3.3
prealbumin 20.6
pth 47
prothrombin time 14.3 high
mean normal 12.6
inr value 1.18
selenium 132
total t3 1.20
t4-thyroxine 7.6
thyroid stimulating hormone 1.993
t-uptake t3- 27.4
free thyroxine 2.1
uric acid 3.7
vitamin A 54
vitamin B1 9.0
vitamin B6 405.3 High
vitamin D (25-OH) 204 High
vitamin E 8.0
vitamin K .09
Zinc, serum 68

PCP wrote on chart that patient was overall good but is taking too much of the following:  Vitamin D, recommend stop.  Biotin-B7- getting to much, B12- take as usually but would skip 1 or 2 days per week.

Long read but thanks for any input.  Kelly, let me know if I missed any labs. Thanks.

 My D got up past 100 taking 50,000 IU everyday.. so I have cut back to 2x per week.  I just had my D drawn today so I don't know what it's come down to yet.  BUT what I do know is you cannot get toxic levels taking dry d3 it's water soluable.  Yes you should cut back because you don't need your D to be that high but  you are NOT going to hurt yourself.  I would cut back to2x per week and get checked again in a month or two then adjust up or down a pill til you are a nice 100. Check with vitalady if you are still worried she's done a lot of research!

I would not cut back on your b12