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Re: Vitamin D repletion

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Our endocrinologists give 50,000 IU Vit D as a repletion dose (once a week

for 1 or 2 months.. I think). This is by prescription. With a known

deficiency, you are probably not going to find what you need over the

counter if the goal is repletion.

If you are in a hospital, contact someone in your endocrine or pharmacy

department about pharmacological options.

Amy Haselbush MS, RD

Vitamin D repletion

Hello,

I'm curious to know what your doctors are prescribing for deficient

(vit d 25 (oh)< 9) and suboptimal (vit d 25(oh)< 20) vitamin D

levels. Currently most of our RNY patients get 1200 units of vit D

from MVI and calcium + D supplements. unfortunetely living in the

New England area the sun is not a good source this time of year...the

darn sun goes down at 4:30!!! We have seen quite a few with

suboptimal levels and are very concerned with their bone health.

I called a couple of pharmacies and they only carried gel caps. We

advise our patients to avoid pills until 8 months post-op so gel caps

does not seem to be a good option. I've tried to find an oral liquid

vit d supplement but have failed. Any suggestions? and if you know

of an oral liquid supplement...what is the drug company, does it

taste ok, and is it expensive?

Thanks for you help!

Boyer, RD

Beth Israel Deaconess Medical Center

Boston, MA

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