Vitamin D deficiency

[Guest guest]

Hello all,

We have a patient one

year post RYGB.

Vitamin D levels are

as follows:

Vitamin D, 25-OH,

Total 19

- Low (normal range 20-100)

Vitamin D 25-OH, D3 19

– WNL per lab parameters

Vitamin D 25-OH D2 <4

– WNL per lab parameters

I have reviewed articles

related to vitamin D deficiency and repletion and have not found anything

helpful to develop a plan of care for this patient.

In reviewing previous

messages on the listserv, it seems that repletion of 50,000 IU D3 once per week

for 6-12 weeks is appropriate until a level of 40-50 is reached, then

supplement with 2,000 IU per day. Is this regimen what we should

recommend for this patient? And how often do you recommend his levels be

checked with this supplementation?

Thank you,

Cara Sakoian, RD, LDN

Clinical Dietitian

The Hospital of the University of Pennsylvania

Phone: 215-662-2085

Fax: 215-662-3148

E-mail: Cara.Sakoian@...

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