Guest guest Posted August 15, 2010 Report Share Posted August 15, 2010 Hello, I have recently been asked 2 questions about vitamin D, and I would love to find out the answers: 1. I have a patient who was recently diagnosed with vitamin D deficiency (level <20 ng/mL), and she is currently taking high dose vitamin D orally to correct it (50,000 IU, 1x/week). She is trying to get pregnant and wondering if this high dose vitamin D is safe during first trimester. Any thoughts on this? References? 2. For breastfed babies, I know the current recommendation is to supplement with 400 IU/day for the baby. But if the breastfeeding mom has adequate vitamin D levels, is this enough for her baby? Or is supplementation still necessary? Thanks SO much in advance! Annie Annie Sasseville RD Pediatric Dietitian at Mile High Climbers www.MileHighClimbers.com , Ext 2 **Mile High Climbers is also serving children with occupational, physical and speech therapy needs. **This email message and any attached files are confidential and are intended solely for the use of the addressee named above. This communication may contain material protected by any and all privileges associated with the provision of health services. If you are not the intended recipient or person responsible for delivering this confidential communication to the intended recipient, or if you have received this communication in error, then any review, use, dissemination, forwarding, printing, copying or other distribution of this email message and any attached files is strictly prohibited. If you have received this confidential communication in error, please notify the sender immediately by reply email message and permanently delete the original message. If you have any questions concerning this message, please contact Annie Sasseville RD, CNSD at Annie@.... Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2010 Report Share Posted August 16, 2010 Thank you everyone SO much for your valuable responses on these questions! I posted these questions to this list serve and a pediatric RD list serve. If anyone is interested to receive a summary of responses, please let me know and I will email you privately. (It is just too lengthy to post here). Thanks again! Annie Sasseville RD Pediatric Dietitian at Mile High Climbers www.MileHighClimbers.com > > Breast milk is low in vitamin D - I believe it is irregardless of mother's serum levels. So, yes baby needs the 400 IU of vit D. I quit a lovely public health job over this issue. Our dept decided that breastfed babies didn't need vitamin D despite the phletora of information to the contrary. Quiting that job was very hard on our family economically speaking! > > > Marg > Marg Alfieri, RD > > > Centre for Family Medicine > > Assistant Clinical Professor- Health Sciences, McMaster University > > 519 578-2100 ext 208 > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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