Re: Vitamin D levels decreasing as supplements are increased?

[Guest guest]

Oops, typo on the Vit. D supplement amount: 10,000 IUs once a week....

[Guest guest]

How often in between measurements?  Those aren't big differences (it's normal

for lab values to fluctuate somewhat), so in essence, her vitamin D levels could

be staying " status quo. "   10,000 IU once weekly is not enough to increase

levels.   Typical Rx is 50,000 once weekly.   Dr. Cannell (Vitamin D council)

recommends at least 5,000 IU of D3 daily to bring up vitamin D levels.   

Subject: Vitamin D levels decreasing as supplements are increased?

To: rd-usa

Date: Wednesday, August 10, 2011, 9:17 AM

Hi folks,

A friend with colitis is having problems with her Vitamin D levels. Her GI doc

increased her Vitamin D supplement twice now (up to 1,000 IUs once a week I

believe) with a resultant decrease in serum Vitamin D levels (26 to 24 down to

22). He has now recommended switching to Vit D3 supplement, which she recently

began. She also has lactose intolerance, which doesn't help but she consumes

fish regularly. Any suggestions about what might be going on other than the

obvious intestinal malabsorbtion?

Thanks,

Ruth Craig, MS RD

------------------------------------

[Guest guest]

Agree with = 5,000 IU/day minimum

Avoid the RX Vitamin D which is Vitamin D2 In fact Vit D3 was considered

better too for strength - article here<http://thefrugaldietitian.com/?p=24297>

On Wed, Aug 10, 2011 at 11:42 AM, Linke wrote:

> **

>

>

> How often in between measurements? Those aren't big differences (it's

> normal for lab values to fluctuate somewhat), so in essence, her vitamin D

> levels could be staying " status quo. " 10,000 IU once weekly is not enough

> to increase levels. Typical Rx is 50,000 once weekly. Dr. Cannell

> (Vitamin D council) recommends at least 5,000 IU of D3 daily to bring up

> vitamin D levels.

>

>

>

>

>

> Subject: Vitamin D levels decreasing as supplements are increased?

> To: rd-usa

> Date: Wednesday, August 10, 2011, 9:17 AM

>

>

> Hi folks,

>

> A friend with colitis is having problems with her Vitamin D levels. Her GI

> doc increased her Vitamin D supplement twice now (up to 1,000 IUs once a

> week I believe) with a resultant decrease in serum Vitamin D levels (26 to

> 24 down to 22). He has now recommended switching to Vit D3 supplement, which

> she recently began. She also has lactose intolerance, which doesn't help but

> she consumes fish regularly. Any suggestions about what might be going on

> other than the obvious intestinal malabsorbtion?

>

> Thanks,

> Ruth Craig, MS RD

>

> ------------------------------------

>

>

[Guest guest]

,

The switch to Vitamin D3 was most likely a step in the right direction.  If I

may ask is your friend capable of sitting or taking a short 15 minute walk

outside? If so...

" It has been suggested by some vitamin D researchers, for example, that

approximately 5–30 minutes of sun exposure between 10 AM and 3 PM at least

twice a week to the face, arms, legs, or back without sunscreen usually lead to

sufficient vitamin D synthesis " http://ods.od.nih.gov/factsheets/vitamind/

As far as food sources are concerned, as a " rogue dietitian " I would recommend

stearing clear of milk and milk products and encourage fatty fish such as tuna

and mackerl as well as orange juice fortified with calcium and vitamin D.

I wish you and your friend well.

In good health,

Adrienne Bolten MS, RD, LD/N

To: rd-usa

Sent: Wednesday, August 10, 2011 10:17 AM

Subject: Vitamin D levels decreasing as supplements are increased?

 

Hi folks,

A friend with colitis is having problems with her Vitamin D levels. Her GI doc

increased her Vitamin D supplement twice now (up to 1,000 IUs once a week I

believe) with a resultant decrease in serum Vitamin D levels (26 to 24 down to

22). He has now recommended switching to Vit D3 supplement, which she recently

began. She also has lactose intolerance, which doesn't help but she consumes

fish regularly. Any suggestions about what might be going on other than the

obvious intestinal malabsorbtion?

Thanks,

Ruth Craig, MS RD

[Guest guest]

15 minutes outside might not be enough, depending on your friends age. The

cutaneous synthesis of vitamin D decreases with age, in people over 65 it can be

seen a decrease of over 70%.That time should also be increased for people that

live in high latitudes.Sunlight is too weak for vitamin D synthesis from

November through February at the 42nd parallel. Between the 40th and 42nd, the

sunlight is too weak to make vitamin D in January and February.

Vitamin D3 supplementation is a better choice to vitamin D2 like the other

posters referred.

Gel caps and liquid formulation have better absorption than solid tablets, and

in general, taking the supplements daily appears to be more effective than

weekly or monthly supplementation. Taking the vitamin D supplementation with

meals also appears to increase absorption.

Catia Borges,nutricionista

>

> ,

> The switch to Vitamin D3 was most likely a step in the right direction.  If I

may ask is your friend capable of sitting or taking a short 15 minute walk

outside? If so...

> " It has been suggested by some vitamin D researchers, for example, that

approximately 5†" 30 minutes of sun exposure between 10 AM and 3 PM at least

twice a week to the face, arms, legs, or back without sunscreen usually lead to

sufficient vitamin D synthesis " http://ods.od.nih.gov/factsheets/vitamind/

> As far as food sources are concerned, as a " rogue dietitian " I would recommend

stearing clear of milk and milk products and encourage fatty fish such as tuna

and mackerl as well as orange juice fortified with calcium and vitamin D.

> I wish you and your friend well.

> In good health,

> Adrienne Bolten MS, RD, LD/N

>

>

> To: rd-usa

> Sent: Wednesday, August 10, 2011 10:17 AM

> Subject: Vitamin D levels decreasing as supplements are increased?

>

>

>  

> Hi folks,

>

> A friend with colitis is having problems with her Vitamin D levels. Her GI doc

increased her Vitamin D supplement twice now (up to 1,000 IUs once a week I

believe) with a resultant decrease in serum Vitamin D levels (26 to 24 down to

22). He has now recommended switching to Vit D3 supplement, which she recently

began. She also has lactose intolerance, which doesn't help but she consumes

fish regularly. Any suggestions about what might be going on other than the

obvious intestinal malabsorbtion?

>

> Thanks,

> Ruth Craig, MS RD

>

>

>

>

>

[Guest guest]

And do not forget that many medications make the skin sensitive to sun light!

Sent from my iPhone

> 15 minutes outside might not be enough, depending on your friends age. The

cutaneous synthesis of vitamin D decreases with age, in people over 65 it can be

seen a decrease of over 70%.That time should also be increased for people that

live in high latitudes.Sunlight is too weak for vitamin D synthesis from

November through February at the 42nd parallel. Between the 40th and 42nd, the

sunlight is too weak to make vitamin D in January and February.

> Vitamin D3 supplementation is a better choice to vitamin D2 like the other

posters referred.

> Gel caps and liquid formulation have better absorption than solid tablets, and

in general, taking the supplements daily appears to be more effective than

weekly or monthly supplementation. Taking the vitamin D supplementation with

meals also appears to increase absorption.

>

> Catia Borges,nutricionista

>

>

> >

> > ,

> > The switch to Vitamin D3 was most likely a step in the right direction.Â

If I may ask is your friend capable of sitting or taking a short 15 minute walk

outside? If so...

> > " It has been suggested by some vitamin D researchers, for example, that

approximately 5†" 30 minutes of sun exposure between 10 AM and 3 PM at least

twice a week to the face, arms, legs, or back without sunscreen usually lead to

sufficient vitamin D synthesis " http://ods.od.nih.gov/factsheets/vitamind/

> > As far as food sources are concerned, as a " rogue dietitian " I would

recommend stearing clear of milk and milk products and encourage fatty fish such

as tuna and mackerl as well as orange juice fortified with calcium and vitamin

D.

> > I wish you and your friend well.

> > In good health,

> > Adrienne Bolten MS, RD, LD/N

> >

> >

> > To: rd-usa

> > Sent: Wednesday, August 10, 2011 10:17 AM

> > Subject: Vitamin D levels decreasing as supplements are increased?

> >

> >

> > Â

> > Hi folks,

> >

> > A friend with colitis is having problems with her Vitamin D levels. Her GI

doc increased her Vitamin D supplement twice now (up to 1,000 IUs once a week I

believe) with a resultant decrease in serum Vitamin D levels (26 to 24 down to

22). He has now recommended switching to Vit D3 supplement, which she recently

began. She also has lactose intolerance, which doesn't help but she consumes

fish regularly. Any suggestions about what might be going on other than the

obvious intestinal malabsorbtion?

> >

> > Thanks,

> > Ruth Craig, MS RD

> >

> >

> >

> >

> >

[Guest guest]

And do not forget that many medications make the skin sensitive to sun light!

Sent from my iPhone

> 15 minutes outside might not be enough, depending on your friends age. The

cutaneous synthesis of vitamin D decreases with age, in people over 65 it can be

seen a decrease of over 70%.That time should also be increased for people that

live in high latitudes.Sunlight is too weak for vitamin D synthesis from

November through February at the 42nd parallel. Between the 40th and 42nd, the

sunlight is too weak to make vitamin D in January and February.

> Vitamin D3 supplementation is a better choice to vitamin D2 like the other

posters referred.

> Gel caps and liquid formulation have better absorption than solid tablets, and

in general, taking the supplements daily appears to be more effective than

weekly or monthly supplementation. Taking the vitamin D supplementation with

meals also appears to increase absorption.

>

> Catia Borges,nutricionista

>

>

> >

> > ,

> > The switch to Vitamin D3 was most likely a step in the right direction.Â

If I may ask is your friend capable of sitting or taking a short 15 minute walk

outside? If so...

> > " It has been suggested by some vitamin D researchers, for example, that

approximately 5†" 30 minutes of sun exposure between 10 AM and 3 PM at least

twice a week to the face, arms, legs, or back without sunscreen usually lead to

sufficient vitamin D synthesis " http://ods.od.nih.gov/factsheets/vitamind/

> > As far as food sources are concerned, as a " rogue dietitian " I would

recommend stearing clear of milk and milk products and encourage fatty fish such

as tuna and mackerl as well as orange juice fortified with calcium and vitamin

D.

> > I wish you and your friend well.

> > In good health,

> > Adrienne Bolten MS, RD, LD/N

> >

> >

> > To: rd-usa

> > Sent: Wednesday, August 10, 2011 10:17 AM

> > Subject: Vitamin D levels decreasing as supplements are increased?

> >

> >

> > Â

> > Hi folks,

> >

> > A friend with colitis is having problems with her Vitamin D levels. Her GI

doc increased her Vitamin D supplement twice now (up to 1,000 IUs once a week I

believe) with a resultant decrease in serum Vitamin D levels (26 to 24 down to

22). He has now recommended switching to Vit D3 supplement, which she recently

began. She also has lactose intolerance, which doesn't help but she consumes

fish regularly. Any suggestions about what might be going on other than the

obvious intestinal malabsorbtion?

> >

> > Thanks,

> > Ruth Craig, MS RD

> >

> >

> >

> >

> >