Asked by jeff907917532200 on March 13, 2016
IAW on March 14, 2016 at 6:07 am
So it does say that cholestyramine may interfere with vitamin and mineral absorption and therefore it may be necessary to supplement.Keep in mind I am not a doctor as I make suggestions.
Just so you understand it is very easy even for a normal person working in construction to become deficient. Sounds strange doesn’t it. You really have to expose large areas of your skin to the sun in order to make enough. Also where you live has a big impact.
Do you take a multi vitamin? It sound like someone in your condition definitely should be. You also sound very magnesium deficient, no matter what the test says. (That could be the muscle cramping.) You could also be calcium deficient since that is a mineral too. Now if someone takes “too much” magnesium they get loose bowels and need to cut back on how much they take. So for you I guess I would attempt that slowly That would mean getting a magnesium supplement. Do not get magnesium oxide and get a low amount of 100mg a capsule or pill. (If you do not take a multi vitamin and start, even that may have some magnesium in it to start with) It is very easy to be magnesium deficient because of our diets now a days let alone your condition. Vitamin D uses a lot of magnesium to process so If you are magnesium deficient, and take Vitamin D, sometimes it can cause more or new symptoms. (There are also magnesium sprays you can get to rub on your skin rather then ingesting.) http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/ talks about co-factors and Vitamin D.
So your “headaches, very tired and joint pain” are Vitamin D deficiency symptoms. Headaches can also be magnesium deficiency and also muscle cramps. Muscles also use a lot of Vitamin D, so it is probably also part of your problem.
So now the most important part, Vitamin D! The difference between this year and last is that he probably is now more knowledgeable about Vitamin D and the need to treat you. That is the good part. The 2000-3000iu is not going to be enough.
So healthy people, with an average weight of 150lbs, need about 5000iu a day of D3 to reach a healthy level of 50ng/ml which is the level we promote here at the VDC. If you weigh more than that (you said overweight above) or have your condition, you may need to take more in order to reach the 50ng/ml.
Have you actually taken any Vitamin D yet? If so how much and for how long? I would like that information before I proceed any further.Answered by IAW on March 14, 2016 at 6:07 am
jeff907917532200 on March 14, 2016 at 5:09 pm
Ok thank you very much for replying.
Ok first, I am flirting with 300lbs. Yes very overwieght. The O word. I really really want to lose weight but it is just very hard right now because of the cramping.
Anyway, I was not taking anything at all until I got my blood work a couple weeks ago. Then I started a Centrum Multi Vit. Also a B Complex, 3000iu of Vit D3 and a Co Q10 a day. I asked my doc if I could up the D to 4000iu a day and he said that was to much. So not sure what to do. So with me what do you suggest. I have been taking the supplements for 2 weeks and have not noticed any change with my conditions. Maybe very slight with the cramping. I dont get it every single day but the best I could describe it is that it feels like what they describe as restless leg syndrome. When I feel that I know I better watch out because one could be coming.
I did try taking a magnesium supp from an herbalist about 5 months ago but it did give me loose stools. So even if my blood work says ok for magnesium, you think I should do the 100 mg a day? I think I would have to get the spray as I heard that does not cause problems as it does not travel threw the digestive tract. Im ready to try anything as I just want this to go away so I can start getting myself right. Can you get to much of Vit D?Answered by jeff907917532200 on March 14, 2016 at 5:09 pm
IAW on March 14, 2016 at 5:57 pm
If possible but not necessary, do you still have the magnesium from the herbalist and can you tell me what “type” of magnesium it was and how many mg each pill or capsule was for?
If you are already taking the 3000iu and have been for two weeks with no “new” symptoms, then you may not need the extra magnesium but only time will tell. If you move to higher amounts of Vitamin D and there are new symptoms or one of your symptoms gets worse, then you may need to rethink the magnesium and get the spray.
Research has already shown that if you are overweight or even just a very big tall person, you will need to take more because of dilution in a bigger person.
So he is wrong that 4000iu is too much. So to try and alleviate any fears we do know the following. The safe “official” upper end that they know will do no harm is 10,000iu a day. With that being said we also know that you can reach a blood level of 150ng/ml and that will do no harm. We also know that you would have to take 40.000iu a day for months and months until you “may” become toxic. No one has ever died from taking too much Vitamin D. It can make you sick and then you need to stop taking it and stay out of the sun until you are better. There is no permanent damage.
I do not think the 10,000iu will be enough but maybe you would just like to start there. If you have 3000iu pills you could take four of those and make it 12,000iu.
If you have any more questions, just let me know!Answered by IAW on March 14, 2016 at 5:57 pm
jeff907917532200 on March 15, 2016 at 8:28 pm
Magnesium just said 485 mg and says Botanical Magnesium in a proprietary phytochemical compound.
With my IBS problem, im thinking it would probably be better to use the spray.
And the Vit D is 2000 iu pills so I guess you are saying to take 5 a day for 10,000?Answered by jeff907917532200 on March 15, 2016 at 8:28 pm
IAW on March 16, 2016 at 5:30 am
As for the magnesium, with someone in your condition I never would have recommended that amount. That is why I said 100mg to start small and see how you did. Other people have used the spray and say it works. I believe you can also do Epsom Salt baths and the magnesium in that will absorb through your skin.
Yes, take 5 for a total of 10,000iu a day. Keep in mind I did say that amount will probably not be enough for you. Tell me in a week how you are doing and we will go from there. (Sooner if you have a problem.)
Next time you buy Vitamin D get 5000iu per pill.Answered by IAW on March 16, 2016 at 5:30 am
jeff907917532200 on March 31, 2016 at 4:12 am
Hello Im back just to check in. I have been taking 10,000 iu a day since I was last her with a multivitamin and B12 complex I was taking. But I just wanted to also check in. Since I have these leg cramping issues with some like brain fog and other symptoms that I have associated with magnesium deficiency, I want to start taking some, most likely in spray form to keep from getting the loose stool which I certainly do not need. But I have read that you should make sure, especially when taking large doses of Vit. D3, that you should also be taking K2, Magnesium and Calcium. That takiing them all together is crucially to see the best benefits and not to get Vit D toxicity or have to much calcium in the body. What do you think and if this is correct, how do I know how much of each to take. i am suppose to be going next week to a homepath and nutritionist who I hope with also help me. Some family members went to see him many years back for issues and swore he had them cured in under a month so I decided to go see him. Thanks for any help in advance!Answered by jeff907917532200 on March 31, 2016 at 4:12 am
IAW on March 31, 2016 at 7:00 am
The info on Vitamins and Minerals is up in my first reply back to you. These things are not necessary because of “high” amounts of Vitamin D, they are needed period. So Vitamin D cannot perform its functions if you have a shortage. Vitamin K helps move calcium to bones instead of soft tissues.(If you take too much calcium or any mineral it will cause health issues.) Any of it will NOT keep you from getting Vitamin D toxicity. Too much Vitamin D will do that and no you are not anywhere near taking too much.
You said “brain fog and other symptoms”, did these just start and if so please name the “others”.
I do not think I said this before but there is a link to IBS and Vitamin D deficiency. Meaning the “original” cause of your IBS might have come from a Vitamin D deficiency. (The medicine making the problem even worse.)
MOST importantly does anyone have a plan to “retest” your levels to make sure they are increasing???Answered by IAW on March 31, 2016 at 7:00 am
jeff907917532200 on March 31, 2016 at 5:58 pm
First, no there is no plan by my doctor to have me re tested. He is acting like it is no big deal.
Just to recap, never heard of Vit D deficiency being linked to IBS D. But I have had it since I have been about 20 yrs old and I am 49 now.
So in the last 2 years I would guess, these would be the symptoms I have been experiencing. Before then, for the most part the cholestyramiine has been able to manage my symptoms.
Much more loose stools and cramping, food alergies to Peppers, Corn and Peanuts(just in the past 2 years, never a problem at all in the past), Brain Fog, pretty bad fatigue(sometimes to the point I am actually afraid of my legs buckling as I walk), on and off sores in my mouth, muscle cramps, memory issues (meaning I can sometimes forget words of things I should know), sometimes feeling ill like I have the flu for a couple of days, some mild eczema. Once is a while a have a little vertigo. There could be another one or two but cannot think of anymore lately. I know in the past I had tingling in my fingers but that has dissipated lately. I know in the past years nothing was ever said about my Vit D being low but then again I never saw the test results. Only this last two times did I look at it and the only reason I probably even knew about it is because after 2 weeks of nothing after that previous blood test my wife saw online from the lab that my Vit D was low and called my doctor to question about it. He may have never even said anything if my wife didnt question it.Answered by jeff907917532200 on March 31, 2016 at 5:58 pm
IAW on April 1, 2016 at 5:17 am
Since you have IBS part of the question now is are you absorbing the Vitamin D and are your levels rising. So I would get retested after about a month to six weeks to see if you are making progress. (If tingling in fingers has gone, that may be a good sign.)
If you can see any results from thyroid testing, you may want to tell me what they are.
(The doctor may have only done a TSH test but you could look to see if by chance he did any thyroid antibody testing.) (Sorry but thyroid stuff in the medical profession is as messed up as Vitamin D.)Answered by IAW on April 1, 2016 at 5:17 am
jeff907917532200 on April 3, 2016 at 7:05 pm
I just pasted what I thought you needed.
TSH 1.62 0.40-4.50 mIU/L QHO
CBC (INCLUDES DIFF/PLT) QHO
WHITE BLOOD CELL COUNT 6.2 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.05 4.20-5.80 Million/uL
HEMOGLOBIN 15.7 13.2-17.1 g/dL
HEMATOCRIT 47.4 38.5-50.0 %
MCV 93.9 80.0-100.0 fL
MCH 31.0 27.0-33.0 pg
MCHC 33.0 32.0-36.0 g/dL
RDW 14.1 11.0-15.0 %
PLATELET COUNT 181 140-400 Thousand/uL
ABSOLUTE NEUTROPHILS 3701 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1761 850-3900 cells/uL
PAGE 1 OF 3
1 of 6
Report Status: Final, JEFFREY
Patient Information Specimen Information Client Information
DOB: 10/01/1966 AGE: 48
Patient ID: 10011966LJ
Health ID: 8573009047025243
Collected: 04/14/2015 / 07:20 EDT
Received: 04/15/2015 / 05:24 EDT
Reported: 04/18/2015 / 13:03 EDT
CLIENT SERVICES: 866.697.8378 SPECIMEN: NE109529F
Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
Test Name In Range Out Of Range Reference Range Lab
ABSOLUTE MONOCYTES 546 200-950 cells/uL
ABSOLUTE EOSINOPHILS 167 15-500 cells/uL
ABSOLUTE BASOPHILS 25 0-200 cells/uL
NEUTROPHILS 59.7 %
LYMPHOCYTES 28.4 %
MONOCYTES 8.8 %
EOSINOPHILS 2.7 %
BASOPHILS 0.4 %
PSA, TOTAL 0.5 < OR = 4.0 ng/mL QHO
This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used
interchangeably. PSA levels, regardless of
value, should not be interpreted as absolute
evidence of the presence or absence of disease.
URINALYSIS REFLEX QHO
COLOR YELLOW YELLOW
APPEARANCE CLEAR CLEAR
SPECIFIC GRAVITY 1.022 1.001-1.035
PH 6.0 5.0-8.0
GLUCOSE NEGATIVE NEGATIVE
BILIRUBIN NEGATIVE NEGATIVE
KETONES NEGATIVE NEGATIVE
OCCULT BLOOD NEGATIVE NEGATIVE
PROTEIN NEGATIVE NEGATIVE
NITRITE NEGATIVE NEGATIVE
LEUKOCYTE ESTERASE NEGATIVE NEGATIVEAnswered by jeff907917532200 on April 3, 2016 at 7:05 pm
IAW on April 4, 2016 at 9:29 am
So I am going to let you decide how and when you would like to proceed. This means the following.
Keep taking the 10K Vitamin D for at least 4-6 weeks and retest to see if you are absorbing enough or any. If not then you would need to increase the amount taken (most likely) or find a different delivery method. (Happy to advise.) (Don’t forget at your weight you may need a lot more.)
See what nutritionist can suggest and proceed and see if it helps you.
If you want to give these things a try for a while to see what happens that may be wise. (No matter what your Vitamin D blood levels may show, it might not actually determine that you are “well”. That may take a while.)
The only thyroid test I see above is the TSH test.The average test result for someone who does not have a thyroid issue is 1.5. Having said this you may have thyroid antibodies and most doctors do not even check these levels. So you could ask to be tested or wait a while and test later if you are not making any progress. They could also check your Free T3 and Free T4 levels.Answered by IAW on April 4, 2016 at 9:29 am