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Vitamin D Deficiency – How to tackle? For over a year, I've been suffering from severe tiredness and joint pain. Sometimes I feel so tired and painful, that I can't move! I've been taking 800u of Vitman D for five years now, but my vitman D is still low. Six months ago, my doctor said to double the dose (1600u). In the time I've also been sitting in the sun wearing only my swimming trunks (although I am in England so there is not much sun). Despite this my Vitman D has remained unchanged. My doctor is now saying to take triple the dose (2400u). 1) Is there anything else that can be done other than increasing the dose. This looks like it could drag on forever. 2) Also is it better to take liquid or tablets? Background: Aged 35, male, I have brown (Indian) skin, but I have lived in North of England since birth (I was born here). I have suffered with pituitary tumor but this has been cured. I only eat freshly made food (rich in fresh Veg and Fruit, I easily eat over 10 different types of fruit/veg a day), so I know my diet isn't the problem.

Asked by  happydappy on July 24, 2017

  •  happydappy on

    See title

    Answered by  happydappy on
  •  IAW on

    I could help you better if I knew what your level actually is. If your level is very low, then most doctors know to treat a severe deficiency with a minimum of 50,000iu taken once a week for eight weeks and it should be D3 and not D2. Your doctor does not seem to know this. Now studies have shown that it is much better for the human body to take smaller amounts but to take them on a daily basis. So to treat a deficiency you need to take around 8000 iu of D3 per day or more for at least 8 weeks. You are just not taking enough and I am so sorry the doctor does not know better.
    We here at the VDC recommend maintaining a healthy minimum level of 50ng/ml (125nmol/l). At levels below this your chances for cancer and autoimmune disease “rises dramatically”. Once your levels have increased enough, then you will need a maintenance dosage which is usually 5000 iu a day.
    You will never solve a Vitamin D deficiency with any type of diet. You need “adequate” sunshine or supplements.
    The “sunshine” part is not as easy as it sounds. In winter in England you cannot make much Vitamin D if any. During the summer you have to be out between the hours of 10am and 2pm to do your “sunning” and most people work. You also have to expose large areas of skin, just arms and face are not enough. With your color skin you will have to stay out 2-3 times longer than someone with lighter skin to get enough that you need.
    I always recommend people read http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/.
    So I would take a minimum of 8000iu a day of D3 and get someone to retest you in 8 weeks. If your level is then quite a bit above 50ng/ml(125nmol/l) then try going to a maintenance dosage of 5000iu a day. If you are still in pain, though, even if your level has risen, then you may not want to decrease the amount taken at that point. If you have not even made it to the 50ng/ml(125nmol/l) or you are right at that point, then again I would not decrease the amount taken.
    If you add any symptoms, then the Vitamin D is probably causing a mineral deficiency and you should come back and tell me so I can tell you what to do.
    It does not matter if it is liquid, pill or capsule unless you have gastric issues. What counts is “amount” and take it with some food that has “fat” in it for absorption.
    You can always come back later for more advice if needed.

    Answered by  IAW on
  •  happydappy on

    Thanks for your help!
    I believe my level is 55 (I am not sure what units that is). It has been like this for 5 years even though I have been taking D3 supplements for all that time.

    Regarding hours of 10am and 2pm to do “sunning”: I am really confused by this. A lot of literature says this is the ‘non-safe’ time to be out.

    A big problems is that a lot of literature in the UK seems to be written for white skin people. I have brown Indian skin, so it doesn’t apply to me, but it’s hard to find information that does.

    Thanks for any help you can offer.

    Answered by  happydappy on
  •  IAW on

    England measures as nmol/l so your 55 equals 22ng/ml. You want a level of 50ng/ml or 125nmol/l.
    I highly recommend you read https://www.vitamindcouncil.org/about-vitamin-d/. It is very informative and should answer all of your questions.
    This is what I would suggest. Take the 8000iu a day for 8 weeks, then come back and tell me if all of your symptoms are gone and how you feel. If you then feel better, then take a maintenance dosage of 5000iu. If you “add” any symptoms while taking the D, come back and tell me. It will most likely be a mineral deficiency that can be corrected.
    The basic problem is that it is not necessarily a matter of white or brown skin. There is a worldwide deficiency of Vitamin D. Believe it or not, even at the equator. Humans were “made” to go out in the sunshine and make Vitamin D to stay healthy. As we moved further away from the equator, then got “modern jobs” where we stay inside all day and then even if we went out we were told to wear sunscreen which blocks Vitamin D production. All of this then makes it even worse for people with darker skin because you have a “natural sunblock” and therefore it takes you even longer to get the correct amount of sunshine for health.
    To make things even worse science studies were done “wrong” many, many years ago. This lead to the “Vitamin D supplement scare” and doctors being scared to recommend too much because they were told it was dangerous. Dermatologists have added to the problem by “scaring” people out of the sun. Studies now show that “skin cancer” is caused by lack of adequate Vitamin D.
    We now know that not enough Vitamin D is dangerous and causing all sorts of medical issues.
    Now organizations like this one are trying to get this information out and dispel the “myths”. It is not easy because we are solely run on donations. Also governments that set “recommendations” are slow to want to change.
    If you want you can print off https://www.vitamindcouncil.org/for-health-professionals-position-statement-on-supplementation-blood-levels-and-sun-exposure/ and give it to your doctor. Maybe we can change “one more mind” (his) and he/she will then treat their patients differently and not wait for the “government” to change things.
    If you have any more questions, just ask!

    Answered by  IAW on
  •  happydappy on

    Thanks for all your help IAW. I greatly appreciate it.

    Regarding hours of 10am and 2pm to do “sunning”: Is it safe to be sunbathing at this time (with exposed skin). A lot of people say that it is not and it is better to make sure skin is covered. Thanks!

    Answered by  happydappy on
  •  IAW on

    It was Dermatology Associations which “decided” that getting skin cancer was “totally” caused by exposure to the sun. They then highly promoted this as “fact”, scaring everyone out of the sunshine, promoting using “sunscreens” which actually block Vitamin D production and telling everyone to stay “covered” up between 10-2pm. What none of them considered was the “benefits” of sunshine with one of them being Vitamin D production.
    I do know I have seen way too many studies that show with low levels of Vitamin D, you “definitely” risk getting cancers and autoimmune diseases.
    Also keep in mind that “sunshine” has other benefits other than Vitamin D production.

    Answered by  IAW on

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