Asked by praket.talreja95355500 on September 5, 2016
IAW on September 6, 2016 at 5:27 am
A Vitamin D deficiency could very much be what is causing your depression. Your level is very low.
One thing I would suggest is that you need to switch from taking D2 to D3. D3 (cholecalciferol) is MUCH BETTER for you because that is what humans make, D3. The D3 is usually an over the counter item and NOT a prescription. Is it available where you live in a store or over the internet?
I would also suggest that you take a smaller amount of D3 each day rather than once a week, if possible. The 50,000iu of D2 once a week would translate to about 8000iu of D3 a day. If you want to get better faster, I would take 10,000iu of D3 a day. I would do this for two months.
Here at the Vitamin D Council we recommend maintaining a”healthy” level of 50ng/ml. So after two months of taking a higher amount of Vitamin D, you should have your levels checked again to make sure you have reached that goal. If you have, you can then go to a maintenance dosage of 5000iu a day. Never completely stop taking the Vitamin D or else your levels will plummet again.
You should read http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/. It is very important.
If you get any new symptoms while taking the Vitamin D, come back and tell me. Sometimes it can cause a mineral deficiency.
I am not a doctor. I can assure you that lack of enough Vitamin D can cause depression and may also be what caused your initial depression. Taking the D2 might even make it worse or at best not any better, so get the D3.
Then come back and let me know how you feel in four weeks. If you have any more questions, ask!Answered by IAW on September 6, 2016 at 5:27 am
IAW on September 15, 2016 at 8:58 am
You have to review your diet in order to see if all of these things are covered. The above link tells you how much or gives links to the “Recommended Daily Amount”. The one that is the exception is the magnesium. Some studies show we need more than the RDA and that is in the link above. Also if you have a poor diet (and many people do), it just may be lacking in magnesium. Should you decide to supplement with magnesium do NOT get oxide. Any other type will do. Some of these things are already covered in a multi vitamin.
I hope you changed from D2 to D3!!!Answered by IAW on September 15, 2016 at 8:58 am
IAW on September 17, 2016 at 5:30 am
Sometimes it does make people sleepy. You can take it at night if you want and see if that helps. It could also be causing one of the following.
A magnesium deficiency and those symptoms include •Irritability or Anxiety, Nausea, Headaches, Insomnia, Fatigue, Muscle cramps/twitching, Weakness and constipation
If it is causing too much calcium then Hypercalcemia and those symptoms are
feeling sick or being sick, poor appetite or loss of appetite, feeling very thirsty, passing urine often, constipation or diarrhea, abdominal pain, muscle weakness or pain, feeling confused, feeling tired and bone pain.
It is probably a magnesium deficiency which is discussed in the link above. You will need to get a magnesium supplement and do NOT get oxide. I also included the hypercalcemia symptoms just in case. If you get more symptoms related to that then you have to stop the Vitamin D and come back and tell me.
I am not a doctor but common sense tells me that if Vitamin D starts to correct things then you may not need the citalopram. So make sure you are aware of the symptoms of “serotonin syndrome”, just in case. I am NOT telling you to stop the medication.Answered by IAW on September 17, 2016 at 5:30 am
IAW on September 17, 2016 at 8:45 am
Mayo Clinic says
Serotonin syndrome symptoms usually occur within several hours of taking a new drug or increasing the dose of a drug you’re already taking. Signs and symptoms include:
Agitation or restlessness
Rapid heart rate and high blood pressure
Loss of muscle coordination or twitching muscles
Severe serotonin syndrome can be life-threatening. Signs and symptoms include:
UnconsciousnessAnswered by IAW on September 17, 2016 at 8:45 am
praket.talreja95355500 on September 21, 2016 at 12:37 am
I was thinking of going for test next week to check the levels. So far 3 weeks on D2 and will be almost 2 weeks on D3.
Do you think its too soon to go for test. I wanted to see if the medicine is working.Answered by praket.talreja95355500 on September 21, 2016 at 12:37 am
IAW on September 21, 2016 at 4:50 am
I think it would be much better to wait 8 weeks from the time you started taking the D3. It takes about that much time to reach a stable level on any amount you take. Even if you test next week, things could change a lot in the remaining time.Answered by IAW on September 21, 2016 at 4:50 am
praket.talreja95355500 on September 22, 2016 at 1:23 am
I have started to feel better, the anxiety, panic disorder and depression are gone to some extent. I am still not fully 100% but its only been over a week since started vitamin d3. Here is hoping that I will see a bright future.Answered by praket.talreja95355500 on September 22, 2016 at 1:23 am
IAW on September 22, 2016 at 4:53 am
I am so glad you are feeling better!!!
Today I realized I missed one of your questions. You asked “can I take sunshine along with tablet 10,000 IU. Will body store the extra vitamin or get rid by urine.”
Vitamin D does get stored which is a good thing. This storage would have allowed for rainy and non sunny days. It does not “store” until you reach a certain blood level. Up until then it uses it as fast as you take it or make it.
It would be very hard for me to gauge if “sunshine” added to the 10,000iu would be too much since you are deficit at the moment. Later when you take a maintenance dosage, it should be fine.Answered by IAW on September 22, 2016 at 4:53 am
praket.talreja95355500 on September 25, 2016 at 2:33 am
Dear Sir, As stated before that I am better but I would like to improve from here, will this come with time or should i increase the dose, currently i am taking a tablet of d3 10,000 iu every dayAnswered by praket.talreja95355500 on September 25, 2016 at 2:33 am
praket.talreja95355500 on September 27, 2016 at 11:13 am
Affect of tablet last for 12 hours then I feel some of symptoms of anxiety and depression. Either I should take two tablets a day of 10,000iu. Other way is take two tablets of 5,000 iu to keep same dose. I mean one tablet every 12 hours.Answered by praket.talreja95355500 on September 27, 2016 at 11:13 am
IAW on September 27, 2016 at 3:37 pm
Well try two or take 15,000iu total and see if that works.
Keep this in mind if you take too much Vitamin D, then you could end up with hypercalcemia. The symptoms of hypercalcemia include: feeling sick or being sick, poor appetite or loss of appetite, feeling very thirsty, passing urine often, constipation or diarrhea, abdominal pain, muscle weakness or pain, feeling confused, feeling tired and bone pain. I doubt this will happen but I would be remiss if I did not at least warn you.Answered by IAW on September 27, 2016 at 3:37 pm
praket.talreja95355500 on September 27, 2016 at 10:15 pm
It is very difficult to get vitamin d from sunshine as sunshine when pass through glass or clothes it does not produce vitamin d. Then sunshine time to produce vitamin d is during working hours. Even if you go out for half an hour during work then you are only exposing arms and face. Sorry for stating the obvious.Answered by praket.talreja95355500 on September 27, 2016 at 10:15 pm
IAW on September 30, 2016 at 8:47 am
There is evidence that sunshine (the rays other than those for Vitamin D production) are also good for us. So we do try and encourage getting out in the sun too. As for Vitamin D, I have seen no studies, at this point, that show sunshine is better than supplements.Answered by IAW on September 30, 2016 at 8:47 am
praket.talreja95355500 on October 2, 2016 at 3:03 am
I feel that the improvement is very slow. I am taking the magnesium 200mg per day along with vitamin d3. I am not taking any vitamin K. Please advise whether to take more magnesium or may be take the vitamin K. I do eat lot of wheat prodcut so i though i am getting good amount of magnesium from wheat.Answered by praket.talreja95355500 on October 2, 2016 at 3:03 am
IAW on October 2, 2016 at 5:48 am
Correct me if I am wrong.
You have been on D3 since September the 15th. This means just over two weeks. (I am not even going to count the time you spent on D2 because maybe it really was not doing anything to help you.)
When you have a severe deficiency, it will take time. You did say you are improving, it just does not seem to be as fast as you would like?
Did you change the amount you are taking? Did you increase it to more than 10,000iu a day?
How much do you weigh? Vitamin d is also based on weight.
There is a total of 46mg of magnesium in two pieces of whole wheat bread. The US RDA is 400mg for men and 300 for women BUT other sources say it may be more like 800mg and 600mg a day. You could double your magnesium intake and see if it makes a difference. Too much magnesium will cause loose bowels (diarrhea). If it does, then you just take less.Answered by IAW on October 2, 2016 at 5:48 am
praket.talreja95355500 on October 2, 2016 at 6:08 am
Yes I have been on d3 just over two weeks. I take 10,000iu per day but sometime when feeling nervous i take second tablet later on in the day.
My TSH came as 1.088. Do you think I need to test FT3 and FT4 ?Answered by praket.talreja95355500 on October 2, 2016 at 6:08 am
IAW on October 2, 2016 at 8:37 am
Praket you originally started this post talking about depression as your symptom. Recently you said that your “anxiety, panic disorder and depression” were all a little bit better.Are these your main symptoms or by any chance do you have other, more what I call physical symptoms, for example muscle weakness or headaches or other?
If you feel physically better taking 20,000iu a day, then do that.for now.
When you get to 8 weeks, then retest and let me know what your level is AND more importantly how you feel and will go from there how to proceed.
No, I do not think you need further thyroid tests unless you have symptoms I do not know about. I have been basing everything on you weighing 70kg (150lbs), so we are good in that respect.Answered by IAW on October 2, 2016 at 8:37 am
praket.talreja95355500 on October 6, 2016 at 12:06 am
From last two days I have been taking in morning 20,000 iu vitamin d, 400mg magensium and 2,000 mcg B12. I felt it very good. In the evening then i take 10,000 iu vitamin-d. So total 30,000 iu. Felt good. I know i am risking of too much vitamin d. I feel good.Answered by praket.talreja95355500 on October 6, 2016 at 12:06 am
praket.talreja95355500 on October 11, 2016 at 4:00 am
Results of test for vitamin d and b12 which was done two weeks ago. The vitamin d came as 39ng/ml and b12 came 376pg/ml.
Is it possible to contact the Dr. John Cannell via email or telephone? I am happy to pay the feesAnswered by praket.talreja95355500 on October 11, 2016 at 4:00 am
IAW on October 11, 2016 at 5:57 am
Praket on October the 6th you said “”From last two days I have been taking in morning 20,000 iu vitamin d, 400mg magensium and 2,000 mcg B12. I felt it very good. In the evening then i take 10,000 iu vitamin-d. So total 30,000 iu. Felt good. I know i am risking of too much vitamin d. I feel good.”
What is your question(s) for Dr. Cannell because I see the following.
Your Vitamin D level is still low and so is your B12.
If taking the 30,000iu total a day makes you feel good, then you should take it. (Vitamin D experts have stated that “You would have to take 40,000iu of Vitamin D a day for months to even have the possibility of toxicity”. So you are NOT risking too much Vitamin D.
Above you said “My TSH came as 1.088, do you think I need to test FT3 and FT4 ?” I asked if you had other symptoms I did not know about? You may want to get these tests done and also get thyroid antibody testing done. (Thyroid peroxidase antibody (TPO) and Thyroglobulin antibody (TGAb) You could have hyperthyroidism and if so may need high amounts of Vitamin D to combat it.
Let me know what you think!Answered by IAW on October 11, 2016 at 5:57 am
IAW on October 12, 2016 at 5:16 am
In some countries the low end for B12 is 500-550 and that is the low end. (A doctor I use to go to wanted to see levels at 800 or a little higher.)
As for Vitamin D levels, we promote having a minimum level of 50ng/ml. If you have any type of “condition or disease”, then we usually recommend that you maintain around 80ng/ml. The upper level here at my lab in the USA is 100ng/ml. The “known” upper level of safety is 150ng/ml.
Let me know when you get your thyroid levels. Make sure you tell me the exact numbers and unit of measure.Answered by IAW on October 12, 2016 at 5:16 am
praket.talreja95355500 on October 12, 2016 at 9:06 pm
How long it will take to raise B12 levels to approx. 800 from 376. I know it will depend on the amount taken. I am taking the tablets about 2000 to 3000 mcg per day.
Regarding thyroid test when i gave sample that day i took D3 20,000iu before the test. Will it affect the results.
Thanks a lot for the help, its much appreciated, God bless you and founder of this council.Answered by praket.talreja95355500 on October 12, 2016 at 9:06 pm
IAW on October 13, 2016 at 4:57 am
I do not know how long it will take to raise the B12 levels.
Taking the Vitamin D will not have any effect on the thyroid test levels in the short run. Meaning if you do have a thyroid issue caused by a Vitamin D deficiency, it will take a while to correct with Vitamin D and therefore a while to correct thyroid levels. So do not worry about that.Answered by IAW on October 13, 2016 at 4:57 am