Dear Vitamin D Council, i'm 28 years old and have been experiencing increasing fatigue, joint pain and muscle weakness for nearly three years. I recently insisted on a Vitamin D test and my results were 9.4 nmol/litre (calcium levels were normal).My doctor has prescribed strong supplements for two weeks but hasn't given any other advice and doesn't seem to be taking the results very seriously. I feel like this could explain all the pain i've been experiencing and have a follow up appointment tomorrow evening but was wondering whether you could advise on any other tests I should ask for (I read the B12 and thyroid issues sometimes goes hand in hand with Vitamin D). I was also hoping you might have some idea of how long it takes to begin to feel better and what kind of maintenance dose I should be taking after the two week period is over? Many thanks for any advice you have.
Your levels are extremely low!! Saying your doctor prescribed “strong supplements” is not specific enough information for me to comment on. Please tell me what they are and how much and what type of Vitamin D is prescribed to take and possible brand name. Are you average weight or overweight? All of your symptoms are from the Vitamin D deficiency. If they have not prescribed a big enough amount or the correct type of vitamin d you might not get better. Please provide more information.
They have prescribed 2 x cholecalciferol 20,000 a day for two weeks. Im average weight and eat a well balanced diet. Live in England so we don’t get an awful lot of sun but I have regular holidays in sunny climates so a bit confused as to why it has got so low! Feeling relieved that I might finally have an answer for all the pain and fatigue I’ve been experiencing! Thanks for your help.
So I think the 20,000iu a day is good enough at the moment. I would hope that in two weeks they would test you again to see where your levels are. If not insist! While you are waiting for test results do not stop supplementing. If they give you no advice at that point I would do 10,000 iu until they give you a result. Then depending on that level is how much you should take after that. So you should aim for a level of 125nmol/l or slightly higher. (I hope that is what the doctor is aiming for also.) If you make the 125nmol/l then 5000iu a day should maintain you. If you do not let us know what level you reached and will advise again. Most of the world is Vitamin D deficient so you are not alone. “Sunny holidays” are just not enough especially if for the rest of the time there is very little Vitamin D. You can never get enough through diet either. Please read http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/. It is very important! (Lots of magnesium is needed!) I would not worry about other tests right now. Give the Vitamin D a chance. Also when you test again in two weeks if it is still low do not be discouraged. You surely have a lot of repairing to do so it may or may not take awhile to get to a reasonable level. Let us know what happens and if you have any more questions!