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I’m 48 years of age and I’ve been battling intense chronic pain for about 4 ½ years now. Having gone from doctor to doctor in that period of time — two separate orthopedic specialists, general practitioner, urologist (possible testosterone deficiency which turned out not to be the case), and finally a pain specialist — no one has been able to successfully treat this chronic pain. More particularly, none of these physicians ever thought about vitamin D deficiency. It just so happened that I had been taking vitamin D supplements as a portion of my overall daily intake for the past two years. (However, the amount was rather low: 1000 IU.) I didn’t take vitamin D supplements for any other reason than my wife started taking them at the same time and suggested I might want to get on board. I never thought about a potential vitamin D deficiency or that such a deficiency might be contributing to my ongoing chronic pain. About 7-8 weeks ago, a family member suggested getting a truly comprehensive blood panel, one that would include checking my vitamin D levels (among other things). (Up to this point, none of the blood panels ordered by the physicians noted above included checking vitamin D levels.) Even though I had been on vitamin D supplementation for two full years, my test still came back at 42 ng/mL. From everything I have read online in the interim, I believe it’s critical for me to get my levels up to 60 or higher in order to be in good health. In a fairly recent conversation, a family friend noted that they were having all sorts of health difficulties for a number of years. Then after they got their vitamin D levels checked (they were in the 30s), they then spent all of their time concentrating on getting those levels up to at least 70, with most of their health problems having dissipated in the process. I’m now taking 10,000 IU daily. Question: I have also read the article (from this site) entitled “Vitamin D and Other Vitamins and Minerals.” Is it possible to get these other vitamins and minerals in the form of a good multivitamin or should they be taken independently? And in general — I also know that this is an impossible question to answer definitively, so I’m only looking for general theory, as it were — if vitamin D deficiency is indeed my problem, about how long does it take for an individual to get their levels in the higher echelons? (My wife got her vitamin D levels checked at the same time as me — she was at 67 — and she is in sound overall health.) I should also point out that vitamin D deficiency makes perfect sense with me: I live in Anchorage, Alaska, and not only are our winters 7 months long, they are also some of the darkest on the planet. Furthermore, even though our summers are fantastic with respect to available sunlight, they are fairly brief; additionally, my work does not allow me to be outdoors much of the year. Thanks for all feedback!

Asked by  themightycashew99067400 on January 12, 2017

Answers
  •  themightycashew99067400 on

    See title

    Answered by  themightycashew99067400 on

  • IAW
    Participant
     IAW on

    If you are not getting enough of the “Vitamins and minerals” through your diet, then a multi is fine. Having said that some multi’s use magnesium oxide and it is not as absorbable as for example a citrate. Sometimes there is not enough magnesium in a multi. We “hint” in that article that a male may need in total per day, of possible 800mg which is above RDA. So if your diet does not have enough in it, then you are left with supplements. If you take too much magnesium the first “sign” is usually “loose bowels” and then you need to cut back on the amount taken. I also split mine up with meals, so I spread it out during the day. So you may want to try supplementing some, and see what happens.
    The one thing you did not tell me was how much you had been taking and I will assume 5000iu until you tell me differently but now you take 10,000iu. One reason you may not have made it higher than 42ng/ml is if you weigh more than 150lbs. If you weigh more you have to take more.
    You asked “how long does it take for an individual to get their levels in the higher echelons?” It takes about 8 weeks, at any given amount of Vitamin D, to then be able to test and get a “level” for that amount taken. Level may not coincide with how you feel.
    When you say “chronic pain” is it bone, muscle, joint or other?
    Now you can always come back and tell me how you are doing and ask more questions. (I am not a doctor.)
    We already know that you have to take 40,000iu for several months, before you “may” become toxic and you would get symptoms. (Just to ease your mind, toxicity is reversible with no permanent damage.) So if you want to, you could try the following. Double your 10 to 20,000iu and see if it starts helping the pain. If it does, I would keep taking that amount until you are better. Once better than I would decrease the amount down to 15,000iu for two months. If pain does not return, then try 10,000iu. If pain does not return, then stay at 10 or try 8000iu. Of course if the 20,000iu does “nothing” then it may not be a Vitamin D problem BUT if 20,000iu “helps” but does not completely rid u of pain, then you may need more than 20,000iu. In a sense put the “levels” aside for a while and see what will make you feel better. When “sick” you need more vitamin d up front. So to get you better faster take more now and less later. Not enough magnesium though, and you will get symptoms.

    Answered by  IAW on
  •  themightycashew99067400 on

    Thanks IAW for your input. (Sorry for the delay in my response. I’ve been experiencing login issues.) I will attempt to answer your questions in order.

    With respect to magnesium, I have been taking 400 mg of magnesium glycinate per day for about a year. It was recommended by one of my physicians. (I originally started out on 800 mg, but got to that saturation point within about 2-3 weeks, i.e. “loose bowels”; ever since I have been at 400 mg.)

    As I noted in my original post, I had been on 1000 IU of vitamin D until just recently when I realized I needed to up the intake to 10,000 IU.

    Since I am 6’6” tall and weigh 305 pounds I will follow your advice and up the amount to 20,000 IU. Perhaps I should go even higher?

    (I used to be very active with respect to exercise 5-6 days per week prior to the chronic pain setting in. The point being, I used average about 240-250 pounds. Inactivity as a result of chronic pain has really hit me hard with respect to weight.)

    My chronic pain is primarily muscle pain, although there are some aspects of joint pain. Because I used to be very active in sports, I will use a sports analogy (of sorts): my pain is reminiscent of pulling a muscle in a game. The day after the game you feel a tremendous amount of soreness (naturally), but thankfully after a few days the soreness begins to go away and you are fundamentally healthy after a couple of weeks. With my chronic pain, it is as though I have pulled muscles all throughout my body, and of course these muscles never recover.

    Physicians have already ruled out fibromyalgia, chronic fatigue syndrome, etc. But again, no one ever thought to recommend vitamin D.

    Thanks again!

    Answered by  themightycashew99067400 on

  • IAW
    Participant
     IAW on

    Glad to hear you take some magnesium.
    You said “Perhaps I should go even higher?” I would wait and give it about a month on the 20,000iu.If you try more than you should “post” the symptoms of hypercalcemia,where you can see them,so you know what to look for if it does start to be too much Vitamin D. You may also risk running out of a mineral and getting symptoms that way also.
    If a lot of Vitamin D over the next few months does not do the trick, then you need to come back and tell me!

    Answered by  IAW on
  •  themightycashew99067400 on

    Thanks IAW!

    Answered by  themightycashew99067400 on

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