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My husband who is 43 has been taking 100,00 IU of d for a year and his levels have not risen. He works outside for a living so he gets plenty of sunshine. Any suggestions or reasons why someone would not absorb vitamin d?

Asked by  Tdh2d on July 6, 2017

Answers
  •  Tdh2d on

    See title

    Answered by  Tdh2d on
  •  IAW on

    I think your decimal is in the wrong place. So do you mean he is taking 10,000(?)iu A DAY for a year? Or did you mean to type 1000 iu a day?
    Does he weigh a lot more than 150lbs, if so he will need to take more? If he really is only taking 1000 iu then he needs to take a lot more.
    Does he have any health issues OR gastro issues? People with gastro issues sometimes do not absorb Vitamin D well.
    Does he take the Vitamin D with food because it needs “fats” to absorb best.
    One factor in Vitamin D production from “sunlight” is that large amounts of “skin” must be exposed not just arms and face. Time of day, color of skin and latitude are other factors.
    If it really is an absorption issue and not amount taken, then people have good luck with Vitamin D that gets “sprayed” into their mouth and absorbs that way rather than thru the intestinal track.

    Answered by  IAW on
  •  Tdh2d on

    He started at w 50,000iu a month and that didn’t help at all so they gradually increased over a year period to 100,000iu w still no improvement. His level was a 7. He is about 5,10 and 180 lbs.

    Answered by  Tdh2d on
  •  IAW on

    Research now shows that Vitamin D is best taken everyday. If that is not possible then once a week but monthly does not help.
    So if he can and with that low of a level, he should take 8000 -10,000 iu A DAY for 8 weeks and then retest. We promote having a minimum healthy level of 50ng/ml (125nmol/l). So in 8 weeks he should reach that and maybe even be higher. If he does not reach that, then come back and tell me what his level is at that point.
    If he tests at a level really close to 50ng/ml, then he should just stay on that amount he is taking. If he ends up higher, then he might be able to go to a maintenance dosage of less. Usually for 150lbs that is 5000iu a day. For him it should be more like 6000iu but might be more.
    Right now it just appears that it is a matter of not taking enough and not taking it daily rather than anything else.
    Sometimes taking Vitamin D can cause mineral deficiencies. It is usually magnesium that is lacking. So if he starts to have any symptoms come back and tell me and I will help you figure it out and what to do.
    If you have any more questions or need help, please come back and tell me.

    Answered by  IAW on
  •  Tdh2d on

    He was taking 100,000iu a day For a year and still could not get it to raise above 7. When he changed drs and the new dr saw the dosage he was taking and after looking over his charts he immediately told him to quit taking the vitamin d bc it was not working and could be very dangerous bc vitamin d is fat soluable and is stored in the body.
    He is having issues w joint inflammation and pain, skin problems, and has a hard time getting up and staying awake. Basically everything hurts. We feel if he could get this vitamin d situated that it is the root of most of his issues.

    Answered by  Tdh2d on
  •  IAW on

    Before I go any further can I confirm one more time since we seem to be having a misunderstanding.
    He was taking 100,000 iu (one hundred thousand) of Vitamin D PER DAY (not once a week or once a month) for an ENTIRE YEAR without his level increasing???
    Thank you!

    Answered by  IAW on
  •  Tdh2d on

    Sorry, completely my fault for the way I worded my above reply.
    Yes, he was taking a 50,000iu soft gel twice a day w no improvements.

    Answered by  Tdh2d on
  •  IAW on

    I am really sorry but I have one more question. I should have asked it at the beginning of this thread.
    Is this D2 OR D3 he was taking. If this was a prescription in the USA the odds are it was D2. If you live in another country it may have been D3. It is very important to determine which one it is!

    Answered by  IAW on
  •  Tdh2d on

    I will have to look at his bottle. It is a US prescription. Reguardless should we worry about too much being stored in his body?

    Answered by  Tdh2d on
  •  Tdh2d on

    He was told it was vitamin D3

    Answered by  Tdh2d on
  •  IAW on

    I think someone should read the bottle or get absolute confirmation that it is not D2 because this may be the problem why his levels do not increase.
    I am not sure yet if you have to be worried about the D being “stored” or if it is an issue. Just in case if you take too much D you might get hypercalcemia. The symptoms of this 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.
    So you told me he is tired. Out of that list how many other symptoms does he have? If he truly has hypercalcemia then the doctor should check his calcium levels because they would be “high”.

    Answered by  IAW on
  •  Tdh2d on

    He has blood work done every 3 months would that check his calcium? He has quite a few of those symptoms. He constantly complains that his bones hurt. I will check the bottle for confirmation on the type of D vitamin he has been taking.

    Answered by  Tdh2d on
  •  IAW on

    There are all different levels of blood work, from basic to extreme. Calcium does fall into the more basic area but I cannot say for sure if it is on his. Could you please find out and if it was tested give me the result number and how it was measured as. For example 10.50 mg/dL. Please also give me the date he was tested.
    If they have not done this test, then I recommend getting it right away.
    If you could be more specific on which of those symptoms he has above in a list, I would appreciate it and this is why.
    Low Vitamin D levels can cause Osteomalacia which is adult rickets. This also causes bone pain. So now I am not sure which we are dealing with because they both cause “bone pain”. The Mayo Clinic says “The dull, aching pain associated with osteomalacia most commonly affects the lower back, pelvis, hips, legs and ribs.” “The pain might be worse at night, or when you put pressure on the bones, and are rarely relieved completely by rest.”
    So I need all of this information and until then he should not take anymore. If he really does have hypercalcemia, and right now it does not make sense to me if his levels never “rose”, he can recover from it but let’s not get a head of ourselves.
    If you can get any copies of the actual Vitamin D test that would also be good. It sounds like they are doing the correct Vitamin D test but without the actual “name”, I am not sure.
    Don’t forget about the D2 vs D3 answer.

    Answered by  IAW on
  •  IAW on

    See also last post.
    Does he take any medications, if so some of them prevent Vitamin D absorption?
    Does his gallbladder and pancreas and kidneys all function OK?

    Answered by  IAW on
  •  hlahore@gmail.com on

    There are over 40 reasons for having a low response to vitamin D
    http://is.gd/lowresponse
    There are only a few reasons for having ZERO response to 100,000 IU of vitamin D3 daily
    1) Poor Gut
    2) Missing gallbladder and the Vitamin D3 taken in is an oil base
    3) Liver functional problem – such as fatty liver disease ( alcoholic or non-alcoholic)
    4) Gene problem in the liver
    If we assume that the problem is #1 or #2 then a different form can be tried
    Gut Friendly – several brands https://vitamindwiki.com/tiki-index.php?page_id=7255
    Topical (on skin)- spray or cream – many brands
    mouth wash (make it at home – dissolve Bio-Tech 50,000 IU in 1/4 teaspoon of water and let it get around and under tongue and cheeks)
    Inhaled Vitamin D: http://www.is.gd/Inhale1
    Injection – prescription only?
    ————-
    If there is a major liver or gene problem then may have to get a prescription for semi-activated vitamin D = Calcidiol, or try to buy a purple herb = SOLANUM GLAUCOPHYLLUM
    https://vitamindwiki.com/tiki-index.php?page_id=4872

    Answered by  hlahore@gmail.com on
  •  Tdh2d on

    Checked his bottle it is D2. He hasn’t had blood work done since the beginning of the year bc they told him to quit taking vitamin D. He’s was taking Adderall to help w the symptoms but we have learned he can’t take that. Do we need to get bloodwork done bf we start the D3? Should we do the spray or pill? Do we need to worry about Osteomalacia since he has almost all those symptoms?

    Answered by  Tdh2d on
  •  IAW on

    I am so glad you were able to check the bottle. His issue is the D2 and he should get better with the D3.
    No, I would not bother testing him before starting any D3.
    I would have him take 10,000 iu a day for 8 weeks and then get him retested to make sure his level has risen to 50ng/ml or more. If he is not totally better at 8 weeks, then he should keep taking the 10.000 iu.
    If he has any gastro issues then get the spray, if not he should do fine on pills/capsules.
    You need to read the following at http://www.vitamindcouncil.org/about-vitamin-d/vitamin-d-and-other-vitamins-and-minerals/. It is very important. Vitamin D3 uses a lot of magnesium to process things and if there is not enough in his diet, then the Vitamin D3 might give him symptoms. (If you supplement, do not use magnesium oxide get one that ends in “ate” like citrate. It absorbs better.) One thing not covered in the above is calcium. If he does have Osteomalacia then he needs to rebuild bones. That also takes calcium. So either enough in his diet or use a supplement for awhile.
    If you have any more questions, just ask.
    Please come back and let me know how he is doing in 8 weeks. I would hope that he will see some gradual improvement but if nothing has changed in 4 weeks, then come back and tell me.

    Answered by  IAW on
  •  Tdh2d on

    Thank you for ur help, After taking the D3 for 2 months now his energy is back and he feels less lethargic however he is still dealing w extreme joint/bone pain. Any suggestions about where to go next for this?

    Answered by  Tdh2d on
  •  IAW on

    First he should keep taking the 10,000iu a day for now. It would be great if you can get his Vitamin D level tested again.This will tell us a lot and where to go from here. Can you do that? If not let me know?
    If so I do not think we ever established how his level is being measured as. So make sure you know whether it is ng/ml or nmol/l. The original 7 if ng/ml is terribly low. If the 7 was measured as nmol/l that translates to 3ng/ml which is “horrible” low.

    Answered by  IAW on
    •  IAW on

      Sometimes I can tell by the country you live in, how it is measured as!

      Answered by  IAW on

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