Vit. D--my doc's perspective

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 9/16/2010 11:18 AM (GMT -6)   
I asked my family doctor about Vit. D.
Now, he is not a PC expert, but he is an outstanding physician.
t
In fact, he was a student of mine 25 years ago and was one of the top mathematics students in the nation (based on assorted competitions). So, when he went to Umich medical school, graduated with honors, and came back locally to practice, I was pleased to be one of his patients (I prefer the doctors who graduated closer to the top than the bottom!!).
 
OK, so we have established that he is a smart guy. We chatted about the Vit. D situation. His suggestion: rather than pay $200 for a blood test to evaluate my Vit. D level, I should just take vit. D supplements (he suggested 1000 IU; once a day). That costs a lot less and SHOULD be enough for me.
 
I realize that sounds too simplistic, but maybe not.
 
Any thoughts?
 
Mel
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. Next PSA late Sept.

proscapt
Veteran Member


Date Joined Aug 2010
Total Posts : 644
   Posted 9/16/2010 11:35 AM (GMT -6)   
My personal experience: My D-3 was unknown and the doc started me on 1000 IU/day, said next time we do a PSA, let's test the D-3 level in the blood. It turned out that 1000 IU/day only raised it to 27, so now I am on 3000 IU/day and we will retest the D3 next time. I saw a post here that said that the target levels of D3 are above 60 IIRC, so 1000 IU might not be enough for you. So I don't necessarily see anything wrong with starting 1000 IU without first taking the test, but you should probably get the test after things have a chance to stabilize because you might need a higher dose.

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 9/16/2010 4:12 PM (GMT -6)   
Better to take it especially as a cancer patient, Dr. Strum eludes to magic OH25 testing level around 60-100 (ng/ml) range (approx.). Below normal is under 30-ish, good for your bones and whole system, D3 seems superior to just D. You can buy D3 in 2000 unit capsules, I have been using like 3 (6000 units)-a day and my score was 60 by the OH25 test, this might give you a reference. Mel you can buy it at Meijers reasonably or alot of places.

IF one were to O.D. and take way to much on this, hypercalcemia might happen...you can read about it...not good. But you would have to take probably a high amount, so I think your doc is pretty good at s.w.a.g. estimates. :-)    He might be alittle low but use it is the answer. The blood test for OH25 is no big deal, insurance will cover it, probably good to find your mojo number in Dr. Strums range...but that is up to you.

Post Edited (zufus) : 9/16/2010 3:16:20 PM (GMT-6)


Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3887
   Posted 9/16/2010 4:34 PM (GMT -6)   
I wonder what an hour a day out in the sun does..If very few "normal" people test at 60-100 ng/ml why would pushing vitamin D up to that level be a good thing, double the normal level?

Can anyone PROVE that any of these diet supplements makes any difference?

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 9/16/2010 4:36 PM (GMT -6)   
Zufus:
 
What is the difference between D3 and D?
 
Mel

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/16/2010 4:44 PM (GMT -6)   
Hi Mel,

When I do my fasting Cholesterol tests I ask for the Vit D ( 25 Hydroxy) test as well and it has been covered 100% by my Ins, not sure why yours wants $200

You really need 2 tests, one now then one after you have been taking a consistent dosage of D3 to see what impact it had. What if you had a D level of 20 now and taking 1000 iu's increases it to 25 ?

There are a number of daily Mens vitamins that have 2000 iu of D3, I take
Vitamin Shoppe Ultimate Man Gold Multivitamin where you do not even need to take an individual D supp

Also if you are taking any Calcium supps that also includes D3 in most cases

http://www.vitaminshoppe.com/store/en/browse/sku_detail.jsp?id=VS-2730

great site for some info

http://www.vitamindcouncil.org/[url]

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3887
   Posted 9/16/2010 4:50 PM (GMT -6)   
If Vitamine D is good then Inositol Hexaphosphate must be WONDERFUL !

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 9/16/2010 8:35 PM (GMT -6)   
McG:
 
But do I want or need to take a multivitamin?
 
Mel

Don K.
Regular Member


Date Joined Jan 2010
Total Posts : 74
   Posted 9/16/2010 11:20 PM (GMT -6)   
Compiler:
 
In answer to your question - Vit D is dirt cheap and is used in milk & bread so that they can say "Enriched".
 
The only problem is that it is very poorly absorbed and nearly worthless.
 
Vit D3 is the real thing.
 
2000 IU of D3 daily would help your levels. But why not go to the health food store and get some 5,000 Iu liquid or gels Take this for a month or two and then have your levels checked.
 
The test goal is over 50 but not over 100.
 
Don K.

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 9/17/2010 5:49 AM (GMT -6)   
I am taking the 5000 ui liquid gels. One a day. I was at 49 nl/mg last month. I will have another test next week to see the impact. I am hoping to get it over 65.
Dx with PC Dec 2008 at 56, PSA 3.4


Biopsy: T1c, Geason 7 (3+4) - 8 cores taken with 4 positive for PCa, 30% of all 4 cores.

Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%
nerves spared, no negitive side effects of surgery

One night in hospital, back to work in 3 weeks

psa Jun 09 <.01
psa Oct 09 <.01
psa Jan 10 .07 re-test one week later .05
psa Mar 10 .28 re-test two weeks later .31
psa May 10 .50

April 10 MRI and Bone Scan show lesion on lower spine, false positive.

Started HT 5/25/10 with 3 month shot of Trelstar. SRT scheduled for late July

psa July 10 <.01 HT at work

MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/17/2010 7:48 AM (GMT -6)   
Hi Mel,

No-one really NEEDS to take any supplements, you can get everything in whole foods, but you have to be so diverse that a multi-vit is like a safety net. What you do not need the body will simply discard, no harm in taking a daily multi it ensures you in case you do not eat a balanced variety of whole foods. If you are going to take 2000iu of D in a supp anyway, why not take the multi, the other supporting vita and minerals will aid in absorption

To get the extra needed D via food only then one may want to follow the Vegan Vit D rich food Pyramind BUT add wild deep cold water dish to that, like sardines, mackarel, kippers, salmon, tuna, etc

Vit D in huge doses can be had by whole foods, Sockeye or Chinook Salmon provides loads of D , Sardines also will contribute greatly to D increase

Cook with canned salmon and you get 1 can (369g) Sockeye Salmon, solids with bone, drained has Vitamin D3 (cholecalciferol) = 2,934 IU of Vitamin D

Mix that can of Salmon with some Shiitake or Button Mushrooms and you are close to 3300iu for one meal

cold water WILD fish is the key to getting large doses via whole foods

This winter I am going to start taking some Cod Liver Oil, 1 Tbs. (1,360 IU) , less exposure to the sun than summer months means I have to add D via diet or supp

As for Sun, I read that a person only needs to have most of their body exposed to midday sun for 30-40 minutes to create 10,000 iu of D, but be careful of sunburn and sunscreen blocks the UV rays that allow D to reach the skin.

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7269
   Posted 9/17/2010 7:56 AM (GMT -6)   
Thanks for your advice. Having had skin cancer (basal cell) and also having the tendency to burn more easily as I've gotten older (not sure why; I'm not very light-skinned), and also living in mid-Michigan where we don't get that much sun in my area, I don't get much sun. Period. Definitely not 30-40 minutes at a shot.
 
Mel
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .
Biopsy 11/30/09. Gleason 4+3. Stage: T1C. Current Age: 64
Surgery: Dr. Menon @Ford Hospital, 1/26/10.
Pathology Report: G 4+3. Nodes: Clear. PNI: yes. SVI: No. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. 100% continent by 3/10. ED- in progress. First post-op PSA on 3/10/10-: 0.01. PSA on 6/21/10--0.02. Next PSA late Sept.
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, September 19, 2018 5:32 PM (GMT -6)
There are a total of 3,004,855 posts in 329,177 threads.
View Active Threads


Who's Online
This forum has 161749 registered members. Please welcome our newest member, bullit398.
220 Guest(s), 13 Registered Member(s) are currently online.  Details
Psilociraptor, Rainy cloud, whitetail, island time, compiler, cashlessclay, ceebs13, Sherrine, Lynnwood, mordant, RunJerRun, Korissa, MacroMan