My vit d3 level 4.97(Low)

[Ram1982]

Hi All,

I got my Vit d3(25 - HYDROXYVITAMIN D) level today and it's 4.97(Low). But report says Deficiency:< 20.0 ,Insufficiency: 20.0 -  100.0.

Please suggest me what I can take to improve my Vitd level?

I have given for IPTH test, I will be getting result in 3 days. Please help. I take lot of dairy products. That's why my Vit D is so less or what might be the problem? Thanks.

[stef2011]

i hope they got the test wrong, when less than 10ng/ml you are at increased risk of death for any case....if it goes und it is not possible to live long

[stef2011]

level must be around 90-100ng/ml and ipth lowest of normal

[Ram1982]

Hi Stef,

I am HBV Inactive carrier with HBeAg negative with undetectable viral load. HBsAg value is 4400 iu/ml. May be this is the reason for decrease in the vit d3 level?

I called them and checked with the lab, they said it's correct only. I will check one more time as you are guessing it as the wrong test.

[Ram1982]

If at all it's the actual Vit d3 level, any chance to improve this level by any means?

[stef2011]

the less the level of vit d the more severe the chronic disease

if blood sample was exposed to light the vit d would decrease, most lab dont know they have to cover the sample but it can also be u really have such low if  u dont take supplements and a lot of sun

[Ram1982]

Thanks Stef for your clarification. I will cross verify about the result once. As I am pure vegeterian and works in software field, always sits in AC room might be the reason for this low vit d3 also.

I need your advice in taking this suppliment of Vit D3 if at all it's 4.97. I will check and confirm tomorrow. Thanks.

[stef2011]

you need a good doctor if it is really so low because for example italian guidelines require from 300.000iu to 1.000.000iu in single dose and then from 2000 to 5000iu daily as maintenance

or you may use 10.000iu daily, which is a perfectly normal dose and see how it slowly increase, in this case correction will happen after months of supplement but no dr monitoring required

[Ram1982]

Thanks Stef. Some how I am not finding good doctors around me, Is it OK if I start taking 10,000 iu daily for 6 months and check my Vit d3 level after 6 months?

May be I am facing my neck pain since 10-15 years, may be this is because of this deficiency. If my D3 level increases, can it help to decrease my HBsAg count as my immune system would get improved?

[luckyman316]

That number is very low. I think you lab got messed up. I would suggest trying a new lab. As Stef suggested, anything under 10 is increased risk of death. From what I gather, if you are 10 or under here in the states, they will put you in the hospital. You are basically on your deathbed at this point.

Like you, I experienced neck issues. Your neck/bones are probably VERY weak if this number is true. I took Stef's advice here for increasing the Vitamin D. While the neck pain isn't completely gone, it has been MUCH MUCH better.

Please get re-tested with this and get some form of supplement ASAP.

[stef2011]

you can take 10.000iu of vit d3 indefinitely, your body will use it, it is a safe dose but best check vitd25oh, intact pth calcium and creatinine so we can choose the best dose for us after we reach optimum

i also had backpain and neckpain when not drying my wet hair with blow dryer, all gone.this month i stopped vit d for 2-3weeks because pth was too low and creatinine highend of normal and back pain returned so bad...3days on 20.000iu of d3 and now totally gone

i will now stay on this dose and recheck pth by one month, my balance has changed i fon t need very high dose of vit d to lower my pth anymore

[stef2011]

best check.....

every 6month

[Jatashankar]

Ram what was the cost for vit d and ipth tests?

[Ram1982]

Thanks Stef and luckyman for your advices. Jatashankar, I paid Rs.1850 for IPTH and Rs.1500 for vitd25oh.

[Ram1982]

Hi Stef,

I went to the doctor today. He said many people from software people will have this deficiency. He gave me one injection of ARachitol 6 lakh Im stat and asked me to take one tab of UpriseD3 60K every week after breakfast from next week. I will have to take it for next 12 weeks and stop it. He said my muscle pain and all might go of with this medication. He said I should stop taking these tablets after 12 weeks.

In my Lab they said, many people will have deficiency like 3 ng/ml especially from software field. It's one of the famous labs in India where I have done this vit d3 tests.

Doctor said, as I take plenty of Yogurt in my meal, he said it should be fine with calcium. He recommended me to go for Executive health check up as I never did it in my lifetime.

Please suggest me if something we need to take care. My IPTH results are coming tomorrow.

[Ram1982]

Hi Stef,

I got IPTH results also
CALCIUM   =   9.5 mg/dL(Reference : 8.5 - 10.1 mg/dL)
PTH (INTACT) = 32.6 pg/dL (Reference: 14.0 - 72.0 pg/dL )

As I mentioned in the above post, D3 is 4.97 ng/ml

Please suggest me whatever doctor has suggested (Taking Vitamin D3) is correct. He has already given the injection of D3 6 lakhs Im  today. He asked me to take D3 60K once in a week for 12 months and asked me to stop taking it after that.

[Ram1982]

Sorry, I meant he asked me to take these tablets 12 weeks and stop it.

[stef2011]

to take these tablets 12 weeks and stop it.

stop it is wrong because you will get back to deficiency, after 12 weeks recheck everything and according to results a maintenance dose of 2000-5000iu daily might be needed

it looks like your vit d receptors work normally despite so low vit d, so i guess you will not need very high vit d to get ipth low normal

if you like you can also use vitk2 mk7, magnesium 400mg, some vit A from liver meat, these are vit d cofactors and help vit d work better

[Ram1982]

Hi Stef,

Thanks for your suggestions. I will check levels after 3 months and will continue d3 tablets of 2000-5000iu.

[stef2011]

and will continue d3 tablets of 2000-5000iu.

post results so we can check both levels of vitd25oh and intact pth and know correct maintenance dose

[Ram1982]

Sure Stef, I will post results once I am done the check up.

[Ram1982]

I have done my Alpha Feto Protein (AFP),Serum Test today and it's 3.1 IU/ml (Reference Range:  Non Pregnant: 0.0 - 5.8 IU/ml).

Even I have done my Ultrasound(Abdomen) and found that mine is Fatty Liver grade 1 as I am Obese. Doctor told me that if I loose my weight it comes to normal. So, except Fibroscan I have done all the tests required. I couldn't do Fibroscan as no doctor is prescribing it saying that I am Inactive HBV carrier, without prescription no one is doing Fibroscan.

Just to summarize:

HBsAgs latest Qualntity: 4430.13 IU/ml
HBeAg negative
HBeAb positive
Undetectable Viral load
Normal Liver function test with ALT 39 and AST 24
Vit D level: 4.97 ng/ml (Reference Range >20)
Calcium: 9.5 mg/Dl(Reference Range 8.5-10.1)
PTH(INTACT): 32.6 pg/ml(Reference Range 14.0 -72)

Current Medications:
================
As I was very much Vit D3 deficient Doctor gave me one injection of ARachitol 6 lakh Im stat and asked me to take one tab of UpriseD3 60K every week after breakfast from next week.


I am travelling to US next week, I am not sure if I will be able to do HBsAg count test after 6 months. May be I will test it next year when I am in India. I will post my results.

I think I do not need to worry about it for next 6 months atleast. Please suggest me if I need to do anything else..

[stef2011]

vit d deficiency itself promotes fatty liver, fibrosis, kidneys working 50% less, insulin resistance, promotes obesity

so i think that correcting vit d, eating organic only, a good diet and some gym will correct everything

[Jatashankar]

You did not do ur hbsag count I was expecting u at 3500level. Anyways keep in touch while u in us.
Fatty liver is reversible from upto moderate fatty grade 2 level.

[Ram1982]

Thanks Stef for your information. You are the one wh.    o inspired me for Vit d check, which helped me a lot.

Jatashankar,
Yes, I will be doing it b4 I travel to US and will update you.Thanks for ur info.