italian guidelines in case of vit d deficiency

[stef2011]

this is very useful since i haven t seen guidelines around with proof of fast results and no sides.these are guidelines since 2011 and with predose of 300.000-1.000.000iu of d3 maintenace dose should be ok at 4000iu but this is not obvious one has to check and see because we are not healthy people with d deficinecy so it is very probable higher doses than 4000iu are needed especially on obese

http://www.reumatismo.org/index.php/reuma/article/viewFile/reumatismo.2011.129/510

Guidelines on prevention and treatment
of vitamin D deficiency
S. Adami1
, E. Romagnoli 2, V. Carnevale2
, A. Scillitani3
, A. Giusti4
, M. Rossini1
,
D. Gatti1
, R. Nuti5
, S. Minisola2
1
Unità di Reumatologia, Dipartimento di Medicina, Università di Verona; 2
Dipartimento di Medicina,
Università La Sapienza, Roma; 3
Unità di Endocrinologia, Ospedale S. Giovanni Rotondo, Foggia; 4
Ospedale Galliera, Genova, Italia; 5
Dipartimento di Medicina, Università degli Studi di Siena

The Italian Society for Osteoporosis, Mineral Metabolism and Bone Diseases (SIOMMMS) has elaborated
the following guidelines about the definition, prevention and treatment of inadequate vitamin D status. The
highlights are presented here.
• Daily vitamin D allowance ranges from 1,500 IU (healthy adults) to 2,300 IU (elderly with low calcium
intake). Since the average Italian diet includes around 300 IU/day, subjects with no effective sun exposure
should be supplemented with 1,200-2,000 IU vitamin D per day.
• The serum 25-hydroxy-vitamin D [25(OH)D] levels represents the most accurate way to assess vitamin D
repletion, even though there are still no standardized assay methods.
• Conditions of “deficiency” and “insufficiency” are defined by the following ranges of 25(OH)D levels: less
than 20 ng/ml and 20-30 ng/ml, respectively.
• In Italy, approximately 50% of young healthy subjects have vitamin D insufficiency during the winter month
The prevalence of deficiency increases with ageing, affecting almost all elderly subjects not on vitamin D
supplements.
• When a condition of deficiency has been identified, a cumulative dose of 300,000-1,000,000 IU, over 1-4
weeks is recommended.
• In subjects recently treated for deficiency-insufficiency, a maintenance dose of 800-2,000 IU/day (or weekly
equivalent) is recommended. In patients on daily doses over 1,000 IU, 25(OH)D levels should be checked
regularly (e.g. once every two years).
• The highest tolerated daily dose has been identified as 4,000 IU/day.
• Vitamin D supplementation should be carefully monitored in patients at higher risk of vitamin D intoxication
(granulomatosis) or with primary hyperparathyroidism

[luckyman316]

Thanks Stef. I take 10,000iu due to the defiency they take. I'm wondering if you can offer a suggestion on brand to take or best way to take it. I currently take one 5,000iu gelcap in the morning .and then another 5,000iu gelcap in the evening before dinner

[stef2011]

it all depends on severity of hbv infection, vdr receptors, nagalase and so on

so some may be ok with 5000iu but most need 10.000iu

[luckyman316]

Agreed with Stef, this dose it not enough for Hep B patients. I believe the suggested amount was 10,000iu daily?

[stef2011]

i stress again these doses are for healthy people, hbvers have to check by blood tests because it is probable most will not keep levels by 4000iu daily.the less severe might have response close to healthy people but the most severe cases don t