Doctor insights on:
Does Predisone Have Any Calcium Or Vitamin D In It
16 year old golfer with sports injury in his back in May 2016, re-injured July 2016 playing squash, 2 MRI's done. What might cause ongoing pain......?
Is there instability?: One consideration is to do flexing and extending xrays. If there is motion that would explain the persistent pain. The MRI can show a stress fracture but sometimes it is hard to tell due to motion artifact. Given the lack of agreement I would bite the bullet and get a SPECT bone scan. If negative then push forward with core strengthening with a physiatrist and physical therapist. If it is a stress fracture and it is not healing you could consider a bone stimulator as an off label treatment. I published one case where this was done successfully in a 17 year old elite gymnast. ...Read more
Calcium/Vit D3: You need sunlight to convert cholesterol in your skin to vit d3 which your body uses to bring calcium into the bones. Not enough calcium and your bones become brittle, not enough d3 and you get 'soft' bones/rickets which can lead to fractures. If you are low then take d3 wait one hour then eat 2 non fat yogurts 2x/day. Each yogurt gives 800mg of calcium. ...Read more
How do you know you have a calcium or vitamin d deficiency? What are some signs you should look out for?
Can signs of joint deterioration show up after a week of a severe lack of certain nutrients? Ie: calcium or vitamin d?
Joint degeneration: Typically joint degeneration is from chronic wear and tear or acute trauma. Nutrient deficiency would take years to affect joints. ...Read more
Does omeprazole effect the absorption of calcium, or vitamin d?
Or cause any other sideeffects to bone health?
Yes...: Omeprazole belongs to a class of drugs called proton pump inhibitors (ppis) which are a popular treatment of gerd and dyspepsia. When used long term (10+ years) studies have uncovered an association with increased risk of hip fracture believed to be secondary to bone disease (osteoporosis). One must always weigh the risks and benefits carefully to avoid a therapeutic mis-adventure. ...Read more
I have a slight low white blood cell count. I don't intake calcium or vitamin D very much can that be the cause?
Leukopenia: Hi, low white blood cell count needs thorough evaluation for the cause, there is a normal variant of low white Blood cell count in African American which is benign other than that evaluation for various kind of infection, ultrasound of Spleen, Peripheral smear of blood and even biopsy of bone marrow might be needed, Calcium and vitamin D not needed at ur age. ...Read more
6w5d baby joints pop usually her shoulders, shoulder plates, and wrists. Is this a sign of a calcium or vitamin D deficiency? FTM here and paranoid
It increases calcium: Vitamin d increases calcium absorption, and if it gets too high, it can cause lots of problems such as stomach upset, muscle weakness and even depression. This is why taking too much vitamin d is a problem for most people - 800 units daily is plenty for most. If you have high calcium already, though, you might want to avoid taking extra, and limit sun exposure (raises active vit d). ...Read more
No sun or oral D.: Vitamin d deficiency develops because of inadequate exposure to sunshine and inadequate intake of vitamin d from supplements and food. Over a long period of time calcium deficiency in the bone and blood can develop from significant vitamin d deficiency because calcium can not be absorbed in the intestine. ...Read more
Yes: Usually no interaction.Get a more detailed answer ›
Yes: It is important to take vitamin d and calcium when pregnant to protect against bone loss and to maximize the skeletal development of the baby. Many women have been shown to be vitamin d deficient in recent years. A serum 25ohd test should be done to document a normal level. The dose of vitamin d to take depends on what level you start at. ...Read more
Low vitamin D:
Vitamin D is available over the counter at your pharmacist. It comes in bottles of 100 tablets - one bottle is 1000 unit tablets and the other is 2000 unit tablets.
Either one would be OK and neither is expensive. ...Read more
Rarely: Only at markedly elevated levels.Get a more detailed answer ›
Possibly: Although there are studies showing that calcium and vitamin d slow the loss of bone after menopause, recent studies have been suggesting that taking calcium supplements is not the same as getting calcium through foods in your diet. Calcium supplements may be associated with a higher risk of cardiovascular disease, whereas high calcium diet is not. At your age you should be concentrating on diet. ...Read more
What foods can help me with my calcium and vitamin d, but not increase my cholesterol and sugar level?
Is it safe to take 500mg of calcium with 400 units of vitamin D WITHOUT adding magnesium? I keep reading otherwise.
Yes: Yes, of course you can do that depending upon the reason. If you are hyerparathyroid, or have hypercalcemia then follow your doctor's advice. If you are simply doing what you can to have healthy bones and muscle or are being treated for thinning bones, then you may take those together or separately. Also, magnesium, zinc, iron and ascorbic acid (vitamin c) are needed to help create bone too. ...Read more
If a patient takes tons of calcium and vitamin d and then the blood calcium actually goes down- what is this indicative of?
Need an explanation: Blood calcium is closely regulated to maintain the precise electrical potentials that keep the brain and heart functioning. The amount that you take in, and the amount of vitamin d within anything close to physiologic parameters, has little effect -- fortunately. If this is hypoparathyroidism being treated & monitored, the illness itself isn't under control. If a lab within normal limits, ignore. ...Read more
Fosamax, Vitamin d & calcium for 9 mths now. My Yearly Dexa showed last yr -3.6. Now -3.4 only. Is it even worth being "happy" with results??
Why does a 42 year old woman need to have yearly tests?
Do you recall what sites were used to report your DEXA?
Weakness, pain, and depression needs MUCH more attention than DEXA.
PS: I am an Endocrinologist and have been practicing bone issues since 1974. Regrettably the doctors who perform the DEXA studies rarely look at the imaging. ...Read more
How to best manage severe, severe osteoporosis? Have tried all types of services, just started Prolia, increased calcium, increased vitamin D.
Ask about Forteo: Ask your physician about Forteo, which is the only osteoporosis treatment which actually builds bone (for the most part, all of the other treatments simply prevent further breakdown of bone). Unfortunately, insurance coverage can be an issue for Forteo, and also it requires a daily subcutaneous injection (a very tiny needle) for 2 years. Add daily walking to your treatment as well. ...Read more
Theoretically the body cannot absorb calcium without enough vitamin d. I have vit d deficiency but my calcium levels are good. What's up with that?
Can maintain blood: The level of calcium in your blood has nothing to do with how well you're absorbing calcium. We have a huge reservoir of calcium in our bones ; the amount in our blood is regulated by parathyroid hormone; we need to keep serum calcium levels within a narrow range or we die. Even if you absorb no calcium you can maintain a normal blood level due to the stores in your bone.See http://bit.Ly/1ekkvkv. ...Read more
Male 60 kg 23.5 old 5.6h vitamin d 10.68 ng/ml.Advice need 60k iu weekly or 6 lac iu fortnight and for what time ? Did i need calcium suppl also ?
Regretably you have used too many abbreviations that allow me to come up with meaningful answers.
For example, your listed vitamin D level is quite low unless you are an African-American. Please resend a list with complete presentation of your medical concerns. e.g. What is 60k iu, 6 lac iu? ...Read more
Drinking a cup of milk (daily) fortified with vitamin d is it enough to get my body need of calcium and vit d and without exposing my body to rhe sun?
NOT EVEN CLOSE!: A cup of milk has 120 iu of vit. D. While the recommended daily intake (rdi) is 600 iu, most adults actually need 5-8000 iu/ day to achieve optimal levels. The RDI of calcium is 1000 mg and a cup of milk has about 300 mg. In most of the US sun exposure does not help in fall & winter- you need to supplement. See http://tinyurl.com/2chkcer ...Read more
Which vitamin d should I take to help decrease psoriasis break outs...Vit d 1000..Vit d 2000..Vit d 500 with 1200 calcium..Stores have huge selection?
Be careful.: Regardless of what you have read on "natural health" web sites, there is no credible evidence that oral vitamin d is an effective treatment for psoriasis. High doses can raise your calcium levels to the point where you can develop kidney stones and other serious medical problems. 800-1000 iu is a safe daily dosage to prevent vitamin d deficiency. ...Read more
How long and how often should get a sun exposure to get Vitamin D? I work in an office & don't get much sun.Is it true I should have calcium together?
This depends on your latitude, time of year, your skin pigmentation & how much skin is exposed. It D helps us absorb calcium but many get enough calcium via diet. It's more important to take Vit K. If you don't get enough sun take 5-8000 iu of Vit D/day.
It's wise to test your Vit D levels; 50-80 is ideal. ...Read more