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Doctor insights on: Does A Sudden Drop In Vitamin D Levels Mean Parathyroid Problems

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Does a sudden drop in vitamin d levels mean parathyroid problems?

Does a sudden drop in vitamin d levels mean parathyroid problems?

No: Vitamin d absorption depends on a lot of things. It is also affected by sun exposure. I always tell my patients to take additional supplement in the winter time when the sun may not be as strong. Also other things may interfere with the absorption. But I fo not feel it is indicative of a parathyroid problem.

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Dr. Randy Baker
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Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth? ]

Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth? ]

Masking: Masking of hyperpara with low D is unusual. 40% of hyperpara patients present with vitamin D deficiency. It is important to get all labs checked at the same time (blood draw) to prevent confounding results from tine of day or day to day changes. The labs I check are: total calcium, ionized calcium, 25 OH vitamin D, magnesium, phosphorus, creatinine, chloride, and intact PTH.

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Can secondary hyperparathyroidism be caused by a vitamin d deficiency?

Can secondary hyperparathyroidism be caused by a vitamin d deficiency?

Yes: This would generally be in the case of severe or very low vitamin d over a period of time. In such a case, the calcium would drop and increase the work of the parathyroid gland.

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What are tests for hyperparathyroidism and vitamin d deficiency?

What are tests for hyperparathyroidism and vitamin d deficiency?

It depend what kind: The gold standard of diagnosis is the parathyroid immunoassay. Once an elevated parathyroid hormone has been confirmed, goal of diagnosis is to determine whether the hyperparathyroidism is primary or secondary in origin by obtaining a serum calcium level which is high in primary case, low in secondary cases.

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Does vitamin d deficiency cause secondary hyperparathyroidism, or is vitamin d deficiency caused by primary hyperparathyroidism?

Does vitamin d deficiency cause secondary hyperparathyroidism, or is vitamin d deficiency caused by primary hyperparathyroidism?

SecondaryHyperparath: Secondary parathyroidism which is most of the time due to Chronic Renal Failure But can also be caused after Bariatric Surgery, Small Bowel Disease and Chronic Pancreatitis, where there ilow vitamin d and low calcium and that stimulates parathyroid to make more parathyroid hormone

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What are the symptoms of vitamin d deficiency? I have ongoing neck/shoulder pain, weak legs, fatigue and dizziness. Are these due to the deficiency?

What are the symptoms of vitamin d deficiency? I have ongoing neck/shoulder pain, weak legs, fatigue and dizziness. Are these due to the deficiency?

Few symptoms usually: Most pts with true vitamin d deficiency are virtually asymptomatic early on, and blood test levels often surprising. Do get this checked and monitored, but most likely, your symptoms are due to a different cause.

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How are low B12 and vitamin D levels related to mood problems and anxiety issues?

Vitamin D Levels: Certainly low Vitamin D levels have been associated with depression. You need to get your serum vitamin D levels checked. In functional medicine we like for your Vitamin D levels in the 60-80 range.

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What problems may be caused by a vitamin D deficiency?

What problems may be caused by a vitamin D deficiency?

Osteomalacia: Hi. In adults, the most serious problem from vitamin D deficiency is osteomalacia, poor bone mineralization. Vitamin D also has receptors in many other tissues besides bone. Vitamin D deficiency has been associated with increased fall risk, and possibly heart disease as well. My advise to patients is keep your 25 (OH)vitamin D level mid-30's or higher. Good luck!

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Which sort of medical problems arise as a result of vitamin d deficiency?

Which sort of medical problems arise as a result of vitamin d deficiency?

Bone density: Vitamin d can be ingested (in milk or supplements) and can also be created in your skin via sun exposure. The latter is becoming less common as most of us use sunscreen! vit d plays a vital role in bone development and woman are at increased risk for osteoporosis. Got milk? Increase milk intake, use supplements as necessary, and increase weight bearing exercise to build bone!

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Could vitamin d deficiency contribute to my sleep problems?

Could vitamin d deficiency contribute to my sleep problems?

Possibly: Vitamin d effects most, if not all the organs in the body including the brain. The problems with deficiency are not always the same in everyone. Regardless, if you are deficient, you would benefit from supplements to raise your blood level to at least 40-60 ng/dl according to the latest endocrine society guidelines.

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High PTH levels low vitamin d levels and high calcium levels?

High PTH levels low vitamin d levels and high calcium levels?

Speak with your doc: It sounds as if your doctor is doing a diagnostic work up to include your parathyroic gland. If this is the case she may also order tests to visualize the gland as well as your bones. You may have had a recent fracture or problem that she is addressing. Hope you get to the bottom of it soon.

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Does vitamin D deficiency make chronic pain in rip cage? Chostochondral? My level was 13 ng

Does vitamin D deficiency make chronic pain in rip cage? Chostochondral? My level was 13 ng

Indeed it can: I'm glad it got diagnosed. Just a little sun exposure should handle it, or appropriate supplementation. If treatment doesn't work, look for another cause.

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What are normal levels for vitamin d 25 oh? And can u get a low grade fever if the vitamin d levels are low?

Prefer at least 30: The range of 25-oh vitamin d levels believed to be adequate by physicians ranges from approx. 20 to 70 ng/ml, depending on who you talk to. There is some evidence from controlled studies that vitamin d supplementation lowers all-cause mortality. I favor achieving a level of at least 30 ng/ml. I'm not aware of a link between vitamin d and fever, and doubt your post-ovulation temp is true fever.

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Is it possible for elevated bilirubin levels and being vitamin d deficiency to have anything to do with each other?

Is it possible for elevated bilirubin levels and being vitamin d deficiency to have anything to do with each other?

Doubtful: I highly doubt any relationship between elevated bilirubin and vitamin D deficiency in adults. Given the epidemic of vitamin D deficiency, physicians would see thousands more patients with elevated bilirubin if there was a relationship between the two. That being said, a 2013 study from Asia suggests low vitamin D may be associated with elevated bilirubin in neonates.

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Why are people with low cholesterol more likely to get cancer than people with higher cholesterol? Is this related to their vitamin d levels?

Statistical fluke: Healthy people with low cholesterol don't get more cancer. This is a statistical fluke of some studies. In some studies, people with low cholesterol or vit d have an occult cancer, or are smokers, or are too skinny (due to their illness), and then these people tend to show more cancers later. Statistical associations can be misleading and do not prove cause-effect.

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