Doctor insights on:
High D Dimer Causes
Not really: D dimer is a marker of clotting. Blood clots in the legs and lungs are associated with elevation. It will also go up with injuries and surgery. Blood pressure may go up as a complication of a blood clot in the lungs or because of the injury or surgery, but elevated BP should not cause increase in d dimer, or vice versa. ...Read more
D-diner is a breakdown product from blood clots. It can be found elevated in certain conditions like pulmonary embolus (blood clot which travels to the lung) deep venous thrombosis (blood clot in deep vein of legs usually) and disseminated intravascular coagulation (diffuse clot formation from severe infection which ...Read more
It's long been known that getting too little vitamin D weakens bones: The role vitamin D may play in developing high blood pressure and heart disease is less clear. Vitamin D deficiency may be linked to heart disease and a higher risk of high blood pressure (hypertension). However, more research is needed. It's too early to say whether too little vitamin D causes high blood pressure — or whether vitamin D supplements may have any role in the treatment of high blood pressure. Still, vitamin D remains an important nutrient for overall good health. The Institute of Medicine recommends 600 international units (IU) of vitamin D a day for adults ages 19 to 70. For adults age 71 and older, the recommendation increases to 800 IU a day. Some doctors question whether these levels are adequate and think that getting more vitamin D would benefit many people. However, the Institute of Medicine recommends that adults avoid taking more than 4,000 IUs a day. If you're concerned that you're getting too little — or too much — vitamin D, contact your doctor. He or she may recommend a blood test to check the level of vitamin D in your blood. Screening for vitamin D deficiency is important in African-Americans and others with dark skin, due to decreased natural production of vitamin D with sun exposure. People who have limited exposure to the sun, older adults, people with certain conditions who may not be able to absorb vitamin D effectively and others also may benefit from screening for vitamin D deficiency. ...Read more
Insufficient intake: There are two ways to get vitamin d. Your body makes it when you are exposed to the sun, or you can take it in your diet. Vitamin d tends to be found in fish (usually cold water) and eggs. There's some in fortified milk, but not enough. Over all, it's pretty hard to get enough from your diet unless you eat huge amounts of certain fish or take a supplement, so i recommend supplements. ...Read moreSee 1 more doctor answer
Lots of things: The d-dimer test will be elevated in many conditions where the blood is making and dissolving blood clots. We use it to detect abnormal clots in the leg or lungs but unfortunately the test is often abnormal after surgery or trauma, in pregnancy and many other illnesses. This makes it a difficult test to interpret and use. In the right patient, a normal test can be very useful. ...Read more
What could cause a persistently elevated serum calcium (10.4), vitamin d deficiency (19.7), but low pth (12)?
Vitamin D: Of 19.7 is a disaster since it should be between 60 and 80. I suspect that is the bottom line cause. ...Read more
Yep.: Vit d deficiency --> fatigue, joint pain &/or swelling, muscle pain, cramping, &/or weakness, chronic pain, uncontrolled weight gain, high blood pressure, restless sleep, poor concentration & memory, headaches, bowel & bladder problems. If you have chronic fatigue, get your vit d checked, along with a full profile. ...Read moreSee 1 more doctor answer
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
What causes low serum phosphate other than parathyroidism? PTH & calcium are constantly normal. Normal D vitamin because of high dose supplements.
Low phos: Phos metabolism is intake /shift/ losses. I am assuming you have good intake. So the other two are the reason, either shift inside the cells or losses from the kidney. How low is the phos? Your medication list shows no meds that can cause losses. A lab doesn't need to be treated, so rpt lab and then get a urine fractional excretion if still low. Talk to your MD. ...Read more
?on Vitamin D blood work. Vit D 1,25 is high at 73 (rg 18-72). Vit D,25-OH, Total is low at 26 (rg 30-100). Is there any significance to imbalance?
I recommend: 25-hydroxy vitamin D 3 level of 50-66 ng (not nanomols)/L. this usually requires around 5000 units D3 at least 5 days a week. For further wellness protecting goals and numbers you may consult me on health tap. H Robert Silverstein MD, FACC. Recommended reading www.thepmc.org ...Read more
Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K.
What could this mean?
Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more
Does low vitamin d correlate with liver disease? Chronic elevated ALT and vit d is 12.8. Waiting for other blood work to rule out other conditions.
Possible-EducateSelf: Probably different issues. Study http://www.Cdc.Gov/nutritionreport/99-02/pdf/nr_ch2b.Pdf ; http://www.Vitamindcouncil.Org for intro. Have seen alts in the 40, 000 range: people with type a hepatitis. Alkp, alt, ast high conc. Inside liver cells, typically very low outside, thus ? a very non-specific marker of liver cell injury. Huge no. Possibilities; not simple! lowfat, hisugar foods common basis. ...Read moreSee 1 more doctor answer
3 separate things: ANA is a screening test. A positive result only indicates more testing might be needed to look for autoimmune diseases. Crp means something somewhere in the body is inflamed for some reason (and yes it really is that vague). Low vitamin d means you needs more vitamin d in the diet or in the form of vitamin pills. ...Read more
Other than hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?
Hypercalcemia: A full answer is beyond the space limitations imposed in this space. A full discussion of the causes of high serum calcium levels can be found at this link: http://www.Mayoclinic.Com/health/hypercalcemia/ds00976/dsection=causes this will give you the answers you are looking for. ...Read more
Clotting proteins: D-dimer is a breakdown product of fibrin that has been crosslinked, thus in elevated levels it indicates active clot lysis. Fibrinogen is a clotting factor normally present in the blood and needed to make fibrin, an essential part of a clot. In some settings, fibrinogen will go up in response to inflammatory or other stimuli. ...Read more
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. ...Read moreSee 2 more doctor answers
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