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Doctor insights on: Low Folate Vitamin D B 12 In Lupus

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Have lupus and have to avoid the sun due to photosensitivity. My vitamin D level was 21. Is that low enough to cause any noticable symptoms?

Have lupus and have to avoid the sun due to photosensitivity. My vitamin D level was 21. Is that low enough to cause any noticable symptoms?

You are just 39: You will develop osteoporosis as you age. You need to see your doctor and get on vit d and calcium to get that level up and protect your bones. You also need a healthy diet and exercise. Daily. ...Read more

Folic Acid (Definition)

Folic acid, AKA folate (folic acid) (vit B9), is recommended for all women wanting to get pregnant -- 0.4mg (400mcg) daily, which is important for preventing birth defects like spina bifida. Women w/ a hx these disorders should take 10x that amt daily -- 4mg (4000mcg) through the 3rd month of pregnancy. It won't affect fertility, chances of conception/twins, or periods. ...Read more


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Can an ANA test be negative and an Dsdna test be undetermined and I still have lupus? Also my vitamin d was low. I have all other symptoms of lupus.

Can an ANA test be negative and an Dsdna test be undetermined and I still have lupus? Also my vitamin d was low. I have all other symptoms of lupus.

Possible yes: Still you should be evaluated by a rheumatologist to make that decision. ANA testing if negative most of the time (even more than 90 %) means that you will not have lupus, but they are many other autoimmune disorders that may mimic lupus which further testing and evaluation is needed. Again getting to see a rheumatologist would be the best answer to all of these questions. ...Read more

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What causes extremely low vitamin d and vitamin B12 folate?

What causes extremely low vitamin d and vitamin B12 folate?

Depends: Sometimes it can be malabsorption, which can be due to gluten sensitivity. Gluten beats up the gut cells and the gut, and decreases the ability to absorb certain things. Commonly we see such people low in d, B12 and iron as well as magnesium and zinc. ...Read more

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My recent lab tests came back with Iron level of 30, transferrin of 20%, low vitamin D, high B12 and high folate. Is this cause for concern?

My recent lab tests came back with Iron level of 30, transferrin of 20%, low vitamin D, high B12 and high folate. Is this cause for concern?

Lab values: Low iron exists. Low vitamin D exists. These are not major threats but should be remedied. Take iron daily as a supplement. And add Vit d as a supplement. A real good iron pill is vitron C A good dose of Vit D is 1000 units per day ...Read more

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Can a low vitamin D of 21 cause symptoms? I hear conflicting things on this. I also have controlled lupus &autonomic dysfunction. I fatigue easily.

Can a low vitamin D of 21 cause symptoms? I hear conflicting things on this. I also have controlled lupus &autonomic dysfunction. I fatigue easily.

Unlikely: While vitamin D level of 21 is lower than the optimum, it is not likely to be the cause of your symptoms. You may take 2000 units of vitamin D3 daily,
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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Folate >22.3 (ref 5.9-22.3) and Vitamin D 26.9 (ref 30-100). Take no vitamins and have no symptoms, anything I should do or worry about? Thanks!

Folate >22.3 (ref 5.9-22.3) and Vitamin D 26.9 (ref 30-100). Take no vitamins and have no symptoms, anything I should do or worry about? Thanks!

Optimize Vitamin D: Just optimize vitamin D level. Take vitamin D3 2000 IU/day and check vitamin D level in 4 months. Get sun exposure 15-20 minutes per day ...Read more

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Folate >22.3 (ref 5.9-22.3) and Vitamin D 26.9 (ref 30-100). Take no vitamins and have no symptoms, anything I should do about H folate or L vit D?

Folate >22.3 (ref 5.9-22.3) and Vitamin D 26.9 (ref 30-100). Take no vitamins and have no symptoms, anything I should do about H folate or L vit D?

Vitamin D: The vitamin D is of greatest concern. Either take a vitamin D supplement or increase ur exposure to the sun. The supplement is a little safer because it doesn't increase the risk of skin cancer like the sun can.Folate is a water soluble vitamin and if u r taking a supplement, just decreasing it could make the level drop. How concerning it is depends on how much greater than 22.3 it is. Low is worse. ...Read more

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Can a vitamin d deficiency be mistaken for lupus?

Can a vitamin d deficiency be mistaken for lupus?

Not likely: Lupus has very specific symptoms such as rash, , fever, arthritis, hair loss, mouth sores, fatigue, and raynauds. There are some blood tests that may help with the diagnosis of lupus. Vitamin d deficiency is generally caused by inadequate sunlight exposure and is diagnosed by a blood test. ...Read more

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My ANA was positive and my vitamin D count is 14, do those results always mean Lupus?

Need more info: ANA (anti-nuclear antibody) may suggest sLE if high titer, usually a dilution of 1:320 or higher plus appropriate symptoms and other tests such as an elevated erythrocyte sedimentation rate (ESR). Low titers of ANA occur in 10% of normal females, even higher over age 60 without any disease. The lowest normal level of vitamin D is 30 and is not a test involved in the diagnosis of sLE. ...Read more

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I have lupus. Should I take vitamin D, since I can't be in the sun?

I have lupus. Should I take vitamin D, since I can't be in the sun?

You can.: It is genrallly not needed if you are eating a normal diet and using vitamin supplements as you have noted. If you feel you must have your doctor order a vit d level first. ...Read more

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Vitamin d blood level of a 6. Bad? Vitamin B12 was 293. & folate was

Vitamin d blood level of a 6. Bad? Vitamin B12 was 293. & folate was

Yes, but can treat: Low vit d can cause fatigue, muscle pain/ weakness, headaches, depression & increases risk of infections, heart disease, cancer &risk of dying! Most adults need 5-8000 iu of d3/day;avoid d2! see http://www. Drfranklipman. Com/symptoms-diseases-associated-with-vitamin-d-deficiency & http://articles. Mercola. Com/sites/articles/archive/2008/11/01/vitamin-d-is-a-key-player-in-your-overall-health. Asp &comment. ...Read more

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I have fibromyalgia and two heart conditions, plus I am B12 and vitamin d and iron deficient, can this be connected with lupus?

I have fibromyalgia and two heart conditions, plus I am B12 and vitamin d and iron deficient, can this be connected with lupus?

No: People with fibromyalgia can have lupus as well, but the conditions are separate and distinct. The heart issue and vitamin deficiencies are also not related. ...Read more

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Why would a rheumatologist prescribe Fosamax, plaquenil, calcium with vitamin d for systemic lupus? Is this the right treatment for moderate lupus

Why would a rheumatologist prescribe Fosamax, plaquenil, calcium with vitamin d for systemic lupus? Is this the right treatment for moderate lupus

Not unusual but...: Placquenil is a standard treatment ; vit d is helpful in autoimmune disease ; can prevent osteoporosis (as can calcium). Those with lupus are at increased risk of osteoporosis (esp. If put on steroids) but it is questionable if Fosamax (alendronate) is helpful for preventing rather than treating it. I personally question Fosamax (alendronate) but would add vit. K- see http://bit. Ly/1a48ofs
see my comments for other ideas:. ...Read more

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Can a vitamin D level of 21 cause depression? My doctor suspects I'm depressed. I say I'm just exhausted. I can't be in the sun because of lupus.

Yes; easy to take D3: Low D can cause depression and fatigue and is associated with aggravation of SLE! Take 5-8000 iu of D3/day to get your levels in the 50-80 range. See http://doctormurray. Com/vitamin-d3-is-important-in-autoimmune-disorders/ and http://tinyurl. Com/zstm5u3 and http://tinyurl. Com/2chkcer
Many with lupus may have undiagnosed Lyme disease. See http://tinyurl. Com/m2eld3v and http://tinyurl. Com/zsx7eaq ...Read more

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I have arthritis in my knees & pain in my lower legs had a full blood workup. Eveything ok except folate at 15.3, vitamin d at 16.5, rnp. 9 what 2 do?

I have arthritis in my knees & pain in my lower legs had a full blood workup. Eveything ok except folate at 15.3, vitamin d at 16.5, rnp. 9 what 2 do?

Treat arthritis: Your pain is likely coming from the arthritis, and not related to the lab values. You should ask your doctor about treatment for the knee arthritis. Usually best to start with conservative treatments such as weight loss, activity modifications, anti-inflammatory agents. Injections of steroid or hyaluronic acid might also be offered. Replacement can be used for severe arthritis. ...Read more

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Hemoglogin:12.5 low, hematocrit:38 low. Iron, folic acid, b12, vitamin d ok. What's causing anemia & what do I do? Have graves disease&psoriasis/arthr

Hemoglogin:12.5 low, hematocrit:38 low. Iron, folic acid, b12, vitamin d ok. What's causing anemia & what do I do? Have graves disease&psoriasis/arthr

A 38 hct: Is not considered low at most labs. It doesn't sound like that is really your issue but go over this with the ordering physician, good luck. ...Read more

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Can I take the followings/d Hpv and low grade vitamin A 8000 iu vitamin b13 1000ug vitamin c 1500 mg vitamin D 25 ug vitamin e 400 iu folic acid 800ug?

Can I take the followings/d Hpv and low grade vitamin A 8000 iu vitamin b13 1000ug vitamin c 1500 mg vitamin D 25 ug vitamin e 400 iu folic acid 800ug?

Vitamins and HPV: Vitamins as supplements will have absolutely no effect on HPV. You can however take the supplements you indicated, although a single multivitamin a day would be just as effective. ...Read more

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Are foods high in folic acid, and vitamin d good for people with auto immune diseases?

Absolutely: Folic acid and vitamin d are excellent nutrients/vitamins that provide significant qualities known to assist the bodies immune system. ...Read more

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I'm almost 5 weeks pregnant. Can I take vitamin D and Iron along with folic acid? When shall I take calcium??

You can: As your nutritional needs will increase with a growing fetus in you. The best dosing plan for you should come as a joint plan between you and your OB. Best of luck and congratulations. ...Read more

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My vitamin d and folic acid level is 7.36 and 2.3 respectively. I am suffering from muscle pain all around. Can vitamin D be the reason of the pains.

My vitamin d and folic acid level is 7.36 and 2.3 respectively. I am suffering from muscle pain all around. Can vitamin D be the reason of the pains.

It could: We know that muscles have vitamin D receptors. Usually low vitamin D causes muscle weakness. However there are some patients that have muscle pain and vitamin D helps resolve that. Therefore this is a possibility, but I would see your physician, and possibly see a rheumatologist to make sure there is not another diagnosis. For instance we know people with fibromyalgia that have low vitamin D.. Their pain can be improved with vitamin D supplementation. ...Read more

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Just been informed I am folic acid deficiency can taking vitamin d and omega 3 supplements effect the test results?

Just been informed I am folic acid deficiency can taking vitamin d and omega 3 supplements effect the test results?

Lab tests: Yes, the supplements you mention can effect your test results. Please be sure to mention to your doc that you are taking them and it will help clarify things or you may be asked to stop briefly before testing. Peace and good health. ...Read more

Dr. Randy Baker
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