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Doctor insights on: Lupus And Low Vitamin D And B12

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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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Dr. Randy Baker
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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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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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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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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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I have constant pelvic and left leg tingling. Low vitamin d and b12, high fettrin levels and slightly high csf. Mri's neg, blood ok. Thoughts?

I have constant pelvic and left leg tingling.  Low vitamin d and b12, high fettrin levels and slightly high csf. Mri's neg, blood ok. Thoughts?

Sciatica plus?: You have described different complaints plus test results, some confused: what is "high csf"? Was the MRI a spine study? Pelvic pain and leg pain sound like a spine problem. See a neurologist who specializes in nerve and muscle disease. Ask about nerve conduction tests. ...Read more

Dr. Randy Baker
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Dr. Linda DiMeglio
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