Why do i still having vitamin d deficiency symptoms after treatment? Posted In: I cannot get a diagnosis. I am a 26 year old . Last July I started having palpitations, and I had been having dizzy spells. Of course the dr. checked my heart- no major problems. My thyroid level was ok. I was still sick about 3 months later. By November I had dizziness, headaches, terrible back pain, rt ankle swelling/pain,pressure in rt eye/face, extreeeeme fatigue, loss of interest in anything, short of breath at times, mood swings, memory loss, and anxiety!!! I HAVE SEEN MULTIPLE SPECIALISTS- Cardio, Gastro,ENT, Neuro, OB/GYN,Endo and a Rheumatologist. After all these docs trying to put me on meds for everything from anxiety to high blood pressure, the endocrinologist finally tested my vitamin D level. My vitamin D level was 11 ng/L !!, I thought I WAS DYING FOR MONTHS AND HAD ACCEPTED THE FACT. Pray, research, and demand thorough treatment. The only reason I discovered these problems was because I decided they would not find out what my illness was on autopsy.
The doctors, unfortunately, is not ALWAYS looking at you as an individual, but as a textbook case. My endocrinologist (2nd in 4 months) prescribed 50,000 I.U. 2 times a week for 4 weeks and then it decreases to times a week for 4 weeks. Now my level 85 ng/L ,I am frustrated that I still having some symptoms,I have been living in ***l for the past 8 months and I am looking forward to heaven on earth again!!! Have a little faith. please any one who been treated with vitamin d3 are your symptoms better? Thank you for any comments/info you have to offer.. Stop Following This ThreadLatest case-studies on vitamin D toxicity In September, 2011, two papers with three case reports of vitamin D toxicity were published. Two cases were manufacturing errors and one was a pharmacist’s mistake. Vitamin D levels associated with clear toxicity ranged from 194 to 1220 ng/ml. To my knowledge, toxicity occurring at 194 ng/ml is the lowest vitamin D level causing clear toxicity known in the medical literature.
In the first case, a pharmacist’s dispensing error occurred when the doctor wrote a prescription for 1,000 IU/day of D3. Since it was not a prescription item, the pharmacist thought the doctor meant prescription Drisdol, which is 50,000 IU. So the patient, a 70-year old woman with mild dementia, began taking 50,000 IU/day of D2. She was also taking, for reasons unknown, 3100 mg of calcium per day. Jacobsen RB, Hronek BW, Schmidt GA, Schilling ML Hypervitaminosis D Associated with a Vitamin D Dispensing Error (October). Three months later she developed confusion, slurred speech, unstable gait, and increased fatigue. Probably due to her dementia, she did not complain of the most common symptoms of toxicity: lack of appetite, excessive thirst, nausea, abdominal pain and increased urination. Her vitamin D level was 194 ng/ml, her calcium (CA) was 14.6 (8.5-10.5 is normal); her kidney function was impaired with a creatinine of 5.3 (CR); her activated vitamin D level was normal, her urine CA/CR ratio was elevated, but she had no anemia.
All vitamin D and calcium was withheld and her doctors treated her with IV fluids. Four days later her symptoms disappeared and her calcium returned to normal and her creatinine improved to 3.0. Five months later her vitamin D level was 40, her calcium was 9.2, and her creatinine was back at baseline, 1.8. To my knowledge, this is the first modern case report of toxicity at 50,000 IU/day (and this was D2), although this case also included 3100 mg/day of calcium. Unfortunately, I have heard that a few physicians use 50,000 IU/day routinely. It is too much, way too much. However, this lady completely recovered with no damage to her kidneys. Secondly, why would anyone take 3100 mg/day of calcium? In this case she was demented. However, many people believe that the government recommendation of 1200 mg/day of calcium for females over the age of 50 means they should literally take 1200 mg/day as a supplement. It does not mean that at all. It means total dietary and supplement intake should be 1200 mg/day and everyone gets some calcium in their diet.
Most people need no more than 500 mg/day of calcium as a supplement and many people who eat dairy three times a day need none. The other two cases were equally interesting, but involved manufacturing errors. It is one of the reasons I recommend you get your vitamin D from one of our sponsors, Stop Aging Now or Bio-Tech-Pharmacal. Both companies are experienced and careful in their vitamin D manufacturing process. In case two, an otherwise healthy man developed fatigue, excessive thirst, frequent urination and confusion. Three weeks later he was admitted to hospital in a coma with a vitamin D level of 1220 ng/ml (24 times that of a healthy level), calcium of 15, activated vitamin D of 106, massive calcium loss in the urine, mild anemia, and elevated urine CA/CR ratio. He had been taking “Formula F,” labeled to contain 1600 IU of vitamin D but it really contained 186,400 IU per capsule. In addition, “Formula F’s” label recommended 10 capsules per day, not one, so the patient had been taking 1,864,000 IU daily for two months!
After treatment, calcium returned to normal in three weeks; the vitamin D level and the creatinine returned to normal in a year. That is, he completely recovered. Araki T, Holick MF, Alfonso BD, Charlap E, Romero CM, Rizk D, Newman LG. Vitamin D Intoxication with Severe Hypercalcemia due to Manufacturing and Labeling Errors of Two Dietary Supplements Made in the United States. Case three (in the above paper) was a 40-year old man who presented with excessive thirst, frequent urination, muscle aches, nausea, vomiting, elevated calcium (13.2), elevated creatinine (1.78), vitamin D level of 645 ng/ml, elevated activated vitamin D of 99, mild anemia, and an elevated urine Ca/Cr ratio. He reported taking “Gary Null’s Ultimate Power Meal” for a month, which mistakenly contained 970,000 IU of vitamin D per serving. Calcium returned to normal in several days, kidney function returned to normal in 4 weeks, vitamin D level normalized in 10 months but activated vitamin D took a year to normalize.