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Vitamin D

It is also known as Calciferol.

In 1782 it was found out that cod liver oil cured rickets. In 1918 Mellanby produced experimental rickets in animals and confirmed the conception which was so far known that ricket was due to deficiency of vitamin D. since then further studies has been made and it is now proved that synthesis of vitamin D occurs in the body under the influence of the ultra violet rays of the sunlight. The amount of vitamin thus formed is greatest during summer months and low in amount in the winter.

There is a group of vitamin D of which D 2 (calceferol) and D 3 (cholecalciferol) are chief required for our body. Calciferol may be obtained from plants whereas cholecalciferol is the naturally occurring vitamin D, which is found in the animal fats and fish liver oils. It is also obtained from exposure to UV rays of the sun which convert the cholesterol in the skin to vitamin D. vitamin D is stored largely in the fat depots.


Sources of vitamin D:

Vitamin D is unique because it is derived both from sunlight and foods. Vitamin D is synthesized by the body by the action of UV rays of sunlight on 7-dehydroxycholesterol, which is stored in the skin in large amounts. Vitamin occurs in foods of animal origin. Liver, egg yolk, butter and cheese and some species of fish contain useful amounts of vitamin D. fish liver oil are the richest source of vitamin D. dietary sources of vitamin d are given below in the table

µ g/per 100g

Butter

0.5-1.5

Cod liver oil

200-750

Halibut liver oil

500-10,000

Fish fat

5-30

Eggs

1.25-1.5

Milk, whole

0.1

Shark liver oil

30-100



Benefits of vitamin D:

Vitamin d is needed in the development of strong, healthy bones. Its chief function is to maintain the right concentration of calcium and phosphorus in the body. Vitamin D is necessary for the calcification process. This is particularly important in babies and young children, whose bones develop comparatively at a faster rate. Vitamin D maintains normal structure of bones and assists to govern the balance between bone calcium and blood calcium. It also helps in the development of the normal teeth. In deficiency of vitamin D the formation of the teeth becomes defective and leads to the development of dental caries. Vitamin controls the retention of calcium and parathyroid regulates the level of blood calcium by controlling movement of calcium from the bones. Thus vitamin D and parathyroid help each other in calcium metabolism and bone formation. It lowers the pH in the colon, caecum, ileum, etc. and increases the urinary pH simultaneously. It also permits normal growth. On the whole the function of vitamin D is to cause increased absorption, longer retention and better utilization of calcium and phosphorus in the body.

Daily requirement:

Exogenous vitamin D is required throughout the period of skeletal growth, i.e. to adult life.

The recommendations for infants under 1 year are 400-800 i.u. daily, and for children and adolescents up to 20 years – 400 i.u.

In the latter half of pregnancy and throughout lactating period, the dose should be 400-800 i.u.

Deficiency symptoms of vitamin D:

The most important change in this vitamin deficiency is an increased loss of calcium and phosphate in the stools. This leads to a fall in their blood level and hence not available for bone formation. Due to this reason, the children suffer from rickets and adults from osteomalacia. Rickets occur in children between 6 and 18 months of life during the period of skeletal growth. The bones become soft and easily bent. Under the constant pull of the muscles, the joints lose their shape and are not able to function, as they should. The disease is characterized by growth failure, bone deformity, muscular hypotonia, tetany and convulsions due to hypo calcemia. In young infants there may be a marked softening of the bones of the skull. The head may be flattened on one side. Premature infants are more prone to have rickets. The danger is great to darker skinned children who live in cooler climates. Breast fed babies are more likely to develop rickets if the mother is not on a well balanced diet.

Osteomalacia is a form of adult ricket. It is due to deficiency of vitamin D and calcium in the diet. It occurs in women during pregnancy and lactation when a large amount of calcium is depleted from the mother.

In the absence of vitamin D there is decreased absorption of calcium from the food and also diminished the level of phosphate in blood.

In vitamin D deficiency, formation of cartilage is continued but in irregular fashion and calcification may stop completely.

Deficiency of vitamin D also leads to the development of dental caries.

Prevention measures include educating parents to expose their children regularly to sunshine, periodic dosing of vitamin D.

Vitamin D is stored in the body in fatty tissues and in the liver. An excessive intake is harmful and may result in anorexia, nausea, vomiting, thirst and drowsiness. The patient may lapse into coma, while cardiac and renal failure may occur. The effects are due to hypercalcaemia produced by increased intestinal absorption and mobilization of calcium from bone.


 

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Vitamin D Dosage
i recently watched a doctor speak on a morning show that 4000 units of vitamin d is fine for adults and children over 6 yrs. 2000? he said that he disagrees with the government regulation of 200 and that it should be changed. he currently takes 6000 units a day and says it is really impossible to overdose on vitamin d.?. my husband and i are taking four pills of vitamin d a day (is this really an excessive amount?...will we have kidney failure or any other potential risks with this amount of dosage? what is your opinion? thank you :)
#1 - kelly - 11/29/2007 - 09:55
My mom accidentally took 2000 mg. of Vitamin D recently for about one month after I changed her dosage and she forgot to adjust. She's 94 years old. She just had an incident of bleeding from the bowel and vomitting that put her in hospital with a white blood cell count of only 72 and she required 2 units of blood. Could this large dose of Vitamin D have had any bearing on her problem?
#2 - M. Emery - 01/01/2008 - 17:42
I think that it did not have anything to do with it. I have a vitamin D deficiency and have been taking 50k IU (yes, 50,000) for the last 2 months. Lack of vitamin D will cause alot of problems too. I am tired all the time. But when I took the 50k IU I felt amazing. Some people cant absorb VD, I am one of those I suppose. Perhaps your mother had another issue going on?
#3 - Kelly K - 01/13/2008 - 22:39
I have been studing cancer and vitamin D. I read that people of color don't make vit D as well as white people and that could be a reason for increased cancer death rates among african americans.
#4 - Erilyn - 02/26/2008 - 02:42
i take 4000 iu d and it has 480 mg calcium with it is this enough calcium or should i take more.
#5 - jeff bowman - 02/27/2008 - 03:26
I take 50,000 units of Vit D3 for 6 week intervals. I have very low Vit. D and this helped my leg cramps and muscle pain immensely.
#6 - caitlin - 02/29/2008 - 16:04
Vitamin is stored in body as 25(OH)D. Nature (Sun) can give 10000IU per day, which can take 25(OH)D to 85ng/ml. Optimal supposed to be 35ng/ml and for metabolic benefits 50ng/ml is desirable. The value less than 10ng/ml is really low.
Taking 2000IU per day can keep 25(OD)D to a level of 35ng/ml. With more than that, there is risk of soft tissue calcification.
Extreme deficiency can be handled by giving 50000IU per week for three months.
#7 - PN - 05/16/2008 - 16:28
i luv vitamin d to bitz n bobz
yhh bby it rockz n derz nutin u cn do bwt it haha
#8 - rockstar - 05/20/2008 - 07:37
as u kno i am a rockstar so im used 2 the overdose but once i took a ova dose of vitmin d sew i owz shiitin ma self coz i thoughjt i myt gt cnacer wot eva they call it these days u gt meh blood i wanted to carry on parting lyk a rockstar
#9 - rockstar - 05/20/2008 - 07:40
Is 1000IU of Vitamin
D the usual dose for
a person 86 years of age on a daily basis
#10 - stanley brown - 06/27/2008 - 22:20
Hi. Are there any side effects to taking 50,000 of Vit. D? How much calcium do you all take? I also dont absord too well.
#11 - Pauline - 07/22/2008 - 20:17
Can 50,000iu vit d capsules recommended by physician be harmful to a breastfed baby through breast milk?
#12 - Noahsmom - 07/23/2008 - 02:09
i have no vitamin d and my doctor has given me 50,000 mg to take one every two weeks .i scared to take this much . let me know, please
#13 - rae popham - 08/20/2008 - 10:02
Took Vit D 50000IU soft gel tab three nights ago, and woke up , the first morning after, with swelling and itching on my neck and face, all on the right side, called the DR. and was told to dis-continue taking, (was prescribed 1 tab once a week for 6 weeks), now 3 days later, the sympoms are worse, and my eye is almos closed, be careful taking this amount
#14 - Pauline - 11/08/2008 - 11:35
my doctor has me taking 100,000 units once a week for 10 weeks. is this harmful?
#15 - vicky - 11/11/2008 - 19:15
I recently had a prescription for vitamin D 1.25 gel pills refilled by a new doctor I am seeing. I only discovered recently that the pharmicist filled the new one for 1 tablet daily when I actually was suppose to be taking 1 pill a week. So far I have taken 10 pills in just 2 1/2 weeks. I hope I won't suffer any long term damage. Does anyone know anything about this. I 've looked to see if I have any symptoms of overdose but have not noticed any symptoms I've read about. I'm cetainly going to call my doctor immediately.
#16 - Patrice - 12/13/2008 - 00:30
I was prescribed a 50,000 vitamin once a week for eight weeks. The first time I took the pill, I became severely sick about six hours later. I vomited ten times in the next 24 hours. It was an awful experience! I now take 1,000 twice a day, and feel fine.
#17 - Kelly - 01/20/2009 - 08:31
I have heard that taking 50,000 vitamin D once a week or higher dose of vitamin D is toxic for the body, and is not safe. please advise.
#18 - Mona - 02/23/2009 - 13:21
My Vitamin D levels came back 5.......that tis very low. My doctor prescribed 50,000 prescription vitamin once a week for 12 weeks also, sofar, I have taken one tomorrow it is time for the second one. I am concerned and worried that this a huge amount to take at one time. Does anyone have any comments on information they know about this Kelly, after I took the first pill, I woke up with "cod liver oil taste in the middle of the night. I just don't know what I should do. I don't feel sure this is the right way to treat my Vitamin D deficiency.....Please someone I need advise. Thanks
Cami
#19 - cami - 03/16/2009 - 08:21
What is the right dosage of vitamin d for senior female
#20 - f. marlowe - 03/29/2009 - 16:54
ITAKE 50000 VIDIMUN D BUT NOW MY DOC WANTS ME TO TAKE 100,000 A WEEK,I AM SO AFRAID HAS ANYONE OUT THERE TAKEN 100,000MG A WEEK? I GET SICK TO MY STOMICH & DIZZY
THANKS LINDA
#21 - LINDA - 04/01/2009 - 15:10
50000 units of Vit. D is appropriate if you are deficient. It is not necessary to take that amount if you are just maintaining. 100000 is also appropriate. I understand being ambivalent, but, ask your doctor if you have concerns.
#22 - misty - 04/07/2009 - 19:14
My doctor just put me on 50000iu of vit D daily for 8 weeks and after reading everyone's entry i am very concerned. so far i have been feeling so much better and not as tired anymore. has anyone ever taken this dosage?
#23 - LECA - 04/13/2009 - 21:02
i am vitamin D low, but i do not take a pill,
we go to a compound pharmacy and get 50,000 IU topical rub in forearms, so not feeling sick to stomach with pills
#24 - tda - 04/28/2009 - 20:05
My vitamin d level was 4, so my doc also put me on 50,000 units weekly for 12 week. I felt great the first time I took it. My energy level was so much better. I just took my second dose today. I am so exhausted today, so I hope I feel better once this kicks in. Does anyone know what happens after 12 weeks? Do you continue on, go to a maintenance dose, or have bloodwork and go from there? If I am low now, won't I continue to be low? I do not drink milk, and am guessing I do not take in enough. I also live in NY, so not much sun in the winter months!
#25 - Kim - 04/29/2009 - 10:57
my doctor had me on Vitamin D, I took 40,000 units .three times a week for two weeks and then twice a week for two weeks.I am now on 1000 a day. I am feeling better.My lab reports have shown great improvment.However this is for a treatment for possible Parkinsons.
I had very dry skin,it has been two months and my face has a glow and my skin is not dry.It is safe for short period to take a large dose,but don't take it every day,skip a day or two while you are on the very high dose. But 1000 a day is good for you.
#26 - Margo - 05/17/2009 - 07:56
Hi I take 3000 iu a day and find that it has helped me with moods and I feel less tired 21000iu per week
#27 - Barbie Girl - 05/18/2009 - 13:49
Today my doctor told me to take 50000 of Vit. D for 8 weeks.
Where do I purchase that high amount of Vit. D ?
#28 - Florida Lady - 05/19/2009 - 15:57
THIS IS FOR #19 WHAT ANSWERS HAVE YOU GOTTEN BACK. BECAUSE MY VIT D WAS ALSO 5 AND ME TO I AM CONCERN BECAUSE I WAS GIVEN 50,000 UNIT SHOULD I TAKE IT?
#29 - CHGAR - 05/26/2009 - 14:34
My vitamin D level was at a staggering 10. I was prescribed 50000 untis or 1.25 miligrams daily for a month. I took it once today, and i feel great. I will go back in three weeks and get blood taken. I'm pretty sure that your doctors know what they are doing-- especially if its so harmful to be without it. My liver started to work ultra hard as a result of the efficiency; i've been having awful back pains and such--- Talk to your doctors, I guarentee you they're helping you, not trying to hurt you..
#30 - Joe - 05/28/2009 - 18:25
Hi my dr prescribed me 50000 ius of vitamind as well, I'm scared to take it I'm still breastfeeding my 20month old daughter.I want to try and take a lower dose but I want to fiNd it at a natural food store, I've heard a lot of side effects. Anyone have advice? Thanks
#31 - Sandra - 05/31/2009 - 00:50
why do people ask other non-medical people for advice? they know as little about vitamin D3 as you do. If you have a problem and don't believe the dosage is correct or worried about side effect etc etc etc TALK TO YOU DOCTOR AGAIN
#32 - a doctor put on d3 by his doctor - 06/05/2009 - 10:37
My doc. prescribed me 50000 units. Once a week for 3 months. I just got the prescription today.
#33 - rosaline - 06/12/2009 - 10:01
I just was prescribed 100000 iu vit d /week for 10 weeks. I'm to take 50000 iu twice a week.
No phone call, just a RX in the mail.
#34 - CRM - 06/15/2009 - 09:15
I was taking 1000 per day and my level still dropped. I also increased my calcium and sunlight but it didn't help. A couple of weeks ago my doc put me on 50,000 once a week for 8 weeks and I have not had any issue so far. I am more concerned about the continuing loss of the vitamin than the effects of the amount prescribed. Why does Vit D not get absorbed correctly in the first place is my question.
#35 - str8shooter1117 - 06/16/2009 - 06:50
I too was put on the mega dose of 50,000 of vitamin D for a really low level of 3! The side effects are horrible. But if this is what it takes to get me into a "normal" range, I'll keep taking them.
#36 - RAGEing - 06/16/2009 - 15:33
I took the liver test for taking 10000-12000 IU of D3 and it was fine. I did this for about 6 months to see if it helps my Multiple Sclerosis. i don't know if it did but I am pretty sure taking so much D3 took calcium out of my teeth and gave me cavities. I am taking calcium now to help me. If anyone wants to contact me you can reach me at rygar007@hotmail.com or rygar80@gmail.com.

It might take me a while to get back to you but I will.

I know a lot of information and I am looking for people I can help and that can help me.

I got to go and get a 3 hour MRI now and it is 6/28/2009.
#37 - Ryan - 06/28/2009 - 03:20
I took the 50,000 units once a week due to deficiency and it made me feel better. No vomiting or illness.
#38 - william - 07/03/2009 - 09:09
Hi my son is one and since he was six weeks old his head has grown abnormally big as well as a large slow to close soft spot. he is also slower to grow and develop. is this to do with vitamin d deficiency?
#39 - Alisha - 09/19/2009 - 21:14
why is it that no one has asked if the drug lipitor has caused your vitiman d level to drop and drs dont tell you the truth what to do should i stop taking lipitor and will my levels of the vitiman go up
#40 - mary - 09/28/2009 - 04:34
I've been taking 50,000 units every two weeks for over a year and haven't suffered any nasty side effects.
#41 - Ira - 10/13/2009 - 19:51
I was prescribed 50,000 daily of Vitamin D. I took the first pill today and feel a little anxious, as I had a bad reaction once to niaspan. Hopefully what I have read above are isolated cases and no bad reaction will occur to me. I decided to take it because I am with terrible pains and anemic again after 4 iron fusions.
#42 - Ossana - 10/17/2009 - 17:09
Why are these megadoses of vitamin D suddenly necessary? I smell a pharmaceutical rat. My doctor was in a state of panic over my vitamin D level. Since beginning to take 50,000 iu a week, in one capsule, I've had the most horrible itchy skin. I'm going to try fish oil and sunshine now.
#43 - judith - 10/23/2009 - 16:00
Judith,if you're taking the iridescent green prescription 50,000 IU capsule,the itching is most likely from the yellow dye,tartrazine(which is highly allergenic),used just for color(and of course totally unnecessary). Fish oil and sunshine are both wonderful,but if your body isn't absorbing D for some reason,you can get safe D without tartrazine at any drugstore or healthfood store.
#44 - sally - 11/01/2009 - 08:11
The reason that doctors have recently started testing vitamin D levels is that most of the research about vitamin D has happened in the last few years and about 97% of what is now known about it has been learned in the last 5 years. The fact that your doctor is doing this is a sign that he/she is keeping up with the science and is doing a good job.

Among the things that have been learned:

1. Optimum blood levels of 25 (OH) D are in the 50 ng/ml to 80 ng/ml range.

2. Individuals who work outdoors typically have higher levels of vitamin D. For example dark skinned farm workers living near the equator typically have vitamin D levels in the 70 to 80 ng/ml range and white life guards in the U.S. will have peak late summer levels in the 100 to 120 ng/ml range.

3. Most unsupplemented individuals will test less than 25 ng/ml and some groups will be much lower (see #8 below) - meaning that the vast majority need way more vitamin D than they are getting.

4. Vitamin D levels in the optimal range (see #1) have been proven to reduce colon cancer rates by about 77%. There is ongoing research on its affect on 16 other types of cancer and preliminary results indicate that higher vitamin D levels will reduce the rates of these other cancers as well.

5. Higher vitamin D levels significantly improve lipid profiles by raising HDL levels. The increase in HDL is about 4 mg/dl for each 10 ng/ml increase in vitamin D level (research publish 6/2009). Only high doses of niacin are (somewhat) more affective at raising HDL levels but high dose niacin can be dangerous and should only be done under the direction of a doctor.

6. Most prescription forms of vitamin D are D2 which is more likely to cause toxicity than D3. D2 is also less bioavailable than D3. D3 is the form produced in the skin when exposed to sun light and it is what you will most likely find in a health food store or drugstore. Also the oil based gellcaps seem to work better than other forms.

7. Most individuals need AT LEAST 5000 UI per day from all sources (sun, food, supplementation) to get levels near or into the optimal range. Doses of 10,000 UI per day are safe but some individuals may require even higher doses (see #8). These higher doses should include blood level tests on a regular basis. You get almost no vitamin D from your diet (IE. perhaps a few hundred UI per day).

8. Individuals with dark skin, higher levels of body fat, who live far from the equator, who don't get much sun, who wear sun screen or who work indoors will need higher amounts of supplementation.

9. The ability to produce vitamin D from sun exposure decreases with age and a 70 year old only produces about 25% as much as a 20 year old. Therefore older individuals need to take higher dose supplements.

10. Toxicity happens at blood levels above 300 ng/ml and it takes a dose of AT LEAST 30,000 UI per day for an extended period (several years) to reach these levels.

10. Vitamin D has a long half life in the body so larger once a week doses are safe and affective.

#45 - Hal - 11/02/2009 - 13:51
Just started on 5000 IU per day. Do most people take calcium with the D? I've read mixed reports. I'm definitely going to take magnesium.
#46 - Michael - 11/03/2009 - 18:27
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