8/18/2019 What is the Treatment for a Vitamin D Deficiency

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Vitamin D Deciency

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Vitamin D3 has been shown to be the best choice for

supplements. Vitamin D2 supplements do not raise your

levels the same amount as D3 and, in some cases, theyhave been shown to decrease levels over long-term use.

The amount of vitamin D that is needed to correct a

deciency will depend on the severity of the deciency

and your individual health risks. The time of year will

also matter. For example, if you are on the low end of

adequate blood levels and heading in to the winter

months you would need a bit more than if you were

heading in to the summer months. The goal for everyone

is to get your stores to a safe level and prevent them

from dropping with a maintenance plan.

What you take is as important as how you take it. Vitamin D supplements

should be taken with a meal that contains fat. Studies have shown that when

taken on an empty stomach versus with a meal containing fat, there was an

average of 32% more vitamin D absorption in the fat-containing meal. This

ranged from 11%-52%. Even an 11% reduction is signicant and can impact your

vitamin level. A recent study instructed people to take their supplement with

their largest meal (typically the one with the most fat), and in three months, their

blood levels went up an average of 56.7%.

There are supplements that can be taken on a daily, weekly, or monthly basis.

It's a matter of preference and, most importantly, which one you will be more

likely to take. You may start out at a higher dose and decrease after a month or

two. Most experts feel that the goal is to get your level above 30-40 ng/mL,

depending on your risk factors, and then take a maintenance amount. When you

are decient, it is recommended to have your blood tested after two to threemonths of taking the supplement to be sure that your levels are going up. Work

with your doctors to nd the optimal plan for you.

The task force for the Endocrine Society makes the following

recommendations:

For children 1-18 years of age who are vitamin D decient, we suggest

treatment with 2,000 IU/d of vitamin D3 for at least six weeks or with 50,000

IU once a week for at least six weeks to achieve a blood level of 25(OH)D

above 30 ng/ml, followed by maintenance therapy of 600-1,000 IU/day.

We suggest that all adults who are vitamin D decient be treated with

50,000 IU of vitamin D3 once a week for eight weeks or its equivalent of 6,000

IU of vitamin D3 daily to achieve a blood level of 25(OH)D above 30 ng/ml,followed by maintenance therapy of 1,500-2,000 IU/day.

In obese patients, patients with malabsorption syndromes, and patients on

medications affecting vitamin D metabolism , we suggest a higher dose

(two to three times higher; at least 6,000-10,000 IU/day) of vitamin D to treat

vitamin D deciency to maintain a 25(OH)D level above 30 ng/ml, followed by

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8/18/2019 What is the Treatment for a Vitamin D Deficiency

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Author:

Betty Kovacs, MS, RD

Medical Editor:

Melissa Conrad Stöppler, MD

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maintenance therapy of 3,000-6,000IU/day. One study found that for every 33

lbs. of body weight the serum 25(OH)D level was 4 ng/ML lower at the end of

one year of monitoring. This could lead to a signicant change in the amount

required to supplement based on your body weight and starting serum level.

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8/18/2019 What is the Treatment for a Vitamin D Deficiency

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