Vitamin d result : VIT D LEVEL = 45.... - Thyroid UK

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Vitamin d result

Johnljc profile image
17 Replies

VIT D LEVEL = 45.3 50-150

Hi , I've done a post on my recent results.

Any recomendations for a vit d supplement.

Cheers

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Johnljc profile image
Johnljc
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17 Replies
eiddew profile image
eiddew

Hi Johnljc

There's room for optimisation.

According to Dr. Somerville, who through experimentation on himself and his thousands of patients, the optimal daily dose of D3 is 30 000 iu/day

This is roughly equivalent to what our skin makes with 30 min summer sunshine, with short sleeves on. It is not toxic.

A brief synopsis in this podcast:

rheumatoidsolutions.com/vit...

His book on the entire topic.

amazon.co.uk/Optimal-Dose-R...

When I was supplementing at 5000 iu/day, my blood work was around 100 nmol/L.

5000 iu/day would be the baseline supplementation, if we are not out in the sun adequately.

30 000 iu/day pushed the test result above the detection limit.

The first sign D3 is working is long deep sleep, the kind I did not know exist.

Rachel Hill, who went into remission from her Hashi pre-pregnancy, had "high dose" vit D3 as part of her regime. She started @ 10 000 iu/day.

theinvisiblehypothyroidism....

I am using Vitabay liquid D3, the best high dose source I can find at the moment.

vitabay.net/vitamin-d3-liqu...

As it is high dose, it's cost-effective even factoring in shipment cost.

"Google Translate" helps with ordering from the pure German website. Vitabay stopped selling on amazon UK post-Brexit, still ships to UK.

Their liquid K2 is also good. Both D3 and K2 are fat-soluble, best absorbed in liquid /oil form.

HTH, take care, be well.

SeasideSusie profile image
SeasideSusieRemembering

Johnljc

Vit D: 45.3nmol/L

Any recomendations for a vit d supplement.

As mentioned in reply to your previous post my suggestion is Doctor's Best D3 softgels which is a good quality, clean (no added ingredients) supplement which has extra virgin olive oil and D3 only. It is a very small softgel, easy to swallow and budget friendly. I tend to buy mine from Dolphin Fitness which is usually the cheapest supplier.

The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L, with a recent blog post on Grassroots Health mentioning a study which recommends over 125nmol/L.

To reach the recommended level from your current level, you could supplement with 5,000iu D3 daily and retest in 3 months.

Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest twice a year to keep within the recommended range. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.

D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.

For Vit K2-MK7 I like Vitabay or Vegavero brands which contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid. Both are imported from Germany so sometimes become unavailable. You can check out Amazon and Ebay. If 100mcg is not available then you can get the 200mcg and take alternate days.

Another brand is Vitamaze liquid (Amazon has this) which is a clean supplement and again the all-trans form, and you just take 5 drops for 100mcg.

If looking for a combined D3/K2 supplement, this one has 3,000iu D3 and 50mcg K2-MK7. The company has told me the K2-MK7 is the All-Trans form.

natureprovides.com/products...

It may also be available on Amazon

Magnesium helps D3 to work. We need magnesium so that the body utilises D3, it's required to convert Vit D into it's active form, and large doses of D3 can induce depletion of magnesium. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

SlowDragon profile image
SlowDragonAdministrator

Low vitamin D

GP should prescribe 1600iu everyday for 6 months

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

GP will often only prescribe to bring vitamin D levels to 50nmol. Some CCG areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But with thyroid disease , improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7. One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, w when hypothyroid we frequently need higher dose than average

Calculator for working out dose you may need to bring level to 40ng/ml = 100nmol

grassrootshealth.net/projec...

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Great article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

SeasideSusie profile image
SeasideSusieRemembering

Johnljc

I would urge extreme caution against taking large doses of D3 unless under the direct personal guidance of an experienced practioner.

The Vit D Society which, unfortunately, folded due to lack of funding, used to have a table suggesting dose required to bring a level up to their recommended level. For your current level that would have been between 4,000 and 5,000iu daily.

You can always use the calculator on Grassroots Health that SlowDragon has linked to which requires you to put weight, etc, in I believe.

Even the NHS loading doses for Vit D deficiency (less than 25nmol/L) at their maximum dose is 50,000 per week for 6 weeks.

Remember that we all all individual - some people can't even tolerate Vit D supplements at all - and even if some people have not had problems with taking extremely large doses on a daily basis it doesn't follow that it will suit everyone.

Also, just a reminder not to start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.

humanbean profile image
humanbean in reply to SeasideSusie

The Vit D Society which, unfortunately, folded due to lack of funding, used to have a table suggesting dose required to bring a level up to their recommended level.

SeasideSusie

Do you have any references to the address of the home page of their website? If you do the information it contained might be available on the web archive.

SeasideSusie profile image
SeasideSusieRemembering in reply to humanbean

Hi humanbean

I think I meant the Vit D Council is no longer. My PC is on the blink and I'm using my tablet (which I dislike) and all my information is on my PC. However, the Vit D Council disappeared a few years ago and I had a different PC then so won't now have any information that I had on there as not all of it was saved to the newer PC.

The Vit D Society does have a current live website but it doesn't have any indication of doses needed to raise levels from what I can see.

Sorry for the confusion.

humanbean profile image
humanbean in reply to SeasideSusie

The website of the Vitamin D Council does appear in the internet archive, and can be found at this website address :

web.archive.org/web/2019041...

I have no idea how complete it is, but if you can remember where the information is that you liked you might be able to copy it for posterity. :)

Note that the web archive can be slow to load in the afternoon and evening, in my experience.

SeasideSusie profile image
SeasideSusieRemembering in reply to humanbean

Oh HB, you are so clever! I've found the page 👍 (still using tablet at the moment).

I'm hoping my poorly PC might be better tomorrow so I'll get it up on there and save the information.

humanbean profile image
humanbean in reply to SeasideSusie

You could put the information in a new thread, so you can link to it for anyone who needs to see it, and don't need to keep copying it.

SeasideSusie profile image
SeasideSusieRemembering in reply to humanbean

Yes, I'll have a look and sort something out tomorrow :)

SeasideSusie profile image
SeasideSusieRemembering in reply to humanbean

humanbean

You might be interested in this:

healthunlocked.com/thyroidu...

You're welcome to suggest any alterations you think necessary or if anything might make it clearer.

humanbean profile image
humanbean in reply to SeasideSusie

It looks great as it is. :) I can't remember ever seeing that particular page before.

Johnljc profile image
Johnljc

According to the calculations

Loading dose of 25000iu per day for 8 days.

Maintenance dose of between 4000iu-600iu

So it's essential to have vitamin k2 and magnesium along with vit d

SeasideSusie profile image
SeasideSusieRemembering in reply to Johnljc

I still think that amount for loading doses is rather high. When I was deficient (15nmol/L) I think I took 10,000iu daily for a week then went down to 5,000iu. I used Doctor's Best softgels and got up to 200nmol/L in 2.5 months so I reduced dose and now maintain at around 150nmol and test usually April and November to check level to see if I need to alter dose. I tend to need the same maintenance dose all year round as I can't sit out in the sun, even through trousers my legs feel as though they are burning after 5 minutes.

Yes, very important to take Vit k2-mk7 and magnesium but only start one supplement at a time, as explained.

Brightness14 profile image
Brightness14 in reply to Johnljc

I had very low Vitamin D when tested a few years ago. It took me about one year to get my level up. I worked slowly and tested three times per year until perfect. I now take a maintenance dose of 5000iu Tuesday and Saturday together with Vitamin K2 Mk 7 at 100 ug. This keeps my Vitamin D level up to around 100. The K2 Mk7 works with the Vitamin Dto send your calcium into your bones and teeth and not you soft tissue. I use Doctors best soft gels and 5000 iu.

humanbean profile image
humanbean

You might find this link of interest in working out your vitamin D dose.

grassrootshealth.net/projec...

Johnljc profile image
Johnljc in reply to humanbean

That's what I used for the above calculation 👍

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