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Got calcium supplements for Vitamin D3 deficiency. Is this normal?

 
 
Anjuu
 
Reply Mon 14 Jul, 2014 04:41 am
I was having moderate heel pain for the past 1 year and initially I tried to brush it off due to improper footwear, my gait and the fact I had started exercising for the first time in forever. Btw, I'm in my early thirtees, and had to avoid taking milk for past 1 yr because of stomach troubles. But when the pain got worse and I felt it was localized to one particular point in each of my heels, I got scared it might be heel spurs (No, thank you, internet search engines!) and I thought : time to meet the orthopedician.

The doctor checked my blood sugar levels, haemoglobin, Vitamin D3 etc, but no X-ray. Everything came out normal except Vitamin D3, which was deficient. (approx 9, when the normal range as per report was 30-100). And he promptly declared: Low in Calcium and prescribed Calcium supplements for 6 months, and asked me to check back with him after 3 months. Of course, he did advise me to wear the footwear that was most comfortable to me - which, as it turns out is a sports shoe that I had mentioned seemed to alleviate the pain. Also he advised me to get some sun exposure (which I had been avoiding because of skin problems).

I subscribed to the less-calcium idea probably because I had cut off milk from my diet all of a sudden. My cheese/greens intake is about once a month at best. I'm a vegetarian and I don't take any supplements or anything otherwise.

But as I'm trying to find some relation on the internet between Vitamin D3 deficiency and that being ruled as calcium deficiency and getting supplements, I'm not finding a straight up link or answer connecting the same (except the fact that vitamin D deficiency means less calcium absorption etc). And I "am" concerned regarding wrong diagnosis (no X-rays, no mention of heel spurs) and/or taking the supplements not knowing if that's the right thing to do (excess calcium comes with its own warnings).

Any thoughts/experience in this regard welcome.
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luismtzzz
 
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Reply Mon 14 Jul, 2014 03:09 pm
@Anjuu,
I will try to cover al the aspects of your question the best i can.

Quote:
But as I'm trying to find some relation on the internet between Vitamin D3 deficiency and that being ruled as calcium deficiency and getting supplements, I'm not finding a straight up link or answer connecting the same (except the fact that vitamin D deficiency means less calcium absorption etc)


It is possible to have the correct serum calcium concentration and a low D3 level. The D3 is not only important for the correct absorption of calcium, but also improves the concentration of calcium on the bones, the recovery of calcium and phospforus from the urine, regulates the other calcium related hormones (parathyroid hormone and calcitonin). D3 is not the only related factor of calcium metabolism but it is completely necessary so low D3 levels are treated as low calcium disease.

I will try to search for some info with common terms that explain this point better.

Quote:
Got calcium supplements for Vitamin D3 deficiency. Is this normal?


Yes it is normal. But just make sure that the calcium supplements contain a variety of the Vitamin D. D3 is the best. But if it has D2 or D1 just make sure to get enough sunlight exposure, at least 30 minutes a day so your body can transform D2 to D3.

Quote:
Btw, I'm in my early thirtees, and had to avoid taking milk for past 1 yr because of stomach troubles.


You are very young for having this defficiencies. If you are a strict vegan you need supplements, there is no exception. You like it or not, we are omnivorous mammals so it is natural to have vitamin deficits if we became completely vegan or completely carnivore.

Try delactosed milk. If you do not like it many soy and almond milk preparation have added calcium and vitamin D to supply the requirements. A good source of calcium are beans, and corn tortillas (if you live near to a hispanic neighborhood you should ask for a store).

Quote:
I got scared it might be heel spurs (No, thank you, internet search engines!) and I thought : time to meet the orthopedician.


Quote:
And I "am" concerned regarding wrong diagnosis (no X-rays, no mention of heel spurs)


Heel spurs would be my first impression if you had came to my office. Go for a second opinion. Better with a general practitioner.

Quote:
nd/or taking the supplements not knowing if that's the right thing to do (excess calcium comes with its own warnings).


It is true it has it´s own warnings, but the dangerous treshold for calcium compsumtion is really high. Mostly because we have an especialized system that can hoard massive ammounts of calcium, the musculoskeletal system. Besides D3 protects against overdosis. And most cases of intoxication occur on people with some nasty diseases that alter the normal calcium metabolism. So you should not worry.
Anjuu
 
  1  
Reply Tue 15 Jul, 2014 05:19 am
@luismtzzz,
Thanks for the response. I will take your suggestion on checking with a GP as well, if only to rule out heel spurs.

Also, I am a vegetarian, not a vegan. I'm having no troubles eating yogurt, butter, cheese or desserts made using milk. Maybe because I eat them in more regulated quantities. I'll try out the de-lactosed milk options too. Hadn't really considered that. So, thank you once again Smile

I am going to check if the medicines prescribed have any vitamin D3 in them.

Usually, how long does it take for Vitamin D3/Calcium levels to be back to normal? At least normal enough for me to be able to maintain it further with diet?
luismtzzz
 
  1  
Reply Tue 15 Jul, 2014 01:31 pm
@Anjuu,
I have seen many cases of specialist or subespecialist that are so inmerse on their area that became somehow a little bit blind to diseases out of their confort zone. That is why i always suggest to have a trustable doctor that is used to resolve multiple systems diseases, like a GP, a family doctor, an internal medicine specialist, or a geriatrist (for older fellows).

With a balanced diet and proper supplements it may take up to 1 to 3 months to reach appropiate level of D3, it is very variable.

Remember if your suplements has D1 or D2 do not worry, just get some sunlight exposure daily and your body will transfrom it to D3.
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