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Get Your Vitamin D Level Checked
Pamela Peeke, MD, MPH, FACP posted:
Hi everyone. As many of you have been reading in the news over the past couple of years, Vit D is emerging as a very important vitamin to support everything from bone and brain health, to immune function and cancer prevention. Lots of attention has turned to the issue of how much we actually need on a daily basis.

Nov 30th, the Institute of Medicine issued a long awaited report about how much Vitamin D people need daily. They are recommending tripling the typical recommended daily allowance of 200IU, to 600 IU. According to the report, this keeps your Vit D levels more normalized.

This recommendation was met with mixed reviews from experts. Many feel it's still too low and are advocating 1000-2000 IU for an average individual. Other physicians, like myself, are disturbed by the large number of people whom we have discovered to have lower than normal Vit D levels. These people must work directly with their physicians on a high dose Vit D regimen until levels are normalized. It's difficult to get all of your Vit D requirements met with food (mackeral and salmon are best), and so many people are not working or playing outdoors (getting enough sunlight) or are using SPF on their skin, that we feel Vit D levels are plummeting. This is especially true for the aged who are often nutritionally deficient and sunlight deprived.

I highly recommend that everyone out there gets their level checked once yearly. If you are found to be deficient, team up with your doctor for the correct Rx to bring levels into the normal range...and keep them there with routine monitoring. Meanwhile, make sure your calcium supplements are Vit D fortified, and when you do take your Vit D each day, remember that it's one of the fat soluble vitamins (A, D, E, K) so have a little healthy fat to eat along with your Vit D (almonds work!) so that you can absorb the vitamin optimally.

Check out my blog going up soon about this issue on Everyday Fitness with Dr. Pam Peeke.
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Jis4Judy responded:
Hi Dr Peeke
I take vitamin D3 1000 units daily and when I had my levels checked last they were in the high end of the normal range .
so they do work in getting the levels up ...
Hugs Judy:)
Sw 247 Cw 153ish remember the gold isn;t in the prize it is in the journey! life may not be the party we expected but while we are here we may as well dance!
Pamela Peeke, MD, MPH, FACP replied to Jis4Judy's response:
Hey there. You're absolutely correct. The supplements are pretty effective at increasing your blood levels to normal ranges. It's so important for everyone our there to have their levels checked. Hey women, you can have this done at your next gyn check up if that will occur before seeing your primary care physician. The aim is to be at least 30 which I would consider to be a baseline level, even though the IOM report says that 20 is fine. Most of us disagree and are recommending the 30 level from most labs. Just have this monitored at least once per year, and teice per year if you've had lower tha nnormal levels recorded.

Dr Peeke
Home2strays replied to Pamela Peeke, MD, MPH, FACP's response:
I was having joint issues and along with finding out i have 3 strains of lyme disease My vit D level was at 11. My doc got me on prescription vit D once weekly for 3 months and now I take 2000iu daily since it was still on the lower end. Doc says I just must not metabolize it well even though I am outside atleast an hour everyday. I do feel some better since taking it.

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