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Raising fit Kids

Vitamin D -- Is you child getting enough!!
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Andrew Adesman, MD posted:
The American Academy of Pediatrics has increased the recommended amount of Vitamin D that children should get each day. Whereas 200 IU (international units) was recommended until 2008, since then, they now recommend 400 IU per day for children who are breast fed or who consume less than one quart (or liter) of milk or formula each day. In the past, it was assumed that all bottle-fed infants were getting enough Vitamin D in their formula, but that is not the case for younger infants who likely do not consume 32 ounces of formula daily.

It is also worth noting that although most children's vitamins do have the recommended 400 IU's, many of the "gummy" type vitamins have half the recommended amount per serving. I encourage all parents to make sure that their child is getting enough Vitamin D since low levels are now associated with a range of health concerns beyond poor bone development. Parents should confer with their pediatrician if they are uncertain about their child's vitamin D status or need for supplements.

Lastly, as for dietary sources of Vitamin D, milk and some yogurts have Vitamin D added to them, but cheese typically does not. Some fruit juices and breakfast cereals are also reasonable sources for additional vitamin D. Some fish is high in vitamin D, but kids typically do not eat much tuna, salmon or mackerel.

Since kids are outdoors less and are more frequently wearing sunscreen, there are higher rates for Vitamin D deficiency -- especially in children with darker skin.
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Mermaid2010 responded:
Hi,I am new to this forum..my concern is that my son he is 2 yrs old and refuses to drink milk.He used to be breast fed unti 17mths.After that he has refused to drink milk.I try to give him yogurt which he likes,but other than that i am worried if he is getting any calcium.He is 26mths old and is 26 pounds.plzz help
 
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Andrew Adesman, MD replied to Mermaid2010's response:
Your son's weight is OK for his age -- assuming he turned 2 recently. Speak with your pediatrician about your son's diet. This website has information about the calcium needs of a child and also a listing of calcium-rich foods.

http://ods.od.nih.gov/factsheets/calcium.asp
 
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lovebailey responded:
Dear Dr. Adesman,

I am really happy to see this as one of your tips. I have recently been struggling with giving my infant vitamin D. My daugther is two months on the 14th of April and I started her on the Enfamil D.Vi.Sol Drops this week.

In the morning, I gave her the full 1mL dropper as her doctor told me to. Then I breastfed her on one side. I sat her up to burp her and it all flew out. I fed her on the other side and she was fine. That evening she was unsually fussy and I wasn't sure if the vitamin caused it. I skipped the following day, but she was still fussy that next evening. I assumed that vitamin did not cause this. So I decided to try the vitamin again the next day. I fed her and waited ten min to give it to her. She started gagging on and off for about ten min. However, she kept it down. I gave it to her again yesterday after I fed her, but only half the dropper. She gagged slightly but not as much as before.

I want to know is the gagging a normal reaction? If so, does it cause her pain? What is the best way to give her the dose? Should she take the full 1mL dropper?

Thanks,

Bailey's Mum
 
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Andrew Adesman, MD replied to lovebailey's response:
You can hold off on the Vitamin D for a day or two to be sure if the gagging is related to the Vitamin D. If she only gags in association with the Enfamil D ViSol Drops, you can either try a different brand or you can try dividing the dose of the current brand even more -- 1/4 or 1/3 dropper repeated to equal a full dropper.

Let us know how this works out.


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