Dear Dr. Roach: Recently, when vitamin D is recommended every time, I need to make sure I’m taking the right dose. When I took 5,000 IU daily, my blood calcium levels rose and my doctor said I would reduce it to 2,000 IU daily. Now I read that I need to take 5,000 IU daily for COVID-19. Even my 23 year old grandson takes this dose. Can Vitamin D be Harmful at These Levels?
Dear JO: During the winter, most people north of the border between Atlanta and Los Angeles are unable to make enough vitamin D, and low vitamin D levels are common. However, large studies have not shown many benefits with regular vitamin D supplementation and should currently only be used in people with low vitamin D levels. People with low vitamin D risk factors (overweight, low exposure to sunlight, osteoporosis, or risk of malabsorption of vitamin D, dark skin) should be screened.
If your vitamin D levels are low, supplements are appropriate. Most professionals use 600-2,000 IU for treatment. Toxicity due to excess vitamin D is abnormal at doses below 8,000 IU daily. In my opinion, doses above 2,000 should be derived by measuring blood levels.
High calcium levels are an indicator of excess vitamin D. However, the fact that we took high calcium with moderate levels of vitamin D supplementation makes us wonder if parathyroid hormone is also at high levels. High PTH levels, usually derived from benign tumors of the glands, are the most common cause of persistently high blood calcium levels. It is advisable to consult your doctor about checking parathyroid hormone levels.
Several studies have found an association between low vitamin D levels and worse outcomes of COVID-19, but vitamin D treatment in people with COVID-19 has not been shown to be useful so far. Hmm. Research is ongoing.
In the absence of good data, we do not recommend more than regular supplements to treat or prevent vitamin D deficiency, but doses of 600-1,000 IU per day are unlikely to be harmful and may possibly help. there is.
Dear Dr. Roach: I have some severe allergies to drugs and allergies to eggs. Should I risk shooting shingles?
Dear JC: Influenza vaccines are usually made in egg-based cultures, but they are so highly purified that they are safe for people with egg allergies. Shingles, pneumonia, and the COVID-19 vaccine available are egg-free and safe.
I don’t know what “severe” allergies mean. The majority of people with drug allergies can take all available vaccines without any problems. Discussing the vaccine with your doctor is certainly appropriate. In particular, the COVID-19 vaccine requires special attention as there are several episodes of allergic reactions in people with a history of anaphylaxis.
The two-shot shingles vaccine series is a very effective treatment for the prevention of herpes zoster.
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