1 / 12

Graves’ and Thyroid Disease: The Journey

Graves’ and Thyroid Disease: The Journey. Vitamin D Yung Chen MD. Vitamin D. What is Vit. D Why we need it How to get it Do you need to supplement How much to take. What is Vitamin D. It is not a Vitamin It is a type of hormone synthesized from Cholesterol

dutch
Download Presentation

Graves’ and Thyroid Disease: The Journey

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Graves’ and Thyroid Disease: The Journey Vitamin D Yung Chen MD

  2. Vitamin D • What is Vit. D • Why we need it • How to get it • Do you need to supplement • How much to take

  3. What is Vitamin D • It is not a Vitamin • It is a type of hormone synthesized from Cholesterol • Hormones are chemical messenger between cells • More then 2,700 receptor binding sites in human genome • Vit D is converted to calcidiol in the liver • Kidneys convert to calcitriol the biologic active form

  4. Why we need it • Regulates calcium and phosphate to promote healthy bone • Prevent osteomalacia or rickets • Reduce rick of death in elderly • Prevents premature aging • Low levels associated with multiple sclerosis • Reduction of influenza infections

  5. How to get Vit D • Ultraviolet (UV) B from sunlight on exposed skin • Reduced by skin melanin, sun screen, glass, smog, • Fatty fish like salmon, tuna and fish liver oils • 3 oz. Salmon ~300 iu • Supplement with Vit D3 not D2 • Vit D2 less potent

  6. Do you need to supplement • Easy blood test via Lab Corp or Quest • serum 25-hydroxyvitamin D level • Lab normal range is 30 nmol/L to 140 nmol/L • What is the optimal level? • My level is between 50-60 nmol/L

  7. How much to take • Depends on your serum level and health conditions • <20nmol/L; Take 10,000 iu per day for 2 month then retest • <40nmol/L; Take 5,000 iu per day for 2 month then retest • Monitor every 4-6 months • Vit D is fat soluble and takes time to build up reserves • Keep levels below 100 nmol/L

  8. Vit D toxicity • Non-specific nausea, anorexia, weight loss, polyuria • Kidney and tissue calcification if too much calcium supp • Levels >500 nmol/L is potentially toxic • Stop vit D supplement and monitor symptoms • Levels drop off slowly due to fat soluble

  9. My clinical observations • Reduction of Upper respiratory infections • Reduced joint / bone pain • Improved depression • Better skin, hair, nail • Maybe helpful in weight loss

  10. Conclusion • Get you serum Vit D level tested • Get more sun exposure or take Vit D3 • Monitor levels on supplement • Take extra Vit D3 in the winter months

More Related