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Muscle weakness, Chronic Backpain, Burning sensation, Vit D prescription

Resolved Question:

i have done test to evaluate vitamin d and the result eas 14 ng
so dr prescribed vit d 300000 iu im each 3 weeks so is that safe for me?


Category: Endocrinologist

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Category: Diabetologist
Dr. J Muthukrishnan is online now

Expert:  Dr. J Muthukrishnan replied 4 Days.

Hello, Thanks for asking your query at DoctorSpring.com. 

 

The Vitamin D level measurement is bit less for you. 14 nd/dl will come under a mild to moderate deficiency. The prescribed dose of  - vit d 300000 iu im each 3 weeks  is rather higher dose, but not very unsafe. This is will be the desecration of your treating Doctor, yet its better to start at a lower dose since you do not have any major deficiency. 

 

There are two options Vitamin D3 (cholecalciferol) is available in 400, 800, 1000, 2000, 5000, 10,000, and 50,000 unit capsules. It is available in some countries as an intramuscular injection, which can be extremely painful.Vitamin D2 (ergocalciferol) is available for oral use in 400 and 50,000 unit capsules or in a liquid form (8000 unit/mL [200 mcg/mL]).Both are available in injection forms also.

 

So I would recommend you to discuss with the possibility of starting with a lower dose or using a oral capsule.

 

Hope this helps.

Please feel free to ask any followup questions via email itself.

 

Thank you

 

PS : Reg this "chronic back pain for 2 years with burning sensation in my foot the pain increases by standin , walking and prolong sitting also some degree muscle weakness of lower limbs" I hope you have been evaluated by a neurologist, if not - this needs evaluation.


Patient replied :

thank you dr... but if i would like to adhere to vit d3 300000 iu im is it ok the spaece between each injection i mean 3 weeks or 3 months do you prefer i found some recommendations tells that it is safe to take it each 3 months and also dr i'm over osteocare tablets 1 tab a day + vit d3 400 iu also 1 tab a day
please i'm looking forward your help

i have attached my lab result with this messege


Expert:  Dr. J Muthukrishnan replied 3 Days.

Thank you for the question.

No, personally I do not recommend the Vit D injection at all. I would have recommended you only the osteocare tablets + Vit d3 400 caps. Then I would re test and if needed I would increase the dose.

Hope this helps.

Thank you


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
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