Family, Internal Medicine, General Medical Questions/Vit D deficiency

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Question
I apologise in advance if this is not within your specialty.
I am a 36 yr old, fit, healthy female  with no significant past history.  After a recent blood test, my GP advised me to start taking Ostelin (vit D caps).  My levels were 38nmol/L (ref range quotes >50, and optimally >75).  I am really confused!!!  I exercise regularly, lift weights, have no muscle or joint pains (no other typical vit D def symptoms).  I take Krill oil caps daily, have been eating more fatty fish (salmon), eggs etc in the last ~4months than ever in my entire life.  I spend time outdoors.  I use sunscreen on my face, but my arms and legs are often bare in summer.  I just don't understand why my levels are low.  This is the first time I have ever had vit D levels taken.  Could they have been even worse before my diet/exercise lifestyle change?  Should I really start taking Ostelin?  If so, how many would you recommend?
Kind regards.

Answer
G,

A level of 38 is not considered too low.  Depends on which reference laboratory you use.  Read the piece on Vitamin D3:  http://docsaleeby4.blogspot.com/2010/10/vitamin-d-story.html

Make sure you take a quality Vitamin D3 supplement and it does not have to be prescriptive.  

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Yusuf (JP) Saleeby, MD

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Will ONLY answer questions pertaining to Hypothyroidism, Hashimoto's disease and thyroid disorders. I will forward all other questions to the question pool. This forum does not allow for the diagnosis and treatment of illness, so please don't ask questions in that regard.

Experience

Medical School: Medical College of Georgia (Augusta, GA class of 1991) Post Graduate Training: ECU school of Medicine (Greenville, NC) 20 years in Emergency Medicine, Urgent Care and Occupational Medicine (retired 2012). *** Licensed in states of GA, NC, SC and VA. *** Medical Director of Priority Health of SC (www.PriorityHealthSC.com) *** Former Medical Director and Founder of the Saleeby Longevity Institute a clinical practice and research center in integrative (CAM,Allopathic Medicine (1999 to 2004). *** Founder of Vita Sanus, Inc. Manufacturer & Distributer of Vita Sanus Nutraceuticals and Skin Care products (www.vitasanus.com) Sold in 2006. *** Adjunct Professor in Graduate School of Nursing Georgia Southern University (2002-2006). *** Author of "Wonder Herbs: A Guide to Three Adaptogens" available for sale at www.xlibris.com/wonderherbs or signed copies at www.saleeby.net *** Former Medical Director of the Emergency Department at Marlboro Park Hospital, Bennettsville, SC (2006-2010) *** Appointed to Medical Advisory Board for Aerobic & Fitness Association of America (AFAA) 2007-present & Contributing Editor AFAA (American Fitness magazine) 2013-present. *** Appointed to Medical Advisory Board for Beach Body (Product Partners) 2008-present *** Founder and regional director of www.eStatLabs.com an alternative to high priced lab testing sites (DAT). *** Life Extension 5th Edition Book on Prevention and Disease Treatment (contributor on Chapter on Adrenal Fatigue and Stress Management) 2013 5th edition. *** Worked as chief formulator for supplement companies: Vita Sanus Nutraceuticals (Longevity Pack & entire line), SSN's PreGame Formulas for Golf and Tennis, AdapTx Labs' CardioFactor & PreFight, BeachBody's Shakeology consultant, Parhelion Labs' Oviun BioPharma sub-fertility formula ''Fertility Regimen''.

Organizations
South Carolina Urban Search & Rescue Task Force-1 (USAR), former Medical Director/Control. 2010-2012. Founder and developer of http://www.eStatLabs.com Current medical practice: http://www.PriorityHealthSC.com Former member of American Telemedicine Association Former member of A4M and ACAM. Attend regular meetings of AMMG Member in good standing ILADS (www.ILADS.org)

Publications
American Fitness magazine (multiple) Cortlandt Forum Medical Economics DocSaleeby.blogspot.com (blog) JIVE magazine (out of print) Tea Digest Experience (out of print) Authored Books on Adaptogen Herbs (Wonder Herbs: A guide to three adaptogens) 2006 Authored chapter on Stress Management for LEF text book on Prevention of Diseases and Treatments (2013) Authored Chapter 3 in "Stop the Thyroid Madness, II" (2014)

Education/Credentials
Health & Wellness Blogger, Medical Writer. Author of book on Adaptogens. Pioneer in Telehealth, member of ATA. Contributing Editor for American Fitness magazine. Authored Books on Adaptogen Herbs (Wonder Herbs: A guide to three adaptogens) 2006 Authored chapter on Stress Management for Life Extension Foundation LEF text book on Prevention of Diseases and Treatments (2013) Authored Chapter 3 in "Stop the Thyroid Madness, II" (2014)

Awards and Honors
*** co-Author of "Stop the Thyroid Madness, II" (Laughing Grape, 2014) Chapter on NDT/Thyroid. *** Authored chapter in "Life Extension Foundation, 5th Edition book on Prevention and Disease Treatment" Chapter on Stress Management/ Adrenal Fatigue.

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HIPAA prohibits revealing names. Some celebrity clients.

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