Essentials for Healthy Living : Soak up the Sunshine Vitamin!
A 40 year old woman visited the O.P.D with complains of bone pain and muscle pain for the last 8 months and her lab reports confirmed hypovitaminosis D. She being completely unaware of her problem, asked her physician the following questions .
What is vitamin D?
Also called the sunshine vitamin, this vitamin is a group of fat soluble vitamin mostly vitamin D3 and vitamin D2. It is not an essential vitamin as our skin has the ability to synthesize it only when exposed to sunlight. It is metabolised in liver and kidney and converted into active form, calcitriol (1,25-dihydroxycholecalciferol). This synthesis is influenced by parathyroid hormone. Hypovitaminosis D is deficiency of vitamin D. This deficiency is relatively more common in women of our region as our body is properly covered which prevents appropriate introduction of sunlight into our skin.
What does it do?
It is important for regulation and movement of calcium. Calcium along with phosphorus is dependent on vitamin D for its absorption from intestines.
In adults, the deficiency manifests itself as osteomalacia and patient will complain of chronic muscle aches and pains. On examination if sternum and tibia are firmly pressed it will reveal periosteal bone pain.
– Insufficient level is 21-29 ng/dl (52.5-72.5 mmol/l)
– Deficient <20 ng/dl ( 30 kg/m2
• Patients with chronic kidney or liver diseases.
• 2000 IU/DAY of vitamin D2 and D3 for atleast 6 weeks or
• 50,000 IU of vitamin D2 once a week for 6 weeks
• 50,000 IU of Vitamin. D2 or D3 once weekly for 8 weeks or
• 6000IU/DAY for 8 weeks.
Join JPMS Medical Blogs Team as Editor or Contributor, email your cover letter and resume to [email protected]
We welcome Guest posts. Submit online via: http://blogs.jpmsonline.com/submit/
Disclaimer: JPMS Medical Blogs are published by the same publisher of Journal of Pioneering Medical Sciences (JPMS). This article does not reflect the policies of JPMS or its Staff or Editorial nor it intends to provide legal, financial or medical advice. Refer to Disclaimer and Policies section for more details.
Advertisement: Call for Papers for Journal of Pioneering Medical Sciences (www.jpmsonline.com): Submit Original Article, Review Article, Case Report, Letter to the Editor, News Article, Clinical Images, Perspectives or Elective Report to JPMS. We also publish Conference Proceedings and Conference Abstracts as Supplement. No paper submission or publication charges. Submit your articles online (click here) or send it as an Email to: [email protected]