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Old 02-08-2008, 03:13 PM #1
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Default Mrs D - Vitamin Help?

Hi - do you get tired of being our expert on these - but so glad you are here.... !

Quickie - I've got a whole new team of docs - so far the ones I've seen are really on the ball - yea! (found a GI doc that understands gastropareis - which is awsome too).... I'll be seeing a pain doc and new neuro at end of month and the other two have run some tests already... just got my Vitamin D and B12 - on Vitamin D I think thats important cause I have osteopenia and osteroperosis, and severe disk pain (they can see the disks pressing on nerves in the spine and collapsing).... also, B12, which I assume neuro will want..

numbers:

B12 - 558 (range 200-1100)
D - they say its high - 66 (range 15-60) - does this make sense?

I still am on only ensure and boullion and a little bottle of baby food every few days (but thats just sweet potatoes so far - cant tolerate anything else - even fat free real chicken broth) - so taking supplements other then in the ensure is really tough on my gut.... (I dont eat "meals" - just sip on liquids during the day in small amounts)

Do you think either of these are significant? Would there be another vitamin I'm missing on the osteo side??? (one thing - Ensure is pure vitamins!)

Thanks for any suggestions
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Old 02-08-2008, 03:22 PM #2
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Lightbulb For osteo...

magnesium and vit K are also important. So is protein.

The B12 is "borderline" if you live in Japan. But most doctors here would accept it. I would take the B12 if it were me.

In regards to the D... that's good. You must get outside regularly and not live in cold gray places.
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Old 02-08-2008, 04:35 PM #3
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Default Hi Karen

I just wanted to chime in here and say I am very glad you found a good GI doctor that understands gastroparesis. You sound very happy with him.
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Old 02-08-2008, 06:07 PM #4
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Default You could even be a little higher on the Vitamin D--

--though you didn't mention what units the measurement was in (ng/Dl, I'm assuming).

A lot of researchers now think our Vitamin D lab reference ranges are skewed too low, and that people should opt for ranges in the 75-80ng/Dl level at least. Ted Hutchinson on the Braintalk Vitamin forum has ammassed a huge database on Vitamin D with a lot of supporting evidence (studies, monographs, etc.) to this effect, if you want to take a look:

http://brain.hastypastry.net/forums/...ead.php?t=2822
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Old 02-08-2008, 07:22 PM #5
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Thanks for that Glen...Mrs d they were saying on are local TV we must all
get out in sun more...I have very fair skin and with Meds I take,I burn
so bad..But if and when the sun comes back do you think it's ok to put
on lot's of sun screen and get out for at least 20 mins.in my wheelchair.
I rreally enjoy it so...When it's cold and grey I use one of those lights
many people use for depression. J remainded me of upper body streght
and thinks for hands..Bob and I are doing srteching,which some people
think and foget they can do in bed...

I take Enhanced absorption with C-sorb it's a non acidic stomach,500 twice
a day,been ok even with Gycerna doesn't upset tummie but do I take the b-12 under tongue and is 1000 enough. Been sleeping found out at Oral surgery
Dr. have not only broke my teeth but hair line fracture of cheek bone
and broken nose,I look so cute. But fever put off any thing until next
Friday...Good think with flu running crazy he doesn't fill up waiting room.
I'm allowed for nest five weeks some baby food now and low fat broth.
I miss greens with vit d. Karen e-mail you and Baxter later. Mel hope your
cold is better. And Mrs.d your a sweetheart,where am I??? Sue ps
got a fever another reason the Dr. ran out the back door.
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Old 02-08-2008, 08:11 PM #6
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Sue I am sorry you are sick too. I am sorry you could not have the procedure done either but it is good the doc is being careful. I am sorry how did you get all this broken in your face?In any regards I am so sorry.
Kmeb sorry to post that on your thread and I am also glad you found a doc who is helping you though I am sorry you are going through so much. Random thought I know when I was on ensure there are different kinds that stress more vitamins then others I think. Some have a higher protein for ex then just the original ensure it is like ensure with extra protein.I only drank the plus so am not sure.Of course ask your doc cause you don't need any more issues. Feel better
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Old 02-08-2008, 08:23 PM #7
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Default Kmeb, hope this doc is

what they call a 'KEEPER!',
You can't go too wrong with too much B-12, and I've been told I to take 400-600 of D as I'm low. MrsD has been on target about the mag. as I dove rite in and did the Calcium+D rite off...and those side effects we won't go into! Adding the mag sorted things out.

MrsD Why the Vit K? I have found very little on it that is enlightening.

Sue - Good job with the teeth! Takes true talent to find you've not only done in your teeth but your jaw as well! We all have to be careful about doctors' offices these days, you know? They're full of sick people!

May you all have a few pain free moments? Even if it's in your sleep, at least in real sleep you don't know or care! - j
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Old 02-09-2008, 07:42 AM #8
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Lightbulb more on Vit K...

http://lpi.oregonstate.edu/infocente...mins/vitaminK/

Quote:
Bone mineralization

Three vitamin-K dependent proteins have been isolated in bone. Osteocalcin is a protein synthesized by osteoblasts (bone forming cells). The synthesis of osteocalcin by osteoblasts is regulated by the active form of vitamin D, 1,25(OH)2D3 or calcitriol. The mineral-binding capacity of osteocalcin requires vitamin K-dependent gamma-carboxylation of three glutamic acid residues. The function of osteocalcin is unclear, but is thought to be related to bone mineralization. Matrix Gla protein (MGP) has been found in bone, cartilage, and soft tissue, including blood vessels. The results of animal studies suggest MGP prevents the calcification of soft tissue and cartilage, while facilitating normal bone growth and development. The vitamin K-dependent anticoagulant protein S is also synthesized by osteoblasts, but its role in bone metabolism is unclear. Children with inherited protein S deficiency suffer complications related to increased blood clotting as well as to decreased bone density (6, 7, 9).
Vit K is made in our bowels, and since kmeb has "issues" there, she probably does not. Also it is in green, leafy veggies.
Quote:
Supplements

In the U.S. vitamin K1 is without a prescription in multivitamin and other supplements in doses that generally range from 10-120 mcg per dose (35). A form of vitamin K2, menatetrenone (MK-4) has been used to treat osteoporosis in Japan and is currently under study in the U.S (36)
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Old 02-09-2008, 10:27 AM #9
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Quote:
Originally Posted by mrsd View Post
........... Also it is in green, leafy veggies.
I love cooked kale, collards, spinach, turnip greens, etc. Have them at least once or twice a week, as well as a fresh salad at almost every dinner. Some nites, dinner is only a large Chicken Caesar Salad.
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Old 02-09-2008, 10:30 AM #10
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Collard Greens??

I assume these are not fattening, but what do they taste like??

I always wanted try these.

Mel
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