Had all my bloods done, and apart from a slap from my HbA1c - Diabetes Thread - everything is good except for my usual D deficiency. I'm at a terrible 29.2nmol/L.

MrsD, I have done a little reading regarding cause - I am a virtual shut-in due to my multiple issues - but diet and supplements are also areas of concern. I have no gallbladder, removed in '05, I had an encapsulated cancerous tumour acting as a valve over the duct - luckily it caused me horrendous pain when I took a break from my pain meds or I wouldn't have known.

I also take Lansoprazole, a Proton Pump Inhibitor due to lifelong GI issues, ulcers, nausea etc for which I also have to take Metoclopramide. I read the Inhibitor reduces dietary D absorbtion, I assume Metoclopramide does not help.

I take Diltiazem, as you know, and my GP voiced concern in the past about calcium build-up if I take high doses of supplements for a long period.

All this negates my ability to achieve a decent D level.

What would you suggest to improve my score, on the understanding I cannot change my meds?
Increased oily fish? I like sardines/mackerel and they fit my weight loss diet?
Trying more supplements?
Is there any other means of supplementation - creams or such like that work?

Thank you.

Dave.