I have a hatred of few things in life.  Flintstones, Tums, and Optisource are among them.

When I first had surgery, we were started on Optisource vitamins.  4x a day, that’s it.  Sounds fine, right?  It’s great — until you realize they have the wrong type of calcium in them.  They use calcium carbonate and not citrate — which is what someone who has a limited acid quotient has needs.

So then we switched.  I’m not really sure why, but we did.

To Flintstones and Tums.  Which is still the wrong type of calcium.

And then.  Then I had kids.  And it all goes downhill from there.  (doesn’t it always?)

Continue reading »

Scripted D Fail.

On March 22, 2010, in Fat Solubles, Vitamins, by Andrea

Going back to my roots a bit and explain a common problem in the WLS community — scripted vitamin D supplements.

Drisdol

Drisdol is the trade name for the prescription strength vitamin D treatment.  It is 50,000 IU of D2, suspended in an oil-base.  The typical regimen is 1 per week for 8 or 12 weeks, then retest.  This is in additional to the vitamin D that is packaged in calcium supplements and possibly additional vitamin D taken through the week depending on the prescriber.

Continue reading »

Vitamin D3-5

The Vitamin D Newsletter
More Vitamin D Studies of Interest
March 14, 2010

The mainstream American press is ignoring much of the recent Vitamin D
scientific literature. I suspect newspaper editors have decided that too
many favorable Vitamin D stories run the risk of repeating the folic acid,
beta-carotene and vitamin E affairs, when early epidemiological research was
not routinely substantiated by later randomized controlled trials. If the
press has made that decision, then this newsletter is your best source of
information on new Vitamin D science.

*Genetics, as well as dose, determine response to vitamin D supplements.*

Your vitamin D blood level depends entirely on how much you take or how
often you sunbathe, right? Wrong. Prior studies of identical twins show that
about 25 -50% of the variation of Vitamin D levels depends on genetics. In
July, researchers at the University of Toronto discovered the heritability
of 25(OH)D is probably mediated through the Vitamin D binding protein
(VDBP).

Fu L, Yun F, Oczak M, Wong BY, Vieth R, Cole DE. Common genetic variants of
the vitamin D binding protein (DBP) predict differences in response of serum
25-hydroxyvitamin D [25(OH)D] to vitamin D supplementation. Clin Biochem.
2009 Jul;42(10-11):1174-7.<http://list.netatlantic.com/t/51077657/90576270/126139/0/>

One of the common emails I get (and I’m sorry I can’t answer individual
emails) is “I am taking 5,000 IU per day but my blood level is only 35
ng/ml.” What should I do? This study helps answer such questions. You
probably inherited a tendency to not respond to higher doses of Vitamin D.
Simply take a little more and get your blood tested again in 3-4 months.

Also, don’t forget your weight. Does it make sense that if you weigh 300
pounds, you need more vitamin D than a 3 pound baby? If that makes sense to
you, congratulations, it has not made sense to any of the five Food and
Nutrition Boards (FNB) that have convened and issued recommendations to
Americans over the last 60 years; they have all recommended the same 200
IU/day dose for infants and young adults, no matter how much the adults
weigh.

*More researchers actually recommend that people take Vitamin D and not just
give more money to scientists.*

Researchers from Austria concluded their review paper on vitamin D and high
blood pressure by stating: “In view of the multiple health benefits of
vitamin D and the high prevalence of vitamin D deficiency, as well as the
easy, safe, and inexpensive ways in which vitamin D can be supplemented, we
believe that the implementation of public health strategies for maintaining
a sufficient vitamin D status of the general population is warranted.”

Pilz S, Tomaschitz A, Ritz E, Pieber TR; Medscape. Vitamin D status and
arterial hypertension: a systematic review. Nat Rev Cardiol. 2009
Oct;6(10):621-30.<http://list.netatlantic.com/t/51077657/90576270/126140/0/>

Good for Austria! By the way, while vitamin D may improve hypertension, it
is not the be all and end all of hypertensive disease. If your doctor can
stop your high blood pressure medication after you start taking vitamin D,
great, but I doubt that will happen. Most people will have to continue
taking their antihypertensive medication even after adequate vitamin D
supplementation, albeit sometimes at a lower dose.

While I am on the subject, remember, that vitamin D will not prevent all
cancer or heart disease or respiratory infections. True, evidence is
accumulating that it will help, but you can still develop cancer, heart
disease and respiratory infections with adequate blood levels of vitamin D.
That’s why I believe in complimentary, not alternative, medicine.

*Professor Michael Holick keeps increasing the amount of vitamin D he
recommends.*

As readers know, Professor Holick is one of the world’s foremost authorities
on vitamin D. However, after being on the 1997 Food and Nutrition Board
(FNB), he stuck with the FNB’s 200 IU/day recommendation well into the next
century. Then he slowly went to 400 IU, then 800 IU, then 1,000 IU and now
he is at 2,000 IU/day. Professor Holick is going in the right direction and
is almost there.

Cynthia K. Buccini Sunny Dispositions vitamin D deficiency may be the most
common medical problem in the world. BU Today, March 8,
2010<http://list.netatlantic.com/t/51077657/90576270/126141/0/>

*Professor Robert Heaney of Creighton University just discovered that if you
take 2,200 IU of vitamin D every day, you only have about 12 days supply of
vitamin D in your body.*

I love Robert Heaney’s papers. In a previous paper, Dr. Heaney discovered
that at blood levels of 35 ng/ml, 50% of people are using up their vitamin D
as quickly as they take it, that is, they are not storing any for future use
and suffer from chronic substrate starvation. Obviously, one wants to take
enough so the body has all it can use, which is why I recommend 25(OH)D
levels of at least 50 ng/ml. At that level, no one should have chronic
substrate starvation.

In the paper below, Dr. Heaney collaborated with two other Creighton
scientists, Dr. Diane Cullen and Dr. Laura Armas, as well as one of the
premier experts in measuring vitamin D in the world, Dr. Ron Horst of
Heartland Assays. Ron runs tens of thousands of vitamin D samples a year as
Heartland Assays performs vitamin D testing for most of the big studies and
Dr. Horst is one of the few people in the world who can accurately measure
cholecalciferol, and not just 25(OH)D.

Heaney RP, Horst RL, Cullen DM, Armas LA. Vitamin D3 distribution and status
in the body. J Am Coll Nutr. 2009
Jun;28(3):252-6.<http://list.netatlantic.com/t/51077657/90576270/126142/0/>

Anyway, in his latest paper, Dr. Heaney found that if you regularly take
2,200 IU per day, you have about 12 days supply of vitamin D in your body.
He explained, “What this indicates is that fat reserves of the vitamin are
essentially running on empty and that . . . additional vitamin D inputs are
[converted to 25(OH)D] almost immediately.” . . “The currently recommended
intake of vitamin D needs to be revised upward by at least an order of
magnitude.”

What is not known, at least by me, is what happens when cholecalciferol
intake far exceeds the body’s requirement. We know it is stored in the body,
mainly in fat and muscle, but what does the body do to control excess
cholecalciferol from building up in the body? Professor Reinhold Vieth has
written that much of it will simply be excreted unchanged in the bile, but
how does that system work exactly, to get rid of excess cholecalciferol? We
know it works because the few patients with vitamin D toxicity reported in
the literature – almost always due to industrial errors – reduce their
vitamin D levels rather quickly by simply stopping the vitamin D and staying
out of the sun.

*Zocor has no effect on vitamin D levels.*

I know several studies have found statins raise vitamin D levels but
different scientists report different findings. This paper found Zocor had
no effect of vitamin D levels while a previous paper found Crestor almost
tripled vitamin D levels. What’s the truth? I don’t know. The above study
did find that higher vitamin D levels were strongly associated with better
triglycerides and weakly associated with higher HDL (the good cholesterol)
levels.

Rejnmark L, Vestergaard P, Heickendorff L, Mosekilde L. Simvastatin does not
affect vitamin d status, but low vitamin d levels are associated with
dyslipidemia: results from a randomised, controlled trial. Int J Endocrinol.
2010;2010:957174.<http://list.netatlantic.com/t/51077657/90576270/126143/0/>

*Vitamin D lowers statin blood levels*

This study makes the point that things are often more complex than they
first appear. Almost nothing is known of vitamin D’s drug-drug interactions.
That is, how does vitamin D affect the blood level of other drugs? The below
study measured the effects of vitamin D on Lipitor levels and cholesterol
levels hours after Lipitor was given to patients taking vitamin D. The
authors were looking for drug-drug interactions and found them.

Schwartz JB. Effects of vitamin D supplementation in atorvastatin-treated
patients: a new drug interaction with an unexpected consequence. Clin
Pharmacol Ther. 2009
Feb;85(2):198-203.<http://list.netatlantic.com/t/51077657/90576270/126144/0/>

The above study found vitamin D not only lowered Lipitor levels, but vitamin
D lowered bad cholesterol levels as well. That is, the lowest bad
cholesterol levels were found in patients on vitamin D with the lowest
Lipitor levels, just the opposite of what one would think. I mean, wouldn’t
higher Lipitor levels result in lower cholesterol levels? Not when vitamin D
was taken into account. If you think my explanation of this study is
confusing, you should read the study.

*Intensive treatment with vitamin D, statins, and omega-3 fish oil reverses
coronary calcium scores.*

The below open study by Dr. William Davis and colleagues studied 45 adults
with evidence of calcified coronary arteries, treating them with high dose
statins, niacin, fish oil (not cod liver oil) capsules, and enough vitamin D
(average of about 4,000 IU/day) to obtain 25(OH)D levels of 50 ng/ml. They
found that regimen reduced coronary calcium scores in 20 patients and slowed
progression in 22 additional patients. That is, it reversed the coronary
calcification process in about half of patients and slowed its progression
in most of the rest.

Davis W, Rockway S, Kwasny M. Effect of a combined therapeutic approach of
intensive lipid management, omega-3 fatty acid supplementation, and
increased serum 25 (OH) vitamin D on coronary calcium scores in asymptomatic
adults. Am J Ther. 2009
Jul-Aug;16(4):326-32.<http://list.netatlantic.com/t/51077657/90576270/126145/0/>

Most studies have shown high dose statins on their own do not reverse
coronary arthrosclerosis, so we know it was not the statins alone. What
would vitamin D levels of 70 ng/ml do? So, if you have coronary artery
disease: ask your cardiologist about statins and niacin, take 5-10 fish oil
capsules per day, and at least 5,000 IU of vitamin D3 per day.

A word about fish oil is in order. Fish oil means fish body oil, not fish
liver oil. And, four or five capsules of omega-3 fish oil a day will do very
little if you do not limit your intake of omega-6 oils. Your ratio of
omega-6 to omega-3 is the crucial number, your want that ratio at 2 or
below, which means no chips, no French fries and no processed foods, a
difficult diet. Omega-6 oils are vegetable oils such as corn oil, safflower
oil, soybean oil, sunflower oil and cottonseed oil. Read the packages to see
what is in them and if they contain the above oils do not eat them. In
additions to taking fish oil capsules, try to eat wild-caught salmon three
times a week.

*Our group’s second paper on influenza is now the most accessed paper in the
history of Virology Journal.*

I was asked to write the paper by the editor of another journal, who then
refused it! I almost decided to scrap the paper but, in the end, submitted
it to Virology Journal. I’m glad I did.

Virology Journal: Top 20 most accessed articles for all
time<http://list.netatlantic.com/t/51077657/90576270/126146/0/>

I was glad to see that six other experts recently recommended that the
diagnosis and treatment of vitamin D deficiency be part of our national
preparedness for the H1N1 pandemic.

Edlich RF, Mason SS, Dahlstrom JJ, Swainston E, Long WB 3rd, Gubler
K. Pandemic preparedness for swine flu influenza in the United States. J
Environ Pathol Toxicol Oncol.
2009;28(4):261-4.<http://list.netatlantic.com/t/51077657/90576270/126147/0/>

In addition, I hear through the grapevine that the CDC has discovered that,
of the 329 American children who have died so far from H1N1, vitamin D
levels in the dead children were lower than in children who survived the
swine flu. Maybe something can be done to save our children by next winter?
Not to mention the 16,000 adult Americans the CDC thinks died from H1N1.

Reuters. Up to 80-million Americans have been infected with H1N1.
1/15/2010<http://list.netatlantic.com/t/51077657/90576270/126148/0/>

*Low vitamin D levels mean higher death rates in patients with kidney
disease.*

The below study is the first of its kind; Dr. Rajnish Mehrota and his eight
colleagues studied 3,000 of the 28 million U.S. adults who have chronic
kidney disease, finding those with vitamin D levels below 15 ng/ml had a 50%
increased risk of death compared to those with levels above 30 ng/ml over
the nine years of the study. These researchers from UCLA, Harvard, the Los
Angeles Biomedical Research Institute, and other institutions concluded:
“The broad public health implications of our findings cannot be
overemphasized given the high prevalence of vitamin D deficiency among
individuals with chronic kidney disease, and the ease, safety, and low cost
of maintaining replete vitamin D levels.”

Mehrotra R Mehrotra R, Kermah DA, Salusky IB, Wolf MS, Thadhani RI, Chiu YW,
Martins D, Adler SG, Norris KC.. Chronic kidney disease, hypovitaminosis D,
and mortality in the United States. Kidney Int. 2009
Nov;76(9):977-83.<http://list.netatlantic.com/t/51077657/90576270/126149/0/>

These words are music to my ears; these words are strong words, urgent
words, and, better yet, they are not my words. This is the first large study
looking at a representative group of Americans with kidney disease, before
dialysis, finding about 1/3 of them died over the 9 years of the study.
Those with low vitamin D levels were more likely to die; in fact, they were
more likely to have about every chronic disease you can think of before they
died. The average age of those with kidney disease was only 55. This is a
very important study, well written and well-conducted.

However, there is a scandal in medicine, a scandal not openly discussed in
scientific papers, one not yet reported by the mainstream press. The scandal
is this: if you are on dialysis, the chances are very high that your kidney
doctor thinks he is giving you vitamin D when he is doing no such thing and
some drug companies encourage such ignorance.

Drug companies market very lucrative activated vitamin D drugs to
nephrologists as “vitamin D.” The kidney doctors, in turn, think they are
giving vitamin D to their dialysis patients when they are doing no such
thing. If anything, the activated vitamin D analogs nephrologists use in
kidney disease will lower 25(OH)D levels by turning on the enzyme that gets
rid of vitamin D.

The ugly secret is that plain old dirt-cheap vitamin D would lower the
amount of activated vitamin D analogs needed to treat kidney disease. We
used to think it was all or none, the kidneys would either make activated
vitamin D to maintain blood calcium or the kidneys would not, as in renal
failure. However, it is not all or none; the more vitamin D building blocks
available to the diseased kidneys, the more activated vitamin D diseased
kidneys can make. And, tissues other than the kidney, such as the skin,
pancreas, adrenal medulla, and certain white blood cells, can contribute to
serum activated vitamin D levels, and probably would if they had enough of
the building block (plain old, dirt-cheap old, regular old, vitamin D).

*Just out: Vitamin D administration (plain old vitamin D) to renal dialysis
patients reduces the need for expensive vitamin D analogues, reduces
inflammation, reduces the need for medication that increases red blood
count, and improves cardiac function.*

As I was about to finish this tirade about vitamin D and kidney failure, the
below open study was published on March 4, 2010 and I ordered it. (By the
way, the Council has to pay $11.00 for every paper I get and only one paper
in ten is worth reporting on). The study below confirms what the above
authors predicted; plain old cheap vitamin D helps patients with kidney
disease.

Matias PJ, Jorge C, Ferreira C, Borges M, Aires I, Amaral T, Gil C, Cortez
J, Ferreira A. Cholecalciferol Supplementation in Hemodialysis Patients:
Effects on Mineral Metabolism, Inflammation, and Cardiac Dimension
Parameters. Clin J Am Soc Nephrol. 2010 Mar
4.<http://list.netatlantic.com/t/51077657/90576270/126150/0/>

Dr. Patricia Matias and colleagues in Portugal gave vitamin D3 to 158
patients on renal dialysis, using a sliding scale of vitamin D3
administration dependent on baseline 25(OH)D levels. Some patients got
50,000 IU per week, some got 10,000 IU per week, etc. Their dosing regimen
increased 25(OH)D levels from a mean of 22 ng/ml at the beginning of the
study to a mean of 42 ng/ml during treatment, indicating half of patients
still had levels lower than 42 ng/ml after treatment. Interestingly, most of
the patients who did not increase their 25(OH)D very much had diabetes,
suggesting the metabolic clearance (how quickly it is used up) of vitamin D
is increased in diabetes. By the way, we know the patients took the vitamin
D; the doctors gave it to them when they came in for dialysis.

The results of this study were amazing. After vitamin D administration,
parathyroid hormone, albumin, CRP (a measure of inflammation), brain
natriuretic peptide (a measure of heart failure), and left ventricular mass
index (a measure of heart function) all improved significantly. The dose of
activated vitamin D (Zemplar in this case) was reduced, and some patients
were able to stop it all together. Also, the dose of two other drugs used in
kidney failure, one to bind phosphorus and the other to raise hemoglobin,
was reduced.

It is a tragedy that drug companies sell more expensive vitamin D analogs by
having their drug salesman assure kidney doctors that the expensive vitamin
D analogues are vitamin D, even if it kills their clients. But, with the
brand new knowledge that kidney failure patients live much longer on vitamin
D, the drug companies might want to do some simple math. They might make
even more money if they kept their patients alive longer. True, they will
need less vitamin D analogues and other expensive kidney drugs every day,
but the patients may live many more days.

John Cannell, MD

This newsletter is now copyrighted but may be reproduced for non-economic
reasons as long as proper attribution to its source is clearly stated in the
reproduction. Please reproduce it, post it on Internet sites, and forward it
to your friends.

Remember, we are a non-profit and rely on your donations to publish our
newsletter, maintain our website, and pursue our objectives. Send your
tax-deductible contributions to:

The Vitamin D Council<http://list.netatlantic.com/t/51077657/90576270/104386/0/>
1241 Johnson Ave., #134
San Luis Obispo, CA 93401

This is not a good thing, folks.  And it scares me because the things I need to keep my vision, my bones, my blood clotting may go away.

Basically, this act will allow the FDA to pull all nutritional supplements.  And while the Centrums and NatureMades will be fine, what I worry about will be the 50,000 IU water-miscible D3′s that I take, or the 100mg K1′s, or any of the “dangerous” level meds.. or even the heme iron that I’ve FINALLY found that works for me.

So while I’ve always been political, have voted in every election that I have been able to vote in, have called my elected representatives for certain things — I have yet to write a single letter to any politicians.  The time has ended.

Senator John McCain
United States Senate
241 Russell Senate Office Building
Washington, D.C.  20510

Senator McCain:

I am not a constituent of yours.  Nor do I plan to be one in the future.  In fact, I live almost as far away from your Arizona as possible without actually living on a different continent.

However, the Dietary Supplement Safety Act that you are proposing could impact my life in ways you cannot possibly imagine.

Sir, I had Roux-en-Y gastric bypass surgery in 2004.  Like thousands of others who have battled morbid obesity, I have had a surgery that has altered my intestines in a way that severely limits my ability to absorb nutrition from food.  It is because of this fact that I survive daily from nutritional supplements — nutritional supplements that you are attempting to regulate.

I understand the need for regulation against unsafe chemicals that are being marketed and sold to our youth.  As a mother of young children, I can appreciate the desire to protect our children.  However, I see this Act as a way to limit my ability to maintain my health with these absolutely vital supplements.

I know that there are some supplements that are available in prescription form.  Unfortunately, not all of these are acceptable for patients such as myself and only over-the-counter supplementation will maintain my health.  For example, a common prescription to rectify a clinical deficiency of vitamin D is a 50,000 IU dose of vitamin D2 in an oil-suspension.  D2 has been found to be one-tenth the strength of D3 (which is available over-the-counter at your local pharmacy), and with my reconfigured intestinal design, I do not absorb the oil that the D2 is immersed in.  Therefore, what little of the vitamin I might absorb, much of it is lost in the body’s conversion to D3.  In many cases, a 50,000 IU dose of D2 would be equivalent to what I could pick up at CVS as a D3 supplement for anyone — and even worse for me with the fat malabsorption my surgery gave me.  Instead, I can take a 50,000 IU dose of D3 — something your Act would surely take away, relegating me to months of painful recovery as I suffer from osteomalacia or even osteoporosis at the tender age of 31.

While this is certainly an extreme case, it is something that thousands of us face daily.  Vitamin D is not the only vitamin I worry about with this act — high dose vitamin A allows me to keep my vision, vitamin K allows my blood to clot, B12 allows me to have neurological function, and high-dose iron allows my blood to move oxygen through my cells properly.  All of these are in higher-than-normal doses to counteract the surgical implications of my gastric bypass surgery — and it is something I will live with for the rest of my life.

I implore you to examine this issue very carefully as things are not exactly black and white.  I believe safety is needed in the supplement industry — especially as I take so many of them.  However, such strict regulation could seriously impact my ability to live a functional life versus a life of skinny sickness.

I had this surgery to be a healthier individual — this bit of regulation could seriously impair that goal.

Sincerely,
Andrea S. Ullberg
Wilson, NC  27896
andrea@ullberg.us

http://wlsvitagarten.com

Senator Kay Hagan
United States Senate
521 Dirksen Senate Office Building
Washington, D.C.  20510

Senator Hagan:

I am one of your constituents — one that is proud to say that voted for you.  I thank you for the hard work you’ve put forth in representing the people of North Carolina thus far.

I write to you today, however, to express grave concern about Senator McCain’s Dietary Supplement Safety Act.  This Act, if passed, could cause me and thousands more like me, great personal harm and impact my health and well-being in a way he has not considered.  Please take a moment to understand why.

I had Roux-en-Y gastric bypass surgery in 2004.  Like thousands of others who have battled morbid obesity, I have had a surgery that has altered my intestines in a way that severely limits my ability to absorb nutrition from food.  It is because of this fact that I survive daily from nutritional supplements — nutritional supplements that he is attempting to regulate.

I understand the need for regulation against unsafe chemicals that are being marketed and sold to our youth.  As a mother of young children, I can appreciate the desire to protect them.  However, I see this Act as a way to limit my ability to maintain my health.  If I cannot maintain my health, I will not be able to protect or care for my children myself — which defeats the purpose of the bill.

I know that there are some supplements that are available in prescription form.  Unfortunately, not all of these are acceptable for patients such as myself and only over-the-counter supplementation will maintain my health.  For example, a common prescription to rectify a clinical deficiency of vitamin D is a 50,000 IU dose of vitamin D2 in an oil-suspension.  D2 has been found to be one-tenth the strength of D3 (which is available over-the-counter at your local pharmacy), and with my reconfigured intestinal design, I do not absorb the oil that the D2 is immersed in.  Therefore, what little of the vitamin I might absorb, much of it is lost in the body’s conversion to D3.  In many cases, a 50,000 IU dose of D2 would be equivalent to what I could pick up at CVS as a D3 supplement for anyone — and even worse for me with the fat malabsorption my surgery gave me.  Instead, I can take a 50,000 IU dose of D3 — something your Act would surely take away, relegating me to months of painful recovery as I suffer from osteomalacia or even osteoporosis at the tender age of 31.

While this is certainly an extreme case, it is something that thousands of us face daily.  Vitamin D is not the only vitamin I worry about with this act — high dose vitamin A allows me to keep my vision, vitamin K allows my blood to clot, B12 allows me to have neurological function, and high-dose iron allows my blood to move oxygen through my cells properly.  All of these are in higher-than-normal doses to counteract the surgical implications of my gastric bypass surgery — and it is something I will live with for the rest of my life.

I implore you to examine this issue very carefully as things are not exactly black and white.  I believe safety is needed in the supplement industry — especially as I take so many of them.  However, such strict regulation could seriously impact my ability to live a functional life versus a life of skinny sickness.

Please take the time to examine this issue very carefully.  Many of us depend on these supplements — not for simple well-being but for our actual lives.

Sincerely,

Andrea S. Ullberg
Wilson, NC  27896
andrea@ullberg.us

http://wlsvitagarten.com

Senator Richard Burr
United States Senate
217 Russell Senate Office Building
Washington, D.C.  20510

Senator Burr:

I thank you for the hard work you’ve put forth in representing the people of North Carolina.

I write to you today to express grave concern about Senator McCain’s Dietary Supplement Safety Act.  This Act, if passed, could cause me and thousands more like me, great personal harm and impact my health and well-being in a way he has not considered.  Please take a moment to understand why.

I had Roux-en-Y gastric bypass surgery in 2004.  Like thousands of others who have battled morbid obesity, I have had a surgery that has altered my intestines in a way that severely limits my ability to absorb nutrition from food.  It is because of this fact that I survive daily from nutritional supplements — nutritional supplements that he is attempting to regulate.

I understand the need for regulation against unsafe chemicals that are being marketed and sold to our youth.  As a mother of young children, I can appreciate the desire to protect them.  However, I see this Act as a way to limit my ability to maintain my health.  If I cannot maintain my health, I will not be able to protect or care for my children myself — which defeats the purpose of the bill.

I know that there are some supplements that are available in prescription form.  Unfortunately, not all of these are acceptable for patients such as myself and only over-the-counter supplementation will maintain my health.  For example, a common prescription to rectify a clinical deficiency of vitamin D is a 50,000 IU dose of vitamin D2 in an oil-suspension.  D2 has been found to be one-tenth the strength of D3 (which is available over-the-counter at your local pharmacy), and with my reconfigured intestinal design, I do not absorb the oil that the D2 is immersed in.  Therefore, what little of the vitamin I might absorb, much of it is lost in the body’s conversion to D3.  In many cases, a 50,000 IU dose of D2 would be equivalent to what I could pick up at CVS as a D3 supplement for anyone — and even worse for me with the fat malabsorption my surgery gave me.  Instead, I can take a 50,000 IU dose of D3 — something the Act would surely take away, relegating me to months of painful recovery as I suffer from osteomalacia or even osteoporosis at the tender age of 31.

While this is certainly an extreme case, it is something that thousands of us face daily.  Vitamin D is not the only vitamin I worry about with this act — high dose vitamin A allows me to keep my vision, vitamin K allows my blood to clot, B12 allows me to have neurological function, and high-dose iron allows my blood to move oxygen through my cells properly.  All of these are in higher-than-normal doses to counteract the surgical implications of my gastric bypass surgery — and it is something I will live with for the rest of my life.

I implore you to examine this issue very carefully as things are not exactly black and white.  I believe safety is needed in the supplement industry — especially as I take so many of them.  However, such strict regulation could seriously impact my ability to live a functional life versus a life of skinny sickness.

Please take the time to examine this issue very carefully.  Many of us depend on these supplements — not for simple well-being but for our actual lives.

Sincerely,

Andrea S. Ullberg
Wilson, NC  27896
andrea@ullberg.us

http://wlsvitagarten.com

Please.  Read more about this and do your part to protect yourselves.  This is important.  I’ve rarely taken action such as this and I think this is worth fighting for.

We NEED these supplements.  Don’t let them take them away from us.

Bariatric Advantage Liquid Vitamin D

On February 18, 2010, in Fat Solubles, Reviews, Vitamins, by Andrea

Michelle at Vitalady sent me quite a bag of samples to go through with my last vitamin order — this was one of the things that came with my stuff:

Vitamin D3

Bariatric Advantage Liquid Vitamin D3 is designed to facilitate ease of dosing for those who need a high potency Vitamin D product.  Our liquid vitamin D is a unique sugar-free formula of vitamin D3 in a suspension of medium chain triglycerides (MCTs).  It is very pleasant tasting and offers the easy ability to dose either 10,000 IU (a full-dropper) or 5,000 IU of vitamin D.  This is a great solution for those who need to maintain their vitamin D levels and support bone health.

So I have to tell you, I didn’t know what to think.  I put off the tasting for a bit because I was a bit .. apprehensive.

I actually took this to a support group meeting we had.  I belong to a group that has two meeting groups — one that meets in Raleigh, NC every month and one that meets in Greenville, NC every other month.

Greenville, NC group 2/6/2010

So I had little tester cups and we did “D shooters” as one person put it.

It has NO taste.  None.  Zero.  Nada.

Texture — yes.  Taste, no.  It’s a very thin oily texture — enough that if I had to do this on a regular basis, I’d have to put it in a protein drink to dissipate it to get it down.  But it wouldn’t change the flavor of the drink at all.

Dropper

As you can see, the dropper is marked in 0.5ml and 1.0ml.  If you do 1/2 of a dropper, you get 5,000 IU.  1.0ml, (duh) of course gives you 10,000 IU of D3.  Remember that RNYers need quite a bit of this every day just to maintain our numbers — and that normies are going to get their toxic numbers raised to 10,000 IU.  Taking 20,000 IU a day is not out the realm of possibility just to maintain if you have decent malabsorption going on.

In any case, this has NO flavor, is an easy way of getting your D without adding YET ANOTHER PILL.  If you’re still doing protein shakes daily, toss a mil or two in to get your D supplement and be done with it.  It’s a bit pricier than pills, of course — you knew it would be for all the reasons you can think of.  But it’s an option.

Runs $29.79 at Vitalady

Page 2 of 512345