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CrunchyMom
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Posted: Jan 03 2013 at 8:47am | IP Logged Quote CrunchyMom

I just got my prenatal screenings back, and I am very deficient in Vit D with a level of 10!

Has anyone dealt with this, specifically during pregnancy? Testing for D is a recent addition for my midwives due to newer studies and such. I was never tested in my prior pregnancies. It is very concerning, though, when one reads the more recent studies and the risks to the baby when the mother is deficient in Vit D in early pregnancy, even with levels not so low as my own.

I have a call into my pediatrician to see about supplements for my 21 month old since he just weaned, and we have both been dairy free for the past year because of his sensitivities. However, he did spend more hours in the sun than I did, his brothers many more, this past year until only recently. Still, with my being so deficient, I worry a bit.

My midwife prescribed 3000 IUs a day (the supplements I ordered should arrive tomorrow), but some recent articles I have read suggest an extra 4000 for pregnant women (not even just for those deficient!), so I will inquire at my appointment next week.

My sister suggested a light box as used by those with SAD. Anyone have experience in whether it specifically helps raise D levels?

Dh and I agreed that as concerning as it is, it is a relief to know and have a possible cause (for which treatment is simple and has a positive prognosis over time) for my growing lack of energy in recent months and frustration over an increasing loss of concentration. Vit D is also related strongly to depression, and it is nice to know that my tendencies this year or so to feel overwhelmed and respond by retreating could be related as well! If this can be related to the physical and not solely my own weakness of will, it will be a relief to get a physical boost to better re-engage and enjoy things I once did again.

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Posted: Jan 03 2013 at 8:53am | IP Logged Quote CrunchyMom

Oh, and I did order a Calcium/Magnesium supplement to take with the D since they can affect the absorption of the D.

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Posted: Jan 03 2013 at 9:24am | IP Logged Quote pmeilaen

What about cod liver oil? That would be a natural source of vitamin D although you have to be careful about the amount of vitamin A you are getting! In the twenties in Germany pregnant women were given high supplements of artificial vitamin D. The result was damage to the heart and other malformations of the newborn child. Now only 1000 IU of vitamin D3 are recommended in severe cases, but not longer than three months, I believe. The normal recommendation is not more than 500 IU. Also, a high dosage of vitamin D can lead to severe constipation. I would be very careful about taking 3000 or more IU. I think the recent American recommendations about vitamin D are not good. They went from almost nothing to these high numbers. Try to get sunshine and eat dairy products again (my son is allergic to dairy, but he can tolerate all dairy products except milk). The amount of calcium in your diet makes a big difference in terms of your vitamin D status. I'm not talking about enriched milk (with added vitamin D and A) here, but natural dairy products. That's my "European" advice.                   

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Posted: Jan 03 2013 at 9:36am | IP Logged Quote Pilgrim

I had this deficiency this last preg. the Dr. gave me 50,000 IU pills to take once a week for 12 wks.. I didn't like taking such a high dose, but didn't know what else to do at the time and had other health issues at the time for both my dh and I due to a case of mono passed on to us by a friend who caught it when she was in the hosp. after a c-section, so felt it was the easiest route to get a handle on the vit D. deficiency. I did study up on it a little before taking it, and it seemed common practice. Not that I usually follow common practice. Hope you can resolve it quickly, I know what a drain it can be.

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Posted: Jan 03 2013 at 9:54am | IP Logged Quote JennGM

pmeilaen wrote:
What about cod liver oil? That would be a natural source of vitamin D although you have to be careful about the amount of vitamin A you are getting! In the twenties in Germany pregnant women were given high supplements of artificial vitamin D. The result was damage to the heart and other malformations of the newborn child. Now only 1000 IU of vitamin D3 are recommended in severe cases, but not longer than three months, I believe. The normal recommendation is not more than 500 IU. Also, a high dosage of vitamin D can lead to severe constipation. I would be very careful about taking 3000 or more IU. I think the recent American recommendations about vitamin D are not good. They went from almost nothing to these high numbers. Try to get sunshine and eat dairy products again (my son is allergic to dairy, but he can tolerate all dairy products except milk). The amount of calcium in your diet makes a big difference in terms of your vitamin D status. I'm not talking about enriched milk (with added vitamin D and A) here, but natural dairy products. That's my "European" advice.                     


Yes, the American Way always seems to go in and out in waves, like fashion! It's terrible.

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Posted: Jan 03 2013 at 10:21am | IP Logged Quote CrunchyMom

Well, we do raw milk and aged cheeses (unlike Europe, is is illegal to sell raw fresh cheeses, so all conventional dairy is pasteurized). I just need to get back in the habit of drinking the milk again!

I also have fermented cod liver oil that is not highly processed so the A and D are natural rather than artificial. It is the artificial A (added to most clo since the processing kills that naturally occurring) that seems to present the risk of overdose. I just have a hard time stomaching the CLO in early pregnancy I have a hard time even giving it to my kids, but I think I can enlist dh for that. We really should get back in the habit! They discontinued the gummies we loved so much, and the liquid is just so much harder for me!

I did have dh pick up some wild Alaskan salmon burgers for me to have for lunches, and I have sardines in the pantry should I find I can stomach the idea (sometimes the idea is worse than the reality, lol). I do feel like anything picked up from natural occurrence in a food is more likely to be readily absorbed by the body. Though, it does seem from what I've read that people can maintain high levels with diet and sun, but the supplements seem instrumental for climbing out of a deficiency. 3000 IUs is right between the conservative numbers
I've seen (the 1000 you mention, Eva) and the highest ones. The midwives have seen good results since they started testing (they test again with the glucose test later on), and I think that your body has a harder time absorbing Vit D while pregnant (Ideally, I would have treated before actually pregnant!), which might explain the higher dose specifically for pregnancy.

I'm also on antibiotics for Group B in my urine! I feel like such a mess!!! But at least my thyroid and iron levels were fine







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Posted: Jan 03 2013 at 10:25am | IP Logged Quote JennGM

I crave sardines in pregnancy.

And now you've given me a hankering...,

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Posted: Jan 03 2013 at 10:25am | IP Logged Quote CrunchyMom

pmeilaen wrote:
In the twenties in Germany pregnant women were given high supplements of artificial vitamin D.         &nbs p;       


This is D2, right? I understood that D3 is a natural form derived from lanolin. ETA My midwife prescribed D3' specifically.

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Posted: Jan 03 2013 at 10:38am | IP Logged Quote CrunchyMom

JennGM wrote:
I crave sardines in pregnancy.

And now you've given me a hankering...,


I hope you have some! I'm pretty sure that you wouldn't have to ask me twice to indulge in my 2 nd or 3 rd trimester

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Posted: Jan 03 2013 at 10:45am | IP Logged Quote JennGM

I can't find the ones in mustard anymore which were my favorite.

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Posted: Jan 03 2013 at 11:46am | IP Logged Quote JodieLyn

Some other dietary suggestions for raising D - eggs, butter, oatmeal, sweet potatoes.. and herbs alfalfa and nettle (both safe in pregnancy.. actually alfalfa is great to keep iron levels up and help with milk production later )

To absorb D you need not only the calcium but choline, essential fatty acids, phosphorus, and vitamins A and C

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Posted: Jan 03 2013 at 12:00pm | IP Logged Quote Betsy

I haven't been on his site in a while, but Dr. Mercola is the Vit D King.

I would search his site to see if you can find more information on quality sources to get it.

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Posted: Jan 03 2013 at 12:03pm | IP Logged Quote CrunchyMom

I do eat eggs almost every day for breakfast and plenty of pastured meats. We also eat a good bit of winter squash, carrots, and sweet potatoes, as well as supplementing C regularly, so I'm hoping I can count on getting enough of those things in my diet. I also ordered a B-Complex because it seemed a likely culprit for deficiency. Our water has so much iron in it, I'm not very worried about being deficient in that since my levels were normal. I normally love greens as well, so I hope to eat more of those, maybe added to my seafood lunch routine once the queasiness goes down.

My arsenal of supplements arrived a bit ago, and ds8 said, "Wow! All those things should keep Mom healthy! If we took all that we'd probably start having babies, too."

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Posted: Jan 03 2013 at 12:09pm | IP Logged Quote JodieLyn



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Posted: Jan 03 2013 at 12:28pm | IP Logged Quote Christine

I was diagnosed as Vitamin D deficient in 2008. My daughter who was born that year has really bad teeth. The pediatrician feels that my Vitamin D deficiency directly affected my daughter's teeth. For this reason, she recommended that I give her these Vitamin D3 drops. I use these drops with my three youngest children.

After learning that I was Vitamin D deficient and being prescribed Vitamin D2, I contacted a mother in our homeschool group who has followed Dr. Mercola for a long time and knows a lot about nutrition/health. She sent the following response to me:

Please don't take D2 in those amounts. For one thing, it is not very effective, and another the safety at those doses is very questionable. D2 is the plant form and not very effective. It happens to be the only form available by prescription, so the political aspect is also questionable. If you want more info I would look it up, www.vitamindcouncil.org, safety concerns plus breastfeeding are real.

It is D3, cholecalciferol, that you want. Very safe, very effective. Several options: You can take a 50,000 IU once a week for 8 weeks then recheck your level. Available online from bio-tech-pharmacal, very inexpensive and a good reputable company. You can get it in its natural form from www.greenpasture.org, fermented HV cod liver oil. 1/2 tsp max per day- I don't think there is enough in here, so you will need to add a supplement to get more D3 per day, to replenish your levels. If not in the sun at midday, D3 supplements can be added to this to get what you need daily. You can take 10,000 per day for 4-8 weeks and then recheck levels to get them as close to 80 as possible. Or take up to 20,000 daily for 3-4 weeks then recheck. Then go onto the maintenance dose for your weight, 4000IU/day. Don't stay on the high dose for a prolonged time without checking levels.

Gestational diabetes is associated with insulin resistance and diabetes later in life. Keeping a low glycemic diet and exercise, with adequate vitamin D levels helps. I will be presenting the info on the connection to fat metabolism as well, which is underlying the development of insulin resistance. Raising your adiponectin levels is underlying this. You can add in virgin coconut oil, ex virgin olive oil, virgin palm oil, grass fed meat, eggs and dairy fat( HV butter oil from Green Pastures or raw milk from Dungeness Valley Creamery). Eliminate all refined oils, especially the polyunsaturated fats. Hope this helps.


I supplemented with liquid Vitamin D3. When my levels were checked again, they were low but in the acceptable range.

I was happy to read that your midwife prescribed the D3.

Your son's comment was priceless.

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Posted: Jan 03 2013 at 12:39pm | IP Logged Quote Mackfam

Tagging onto Lindsay's question, but not wanting to hijack:

If one set a goal of trying to get in the sun as a way of bumping Vit D, what would be reasonable goals?

Let's assume for the sake of argument that someone lives in a southern climate so that they could take advantage of sun. (Which I do...but of course, we still get very cold here.)

Would you shoot for noon sun exposure?
How long?
Would you need to just have face exposed...or arms?

I'm trying to set as a goal more regular "hours in the out of doors" and I think this would be a healthy tag-along to tie in with that goal.


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Posted: Jan 03 2013 at 12:43pm | IP Logged Quote JodieLyn

Face and arms, about 15 minutes a day.. and in winter I would shoot for noonish since that will be your best exposure. My book is a bit older and it say 3 times a week.. but if you're low you probably need more than that.. I'm too far north for it to boost vit D but it still feels good to get out in the sun even when the temps are frigid.

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Posted: Jan 03 2013 at 12:45pm | IP Logged Quote Mackfam

JodieLyn wrote:
Face and arms, about 15 minutes a day.. and in winter I would shoot for noonish since that will be your best exposure. My book is a bit older and it say 3 times a week.. but if you're low you probably need more than that.

Really? That's very do-able! Adding that to my little list of goals!

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Posted: Jan 03 2013 at 12:50pm | IP Logged Quote JodieLyn

yeah it's really not long at all. And in the summer months earlier or later exposure works well.. I get out in the mornings with swim team and get that early morning sun while it's still cool here.

And just a reminder you can't be wearing sunscreen.. so if you use makeup with an spf or such that will interfer with your absorption.

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Posted: Jan 03 2013 at 2:12pm | IP Logged Quote pmeilaen

CrunchyMom wrote:
pmeilaen wrote:
In the twenties in Germany pregnant women were given high supplements of artificial vitamin D.         &nbs p;       


This is D2, right? I understood that D3 is a natural form derived from lanolin. ETA My midwife prescribed D3' specifically.


My German books don't say which kind it was, but all German supplements of vitamin D3 these days warn pregnant women to take vitamin D3 in a high dosage, 1000 IU and above. They can lead to a narrowing of the aorta or malformation of the retina in the baby. They also say that the baby can be deformed.   

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