القائمة الرئيسية


 Vitamin D deficiency treatment,

Vitamin D deficiency treatment,

Vitamin D deficiency :

 * Vitamin D deficiency means not getting enough vitamin D to maintain the body's health and its ability to perform its functions, as the importance of vitamin D lies in many vital functions in the body, including that it plays an effective role in health  Nerves, muscles and the immune system, as well as its role in enhancing the absorption of calcium, which is the basic structure or stone for building bones,

 * In fact, the body gets vitamin D mainly from the sun, as the body manufactures vitamin D when the skin is exposed to sunlight, knowing that it is one of the fat-soluble vitamins, and it is worth knowing that it is found in some types of foods, especially fortified foods, and in these  Cases, it does not enter the body in its active form, but rather the body needs to convert it to the active form of it, which is known as 25-hydroxyvitamin D or calcifediol (in English: Calcifediol),

 * As for cases of vitamin D deficiency, it may result from the body's inability to absorb vitamin D or convert it into the active form in the liver and kidneys, or vitamin D deficiency may result from the inability of the skin to manufacture it when exposed to sunlight or due to not eating foods containing it in quantities.  Enough.

 Treating Vitamin D Deficiency;

 * The goals of treating vitamin D deficiency are the same as the goals of preventing a deficiency in its levels, which can be summarized by achieving an appropriate level of vitamin D in the body and then maintaining this level of deficiency, and some may be satisfied with eating foods containing vitamin D and exposure to sunlight more than  The usual, but sometimes it is necessary to take vitamin D supplements, and the fact that vitamin D supplements are sold in two forms, the first is known as D2 (D2) and the second is known as D3, and (D2) it comes from the plant and is also known as ergocalciferol  : Ergocalciferol,

 * As for D3, its source is animal and is also known as Cholecalciferol.  In order to understand the treatment of vitamin D deficiency, it is necessary to address the daily needs of the individual from this vitamin, and in fact, the daily human need for vitamin D depends on a set of factors, including the age of the person concerned, the nature of his food, his health status, as well as the extent of his exposure to ultraviolet rays.  Type B, knowing that it is not possible to know the amount of vitamin D that the body gets due to exposure to sunlight, and based on the Office of Dietary Supplements, the individual's need for vitamin D according to his age is as follows:

 From birth to 12 months: 400 IU, equivalent to 10 micrograms.  1 - 70 years: 600 IU, equivalent to 15 micrograms.  71 years and over: 800 IU, equivalent to 20 micrograms.  As for cases that require treatment:  In general, it can be said that the presence of vitamin D in individuals with a level of less than 20 ng is considered a deficiency and requires the use of treatment.

 Foods rich in vitamin D:

 * It is not possible to rely on foods to meet the needs of the body from vitamin D, because the amount of vitamin D in these foods is low compared to the need of the body, which explains the dependence of individuals on sunlight to obtain their needs of vitamin D, and to return to talking about foods containing vitamin D.  ;  It is found in small quantities in eggs, some dairy products, liver, and fatty fish such as salmon, mackerel or mackerel and herring fish, as well as vegetable margarine, and it is worth noting that infant formula is fortified with vitamin D in some countries of the world,

 * Vitamin D is also found in cod liver oil and some fish, but it should be noted that these oils contain a high dose of vitamin A, and that high intake of vitamin A is associated with the emergence of side effects such as bone fractures and liver damage, and in addition to that, you can get  Vitamin D is one of the foods fortified with it, and you can find out whether the product is fortified with it or not by reading the label attached to the product. Examples of foods that are usually fortified with it are: milk, breakfast cereals, orange juice, yogurt and some dairy products, and soy drinks.

 * Increase exposure to the sun, as we have previously shown, because the body is able to manufacture vitamin D when the skin is exposed to sunlight, specifically UVB rays, and in general it is recommended to be exposed to the sun three times a week so that the exposure period each time is 15-20 minutes, and that  The amount of vitamin D that the body makes following exposure to the body depends on a set of factors that can be summarized below:

 * The season of the year, and this matter is closely related to the region of the world;  Some countries do not receive UVB rays for up to six months due to the ozone layer and the sun's angle.  Time of day;  The sun's rays are most intense and intense during the period between ten in the morning and three in the afternoon.  The level of environmental pollution and clouds that block the sun's rays.  place of living;  As cities closer to the equator have higher levels of UV radiation than countries farthest from it.

 * The level of melanin in the skin;  Melanin is the skin pigment that gives the skin and hair its own color, and its color ranges from brown to black, and therefore the high percentage of melanin in the body gives a darker color to hair and skin, and people with these skin and characteristics need a longer period of exposure to the sun to obtain an adequate amount of vitamin D.  Needed by the body.  In the context of talking about exposure to sunlight to obtain vitamin D;

 * It can be said that exposure to sunlight in the summer for short periods of time without using sunscreen can be sufficient to obtain the necessary levels of vitamin D because sunscreen prevents the body's ability to produce and manufacture vitamin D, but in the case of exposure to sunlight for periods of time  It is recommended to use it, and therefore we urge not to be exposed to the sun for long periods of time due to the possibility of it causing skin cancer and skin aging.

 Vitamin D supplements:

 * There is a group of medical preparations that are classified as vitamin D supplements that play an important role in treating vitamin D deficiency in the body, and as we explained earlier, some of these supplements are known as vitamin D2, including D3, and the fact is that doctors usually prefer to prescribe D3 vitamins, because they are  More effective, in addition to being the natural form of the vitamin, as well as vitamin D2 needs a prescription to be dispensed, and D3 does not need that, noting that vitamin D3 is easier to absorb and has a longer effect, and as for the dose of vitamin D it is determined by the doctor depending on  The severity of the deficiency in vitamin D levels and its nature, as well as the nature of the health status of the individual concerned;  Some individuals suffer from liver or kidney problems that prevent their bodies from absorbing vitamin D normally, and in such cases the dose is determined for each individual according to his condition and its details.

 Monitoring treatment After the doctor prescribes the appropriate dose of vitamin D, he usually recommends a blood test to measure the level of 25-hydroxycolecalciferol, three months after starting the treatment, and based on the results that appear at that time, the doctor adjusts the dose to reach the appropriate levels of vitamin D in  The patient's body, and after that, the tests are repeated for a period to be determined by the doctor to ensure that the required levels are achieved.

 How to give vitamin D supplement:

 * Vitamin D can be given in the form of an injection, or orally, either in the form of pills or liquid, and the doctor's choice of the correct way to administer it depends on the age of the person concerned, his condition, and the severity of the vitamin D deficiency that he suffers from, and the methods of administration and the most important details associated with them can be summarized.  The following:

 Injections: The administration of vitamin D by injection is very effective as well as easy, and in such a case a small injection is given to last for up to six months, and accordingly, the choice of giving vitamin D by injection is resorted to by individuals who cannot take drugs by mouth as well as  Who are afraid to forget a dose.  High-dose pills or liquid: There are a number of available doses of vitamin D, whether given in the form of pills or in liquid form, and according to this dose, some of them are given on a daily basis, some are given weekly, some are given monthly,

 * And choosing any of them depends on the protocol adopted by the doctor as well as the general condition of the person concerned, and it is worth noting that in the event that high doses are adopted, vitamin D deficiency is treated very quickly, and this is required for children who suffer from vitamin D deficiency during the growth stage, but  It is important to note the importance of taking vitamin D according to the recommended instructions, especially if the dose is high.

 Standard Dose of Vitamin D:

 * There are standard doses of vitamin D taken if the deficiency in the level of this vitamin is moderate or if vitamin D supplements are used to prevent a deficiency in it, and these doses are taken daily for a period of twelve months, and thus the body can compensate for the deficiency in the vitamin  Dr..

 Maintenance treatment after deficiency treatment:

 * After treating a deficiency in Vitamin D;  In many cases, it requires taking constant doses of vitamin D in the long term in order to reduce the occurrence of deficiency in vitamin D levels in the future, and these doses are known as maintenance doses, and the idea of ​​maintenance doses came from information that the risk factor for vitamin D deficiency, which was at the beginning  The matter before treatment is difficult to get rid of completely, and therefore the person remains at risk of developing vitamin D deficiency after completing the treatment, and it is worth noting that the maintenance dose is less than the therapeutic dose used.

 * Increase the dose of vitamin D: Taking vitamin D supplements in high doses for a long period of time causes an increase in calcium levels in the body, which leads to weak bones and damage to the kidneys and heart, and some people may think whether exposure to sunlight may cause an increase in  The level of vitamin D in the body, and the answer is no. Excessive exposure to sunlight cannot cause vitamin D poisoning.

 * However, prolonged exposure to sunlight is a risk factor for skin damage and increased risk of cancer.  Back to the high dose of Vitamin D;  It should be noted that this is rare, and among its symptoms are the following: Nausea.  Increased feeling of thirst and the need to urinate.  Anorexia.  Constipation.  feel helpless.  Confusion.  Slurred speech and confusion.
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