I am in the military and consequently have to conform to what doctors they permit me to see. I have been to one endocrinologist in my area and due to my lack of confidence in the doctor and the ridiculously bad administration within the office, I requested to be switched to the only other endocrinologist in the area that I am permitted to see. I saw the new endocrinologist this week and was put on 50,000 units of Vitamin D per week and told to take 500 mg Calcium at breakfast and 500 mg at dinner. The first endocrinologist I saw from Oct 09 until the switch this week and had me on 50,000 units of Vitamin D per week for 3 months and then switched to monthly, but also had me on Actonel 150 mg once per month.
Here are my stats:
- 41 year old female; 5'11" 143 lbs
- Ceased having my period around 37 years old
- DEXA Aug 2009: Lumbar spine T-score of -2.7; Left hip T-score of -1.6
- DEXA Aug 2010: Lumbar spine T-score of -1.7; Left hip T-score of -1.6
- Parathyroid scan in Oct 2009: Immediate images demonstrate radiotracer uptake within thyroid gland. there is minimal radiotracer uptake in the upper mediastinum, likely blood pool. 2 hour delayed images demonstrate two tiny foci of slightly increased radiotracer uptake, seen on the oblique images inferiorly to the thyroid gland bilaterally, questionalbe parathyroid adenomas. Questionable foci of increased radiotracer uptake inferior to bilateral thyroid lobes, parathyroid adenoma uptake cannot be completely excluded.
- Blood work Oct 2009: FSH 4.9; LH 0.8; PTH 125; Calcium 9.5; Bilirubin total 1.0; Alkaline Phosphatase 74; AST 28; ALT 17; Vit D, 1,25 (OH) 2, total of 34; Vit D3, 1,25 (OH) 2 of 34; Vit D2, 1,25 (OH) 2 of <8; Prolactin 1.7; all other work normal ranges
- Blood work Nov 2009: Vit D, 25-OH, total of 28; Vit D, 25-OH, D3 of 28; Vit D, 25-OH, D2 of <4
- Blood work Jan 2010: Calcium 9.1; PTH 170; Bilirubin total 0.6; Alkaline Phosphatase 52; AST 28; ALT 22; Vit D, 1,25 (OH) 2, total of 39; Vit D3, 1,25 (OH) 2 of 39; Vit D2, 1,25 (OH) 2 of <8; Vit D, 25-OH, total of 18; Vit D, 25-OH, D3 of 18; Vit D, 25-OH, D2 of <4
- Blood work May 2010: Calcium 9.9; PTH 112; Bilirubin total 1.2; Alkaline Phosphatase 58; AST 26; ALT 16; Vit D, 25-OH, total of 34; Vit D, 25-OH, D3 of 11; Vit D, 25-OH, D2 of 23
- Blood work Sep 2010: Calcium 10.3; PTH 127; Bilirubin total 2.3; Alkaline Phosphatase 77; AST 35; ALT 17
- Blood work Jan 2011: Calcium 9.9; Bilirubin total 2.0; Alkaline Phosphatase 75; AST 28; ALT 20; Thyroglobulin antibody result <20; Thyroid Peroxidase antibody 69; TSH 1.429
- Blood work this week: I have not seen the results. I was told my PTH was high and my Vit D was low.
- Fracture in 5th metatarsal Oct 2009 took almost a year to heal. I had been a long distance runner prior to this injury of 40+ miles per week.
- Reoccurring stress fractures in both feet as I have tried to walk and SLOWLY jog. Currently have a stress fracture. When I can't run, use a recumbant bike and go 33 or more miles on it per day, 6 days per week.
- Cholesterol is typically around 220 with triglyc around 60, HDL around 80 and LDL around 115.
- BP typically around 94/66 with PR around 40.
- Degenerative discs at L1-L2 and L4-L5 appearing in last couple of years as well as SI joint displacement.
- Recently diagnosed with Raynaud's Phenomenon
- Organic vegetarian (with occasion seafood) and minimally to non-processed foods.
- Sinus bradycardia
- Occasional heart palpitations
- Increase in joints popping/making noise
- Lack of energy. Often do not feel sleepy when it is time to get up, but feel worn and fatigued.
- Sleep hard first half of night and then super light the second half
- General feeling of my body being "old"
- Hard time concentrating.
Does the new doctor's treatment of 500mg Calcium at breakfast and 500mg Calcium at dinner and 50,000 units Vitamin D once per week sound right and reasonable?
Thank you in advance for any input.