Wednesday, April 7, 2010

Benefits of Vitamin D - Vitamin D3 Supplements

Benefits of Vitamin D - Vitamin D3 Supplements

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Benefits of Vitamin D - Vitamin D3 Supplements


There is a vast body of science showing the many health benefits of vitamin D. You may be surprised to learn the important role that vitamin D plays in your health.

Maintains Your Calcium Balance

Maintenance of blood calcium levels within a narrow range is vital for normal functioning of the nervous system, as well as for bone growth, and maintenance of bone density. Vitamin D is essential for the efficient utilization of calcium by the body.1

Aids Your Cell Differentiation

Cellular differentiation results in the specialization of cells for specific functions in your body. In general, differentiation of cells leads to a decrease in proliferation. While cellular proliferation is essential for growth and wound healing, uncontrolled proliferation of cells with certain mutations may lead to diseases like cancer. The active form of vitamin D, inhibits proliferation and stimulates the differentiation of cells.1

Boosts Your Immunity

Active vitamin D is a potent immune system modulator. There is plenty of scientific evidence that vitamin D has several different effects on immune system function that may enhance your immunity and inhibit the development of autoimmunity.8

Has a Role in Insulin Secretion

The active form of vitamin D plays a role in insulin secretion under conditions of increased insulin demand.9 Limited data in humans suggests that insufficient vitamin D levels may have an adverse effect on insulin secretion and glucose tolerance in type 2 diabetes.10-12 More studies are needed on the role of vitamin D and diabetes.

Blood Pressure Regulation

Adequate vitamin D levels may be important for decreasing the risk of high blood pressure.13-15 Again, more studies on vitamin D and hypertension are necessary.

Vitamin D and Diseases

According to the National Institutes of Health, vitamin D may play a role in the following diseases.



Vitamin D and Osteoporosis

Osteoporosis is most often associated with inadequate calcium intake. However, a deficiency of vitamin D also contributes to osteoporosis by reducing calcium absorption.33 While rickets and osteomalacia are extreme examples of vitamin D deficiency, osteopororsis is an example of a long-term effect of vitamin D insufficiency.34 Adequate storage levels of vitamin D help keep bones strong and may help prevent osteoporosis in older adults, in those who have difficulty walking and exercising, in post-menopausal women, and in individuals on chronic steroid therapy.35
Vitamin D deficiency, which is often seen in post-menopausal women and older Americans, has been associated with greater incidence of hip fractures.39-41 In a review of women with osteoporosis hospitalized for hip fractures, 50 percent were found to have signs of vitamin D deficiency.35 Daily supplementation with 20 800 IU of vitamin D may reduce the risk of osteoporotic fractures in elderly populations with low blood levels of vitamin D.42 The Decalyos II study examined the effect of combined calcium and vitamin D supplementation in a group of elderly women who were able to walk indoors with a cane or walker. The women were studied for two years, and results suggested that such supplementation could reduce the risk of hip fractures in this population.43

Vitamin D and Cancer

Laboratory, animal, and some preliminary human studies suggests that vitamin D may be protective against some cancers. Several studies suggest that a higher dietary intake of calcium and vitamin D correlates with lower incidence of cancer.44-51 In fact, for over 60 years researchers have observed that greater sun exposure reduces cancer deaths.33 The inverse relationship between higher vitamin D levels in blood and lower cancer risk in humans is best documented for colon and colorectal cancers.44-50 Vitamin D emerged as a protective factor in a study of over 3,000 adults who underwent a colonoscopy to look for polyps or lesions in the colon. There was a significantly lower risk of advanced cancerous lesions among those with the highest vitamin D intake.52
Additional clinical trials need to be conducted to determine whether vitamin D deficiency increases cancer risk, or if an increased intake of vitamin D is protective against some cancers. Until such trials are conducted, it is premature to conclude you should take vitamin D supplements for cancer prevention.
Read more about the latest studies involving calcium and vitamin D reducing the risk of cancer

Vitamin D and Alzheimer's Disease

Alzheimer's disease is associated with an increased risk of hip fractures because many Alzheimer's patients are homebound, frequently sunlight deprived, and older.56 With aging, less vitamin D is converted to its active form. One study of women with Alzheimer's disease found that decreased bone mineral density was associated with a low intake of vitamin D and inadequate sunlight exposure.57 More investigation on vitamin D and Alzheimers Disease is necessary.

Other Diseases Vitamin D Deficiency May Affect

Autoimmune Diseases - Diabetes, Multiple Sclerosis and Rheumatoid Arthritis

Diabetes mellitus, multiple sclerosis, and rheumatoid arthritis, are each examples of autoimmune disease. Autoimmune diseases occur when the body launches an immune response to its own tissue, rather than a foreign pathogen. Treatment with vitamin D has beneficial effects in animal models of all of the above mentioned diseases. Studies have found that the prevalence of diabetes, multiple sclerosis, and rheumatoid arthritis increases as latitude increases, suggesting that lower exposure to sun light and associated decreases in vitamin D synthesis may play a role in the development of these diseases.
The results of several studies also suggest that adequate vitamin D intake may decrease the risk of autoimmune diseases. Evidence from animal models and human studies suggests that maintaining sufficient vitamin D levels may help decrease the risk of several autoimmune diseases, but more studies are needed to draw any solid conclusions.

Vitamin D and Hypertension (High Blood Pressure)

The results of epidemiological and clinical studies suggest an inverse relationship between serum vitamin D levels and blood pressure. Data from epidemiological studies suggest that conditions that decrease vitamin D synthesis in the skin, such as having dark skin and living in temperate latitudes, are associated with increased prevalence of hypertension.71 In randomized controlled trials of vitamin D supplementation, a combination of 1,600 IU/day of vitamin D and 800 mg/day of calcium for eight weeks significantly decreased systolic blood pressure in elderly women by 9% compared to calcium alone,73 but supplementation with 400 IU/day or a single dose of 100,000 IU of vitamin D did not significantly lower blood pressure in elderly men and women over the next two months.74, 75 At present, data from controlled clinical trials are too limited to determine whether vitamin D supplementation will be effective in lowering blood pressure or preventing hypertension.

Vitamin D Toxicity

It is very rare to have a vitamin D overdose. Vitamin D toxicity induces abnormally high serum calcium levels (hypercalcemia), which could result in bone loss, kidney stones, and calcification of organs like the heart and kidneys if untreated over a long period of time. When the Food and Nutrition Board of the Institute of Medicine established the tolerable upper intake level (UL) for vitamin D, published studies that adequately documented the lowest intake levels of vitamin D that induced hypercalcemia were very limited. Because the consequences of hypercalcemia are severe, the Food and Nutrition Board established a very conservative UL of 2,000 IU/day (50 mcg/day) for children and adults.28 (see table below)
Research published since 1997 suggests that the UL for adults is overly conservative and that vitamin D toxicity is very unlikely in healthy people at intake levels lower than 10,000 IU/day.36, 76, 77 Vitamin D toxicity has not been observed to result from sun exposure.
Certain medical conditions can increase the risk of hypercalcemia in response to vitamin D, including primary hyperparathyroidism, sarcoidosis, tuberculosis, and lymphoma.36 People with these conditions may develop hypercalcemia in response to any increase in vitamin D nutrition and should consult a qualified health care provider regarding any increase in vitamin D intake.

Tolerable Upper Intake Level (UL) for Vitamin D

Infants 0-12 months- 1000 IU
Children 1-18 years- 2000 IU
Adults 19 years and older- 2000 IU

Vitamin D Drug Interactions

The following medications increase the metabolism of vitamin D and may decrease serum D levels:

Phenytoin (Dilantin), fosphenytoin (Cerebyx), phenobarbital (Luminal), carbamazepine (Tegretol), and rifampin (Rimactane).

The following medications should not be taken at the same time as vitamin D because they can decrease the intestinal absorption of vitamin D:

Cholestyramine (Questran), colestipol (Colestid), orlistat (Xenical), mineral oil, and the fat substitute Olestra. The oral anti-fungal medication, ketoconazole, inhibits the 25(OH)D3-1-hydroxylase enzyme and has been found to reduce serum levels of 1,25(OH)D in healthy men . The induction of hypercalcemia by toxic levels of vitamin D may precipitate cardiac arrhythmia in patients on digitalis (Digoxin).78, 79

Vitamin D3 Supplements

It is not always practical to get your vitamin D from sunshine, and quite difficult to get adequate amounts from your diet so for many people, a vitamin D supplement is a practical way to ensure adequate levels of this important protector are always available in your bloodstream.
Since a large body of science shows vitamin D works closely with calcium and magnesium, it is best to take your vitamin D in combination with calcium and magnesium to maintain a proper balance. Recent literature also shows most calcium supplements have too little vitamin D to be effective. And some of them use synthetic vitamin D2. A much better form is natural vitamin D3 which stays in your system longer and with more effect.

One More Day To Go

When your struggling to TTC, countdowns become a very crucial part of your existence. The countdown to O, the countdown during the TWW when you can POAS next, then comes the countdown to when AF is gonna show. Throw in supplements into the mix, then it becomes the countdown to when you can stop a supplement and move on with your cycle or the next supplement. This is where I am now. I've been doing Dr John Lee's shutdown in which you take NPC (natural progesterone cream) twice a day for 21 days, (CD's 5-26) then stop and let AF come. During this time, the goal is to suppress O so that the hormones can get a break to "reset" and level back out to where they need to be. I only have one more to day to go before I will stop the NPC and let the countdown begin for waiting for AF's arrival.

Tuesday, April 6, 2010

Dr Appointment-Follow Up

Had my follow up appointment yesterday and it went very well!! I cannot say enough how much I love this doctor and am so sad that my next appointment, in 3 months, will be my last with her. It's gonna be a long one, so get comfy. :D

We're keeping my Metformin dosage where it is at since my body is still having a hard time getting adjusted to it. (ie., gastric upset) She asked me if I had taken the P.O.P BCP's that she gave me last time, which I had not. I wanted to do one cycle with just the Met to see what it would do to my cycle. Since I didn't O, I brought on AF with NPC (which she is VERY supportive of doing) and did NPC throughout this cycle. I wasn't keen on putting synthetic hormones on my body, which again she was very supportive of. She did explain to me that just the progesterone will not help me in my situation.

We discussed how women with PCOS have too little amounts of estrogen. The estrogen levels slowly increase at the beginning of the cycle, until they reach a peak. During that peak, is when an egg is released. It made soooooooo much sense for my situation, despite the fact that I have always read that women with PCOS have estrogen dominance, aka too much estrogen. I told her that I seem to be stuck at the stage where a follie grows (I can feel it taking place) but it never releases, hence all my fake out O's. She agreed even more once I told her that, that my estrogen levels are too low, and suggested that I go on a estrogen/progesterone combo pill. I am reluctant just b/c I am TTC. She took one look at my charts and confirmed the low estrogen, with all the waves of my body trying to O, but never being successful.

Then, we got to talking about Vit D and bone health. Estrogen also plays a role in good bone health. Top that off with low calcium and low Vit D levels (which she said that most ALL people who live in the NW are, so much so, they quit testing for it, and just tell everybody to take 2,000IU/day of Vit D/day, which I've been doing for the last 2 weeks) that it is a recipe for osteoporosis. My mom was diagnosed with osteoporosis at the age of 35 after she twisted her ankle and shattered it into tiny little pieces!! So, she wants me to get in the estrogen BCPs if nothing else for my bone health.

I was more receptive to taking the BCP's, b/c of what she said about my bone health and how well she explained the PCOS/O connection. It made so much sense. I was on the Nuvaring for 2 cycles prior to getting PG with Em. So, something (most likely the estrogen) helped reset my body, and now that I know what I know about too little of estrogen, it makes sense!!

So, gonna finish out this cycle with the NPC, only have 2 more days of taking it, and will stop to let AF come. Then I will start the BCP's while continuing the Metformin, Vit D and now starting on a calcium supplement. I go back for a follow up in 3 months, which will be my last appointment with her, since she is retiring. I'm still on the new patient waiting list at the place she referred me to. I will continue my care there, once I can get an appointment.

Again, she told me that I need to teach others all my knowledge of FAM/NFP and charting. She mentioned the local Christian church teaches NFP, and I should look into doing that. Then after finding out that I'm not religious, she figured it might not work with the church. SO she suggested instead to hold a conference type meeting, charging 35-$40 per person and teaching a FAM/NFP course. That made my wheels start turning!! (and my DH's after I told him) That would definitely be something I would LOVE to do!!

Saturday, December 26, 2009

PCOS (Polycystic Ovarian Syndrome)

PCOS or Polycystic Ovarian Syndrome is a condition in which small cysts grow on the ovaries and cause an imbalance with the hormones.

Symptoms tend to be mild at first. You may have only a few symptoms or a lot of them. The most common symptoms are:
  • Acne
  • Weight gain and trouble losing weight
  • Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back.
  • Thinning hair on the scalp.
  • Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.
  • Depression 
  • Obesity
  • Sleep Apnea
  • Acanthosis Nigricans (skin tags)
  • Thyroid issues
  • Infertility (due to lack of ovulation)
  • Insulin Resistance

Every woman with PCOS has a different variation of this condition and may have some or all symptoms. PCOS is treatable with diet and excercise, but because of the insulin resistance that PCOS'ers usually have losing weight is a terrible struggle. There are also meds to help balance out the hormones. Limiting sweets, carbs, and refined sugars also help with insulin resistance. Exercising for at least 30 minutes a day can help.


Resources:

Common Abbreviations

I have been a part of sites that comonly use abbreviations and I have gotten used to using them. To make it easier on some who are not familiar with them, here is a list of the common ones I will most likely use in my blog.

2WW - 2 Week Wait-time from Ovulation to when period should arrive
AF - Aunt Flo AKA menstruation/period
BBT - Basal Body Temperature
BCP's - Birth Control Pills
BD - Baby-dancing, or sex intended for conception.
BF - Breastfeed, or boyfriend
BFN/BFP - Big Fat Negative/Positive, on a home pregnancy test
BIL - Brother-in-Law
BM - Breast Milk, or bowel movement
BT - Blood Test
BTDT - Been There, Done That
BTW - By The Way
CD - Cycle Day
CF - Cervical Fluid
CIO - Cry It Out
CM - Cervical Mucus
CP - Cervical Position
CS or C/S - Cesarean Section
D&C - Dilation and Curettage; a procedure done to scrape out the uterus, after a miscarriage
DD - Dear Daughter
DH - Dear Husband
DPO - Days Past Ovulation
DW - Dear wife
EBF - Extended breastfeeding Or Exclusive Breastfeeding
EBM - Expressed Breast Milk
EDD - Estimated Due Date 
EWCM - Egg White Cervical Mucus
FC - Fingers Crossed
FF - Formula feeding OR Fertility Friend (a charting site)
FET - Frozen Embryo Transfer
FIL - Father-in-law
FMU - First Morning Urine
FT - Full Time
FTR - For The Record
FWIW - For What It's Worth
FYI - For Your Information
HPT - Home Pregnancy Test
HTH - Hope This Helps
HSG - Hysterosalpingogram: The x-ray "dye test" good for showing the shape of the uterine cavity and whether or not the oviducts are open.
IB - Implantation Bleeding
IC - Incompetent Cervix
IMHO - In My Honest Opinion
IMO - In My Opinion
IRL - In Real Life
IUI - Intrauterine Insemination
IVF - In Vitro Fertilization
JJ or J/J - Just Joking
JK or J/K - Just Kidding
JMHO - Just My Humble/ Honest Opinion
KWIM - Know What I Mean
L&D - Labor and Delivery
LMAO - Laughing My Ass Off
LMP - Last Menstrual Period
LOL - Laughing Out Loud
LP - Luteal Phase-the time from ovulation to menses
MC or M/C - Miscarriage
MIL - mother-in-law
NP - No Problem
NPC- Natural Progesterone Cream
OMG - oh my gosh, or oh my god
OPK - Ovulation Prediction Kit
OT - off topic
PG - Pregnant, or pregnancy
POC - Process of Conceiving
PCOS - Polycystic Ovarian Syndrome
PPD - Postpartum depression
RE - Reproductive Endocrinologist
ROFL - rolling on floor laughing
ROFLMAO - rolling on floor laughing my Ass off
SA or s/a - sperm analysis
SAHD - stay-at-home dad
SAHM - stay-at-home mom
SAHP - stay-at-home parent
SD - sperm donor
SO - significant other
SIL - sister-in-law
TCOYF - Taking Charge of Your Fertility, the guide to preconception
TIA - thanks in advance
TMI - Too Much Information
TTC - Trying to Conceive
US or U/S - Ultrasound
VBAC - Vaginal Birth After Cesarean section
WAH - work at home
WOH - work out of the home

Tuesday, December 15, 2009

Top Things to NOT Say to Someone Who is Struggling with Secondary Infertility

This is a compilation of phrases that I have heard over the years of struggling and I really wish at at times I could post a banner of "What Not to Say to Someone Who is Struggling With Secondary Infertility"

"Don't worry, it'll happen when the time is right." ~ Are you kidding me? The time is right right now!

"Everything happens for a reason." ~ Really? What is the reason that I have been struggling for so long for? Is there really a reason behind that one?

"Don't stress." ~ I seriously want to do some major bodily harm when I hear that one. Ok, yeah.....sure.

"I got pregnant on my first try." ~ Well good for you, not all of us are that lucky. But thanks for rubbing it in.

"I did ________________ to get PG, Maybe you should try ____________." ~ Yeah, cause I hadn't tried that trick yet.

"You're trying to hard." ~ Well, judging by my history, I'm not just gonna fall pregnant!

Had to add this one as this was actually told to me just last night. (12/16)  after a vent I posted on what is supposed to be a support site for women strugggling to conceive. I posted (see post I'm Tired...) and actually recieved this response:

"did she say CHILDREN?  She has babies and is complaining"? Just because I have 2 children already does not make my pain any less then someone who is struggling for one. I have pain and heartache as well. I know what it feels like to have that want, that you want more then anything in the world, and it always being out of your reach. I get it! Albeit, it may not be the same heartache as someone who is struggling for one, but it is still painful. It is even more painful to reach out on a place that is supposed to be supportive and receive that type of message. Thanks for the support lady!

The following are ones I have gathered from other women who also are struggling with secondary infertility. (meaning, they had one child just fine, and now are struggling to have another) I have left the names out as to respect their privacy.
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"So, what's the deal? No siblings for XXXX...that's so mean, every boy needs a brother!" -This one made me so sad.

"I bet it's because you are a vegetarian, that's why you can't get pregnant" -Oh Please!

"What are you going to do with that other bedroom now that you know you aren't having more kids" - what, like you want to rent it out? F off!
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"We're pregnant again!!!" announced by my cousin's wife pregnant with her 4th child (1st was born a few months before DS) AT MY BIRTHDAY PARTY.

"I just don't understand the big deal - all the OTHER kids in this class have siblings." when they were asked to write a story about their brother/sister in Kindergarten. He was told he could write about his dog after he told the teacher he didn't have one.

Random fertility articles left on my doorstep - like I don't already realize I'm the town freak with only ONE kid.

"So, have you given up yet?" Uh...no...

"Why did you buy a 6 bedroom house if you only have 1 kid?" Umm....we ARE still planning for more....

"What are you waiting for???" My typical answer is "God."

and my personal favorite...

"How can you possibly homeschool when you only have one child????" Umm...probably more adequately than YOU!!!!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Can't you just not think of them as babies yet?" Referring to my MC babies (from my brother!)

"Just relax and it will happen"

"There must have been something wrong with the babies, so you are better off losing them"

"Don't try so hard"

"My husband just looks at me and I get pregnant"

"God has a plan for you"

"The baby you end up with will be the one you are meant to have" (not a mean statement, but it doesn't really help)
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The worst thing I think I have ever heard came from the mouth of a seasoned OR Nurse...I had lost my 2nd at nearly 4+ months (heart malformation) and was giving pills to induce a m/c at home...after being a shut in in my own home for 3 days (waiting for the m/c) my Drs finally scheduled a D&C a week later. It was horrible waiting, looking slighty pregnant and obviously wanting the healing to begin...the D&C was unsuccessful and I had to go in for another a few days later...As the nurse was preping me for surgery, I started to cry. She sighed loudly and said "Why are you crying"...I shrugged and said "I am sad"...she said "It's a routine surgery, it's not like they left an ARM in there or anything!" My mouth just gaped open, I had no response. To this day I think about that cold hearted statement and cringe. Awful thing is, she continued to tell me about her healthy children and how one day, when it was meant, I would be a mother too...awful woman.
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Many people seem to attribute infertility with stress. "try not to think about it/relax" has been said more times than I can count. My sister thought that I should "have a few drinks to relax around THAT time". My dad suggested Valium because apparently, that's how I was conceived. My MIL said not to worry, it took her 9 months to conceive (i.e. #2 and #3 are 18mo apart).
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Oh you do not know how it is, you do not have kids"
 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
"Maybe you just tested too early"

Said to us right after our MC, when they found out they were pregnant... "don't tell them our names, they might steal them!"
"no don't worry, we're pregnant first"

Right after my 2nd MC...
"I've had 2 MC also, don't worry 3rd time's a charm!"

And on a somewhat related note, when I told a coworker I was pregnant (she knew about my 2 other MCs), the first thing she asked was "was it planned?" before giving a "congrats"

I don't get that one at all! We had clearly been trying for a long time.

I'm Tired....

I seriously need to vent, cry, and let out my frustrations, all without judgements. I don't feel I have a safe place to vent without having to worry about others feelings or how they are gonna take it. So, this is not meant to offend anyone, I just have a bunch of bottled up emotions that need to come out before I explode. So, read further at your own will.

I am tired of this rollercoaster ride. I'm tired of taking supplement after supplement only for nothing to come of it. I'm tired of having to restrict my diet in an attempt to help my body. I'm tired of thinking about my fertility before I do, eat or drink anything. I'm tired of feeling alone in this journey. I'm tired of my body not working how it should be. It has betrayed me! I'm tired of the comments and questions from family members who do not know the situation and think I am being selfish by not providing my daughters with extra siblings. I'm tired of feeling the pressure to hurry up and get PG so I can have my babies before I start menopausing. Women in my family start menopausing in their 30's! No pressure there right? And drumroll please, how old am I? Yep, you guessed it, 30! I'm tired of seeing PG women everywhere. I'm even more tired of seeing the ones that should NOT be PG, and here I am suffering with secondary infertility. I'm tired of them rubbing their unwanted PG's in my face. I'm tired of people who do have kids how they treat their "shitheads" and "fuckers." Is that really a nice thing to call your child? And your PG with your 2nd? Lovely! Really, give that kid to me, it will never get called those hurtful, mean names and will be loved forever!!! I'm tired of feeling tired. There are times that I get down (right now) and just want to throw in the towel in my TTC journey, but then I look into my children's eyes and who could not want more of them? I want a house full of children, I love the laughter, the fun times with them, teaching them new things, and helping them grow into their own person. I love that! That is what gives me the strength to continue on. It doesn't change the fact that I am still tired!

Ok, I think that is it for now. I'm sure more feelings will come rushing to me again. Will leave that for the next vent!