A man who has been hospitalised for months-long episodes of vomiting receives a warning about a vitamin D "overdose"
A man who consumed significantly more vitamin D tablets than was necessary each day for months experienced serious health problems.
A middle-aged man who had been experiencing frequent
vomiting and other severe symptoms for three months was hospitalised in the UK
in a case that emphasises the risks of taking too many supplements.
As a result of the growing popularity of supplements, doctors
are now advising that the case was an illustration of hypervitaminosis D, the
medical name for a vitamin D overdose.
According to the Mayo Clinic, hypervitaminosis D can result
in a buildup of calcium in the blood, which can lead to nausea and vomiting,
weakness, and frequent urination. According to the US medical centre, vitamin D
intoxication can result in renal issues like the development of calcium stones
as well as bone pain.
After treating the patient, doctors published a warning
about the risks of vitamin D overdose in the journal BMJ Case Reports.
A month after starting a rigorous regimen of vitamin
supplements, the man's family doctor referred him to the hospital when he
developed a number of worrisome symptoms including stomach pain, nausea, and
vomiting.
His three-month-long symptoms included frequent vomiting,
nausea, cramping in the legs, tinnitus (ear ringing), dry mouth, increased
thirst, and diarrhoea.
Over this period, he also lost 12.7 kg of weight.
Once these symptoms started, the patient decided to stop
taking his regular supplement regimen, but they persisted.
His family doctor had him get blood work done, and the
results showed that he had very high calcium levels and slightly elevated
magnesium levels. His vitamin D levels were seven times higher than what is
advised.
Additionally, the organs weren't functioning properly due to
acute kidney injury that was discovered in him.
The man was given fluids to clean his system out and a
therapy to reduce the levels of calcium in his blood while he was hospitalised
for eight days.
A nutritional therapist's recommendation led to the patient
beginning his supplementation programme.
Due to the rising popularity of supplements that are
marketed by advertisements, health influencers, and dietitians, the study's
authors issue a warning that such cases are on the rise globally.
The doctor's patient had been ingesting large amounts of
more than 20 over-the-counter supplements daily.
The amount of vitamin D in these was 150,000 international
units (IU), which is more than 300 times the daily recommended dosage.
His calcium level had recovered to normal two months after
leaving the hospital, but his vitamin D level remained too high.
The authors of the journal study expressed concern that
"hypervitaminosis D, a clinical condition characterised by elevated serum
vitamin D3 levels, is on the rise globally."
The likelihood of being impacted is highest in women, kids,
and surgery patients, they added.
Coauthor of the study and endocrinologist Dr. Alamin Alkundi
told Euronews Next that more public education was required to prevent excessive
or unsupervised use of vitamin D pills. He further stated that other
over-the-counter supplements also included hazards.
He wrote in an email, "Practically, it is possible to
overdose on any dietary supplement or agent (including water), and this is
especially true if the liver and/or kidneys are not functioning effectively.
"Therefore, caution should be exercised to prevent
supplement overdose."
Despite the authors' warnings about the risks of excessive
vitamin D intake, the NHS does advise patients to take a supplement during the
fall and winter.
This is because sunshine, which is the best provider of
vitamin D, isn't powerful enough to provide the body enough of the vitamin
throughout the winter.
Oily fish like salmon, sardines, herring, and mackerel, red
meat, liver, egg yolks, and some fortified foods like morning cereals all
contain vitamin D.
Calcium and phosphate, nutrients required to maintain strong
bones, teeth, and muscles, are controlled by vitamin D in the body.
According to NHS recommendations, the daily supplement dose
for the majority of persons is only 10 micrograms (g), or 400 IU.
1,000 times smaller than a milligramme is a microgram (mg).
The NHS advises against consuming more than 100 g (4,000 IU)
of vitamin D per day as it may have negative health effects. This rule applies
to all individuals, including those who are pregnant, nursing, elderly, and
kids who are 11 to 17 years old.
Children between the ages of 1 and 10 shouldn't consume more
than 50 g (2,000 IU) each day. Under-12-month-old infants shouldn't consume
more than 25 g (1,000 IU) per day.
For most persons in the United States, a daily intake of 15
g or 600 IU of vitamin D is advised; however, for those over 70, the dose is
increased to 20 g or 800 IU daily.
The authors of the study note that, in addition to the
symptoms the patient experienced, vitamin D poisoning symptoms can also include
drowsiness, disorientation, apathy, psychosis, depression, coma, anorexia,
ulcers, pancreatitis, high blood pressure, and abnormal heart rhythm.
They advise consumers to consult their doctor before
beginning any alternative therapy or over-the-counter medication regimen
because many people might not be aware of the possible risks of using dietary
supplements in "hazardous levels or in unsafe combinations."
Reviewed by Haris Ali
on
July 07, 2022
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