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Do Antibiotics Effect The Vitamin-D3 Levels?

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Posted on Mon, 28 Sep 2015
Question: Do antibiotics effect your Vit D3 levels? Rich Keene, YYYY@YYYY
doctor
Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
Common antibiotics do not.

Detailed Answer:
Hello,

Welcome and thanks for your query.
The commonly used antibiotics do not affect vitamin D3 levels.
Only Rifampicin and Isoniazide which are used in the treatment of Tuberculosis are known to affect vitamin D blood levels.
Vitamin D has an immunomodilatory action and helps in the body's fight against viruses, bacteria, fungi and certain protozoa. Vitamin D deficiency increases your sucsceptibility to infections.

Do get back to me if you have further queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (2 hours later)
I have been hospitalized 12 times in the past 14 months, first with CHF, than with HOSPITAL ACQUIRED PNEUMONIA, THE FLU and finally ended up with COPD. I was constantly IV'd with antibacterial's. I have been taking 10,000 iu's of Vit d3 daily to keep my level up because of my AUTOIMMUNE PROBLEMS, DIABETES, FMS, CFS, CHF, but one of my blood test results showed me in the 20's for my reading of D3 in the hospital. I can only guess that the antibacterial's were the cause. Now that I'm off of the antibacterial's my last reading was 81.5 and I upped my dosage of D3 to 20,000 daily for two weeks. I am now back to taking 10,000 daily.
doctor
Answered by Dr. Noble Zachariah (11 hours later)
Brief Answer:
Informative

Detailed Answer:
Thanks for the feed back.
I shall remember this and check the vitamin D when I have patients on long term antibiotics.
However as of now only anti TB medicines are the antibiotics known to lower vitamin D3 levels. Steroids can. So if you were getting them for the autoimmune disease, then that is another reason for low D3

Wish you good health and a good day.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (6 hours later)
Thank you for the feed back! I neglected to mention my first encounter with the hospital was for sepsis, pseudomonas, cellulitis and CHF. God knows what else they put in the Iv'S for all those hospital stays and the five different Doctor's that were involved with my care. I first had the breathing problem when they blindsided me with a Rx of the beta blocker Lopressor, since then I am on O2 for 24 hrs. daily. Thanks again for taking the time to answer my questions. Rich Keene
doctor
Answered by Dr. Noble Zachariah (1 hour later)
Brief Answer:
Welcome

Detailed Answer:
Hello Rich,
It was a pleasure interacting with you.
What is your blood oxygen saturation value (SPO2) on and off oxygen?
If you can keep a value above 90% off oxygen, you might be able to taper and reduce the number of hours you require oxygen.

Do get back to me if you have any queries in the future.

Best wishes and regards,
Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (1 hour later)
Dear Dr. XXXXXXX
The (SPO2) falls rapidly when moving about into the 80's, by then I have to use the O2 before I become too weak to stand. Just read an article just before answering you, will try to include it in this response since I am now having trouble controlling my diabetes. Thank you and God Bless! Rich Keene

Health e-Tips


Mainstream's "favorite med" sends your diabetes risk soaring

Remember the old Alka-Seltzer commercials where the two bad guys give the heartburn sufferer the old one-two?

One conks him on the head with a rubber mallet and the other punches him in the gut with an oversized boxing glove.

Well, it looks like one of Big Pharma's favorite meds is giving millions of people the old one-two -- and the results are a lot worse than indigestion.

I've told you before how the mainstream's obsession with antibiotics -- and the way they hand them out for every cough or sniffle -- is causing an outbreak of antibiotic-resistant superbugs.

But it looks like those same meds could put you on the path to life-threatening diabetes, too.

In a study just published in the Journal of Clinical Endocrinology & Metabolism, scientists from Denmark looked at the prescriptions filled by about 1.5 million people over 17 years.

And people who received five or more prescriptions for antibiotics during that time were a whopping 53 percent more likely to be diagnosed with diabetes.

So, what's the connection between antibiotics and out of control blood sugar levels? It's actually pretty simple.

Antibiotics don't just destroy the dangerous bacteria causing an infection. They kill the healthy bacteria living in your gut, too. Killing these important bacteria has been shown to reduce your body's ability to break down sugars.

That's why I always recommend you take a probiotic any time you're on antibiotics, to help you build your levels of healthy gut bugs back up.

And, remember, there are plenty of times when you don't need an antibiotic at all. Doctors regularly hand them out for colds and other viruses they were never meant to treat. And in cases where you have a legitimate infection, olive leaf extract and Echinacea can be a powerful combo.

The olive leaf directly kills germs while the Echinacea boosts your immune system. That's what I call a powerful -- and safe -- one-two punch.

To Your Health,

Dr. XXXXXXX S. Rothfeld, M.D.

doctor
Answered by Dr. Noble Zachariah (13 hours later)
Brief Answer:
Appreciate the article.

Detailed Answer:
Thank you for the interesting article.
I agree with Dr Rothfeld in that antibiotics are sometimes used without ascertaining whether the infection is bacterial or not and this should be discouraged.
Taking probiotics is also a good idea as the antibiotics do destroy some of the good bacteria also.
About his observation and conclusion regarding diabetes, I have some difference in opinion. Antibiotics are probably only bystanders. A person with recurrent infection is more likely to develop higher blood sugars due to the stress hormones. An person with diabetes but undetected ( statistically 30% in the US) can have frequent infections and use of antibiotics due to greater susceptibility to infection and is discovered to have diabetes during one of these episodes.
The bacteria are present normally in the large intestine and normally very little carbohydrates should reach there in a person with no malabsorption. Sugars are not absorbed from the large intestine to any significant extent. In the large intestine they are broken down producing Hydrogen, Methane and such gases.
If you have problem regarding blood sugar control, I can help you through remote monitoring if you are able to SMBG and let me know your values through https://dr-noble-zachariah.needstreet.com/secure/login/auth;jsessionid=36EE63B28E4EC7421FD13D0000C4#package
It is not a substitute for your doctor but can compliment your effort to obtain smooth blood sugar control.
Try breathing through pursed lips and as deeply as possible. You can try this under SPO2 monitoring. You would find that after a few minutes, the blood SPO2 would gradually rise after an initial dip.
Best wishes and good health,
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Do Antibiotics Effect The Vitamin-D3 Levels?

Brief Answer: Common antibiotics do not. Detailed Answer: Hello, Welcome and thanks for your query. The commonly used antibiotics do not affect vitamin D3 levels. Only Rifampicin and Isoniazide which are used in the treatment of Tuberculosis are known to affect vitamin D blood levels. Vitamin D has an immunomodilatory action and helps in the body's fight against viruses, bacteria, fungi and certain protozoa. Vitamin D deficiency increases your sucsceptibility to infections. Do get back to me if you have further queries.