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What Should I Do About Extreme Thirst And Body Tremors When Informed About Excessive Calcium In The Blood Apart From Taking Vitamin K2?

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Posted on Tue, 23 Jan 2024
Question: After only taking 1000 IU of vitamin D as directed by doctor office, I became very shaky and my inside of mouth felt like it was superglued to my teeth. Unfortunately I didn't realize it was the supplement that caused the problem. 2 days later an office nurse called back and told me exact amount I was to take, so I took another capsule and immediately all symptoms came back. I was trying to get help for bad news from bone density scan. Found out I had too much calcium in blood. I haven't had any more vitamin D supplements. I had told nurse I had been eating salmon and catfish 3 times a week. 10 days later went to see a nurse because awful thirst hadn't gone away. That person consulted computer and was not too concerned and even told me to continue eating some calcium rich foods. As of last Fri. morning I have tried to avoid all calcium high foods. I have been taking 90 mcg's of vitamin K2 (Mq-7) for last month and half a tablet of magnesium daily since Fri. My appetite came back Sun. But the excessive thirst came back yesterday afternoon. It will be a month tomorrow since I took the first 1000 IU of vitamin D3, and I am getting very frustrated. The good news is my energy level improved almost immediately after I started taking the vitamin K2, and it no longer hurts to sleep on my side. I am avoiding the sun, and want to know what else I should do. I most definitely been avoiding foods with vitamin D.

PS I only weigh 104 pounds
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (36 minutes later)
Brief Answer:
Thoughts on this

Detailed Answer:
Hello and welcome,

Vitamin D products will have various carriers that they come with. Some come from fish sources, some are in sesame oil, etc. I am wondering if you had an allergic reaction to whatever was in the product other than Vitamin D. Because Vitamin D is hormone-like and so it's effects are generally delayed rather than causing any kind of immediate reaction.

Excessive thirst can be related to blood sugar metabolism problems. Excess glucose in the blood stream causes increased thirst and urination.

At this point, I think it important to get to the bottom of what is going on. I would get a comprehensive metabolic panel which should be done fasting to look at your glucose level, and the panel should include a serum calcium. I would also get a Vitamin D3 level to see where you are at. Vitamin D levels don't change quickly so if it was done recently then probably no need to repeat it.

Also - is there no way you can get in to see any real doctor's who will be covered by your insurance? Because an NP is not trained to be a doctor.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (27 minutes later)
On the Wed. I took the supplement at 1:30 and the symptoms started at 7:30 that evening. On the Fri. 40 min. after taking the supplement the shaking and intense thirst came back. This container of supplements was one that I used before I decided to learn to like salmon, and they have fish oil + the vitamin D3. I know most people can take much more before suffering Vitamin D toxicity. PS I do not handle antithesis at all well. A very little bit goes a long way. The NP did a blood test for calcium that showed high decimals in the 10 range and my vitamin D level before the supplements was 20, I believe. They wanted to test my parathyroid after first round of blood tests, but I wanted to wait until I had restored Vitamin K2 into my diet. I had avoided most foods with vitamin K2 to lower my cholesterol below 200. Then I started drinking lots of buttermilk while looking for a GP after density scan. The second day I took the D supplement I had been feeling wonderful, like I was 40 instead of 60. I had walked my 4 miles for the day and was zooming along doing all kinds of things. That all changed within 40 minutes of taking the second supplement. Severe thirst and dehydration with intense fatigue are all symptoms of vitamin D toxicity.

Also, after the first week I did try to eat half a piece of catfish filet and my thirst and metallic taste in mouth afterwards let me know that was a bad idea.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (53 minutes later)
Brief Answer:
Information

Detailed Answer:
If you have been taking Vitamin K and magnesium for a month, at this point I would recommend getting parathyroid hormone tested and repeat calcium level.

If calcium continues to be high, and it is thought it is due to Vitamin D, then a short course of low dose prednisone can help resolve that.

If calcium is very high, then IV fluids and diuretics can drop that back down quickly.

This really would be out of the league of an NP. Is there anyone else you can see?


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (8 minutes later)
Perhaps if I mention your response or try a different office in another town. Thanks. Although there may be a long wait for new patients there as well.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 minutes later)
Brief Answer:
Thoughts on this

Detailed Answer:
The thing is - if you are acutely ill you should not wait. Some ERs have an urgent care clinic associated with them, and then there is the benefit of having your labs (electrolytes, calcium) done on the spot rather than being called about them in a few days, although parathyroid hormone level would have to be sent out pretty much anywhere you go.

When clinic doctors are terribly backed up the ER and urgent care end up becoming the defacto primary care, not ideal, but you need to be seen by an MD.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Should I Do About Extreme Thirst And Body Tremors When Informed About Excessive Calcium In The Blood Apart From Taking Vitamin K2?

Brief Answer: Thoughts on this Detailed Answer: Hello and welcome, Vitamin D products will have various carriers that they come with. Some come from fish sources, some are in sesame oil, etc. I am wondering if you had an allergic reaction to whatever was in the product other than Vitamin D. Because Vitamin D is hormone-like and so it's effects are generally delayed rather than causing any kind of immediate reaction. Excessive thirst can be related to blood sugar metabolism problems. Excess glucose in the blood stream causes increased thirst and urination. At this point, I think it important to get to the bottom of what is going on. I would get a comprehensive metabolic panel which should be done fasting to look at your glucose level, and the panel should include a serum calcium. I would also get a Vitamin D3 level to see where you are at. Vitamin D levels don't change quickly so if it was done recently then probably no need to repeat it. Also - is there no way you can get in to see any real doctor's who will be covered by your insurance? Because an NP is not trained to be a doctor.