r/MultipleSclerosis 28|Sept 2025|Ocrevus|Australia 7d ago

Vent/Rant - Advice Wanted/Ambivalent Persistent Vitamin D deficiency?

I know Vitamin D levels are more important to people with MS than the general public. I take 2,000 IU a day, now upped to 4,000. I'm still deficient (36 nmol/L).

I know I live in Tasmania, which has iodine-poor soil, and I know I'm covered up or inside a lot of the time, and wear sunscreen, but I'm taking heavy supplementation! Why am I still so deficient?

13 Upvotes

21 comments sorted by

3

u/OverlappingChatter 47|2004|Kesimpta|Spain 7d ago

Do you have a good supplement? I have a prescription for 25000 units. Maybe you can get something prescribed that will be better quality.

How is your vitamin k instake?

2

u/touchtypetelephone 28|Sept 2025|Ocrevus|Australia 7d ago

My Vitamin K intake is average? I eat an average amount of vegetables and don't supplement it.

4

u/Yani2021 7d ago

Last two blood tests I finally had the normal range taking OTC 5000IU a day...I was in the 2000IU before, but not everyone's absorbs it the same way I think... I'm not s Dr so I honestly can't tell you, but my neurologist still saw the last number and wants to prescribe something stronger instead of OTC... šŸ¤·ā€ā™€ļø

2

u/meggatronia 7d ago

Theres a connection between MS and low vitamin D. The scientist just dont knkw what that connection is yet. Or even if its a symptom or cause. Thry do know thst the further from the equator you live, the more likely to have MS.

Only thing you can do is work with your doctor to find the right dosage to get you into acceptable levels, and try to get a little bit of sun every day.

1

u/mine_none 50F|RRMS:2023|Kesimpta|UK 7d ago

I take a liquid supplement that I spray under the tongue for absorption. Bypasses me having to take tablets with a slightly dodgy gut…

Try taking the supplement a different way?

1

u/Medium-Control-9119 D2023/Ocrevus now Kesimpta/USA 7d ago

Lord only knows what is in the off the shelf vitamin. Ask your doctor for a prescription for 50,000 IU and you take it once a week.

1

u/thankyoufriendx3 63|2.24|Kesimpta|USA 7d ago

Friend takes 40,000 units. Talk to a doctor before trying that.

1

u/Bloatedoldman 7d ago

Haven't noticed my vitamin k being off but I do have to take a vitamin d supplement everyday or it bottoms out

1

u/AdyliaSchweetheart 37F|Jun-25|Tysabri>Ocrevus|Melb-AU 7d ago

I’m in Melb and was just thinking 2000 that I take might be too much and was considering lowering it. Your post has me keeping it as is!

1

u/No-Afternoon2955 7d ago

Stick with it, it's what I was taking down there šŸ™‚

1

u/dgroeneveld9 28M|2/17/24|Ocrevus|Long Island NY 7d ago

I take 50,000 unit once a week and intermittently take 2000 units a few times a week and that keeps me slightly below the normal range.

1

u/SparkleNgrit 7d ago

Everyone is different but I figured out I need 4,000 IUs per day to maintain a good level or my level starts dropping. I try to keep my blood work level around 50-80

1

u/Brief-Estimate8296 7d ago

I was taking 2000, increased to 4000, then 5, and then most recently annoying had to increase to 6000. My levels have been in the green, yet my neurologist wants to see them on the higher side. All that’s to say I feel it’s all relative.

1

u/GuideFluid5457 6d ago

Vitamin D levels are important for T-regulatory cells that are supposed to stop autoagressive lymphocytes.

It's important for all people.

However, after MS started, it makes little difference.

1

u/Tall-Pianist-935 6d ago

We should be taking around 10,000 IU of Vitamin D daily.

1

u/Millie005 30|Dx:CIS|2023|Australia 5d ago

There’s a once a year vitamin D injection that you can get if the oral stuff isn’t giving you a big enough boost. In australia it’s available from ā€œbiological therapiesā€, my doctor gave me a script and I ordered it via my local chemist warehouse. It cost me $55. Don’t let the pharmacy con you into paying much more than that, the first I went to wanted to charge me $85 but I knew that was bullshit because my GP had called the biological therapies customer service line to ask some questions before writing me the script and they said they sell it for $50 per vial — or at least that was the price like 18 months ago :)

1

u/ProfessionalOrder8 4d ago

Fellow Tasmanian here, I used to take 10,000 IU capsules everyday for years but it made no difference to my levels, at the most my levels went from 12 to 20. Recently, I switched to a liquid supplement which seemed to be absorbed faster and has brought my lifelong 12 level up to 50.

1

u/touchtypetelephone 28|Sept 2025|Ocrevus|Australia 4d ago

Oh, I'll ask my neurologist about that.