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Rank: Advanced Member  Groups: Registered
Joined: 1/29/2010 Posts: 264
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Gosh Paul its either feast or famine for you, awake all the time or asleep, could it be that your body is just catching up on the the nights spent awake with the high dose steroids. Have you had your thyroid levels checked? Good news that the crp is down, that will be the steroids. Best wishes Sheila
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Rank: Advanced Member  Groups: Registered
Joined: 4/24/2013 Posts: 703 Location: Hexham
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Yes it would be nice to find a middle ground. :) Thyroid levels are fine so it has to be the steroid giving me a downer this time. On the upside, azathioprine started today so once I am established on a dose the steroids can be reduced. Paul Barrett
Hexham - Northumberland - Loads of spectacular walks - all I need now are the joints to go with them! :)
Enthesitis (2012) Ulcerative Colitis (1990)
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 714
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Hi All
Some advice please if anyone knows the answer. As per this thread I have been diagnosed with really low Vitamin D levels so I have been prescribed Fultium D 800 IU Capsules for 30 days. They are not on repeat and I have not been asked to have another blood test.
I had to go to the doctors today as I have an infection in my toe (now on antibiotics) and I mentioned to the Nurse Practitioner if I should just take a 30 day course or should this have been on repeat. Her answer is "I do not know" so she told me to speak to Reception and ask for a GP call. I have spoken to Reception and they have no appointments available until the end of July (can you believe that?). So I went to the Chemist next door and asked if I could buy this over the counter but was told that this strength can only be prescribed by prescription. I have six tablets left.
Does anyone know if Vitamin D is normally just prescribed as a one off course or is it likely to be a long-term thing?
I expect I will have to get on the phone again tomorrow but wondered if anyone has any experience?
Jackie x
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Rank: Advanced Member  Groups: Registered
Joined: 4/24/2013 Posts: 703 Location: Hexham
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Vitamin deficiencies are not normally a quick fix and it would be unusual for there to be no re-test after a period. Are you taking advantage of the sunshine we are having? Because the best way to raise your Vit D levels is to get 2 x 30 mins exposure of your arms per week to sunshine (and don't lather yourself with sunblock). Are you saying that your GP is not even available for a telephone consultation before end July. That is unacceptable. Have you considered moving to another GP? Paul Barrett
Hexham - Northumberland - Loads of spectacular walks - all I need now are the joints to go with them! :)
Enthesitis (2012) Ulcerative Colitis (1990)
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Rank: Advanced Member
Groups: Registered
Joined: 12/3/2009 Posts: 154
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Hi there, Just to say that I have been prescribed Fultium D because of virtually non existent Vit D levels - 4 a day for 3 months. It seems a lot, but my consultant said this is normal for levels as low as mine.
Hope you can get an answer soon, does your GP not do telephone consultations? If I ring up early enough, a GP will always give a call back after surgery at my practice and they are happy to do this for things where they don't necessarily need to see patients.
Good luck with this and everything, Lizx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 714
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Hi
Thanks for your advice. Unfortunately I cannot sit in the sun as the medication I am on (Methotrexate and Simponi) has made me extremely sensitive to the sun. I can't even peg out the washing without burning. Even sitting in the shade I still burn which is why my Vitamin D levels are most probably so low.
Yes the first telephone consultation is 31st July. Our GP surgery is two doctors down. One has retired and one is on maternity leave. Now you would have thought they would have been given enough notice to plan around this. They have taken on two new practice nurses to help but they cannot answer my question.
I think I am just going to make a nuisance of myself and ring the surgery every day until I get someone to give me a proper answer. To be honest we have changed GP's several times and none of them seem to be up to the standard we would hope and expect. Too many patients, not enough resources.
Jackie x
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Rank: Advanced Member
Groups: Registered
Joined: 12/3/2009 Posts: 154
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Wow Jackie, that is not a good service:-( We are also 2 GPs down out of a total of 3, but they are at least providing locum GPs until the new ones start. Nurses can't do what doctors are authorised or able to do however good they are.
I think you are right and just have to keep ringing to try and get an answer. I can't remember if you have a good rheumy nurse helpine, as this may be another avenue for advice as it is all RA related?
Wishing you lots of luck, Lizx
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Rank: Advanced Member  Groups: Registered
Joined: 1/29/2010 Posts: 264
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Yes Jackie, Definitely ring every day, you can do it calmly and be as nice as pie, but that call maybe even twice a day (just in case they forgot you already rang) will get you a much needed appointment. Good luck with it. Best wishes Sheila
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 3,006 Location: Timperley
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I agree with Sheila, Jackie. Make a bit of a nuisance of yourself or, alternatively, take yourself down to the surgery and refuse to move until you have spoken to someone. I just can't believe no-one is available to speak to you until the 31st July. I'm fuming on your behalf. If I ring my GP he always rings back that day before he goes home. Incidentally, I take 20,000 mgs of Vit D as Dekrisrol every month.
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Rank: Advanced Member  Groups: Registered
Joined: 3/29/2013 Posts: 106 Location: Surrey
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Hi, I've just had a check up with my rheumy nurse and she's requester my vitamin D to be tested in my next blood test for tiredness. I've also become sun sensitive with Methotrexate :-(
Louise
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Rank: Advanced Member  Groups: Registered
Joined: 3/29/2013 Posts: 106 Location: Surrey
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Hi, I've just had a check up with my rheumy nurse and she's requester my vitamin D to be tested in my next blood test for tiredness. I've also become sun sensitive with Methotrexate :-(
Louise
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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i take calcious every day and i do try and get some sun light every day, but its tough when you come out in blotches/ burn easily. hope the blood test went ok. i took extra vit D for a time and that brought thelevels up to normal range for a time. how to be a velvet bulldoser
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Rank: Advanced Member  Groups: Registered
Joined: 8/25/2010 Posts: 1,289 Location: Buckinghamshire
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while we have this searing heat i sit out on my patio about now time, 4.30 ish onwards without being under the umbrella.
i think as long as i'm in the sunlight without it bearing down on me for short periods, then i am getting some natural Vitamin D, to be honest if i wasn't on RA drugs i couldn't cope in this heat in full sunlight for long anyway.
Suzanne
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Rank: Advanced Member  Groups: Registered
Joined: 9/5/2010 Posts: 185 Location: Lowestoft, Suffolk
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Had a medication check with the nurse recently. I asked to have my One Alpha put on as a repeat. She started to do this but the computer flashed up a warning saying that I should be tested every 2 weeks. Been on them for 6 months already with no blood tests. Am now awaiting the reply. Thankfully, I still have a supply. Be yourself - everyone else is taken. XX
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