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Expert Pearls

Pain (musculoskeletal) - Vitamin D

Vitamin D deficiency less 20 ng/ml 25 OH vitamin D by RIA. 30 ng/ml or greater is goal. [Mayo Clin Proc, 2003;78:1463-1470. 41133 (2004)] Summary Interview

Pain (musculoskeletal) - Vitamin D2

Vitamin D2 (ergocalciferol) 50,000 IU P.O. twice per week with monthly followup. May prescribe dose for up to 6 months before vitamin D status normalizes as judged by the PTH. Doubling the recommended vitamin D intake to 800 or 1200 IU per day is not sufficient for people already low. [Mayo Clin Proc, 2003;78:1463-1470. 41133 (2004) Summary Interview
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