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Cynthia Schnitz
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Joined: Tue Jul 29th, 2008
Location: Prescott, Arizona USA
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 Posted: Fri Aug 22nd, 2008 19:35

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In this document, the number for 1,25D that is supposed to represent dominant TH1 disease is given as >12 pg/ml.  This seems much too low and perhaps some one put in the 25D number.  It is in the yellow blocked section at the bottom, left, 2nd square down.

http://www.carouselcharts.com/MP_P1_QuickReference.pdf

Some where I came across the statement that 19-35 pg/ml of 1,25D is in the bone building/preserving range.  Please pass this on to the responsible party, as I hope to have this corrected before I laminate it for my doctor.  Cynthia



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Julia
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 Posted: Fri Aug 22nd, 2008 20:43

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Cynthia, I've asked someone knowledgeable to look into this.



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JoshR
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 Posted: Sat Aug 23rd, 2008 12:53

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The document also refers to 25D as "inert", which AIUI is incorrect.



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Julia
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 Posted: Sat Aug 23rd, 2008 13:16

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Josh,

'Inert' is correct.  25-D is the biologically inert precursor to 1,25-D, the active hormone.  See (for example) this summary by S W Stanbury, Royal Infirmary, Manchester, UK.

Vitamin D Tutorial

Julia 



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JoshR
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 Posted: Sat Aug 23rd, 2008 17:52

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Hmm, OK, I guess the word is being used in a different sense than I remember from my chemistry classes. It just seems odd to call 25-D inert when it does have a biological effect by displacing 1,25-D from the VDR.

Last edited on Sat Aug 23rd, 2008 17:58 by JoshR



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Julia
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 Posted: Tue Aug 26th, 2008 00:11

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Cynthia,

The chart you're referring to is a brief physician's summary.  To understand the phrase you quote, you need to read it in context in the FAQ How often should I test D levels?, where Dr M is pointing out the difference between Th1 and Th2 dominance. 

In part, it says, Folks with Th1 inflammatory symptoms who test low for 1,25-D do not have a Th2 immune system response. A level above 12pg/ml represents a dominant Th1 inflammatory response and disproves a dominant Th2 response. The population average is 25-29 pg/ml. It is above-average 1,25-D levels (hypervitaminosis-D) that cause many troublesome symptoms.

The quick-reference charts are designed for busy doctors, who already have the background medical knowledge.

Julia 



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