Interesting comments… I'll start with the obligatory disclaimer that I'm not a doctor and you should see your PCP or neurologist about this regimen…
Having said that, I did stay at a Holiday Inn a few years ago, and I'm a long time CH'er like many of you with the last six years as a chronic type averaging 3 CH/day over that period… Fortunately, my CH aborted easily and rapidly with oxygen therapy at flow rates that support hyperventilation… I took no other CH meds…
All that ended last October, two days after I started this regimen… I've been PF ever since…
I'll address your comments in order.
Tony, it's been over a week since your last post on this topic… Howzit? If you respond like 78% of the others who reported this regimen effective, you should be in tall cotton about now and free of the beast… Please let us know…
Hey Dirty, I'm delighted at your response to vitamin D3 therapy and thank you for the kind words.
Several of us experienced a favorable response to the anti-inflammatory regimen within 48 hours… Most CH'ers who started this regimen experienced relief near the end of the second week, and a few have taken over a month… As near as we can figure, this is likely due to the initial level of 25-Hydroxyvitamin D, a.k.a. 25(OH)D, the serum level metabolite of vitamin D3.
The normal reference range for 25(OH)D is 100-200 nmol/L (40-80 ng/mL). However, reports from CH'ers who have gone pain free on this regimen and had the 25(OH)D test done at the three month mark were mostly in the 150-225 nmol/L (60-90 ng/mL) range. A few overshot this target range with 25(OH)D levels between 250 - 295 nmol/L with no adverse effects…
There's also sufficient clinical evidence that indicates that it can take up to three months at a therapeutic dose of 10,000 I.U. vitamin D3 to elevate 25(OH)D levels from 50 nmol/L up to 150 nmol/L.
Jair, Good point about taking the calcium and magnesium supplements… Both are important when taking vitamin D3. The vitamin D3 Council suggests a total daily intake of magnesium at 500 to 700 mg. Given magnesium is present in green veggies, a daily supplement of 400 mg. magnesium should be sufficient. They also recommend zinc and vitamin K as the other two cofactors that help the body metabolize vitamin D3 into 25(OH)D and process it effectively.
There's also nothing scary about a vitamin D3 dose of 5,000 to 10,000 I.U./day or 25(OH)D levels in the 150-225 nmol/L range as they're consistent with measurements taken on lifeguards who spend an average of 6 hours in the sun.
25(OH)D levels this high are also well below the toxicity threshold range of 500-750 nmol/L, (200-250 ng/mL). If your 25(OH)D level climbs to the 200-225 nmol/L range, or you've been on this regimen for three months, whichever occurs first, lower the daily dose of vitamin D3 to 5,000 I.U.
A bathing suit clad person's skin can make 5,000 to 10,000 I.U. of vitamin D3 in as little as 30 minutes exposure to the UVB in direct sunlight…. There are studies that prove this as well…
Folks at the Vitamin D Council also have evidence from studies to substantiate the fact that we normally metabolize the equivalent of 3000 to 5000 I.U. vitamin D3 a day… That makes a daily intake of 5,000 I.U. vitamin D3, a maintenance dose.
See the following link for the Vitamin D3 Council page on vitamin D3 intoxication. If you read through all the tabs on this site, you'll be an expert on how to supplement with vitamin D3:
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As far as taking this regimen along with other CH meds goes… There shouldn't be any problems. There are no significant contraindications listed… Prednisone may slow the rate at which vitamin D3 is metabolized into 25(OH)D, but a therapeutic dose of vitamin D3 at 10,000 I.U./day should provide a sufficient margin.
In addition, taking the calcium supplements in this regimen may lessen the therapeutic effect of verapamil. Having said that, the data collected in this area came from a clinical study of heart patients taking verapamil… not CH'ers… Taking the calcium and fast acting verapamil 8 to 10 hours apart should help prevent any significant interference between the two.
Hey Wolfpack, let me echo Joe's Welcome Aboard… and hang in there… A couple of CH'ers were on this regimen for nearly two months before they started having a favorable response… Both were chronic so the cessation of their CH wasn't due to end of cycle.
The best course of action is to see your doctor and have the 25(OH)D lab test done… You may as well ask for a chemistry panel + complete blood count (CBC) at the same time. This will give you and your doctor a good look at your 25(OH)D level as well as electrolytes, calcium and other values to make sure there are no other deficiencies or insufficiencies.
If you haven't had a favorable response by the three-month mark or have been your doctor for the 25(OH)D test, drop the daily vitamin D3 intake to 5,000 I.U.
Also remember, this regimen is not 100% effective for everyone. Like Joe said, "we haven't found anything that works for everyone…" To that I'll add… we're getting close. We have a few CH'ers with 25(OH)D levels above the optimum range of 150-225 nmol/L who have experienced a marked reduction in CH frequency and severity, but still have occasional low level CH.
Why this happens and why some CH'ers do not have a favorable response to this regimen even with 25(OH)D levels in the optimum range is clearly the subject of further research. A low arterial pH from diet or another conditions is a possible reason. Comorbid disorders like thyroid insufficiencies may also play a roll. The sooner we get this regimen into a formal clinical study, the better.
This is still a healthy regimen worth taking even if it doesn't prevent CH. All you need to do is compare its risk-reward ratio with verapamil and some of the other off-label CH preventatives…
Moreover, even though this regimen didn't prevent CH completely for some, they felt it reduced the frequency and severity to a level that gave them back a quality of life they didn't think possible with CH.
They also report other favorable responses to this regimen such as fewer colds, they sleep better, depression is gone, more energy, and an overall sensation of wellness. What's not to like about that?
See your PCP or neurologist for the 25(OH)D lab test then take it from there…
Take care,
V/R, Batch