Vitamin D Home Test

The ever-resourceful Dr. John Cannell of the Vitamin D Council has announced the availability of an at-home, self-ordered vitamin D test kit for $65. The Vitamin D Council newsletter is reprinted below.

(However, please note that, as wonderful as the advice Dr. Cannell provides, I don't agree on several small points, such as the lack of need for vitamin D if you use a tanning bed or obtain "sufficient" sun; I have seen many people with dark tans, virtually all over 40 years old, who are still severely deficient. I attribute this to the lost capacity for vitamin D activation as we age.)

I have not used this service. Should anyone choose to try it, please let us know how it goes.



The Vitamin D Newsletter
December 28, 2008

The Vitamin D Council is happy to announce that we have partnered with ZRT Laboratory to provide an inexpensive, $65.00, in-home, accurate, vitamin D [25(OH)D] test. The usual cost for this test is between $100.00 and $200.00.

If you read this newsletter, you know about our interest in accurate vitamin D testing. In the next few weeks, you may read about the Vitamin D Council's quest for accurate vitamin D blood tests in the national media. Before we partnered with ZRT, we verified, repeatedly, that ZRT provides accurate and reliable vitamin D tests and that their method corresponds very well to the gold standard of vitamin D blood tests, the DiaSorin RIA.

Our ZRT service is not just inexpensive, it means no more worrying about your doctor ordering the right test or interpreting it correctly. You buy the test kit on the internet or by phone, a few days later the kit comes in the mail, you or a nurse friend do a finger stick, collect a few drops of blood, and send the blotter paper back to ZRT in the postage paid envelope provided with the kit. A week later you get results back in the mail and know accurate 25-hydroxy-vitamin D levels of you and your family.

For every test you order, ZRT will donate $10.00 to the Vitamin D Council. Please read the new page hyperlinked below on our website as it both explains the procedure and how to order the test.

http://www.vitamindcouncil.org/health/deficiency/am-i-vitamin-d-deficient.shtml

Executive summary: keep your family's 25-hydroxy-vitamin D blood test above 50 ng/ml, year around. Most adults need at least 5,000 IU per day, especially this time of year. Most children need at least 1,000 IU per day per every 25 pounds of body weight. Bio Tech Pharmacal provides high quality and inexpensive vitamin D. Currently Bio Tech Pharmacal is providing vitamin D for numerous scientific studies. To see their prices and for ordering, click the hyperlink below.

http://www.bio-tech-pharm.com/catalog.aspx?cat_id=2

As a gift to our readers for the New Year, Thorne publications have provided a free download to a basic paper about vitamin D. I wrote it earlier this year for educated lay people as well as health care practitioners. Please read this paper carefully, your family's well-being, even lives, may depend on you understanding it.

http://www.thorne.com/altmedrev/.fulltext/13/1/6.pdf

Seasons Greetings
John Cannell, MD
vitamindcouncil.org

Comments (13) -

  • Anonymous

    12/29/2008 6:48:00 PM |

    Dr. Davis, thanks a lot for publicizing this offer! And thanks to Dr. Cannell for arranging the test with ZRT.

    I've ordered my 4-pack and am looking forward to checking my D3 levels.

  • Jessica

    12/30/2008 1:50:00 AM |

    Hey Doc- I'm due for my D level check, so I ordered a single level AND on the same day I finger stick for the ZRT test, I'll also have a 25(OH) run through the lab. I'm curious to see how well the two correlate (I have an HSA so I don't mind to spend the $65 on the home test and the $59 that my ins approves for the test thats done through the lab).

    Its worth the one time expense to see the potential.

    I'm PSYCHED about the home test!

    I'll let you know how it goes.

  • Dr. William Davis

    12/30/2008 3:52:00 AM |

    Hi, Jessica--

    Please do!

  • Bob Parks

    12/30/2008 4:49:00 PM |

    The ZRT test is not available in California or NY.

    Sigh..

    Bob

  • Anonymous

    1/4/2009 9:49:00 PM |

    Bob--

    NY and CA are ridiculous in their regulations, no doubt about it.  Why is it any of the state's business if you, as a private individual, want to contract to get  your own personal blood analyzed by whomever you choose?

    It's really all about money.  At least in NYS, I know it takes millions in order for a comapny to become "licenced" in the state.

    If you really do care about getting your D tested and you don't have a doc, you can order a blood test from the Life Extension Foundation.  Go to www.lef.org and search under blood tests.

    It's $62 for non members, $42 for members.  However, you do need to get your blood drawn at a blood draw place, so not as convenient.  But still about the same price.

    best wishes
    -g

  • Anonymous

    2/7/2009 6:14:00 PM |

    Hi Dr. Davis,

      I ordered this test and it took about 2 weeks to get the results back.  I came back at a 50ng/ml.  This is after supplementing (blindly) for a year with 4000IU of Carlson D3 gelcaps, I shudder to think what it was before that.  Will definitely be upping to 6000IU and trying again in 3 months for 60-70ng/ml.  I'm a 39 year old white male living in PA who rarely sees much sun (but hey I've still got great skin!).  I've noted a definite improvement in mood, used to be depressed and anxious alot.

  • Anonymous

    2/13/2009 8:40:00 PM |

    i ordered the blood spot kit as here in the UK i couldnt get a doctor to test infact got told that no-one is low. I was taking 400iu at first upped it to 1000iu then 4 weeks ago upped it to 5000iu that i had to order from the vitamin d council as couldnt get it here. My test results showed low 31. I dont no if i should up it again to reach over 50. I am wondering what my level was before. I got extra kits as well as it looks like i have to look after my own levels.

  • Ricardo

    7/28/2009 10:29:43 PM |

    Now they're saying tanning beds cause cancer! - "WHO: Tanning Beds Cause Cancer" -> http://www.webmd.com/skin-problems-and-treatments/news/20090728/who-tanning-beds-cause-cancer

  • Anonymous

    7/30/2009 11:41:31 PM |

    I did the fingerstick through Grassroots as did my husband. Our results showed me at 13 and him at 23. (We are 50 & 51 respectively). We'll be starting on 6000IU right away.

  • Diana

    8/11/2009 3:58:58 AM |

    I took the test also. I was at 27 at 2000.  I am now up to 6000-8000 depending on how much sun I have and my blood serum levels are up to 62, and I feel great.

    I am in California, and I was able to get the test-??

    Do you have a health success story that you can share?  I am collecting alternative and holistic success stories so we can all learn from each others success!  

    I am still building the site, but if you have a story to share, please add it.  It is through sharing our experiences and stories that we can help each other on our quest to wellness!

    http://dactionhealth.ning.com/

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    6/29/2010 8:44:10 PM |

    This test was very important for me!! the results be fine. Thanks for you recomendations Dr. :=)

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    6/29/2010 8:44:10 PM |

    This test was very important for me!! the results be fine. Thanks for you recomendations Dr. :=)

  • Anonymous

    8/18/2010 6:38:14 PM |

    I ordered a kit today to measure my D levels.  I'm quite curious to see what they are since I've been diagnosed with osteopenia.  I am going to do everything in my power to improve my bone density and feel that by knowing what my Vitamin D levels are, and going accordingly is one stop toward this goal.  If I accomplish this goal, I am going to encourage my family, particularly the women to do the same, which is to get their D levels measured and know exactly what they must do to improve their bone density.  The more women who do this can hopefully alleviate the epidemic that prevails in our country, namely either osteopenia or osteoporosis!
    Marie Roy

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The happy homeotherm

The happy homeotherm

If you were a "cold blooded" poikilotherm unable to regulate internal body temperature, you would have to sun yourself on rocks to raise your body temperature, just like turtles and snakes. When it got cold, your metabolic rate would slow and you might burrow into the mud to hide.

You and I, however, are homeotherms, terrestrial animals able to regulate our own internal body temperature. Principal responsibility for keeping your body temperature regulated falls with the thyroid gland, your very own thermoregulatory "thermostat."

But internal body temperature, even in a homeotherm, varies with circadian rhythm: Highest temperature occurs in the early evening around 8 p.m.; the low temperature nadir occurs at around 4 a.m.

The notion that normal human temperature is 98.6 degrees Fahrenheit is a widely-held fiction, a legacy of the extraordinary experience of 19th century German physician, Carl Reinhold August Wunderlich, who claims to have measured temperatures of one million people using his crude, uncalibrated thermometer to obtain axillary (armpit) body temperatures.

Dr. Broda Barnes was a 20th century American proponent of using the nadir body temperature to gauge thyroid function. Like Wunderlich, Barnes also used axillary temperatures.

Modern temperature assessments have employed radiotransmitting thermistors that are swallowed, with temperatures tracked as the thermistor travels through the stomach, duodenum, small intestine, large intestine, rectum, then peek-a-boos back out. Such internal "core temperature" assessments have shown that:

--Axillary temperatures do not track with internal core temperatures very well, often veering off course due to external factors.
--Axillary temperatures are subject to ambient temperatures, such as room temperature, and are affected by clothing.
--Axillary temperatures are more susceptible to physical activity, e.g., increased with exercise or physical work.

Even right vs. left axillary temperatures have been shown to vary up to 2 degrees Fahrenheit.

Studies such as this demonstrate that normal oral temperature upon arising is around 97.2-97.3 degrees Fahrenheit. While we lack data correlating thyroid function with circadian temperature variation, the a.m. nadir does indeed, as Dr. Barnes originally suggested, seem to track thyroid status quite well: lower with hypothyroidism, higher with normal or hyperthyroidism.

I have been using 97.3 degrees F orally as the cutoff for confirming or uncovering thyroid dysfunction, particularly when symptoms or blood tests (TSH, free T3, free T4) are equivocal, a value that has held up well in the majority of cases. I find it helpful when, for instance, someone complains of cold hands and feet and has normal TSH (1.5 mIU/L or less in my view) but low free T3. An a.m. oral temperature of, say, 95.7 degrees F, suggests that there will be a favorable response to T3 supplementation. And it nearly always plays out that way.

Wouldn't it be interesting to know if there was insight into thyroid status provided by also examining the circadian behavior of temperature (e.g., height or timing of the peak)?

Comments (14) -

  • Anonymous

    11/24/2010 9:08:56 PM |

    perhaps a disturbed circadian rhythm results in excess prolactin and that to hypothyroidism... thanks to our modern lighting keeping us up till late at night.

  • Anand Srivastava

    11/24/2010 9:38:59 PM |

    The temperature over the day actually tracks the cortisol level. The T3 is present in the blood, but is taken up by the cells only when cortisol is present. In the morning till 12:00 the cortisol is highest. Before sleeping it dips to its lowest waking value. It will dip further in the night. 2 hours before sleeping it will start to rise. I guess the temperature tracks the cortisol with a delay of a couple of hours. Providing the lowest temperature immediately at waking up.

    There is a good temperature graph method by Dr.Rind to monitor thyroid function and also Adrenal function.
    http://www.drrind.com/therapies/metabolic-temperature-graph

    It seems that thyroid is responsible for defining the body temperature, while adrenal is responsible for varying the temperature as per requirement.

    The test requires taking the temperature 3 times a day using an analogue meter (like the mercury thermometer). The temperature is taken at 3, 6, and 9 hours after waking, and then averaged. Remember to keep the thermometer in the mouth for around 10 minutes and don't do anything. Less will not be sufficient, and movement changes the temperature.

    This test is done for at least 5 days. The average temp will define the thyroid function. If it is too low, it indicates thyroid problem. If the variation day to day is too much then it indicates a cortisol problem.

    I am not sure what the average temperature should be but I think it should be at least 98.2F. The temperature variation has been recommended to be below .3F.
    Mine varies 1F. I have a lot of adrenal insufficiency symptoms.

  • LeonRover

    11/24/2010 9:47:14 PM |

    I am constantly astonished that population studies of common markers such as temperature and blood pressure have such low samples as in the hundreds.

    My mother would take my temperature when I was young and might call our GP if it was over 100 F.

    I had assumed (until recently) that decent statistically large databases, covering 000's of people, divided by gender, age, time of day, diseases etc., from which one might get some interesting were available.

    Alas, there is only Broda Barnes, or studies with 190 in sample.

    It is disturbing.

  • Daniel A. Clinton, RN, BSN

    11/24/2010 11:03:09 PM |

    Dr. Davis,
    I'm a big fan. It's refreshing for me to find people with a deeper understanding than me. Would you treat the hypothetical patient in your post with the normal TSH but low T3 with iodine supplementation before prescribing T3, or jump right to med therapy?
    It boggles my mind that a good chunk of hypothyroidism is simple iodine deficiency, but that truth is hidden from all but those who vigilantly try to seek it out.

  • Lori Miller

    11/25/2010 12:55:41 AM |

    Something that affects temperature in women: the time of the month.

  • Anonymous

    11/25/2010 2:58:00 AM |

    alot of low t3 is just leptin resistance.  Fix the leptin resistance with no sugars and starches, plenty of green veges, fish and a bit of lean meat, and the thyroid starts converting t4 back into t3 and not reverse t3.  I actually believe the t3 supplementation is like giving insulin to a T2DM- it just kills them quicker!

  • Anonymous

    11/25/2010 7:13:17 AM |

    How do you suggest to measure the oral basal body temperature?  30 years ago the suggestion was to use the axillary temp.  Now with the ear digital thermometers that would seem to be easier and more accurate.   We used 97.2 axillary, you suggest 97.3 orally, no problem but how do you suggest to measure

  • qualia

    11/25/2010 12:10:07 PM |

    totally agree with @anonymous - supplementing T3 is an extremely crude and potentially harmful (long term) measure. leptin and physical activity plays a huge role in the conversion of T4 to T3. also iodine, selenium and zinc status. listen to the last podcast by byron richards covering all of these correlations in his "thyroid health class" episode (mp3): http://www.wellnessresources.com/audio/podcast_112410.mp3

  • Dr. William Davis

    11/25/2010 2:20:43 PM |

    Thanks, Daniel. It is always worth trying iodine first; crudely estimated, about 30% of people will respond just to iodine. If that doesn't work, then a T3 preparation or a combination T4/T3 preparation is worth considering.


    Hi, Lori--Yes, indeed. A big effect. I advocate measuring it during the first 7 days after menstrual bleeding starts, the time when temperature is lowest.

    Anonymous--I actually have plenty of slender people (e.g., BMI <23), therefore presumably with normal leptin levels, who still display the low-T3 effect. I believe there is more to this issue.

  • steve

    11/25/2010 4:46:31 PM |

    what actually constitutes a low T3?
    Is it below the range the lab considers normal, with in the range, but at bottom 10% or the 40 to 50 % level of the range?

  • Anonymous

    11/25/2010 8:01:57 PM |

    Hi Dr Davis
    I have read several articles and studies that link lower T3 levels to calori restriction diets and to slower aging.
    Wouldn't T3 supplementation accelerate aging process?

  • Anonymous

    11/26/2010 8:17:45 PM |

    Hi Dr Davis
    sigh!  You are right on most things including about butter being insulinogenic (but I still eat it anyway) but you have not grasped the basic idea yet.

    BMI is such a crude tool.  It does not account for how much is fat and how much is muscle.  Very skinny people are highly leptin resistant (think the osteoporotic grandmother who also has IHD - most from the generation above us are skinny).  That is why BMI in critical care units is inversely related to mortality.  Lean and very muscular people are unlikely to be leptin resistant, though they may have a BMI of 26.  People with low BMI, or marathon runners with stress fractures are more likely to be leptin resistant.  People with BMIs of over 26 are usually  quite leptin resistant though there may be some exceptions to that rule.  We are all leptin/insulin resistant because this is how we age, but most of us are ageing too quickly.  
    Byron Richards, despite being a dreaded naturopath (and recommending wheat!), understands this connection very well:
      
    http://www.byronrichards.com/index.php/thyroid_leptin/entry/obesity_causes_thyroid_problems/

    PS  my child is now off her t4! - we followed a modified rosedale.  Thyroid supplementation, testosterone supplementation, growth hormone treatment and insulin for  T2 do not treat the underlying cause, and will accelerate the ageing process and cause sarcopenia, whether you are fat or skinny.

  • Anonymous

    2/16/2011 5:23:35 PM |

    I have found this website helpful regarding thyroid www.thyroidbook.com

  • Paul

    5/10/2011 8:55:16 PM |

    I am hypothyroid and on T4 T3 combination therapy.  In 2010, I followed Michael Pollan's "Food Rules" less the whole grains: I was weight stable.  However, starting this year (and still following the organic, whole food approach) I also embarked on strict carb restriction.  I lost about 16 pounds and then I hit a plateau.  I also got a tooth abscess and malaise.  My annual thyroid tests showed a TSH of <1, but a T4 at the bottom of the range and a hypothyroid T3.  My T4 T3 have been revised upwards and I am staying with carbohydrate restriction.

    Perhaps this suggests that hypothyroid patients need to be cautioned when embarking on carbohydrate restriction. Or, perhaps I am a one-off.  Also, are (under-treated) hypothyroid people susceptible to carb diets as such diets may effectively reduce the extent of their thyroid deficiency?

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