What Would Guyton and Hall Say About This New Vitamin D Proclamation?

The morning news was buzzing with a cure for Diabetes in Pregnancy, Infections in Pregnancy, and Preterm Laber (well, not a cure, but half the rate of complications). Women took 4,000 IU of the vitamin daily in their second and third trimesters showed no evidence of harm, but they had half the rate of pregnancy-related complications as women who took 400 IU of vitamin D every day, says neonatologist and study co-researcher Carol L. Wagner, MD, of the Medical University of South Carolina. It's normal recommendations of Vitamin D levels have hovered between 200 and 400 IU for many years.Dr. Ruth Lawrence of the Dept of Peds fro the University of Rochester, and popular Breastfeeding guru, mentioned it could possibly be a cure for Toxemia. I'm raising my eyebrow now as I do hail from the state that brought us thenow infamous publication from researchers Dr.Silvio Aladjem and Dr. Judith Lueck who proclaimed in 1983 that the syndrome of Toxemia in pregnancy was associated with a microscopic hookworm type organizm they discovered and named Hydatoxi lualba. It turned out that it's a very good thing to keep one's microscope very clean, and back up your research with a lot of facts.But they did get published, and very famous, but I digress. So here we are back to massive Vitamin D doses in pregnancy, a treatment we have previously told patients could cause birth defects. And further curious thing I noted from Gyton and Hall, the commonly used medical school physiology text, in there it says that above a certain level of intake, (moms) we will have a steady blood level of Vitamin D3 (or 25-hydrocholecalciferol) which is the active form of Vitamin D. In fact they seem to indicate that even at levels of intake of 2.5 times normal blood levels maintain steady. Maybe a graph that needs tweaking a bit, my version of the text is 2006, and Arthur Guyton was already deceased, but if anyone gets a chance to run into Professor John Hall at Univ Mississippi Med Center in Jackson can you ask him what he thinks. Although this study said that if moms took the "10 times more" they were" less likely" to have low levels, I'm wondering...what really was their intake, and what level do we really need to go to, and what mechanism of action is this acting. Is there some local placental or fetal level.

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you

Endocervial polyps

2 cm Endometrial Polyp After Removal Polyps in the cervix are almost never cancerous, but can bleed or get infected and should be removed. The are not directly related to an endometrial or uterine polyp (which is a precancerous condition), but your gyno may want to make sure these two conditions do not co-exist.

Irregular Periods can Be the Sign of Other Medical Conditions

Heavy menstrual Bleeding Menstrual Period Norms The menstrual period's normal physiologic function to shed the lining and then prepare the lining for a pregnancy. Thus a sample of the lining under the microsope looks like it has glands within tissue. It’s hard to know if this is a heavy period, or one that is really so heavy that you need treatment without really checking completely with your gyno! Experts have used a number of definitions to determine if the period you are having is too heavy. Your perception is important. The actual amount of blood lost is important, but that can be determined by collecting each pad and weighing them before and after blood collection. So gynos have struggled with how to determine the formal definition of heavy bleeding. A basic check up, and a basic blood count, is not going to really make your version of heavy periods fit the typical “FDA” approved definition because that is defined by the exact amount of blood lost, which is los

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