Vitamin D and prednisone
I've been on prednisone since late January. Started at 25 mg with a quick taper and had to quickly go up to 30 mg with a much longer taper. The good news is that with the tyenne infusion I have been able to go down to 7.5 mg without symptoms which is great because symptoms and the plan is to continue tapering down over the next few months. However my vitamin d level went down from 29.5 to 27.5 in 2 months despite daily supplementation of 5,000 iu. I always take my vit d with a fatty meal as its a fat soluble vitamin. I have also been trying to focus on eating eggs, fatty fish, and food fortified with vit d. I do have rapid gastric emptying which causes absorption issues and prednisone is known to cause issues absorbing vit d, calcium, potassium and a few other nutrients. My doctor said to increase the dose to 6,000 iu. I'm wondering if thats enough or if theres something else I can do? My calcium and potassium are thankfully normal though trending downwards. Does anyone have any advice for this?