This is a question about excess vitamin D3. So she says she has a few clients who’ve come to her working with, it sounds like this is the same doctor who likes to do injectable vitamin D3. And I can’t tell if that’s a comma and it’s actually 600,000 IUs. Hopefully not, but possibly. And Eliani mentions that this is a functional doctor, and after testing these patient’s vitamin D3 levels, they’re over 100. So she asks, besides stopping excess intake of vitamin D3, limiting sun exposure for awhile, what do you suggest? What else can be done?

Dr. Amy Nett:  So you’re right, that’s a great question. And we’re kind of limited in ways that we can get D3 out of the body. It’s a fat soluble vitamin, as you know, but I think you’re doing the right things. Really just taking away any excess vitamin D3. You’re right in that you want to limit some exposure. I don’t know that I would be super-strict about recommending complete avoidance. Because remember sun exposure may have some additional benefits in terms of the production of other hormones and setting circadian rhythm. So I certainly wouldn’t advocate sunbathing during this time, but I also wouldn’t be too strict about sun exposure avoidance. I would just give it a little bit of time. The vitamin D levels are going to come back down. So maybe just periodically test the vitamin D levels. If they’re over 100, probably follow them up in maybe two months, three months, and make sure they’re coming down adequately and then find the right maintenance dose for those patients. And maybe let them know not to do injections of 600,000 IU again. That’s so much if that’s what it is.