Category Archives: Endocrinology

It’s Time to Say “Goodbye” to Vitamin D2 (ergocalciferol)

Prescription bottle of ergocalciferol (Vitamin D2) 50,000 IU

In the United States, vitamin D supplementation is primarily available as vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Although these two have historically been considered interchangeable and equipotent, the current body of literature strongly supports the preference of Vitamin D3 (cholecalciferol) over D2 (ergocalciferol).

Vitamin D2 versus Vitamin D3

Vitamin D3 (cholecalciferol) is produced by the human body in response to sunlight and is also available through dietary sources, such as fish. In contrast, vitamin D2 (ergocalciferol) is not produced in the human body, but is created by exposing certain plant-derived materials to ultraviolet light.

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Is there a maximum insulin glargine (Lantus) dose?

Is there a maximum insulin glargine (Lantus) single-injection dose?  Anecdotally, I have heard that patients receiving more than 50 units should split the dose from daily dosing to twice-daily.  What’s the evidence?

The question of a maximum insulin glargine dose is not straightforward because it encompasses several issues: Continue reading