frequently asked questions
How do I take Replesta [Medical Food]?
Replesta is a chewable “once-a-month” orange-flavored vitamin D3 wafer. It must be chewed, and must not be swallowed whole. It is best taken with the heaviest meal of the day, on approximately the same day every month.
Generally speaking; diabetics, or people on dialysis ought to do a loading dose once a week for the first 8 weeks before going to standard dosing once a month: As well; based on a 50-point scale, scores under 20 probably ought to do a loading dose of once a week for the first 8 weeks. Scores around the 30s probably ought to load for 4 weeks before going to once a month standard dosing. Check with your health care practitioner. People with normal blood work typically can dose just once a month.
Only an MD can prescribe blood work to assess serum levels of vitamin D: How do I know how much dosage to recommend without blood work?
The recommendation of Replesta is for use as a preventative. Science has shown that 50,000 IU, once per month is effective at maintaining Serum Vitamin D levels in most people.
Can I take Replesta concurrent with any calcium supplements?
What about Replesta and other Vitamin D products taken concurrently?
There is no problem with calcium supplementation taken concurrently with Replesta. If you take a multivitamin that contains Vitamin D with minimal dosage, i.e. about 400 IU or thereabouts, there is no problem. However, added supplementation of 1000-2000 IU per day is not recommended. Also, topical Vitamin D should not be used concurrently with Replesta.
I take 2,000 IU every day of Vitamin D3 which gives me 60,000 IU per month. Why would I need to change to 1 dose of 50,000 IU per month?
According to Bolus Dosing Theory, science and studies have shown that in order to effect a change in serum Vitamin D levels in the body, a Bolus dose of 50,000 IU is necessary to effect that change. Taking 1,000 to 2,000 IU a day has a different physiological effect on the body than a Bolus dose; it doesn’t get the body over that hump and is ineffective for normalizing vitamin D deficiency. While not an absolutely perfect analogy… It’s like adding a half gallon of gas everyday to your car. Sometimes, it just doesn’t get you where you need to go. The car can do many more things on a full tank of gas.
Is Replesta a time-release supplement?
No. Replesta is absorbed by the body and is stored in the body for use as required. It stays in the blood and in the fat. Theoretically, it stores just like Vitamin D from a summer’s worth of sun which was supposed to provide the body with enough Vitamin D to last the winter [but doesn’t anymore]. Again, the summer sun is like a Bolus dose of Vitamin D3. Vitamin D3 stores in the body.
Can a person go to the pharmacy and buy it?
Yes and no. Pharmacies carry Replesta behind the counter. You have to ask for it. But, it is sometimes difficult for the pharmacy staff to find the product if they’re not given the pharmaceutical code by the buyer. So, if the buyer asks for it by name, the pharmacist may not be able to locate it (by name only) in most pharmacies.