Hey There OP!,
It looks like you’re posting about side effects. Did you know that the most common side effects can be found on the Zepbound website? Simply click [here](https://zepbound.lilly.com/how-to-use) for more info. Below is also a list of common side effects.
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* **Allergic reactions**
* **Belching**
* **Hair Loss**
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While these are some of the most common side effects, this isn't all of them. Truth is the medicine affects everyone differently, but most see some or a combination of these common effects. Be sure to visit the search bar for something specific or click [here](https://www.reddit.com/r/Zepbound/search/?q=side%20effects&restrict_sr=1) for all post regarding side effects. A lot of good remedies for certain side effects can be found [here](https://www.reddit.com/r/Zepbound/search/?q=side%20effects&restrict_sr=1).
According to the manufacturer "In studies, most nausea, diarrhea, and vomiting occurred when people increased their dose—but the effects generally decreased over time."
Not everyone responds well to this medication. If side effects are continuous and impacting your everyday life, you should consult your dr or healthcare provider for strategies on how to mitigate these outcomes.
Complications from this (or any) treatment are usually a result of ignoring persistent side effects.
**This is not meant to discourage discussion of your side effects, simply here to supplement**
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Ok. When I read your question it looked like you were asking if you should quit zepbound because you blacked out due to low vitamin D. What actually were you asking then.
FYI even my doctor didn’t tell me this but you need to take K2 with your D3 otherwise you’ll continue to be deficient. I had to find this information through experts online and now my D is fine. Before I had to take the Rx megadose and it would go up for that month and fit my labs and then right back down.
Yes! Taking a supplement with D3 and K2 is what finally got my vitamin D level in the normal range- only 1 point above normal, but it’s a start! Magadoses weekly along with daily D3 alone didn’t do anything for me
Ok. You didn’t mention working in healthcare in your post. Not everyone knows about OBP.
Since you’re in healthcare, you probably already know that it’s doubtful that a vitamin D deficiency would cause you to faint, which is what your post implies. Lack of nutrition, low blood pressure, low sugar, maybe, but not low vitamin D.
Whoa whoa whoa I just looked again at your screenshots and the reflexive urine culture literally says "Culture indicated, results to follow." How is this guy telling you this is fine?! Make sure you follow up and get those culture results.
Medical professional- she has many squamous cells meaning it is a poor catch. If LE and Nitrites are negative, highly unlikely to be a true UTI. Especially since she doesn’t have symptoms.
I'm a primary care doc. Agree. And even if the reflexed culture is positive, it sounds like asymptomatic bacteriuria which shouldn't be treated either (with some exceptions)
I am sorry ugh. FWIW the reason I say make sure you follow up and get those culture results (and it looks like you're automatically receiving the results in your patient portal, so that is good) is because this is sounding awfully similar to what happened to me. ER for bad UTI...urinalysis...obvious positive results...doctor prescribed an antibiotic that ended up being ineffective against the strain of bacteria I was infected with. They did a culture in the ER that day, part of the purpose of which is to tell the doctor which antibiotics will be effective against the infection, but they never followed up to contact me with the results. This was 20 years ago before results were electronically delivered to patients. And I was young and didn't know to follow up. UTIs can be sneaky - even if they're not actually getting better, symptoms can go away. Which is what happened to me, so I just assumed the antibiotics were working and I was getting better. Until a few days later at work I started getting mild lower back pain...and then within 2 hours I couldn't stand up anymore, I was doubled over in pain from how infected my kidneys were.
None of this is to scare you, just to hopefully prevent this from happing to you or anyone else!
Speaking from experience, you won't always have symptoms. And I'm sorry but that is NOT a normal urinalysis. I would strongly consider getting a second opinion, especially if you still aren't feeling right (in other ways, I hear you that you aren't experiencing UTI symptoms). Like in the elderly, for example, UTIs often present as confusion/dementia-type symptoms. My lay knowledge stops there, in terms of whether a UTI can cause you to pass out, etc.
You're a woman so you probably know this all too well (I assume we've all experienced the "joy" of a UTI, and by joy I mean the screaming horror, of course, lol) but I've had one mistreated by an incompetent ER doctor before and nearly landed in the hospital when it progressed up to my kidneys. It's just something to be careful with.
My elderly father ended up calling an ambulance last year when he couldn’t get out of bed and went to the emergency room. Turned out to be a UTI, which can really hit you hard when you’re nearly 93. Luckily, it was diagnosed within 2-3 hours, he was treated, went home the next day and should be celebrating his 94th birthday at the end of this month.
I come from tough stock! In December 2020, my colon perforated just as I received a phone call at 2:30 am from the nursing home, telling me that my Mom had died. The symptoms went away within two minutes, not to reappear for three days. I was sick for four days before I went to the emergency room on the evening of the fourth day that I felt ill. At 1:00 the next morning, I had emergency surgery. They removed 10” of my colon and I had a temporary colostomy. I was in septic shock. I spent 16 days in the hospital and 10 weeks in bed at home. Five months after the surgery, I had a second surgery to reverse the colostomy and have 5” more of my colon removed. 14 months after that surgery, I had a complete hysterectomy because they feared I had endometrial cancer. I entered surgery at about 7 am, the recovery room at 2:30 pm and went home before 7 pm, taking only Tylenol. We take a licking and keep on ticking!
When I was in high school, I fainted and they found a UTI when I went to the ER. I had zero symptoms so I was surprised to learn that. My blood pressure was also super low when the first responders got there. No idea how or if the two were linked.
Have you had any fevers? I was asymptomatic for a UTI and it turned into Pyelonephritis. I passed out at work and had to be admitted to the hospital on IV antibiotics for 5 days.
Not likely.
Barely elevated WBC, few Bacteria, many Epis? No leukocyte esterase or nitrites?
It's like a 99% chance this was a poor clean catch urine. RNs are not trained to interpret labs.
I’d get a second opinion, medically. It doesn’t sound like Zepbound is to blame but passing out is a big deal — usually more than a vitamin deficiency — and you’ll want to figure that out. In any case, I hope you feel better!
The doctor who did your bloodwork needs to tell you what strength of D to take. I’ve struggled with the pills helping in the past and was paying for vitamin D injections but it got very expensive. The last time I did research on the different vitamin brands and ended up with Pure Encapsulations. They have been amazing!
The nausea and vomiting happened after I take my blood pressure everyday and nothing it was normal and I drink lots of water too. So I’m not sure what’s going on.
I second this!
My vitamin D is low like that, has been for a very long time. I don’t notice or feel anything ‘off’ from it, no physical symptoms. Granted we’re all different but I can’t see vitamin D, or lack of, being the cause. Also, sounds to me, based on OPs post, that the doctor is anti GLP and would use any excuse to get you off of them.
I’d suggest seeing an endocrinologist or a doctor who specializes is obesity. With the exception of a few really knowledgeable or curious ones, general practitioners and PCPs aren’t necessarily a great first choice for weight loss guidance. In my experience anyway.
Edit spelling
If you did not trip over anything, my guess is low blood sugar, low blood pressure, dehydration or an infection.
Just because your BS and BP normalized during your check doesn't mean it wasn't an issue when you fainted. It's protocol in Healthcare to get a BP when a fall happens, and there is a reason for it.
Could also be a cardiac issue. Your brain somehow wasn't getting the oxygen or sugar it needed. Why did that happen? Could be a ton of issue but if you fainted out of nowhere, I'd check my BP 2x daily and anytime I felt "off." I'd ask for a cardio referral to make sure heart is okay.
Not only do you have low vitamin D, you also appear to have a mild UTI (edit: I see others have suggested the same). Neither would cause fainting though or have anything to do with Zepbound. Your doc is way off base here.
I had the same thing happen in September (before I went on Mounjaro). It turned out to be that my electrolytes were out of whack.
Are you taking electrolytes? If not, I would start asap. I have had to test a couple with my doctor, and had the best luck with the Hydrant brand.
Also, I have had life long Vit D issues. The Now brand 5,000 iu's keeps me at the optimal level of 75 and makes my doctor happy every time she sees my bloodwork. Apparently most people are low these days.
Look for D3 with K2. (I take Microingredients brand, 10000 iu every day) You need to take them with a fat-soluble source like coconut oil, avocados or hummus. (This brand has coconut oil in them!) You also need to take a good magnesium with the D to help it absorb! Celtic sea salt is also great! A little on or under the tongue and a pinch into a cup of each water.
It looks like you have an infection based on your white blood cell count. An infection can most certainly give you all the symptoms you’re having and then some. If left untreated it can also affect your mind. Please tell a loved one right away that you have an infection and have them help you until you can get antibiotics.
To explain why your doctors didn’t think your urinalysis results were a true infection:
1) the wbc count is only a LITTLE high. Often with uti it is 50+, 100s+ or “too numerous to count
2) squamous cells just means the urine is contaminated by skin from the perineal area
3) most importantly if you are not having SYMPTOMS of urinary frequency, urgency, pain with urination or bladder/lower abdominal pain then guidelines currently recommend against treating with antibiotics even if your culture does come back with bacterial growth
I’m not taking medical advice I just wanted to see if anyone had the same experience. I see my doctor regularly and get checkups and follow through with everything and nothing so far.
I love how people here act like you can just decide to see an endocrinologist 😂 my PCP has been trying to refer me to an endocrinologist for year and every one kicks back the referral because my symptoms aren’t too severe and my labs aren’t too extreme.
My PCP won’t even give me a referral. She says the lab tests she can order are all I need, and just wanting a full work up isn’t enough to warrant seeing an endo. It’s frustrating because I’d really like more extensive labs. So I absolutely agree with you, seeing an endocrinologist is sometimes easier said than done.
My husband, who is on Wegovy also got light headed and passed out. He mentioned it to his endocrinologist, who said it wasn't because of his thyroid (the reason he sees his endocrinologist), and then punted it back to his MD.
I’m confused if your post is trying to state you Zepbound is causing your vitamin D levels to drop? Not sure what your vit D level has to do with Zepbound at all. Just make sure you take supplements.
So usually I have eggs and fruit in the morning and make a protein shake. For lunch I’ll have something small like chicken and veggies or a salad. Then dinner I usually have a protein veggies and some sort of soup or a side salad. I don’t eat out at all anymore. I work out 2x a week.
Does your insurance cover a nutritionist? I would speak with one that is familiar with the weight loss medication. Be careful! I have passed out before, when I would fast, my sugar would get too low (this was way before I started taking Zepbound). Wish you well!
I switched from Ozempic to Zepbound about 6 months ago and not long after that, started getting extreme dizzy spells. I talked to my doctor, she did blood work that came back normal but my blood pressure was low at the last two visits, so she had me step down off the beta blockers I’d been taking for around 5 years for hypertension.
It hasn’t seemed to make a difference. The dizzy spells are getting more frequent and yesterday, I blacked out for a few seconds for the first time. I was fortunate to be standing in a doorway, so when I went down, I just kind of slid down the frame, then landed on my butt with my legs out in front of me. I had been holding my 6 month old nephew minutes before, so it could have ended disastrously. My sister is diabetic, so as soon as I felt well enough to get up, I used her monitor to check my blood sugar but it was good.
I’m sharing because now I’m curious if other people on Zepbound have had this issue!
If it matters, SW: 220, CW: 145 and I’m about to move into maintenance. I’m considering going back to Ozempic for that, just in case it helps since the dizziness started around the same time I switched.
For the low vitamin d - my doctor said I should take vitamin D, no matter what for immune and bone development. As for the other issues, I hope you find the answer.
Agree with everyone else here that low vitamin d won’t make you pass out and you likely have a uti. But also wanted to add that a very high percent of Americans have a vitamin d deficiency (like close to 50% from what I recall). The gummy vitamins are junk. You should ask your dr for the 10,000 iu and up in a gelcap form. I am prescribed weekly. It’s helped.
This is not a UTI, this is a contaminated sample due to not being obtained clean catch. nor are your symptoms related to low vitamin D. These can’t be all the labs they took so this is not enough info to comment on. It looks like your urine protein is high, but you cut off those results, as an example. Blood chemistry, CBC would be helpful
I will die on this hill from an educational perspective because my MIL died because no Dr would take her seriously. She was diabetic, tummy pain, bloated and gassy, and had labs with elevated wbc, protein, calcium, and kept getting low blood sugars. She was treated three times for a UTI she had no symptoms for because to them it was a textbook UTI. Finally her 4th ER visit they did a scan and found spots on her liver and a biopsy showed it was cancer. She passed away 3 weeks to the day from getting her diagnosis after months of going to her primary and ER knowing something wasn't right.
I had a full lab work up done with Vitamin A and D, Hemoglobin A1C and Metabolic panel done before starting zepbound. Extra Vitamin D was ordered for me cause mine was so low. Your doctor should have had a preflight checklist like my medical weight loss clinic did for me.
I had this done as well, and also had a vitamin D deficiency. It came up with some supplements and sunshine. Fast forward six months, I also started having issues with dizziness / lightheadedness and nausea. My doctor noticed my nails had some ridging in them and ordered a full iron panel- My hemoglobin levels were fine, and my red blood count was in the low normal range- but in the full iron panel, he found my ferritin levels were low, and I was becoming anemic (likely from changes in my eating habits.) Ferritin is the protein that stores iron, and it’s not measured on basic blood tests. I’ve also had issues with low blood sugar from not eating on regular intervals nor drinking enough, but I have seen HUGE improvement in symptoms since my iron has been corrected.
Spend some time in the sun, expose your arms, legs to direct sunlight without sunblock. It only needs to be for 10-15 minutes a day. Add that to eating vitamin D rich food daily. Good for you in advocating for yourself & your health!! That isn’t always easy to do. Hope you’re feeling better soon!
I don’t think you should continue zepbound with this doctor. Could he still be right? Maybe. Your glucose was ok at the time of this test, but maybe at the time of passing out, it wasn’t? It can change quickly. But a doctor to go straight to blame isn’t good. Your side effects are worrying and I wouldn’t necessarily think it’s smart to continue without closer monitoring from someone who isn’t going to jump to just blaming the med instead of finding a way to work around.
I’m not sure what dose you are on, but it seems like it may be too much. If you can’t drop down a dose, extending the time between is the next best option. I would also invest in a home glucose monitor. If you can afford it out of pocket, you might want to even ask for a prescription for a constant glucose monitor to watch even closer, but your insurance might not cover it so that’s why you should be prepared to pay out of pocket.
Edit: also, are you monitoring your blood pressure? Fast weight loss can make it drop and also cause you to pass out. You may need to slow the weight loss to let your body adjust.
Talk to your doctor about the passing out. Sometimes vitamin deficiencies can contribute to stuff like that but you need to consult with a medical professional because there's usually more than that involved. As far as that D level -- 50,000IU per week, if you hate daily pills, or 5000IU once a day is great for most people when they are building levels. Early morning sun is your least damaging, if you get outside.
This is great advice. Early morning sun is also great for your natural sleep cycles.
Fwiw, I have to take 5000 IU/day on an ongoing/long-term basis just to keep my vitamin D levels normal and good. This is under my doctor's supervision, of course, with regular testing.
Considering adding k2 to vitamin d, it helps with absorption and because I read you are Mediterranean you might need to take a higher dose for longer because we got that weak sauce sun. (I work with, as employed by, an MD who takes vitamin d deficiency very seriously.) some of our patients from India take 10,000iu vitamin d daily during the winter.
Consider getting a new provider. When I had deficient vitamin D levels, my psychiatrist prescribed repletion therapy (as the commenter above mentioned, I took 50000 IU weekly for 2 months, then monthly).
I've heard from an Arab friend & oncology fellow that all people from the Mediterranean living in the US will become deficient - the sun just isn't strong enough to maintain the levels we're historically used to. If it's the case for you, most likely the daily sun & OTC vitamins won't be enough.
Looks like a UTI on your tests. Take a vit d supplement, get treated for the UTI, stand up slowly, might be orthostatic hypotension. Get a new doctor. If you're nauseated on zep take a lower dose. Or give it up. Up to you
How can your weight cause you to pass out? Unless you're underweight? And your blood pressure is all right ? Have they checked your kidney and liver functions? Ruled out pancreatitis.or gallbladder issues? Checked your blood sugar? Certainly if you go off zepbound and you start feeling better, you may have your answer. I hope they can figure this out for you. Dizziness is a rarer possible side effect of zepbound. All my very best to you.
I have not checked anything with my pancreas or kidneys. That’s what my doctor just constantly says that my weight is the root of all problems is probably because he doesn’t give a shit and I’ve been to another doctor after him said the same thing I just wanna make sure that I’m healthy and safe so I didn’t take my shot this week and I’m gonna, continue for a little bit just to see if that resolves the issue
Be aware it can take about 28 to 35 days for zep to clear your system. Hopefully you will start to feel better soon after missing your next shot. A high BMI can cause a lot of issues. I'm sorry your doctors aren't taking the time they should to explain anything to you or doing a thorough workup. You deserve better than that.
Zepbound is not causing a vitamin D deficiency which caused you to pass out. Certainly something else caused you to pass out, but it wasn't due to vitamin D deficiency. I am chronically low and have even lower numbers than you.
Edit: Clarifying that even if Zepbound makes it more difficult to absorb vitamin D, low levels of vitamin D are not causing OP to pass out. Something else is, and it certainly needs to be investigated.
I mean...it could, though? Zepbound changes how well we absorb other medications, so if oral supplements are one's source of vitamin D, I could definitely see it having an effect.
I'm not arguing that Zepbound doesn't inhibit vitamin absorption, I'm saying that low vitamin D, in and of itself, would not cause someone to pass out. As many others have mentioned, many of us have even lower levels than OP.
Certainly Zepbound could inhibit absorption of vitamins. But low vitamin D levels wouldn't be the cause of passing out.
Edited my original comment for clarity.
First - don't take medical advice from reddit. Please follow up with another physician. However, did they not tell you that you have a urinary tract infection? Your sample was a little dirty with epithelial cells, but you have WBCs and bacteria in your urine. Are you on antibiotics? Your vitamin D isn't critically low. Get yourself a water soluable form of D. It's more bioavailable. Start with 50,000 IU weekly. This isn't a Zepbound problem, you have an infection.
I’m surprised he didn’t prescribe you Vitamin D. My doctor gave me a prescription for 1.25 mg 1x a week. It helps with the fatigue. Perhaps a doctor could prescribe you something a little stronger?
I get extremely low vitamin D every two or so years. My last test was a 12.1 and that was about 3 months before Zepbound. doctor just gave me the weekly tablets with 50k ou if vitamin D for 2 months. Now I’m doing a daily multivitamin
I don’t think these issues are related to Zepbound, most people are deficient in Vitamin D and need a supplement (make sure you take D3 with K2 to help with absorption).
It also looks like you have a UTI, those can be caused by any number of things.
As for passing out I’d look at low blood pressure and hypoglycemia as possible reasons.
I would ask for a prescription Vitamin D to get your levels up. I had to do 12 weeks of 50,000 once a week to get my levels up. Mine was the lowest the doctor has ever seen, at a 6, and it was affecting my sleep.
Ouch!! Hope you are doing ok! I too wish I knew what was causing it.
I've experienced dizziness while on Mounjaro/Zepbound too! It didn't show up until after a year on the medicine or more. I swore it was the spironolactone I was taking for hair loss? I'm still not so sure.
I have been pretty lucky that I was near the side of my bed each time it happened or could lean against the wall because I could feel it was about to happen.
My BP was good, my BS was good, my O2 was good...still baffling.
My vitamin D was low before even starting this medicine, I was at a 21, so my endo recommended taking 10,000 iu(s) of Vitamin D3 for a month and then kept me on 2,000 iu(s) daily. I went from 21 in May 2022 to 44 by Oct 2022.
I decide to do 4,000 iu(s) during the winter months just for kicks....since I definitely wasn't getting any sun lol
Wishing you the best! Hope everything turns out ok.
Yeah, I was in my kitchen, trying to grab a pizza pan out of the oven and I don’t even remember falling. I hit my head really hard. I have like a bruise on my face and then mom was freaking out. She told me she was screaming and shaking me and spilling water on my face, and it was not waking me up so after a minute, I woke up and I went to the doctor. He basically blamed my weight and the medicine so my mom’s like we’re gonna go to someone else they made me do all the bloodwork and then I have a follow up on Wednesday so we’re gonna see.
For perspective, I took a vitamin D test when Covid started and they were linking deaths to vitamin shortages. Mine was similar to yours. I started taking a vitamin D3 K2 supplement. I took it for 6 months. I was like doubling the dose, because I figured I was so low. I took another test and I was the lowish side of normal. I was shocked. I think the recommended daily value for vitamin D is too low for most people. Or maybe some of us are predisposed to be low on it. Idk. Now I use a liquid that I drop directly into my mouth that’s supposed to be very bioavailable. I need to go get tested again.
I started on 10mg and I had diarrhea and vomiting. Def gonna stop taking it. I lost 25 and I guess the last 25 I will do naturally. I hav3 3 unused shots. Not sure what I should do with them.
It may be unfashionable to say so, but Vitamin D is WAY overhyped. People don’t usually have symptoms until their levels get much lower than yours. Virtually none of the studies on Vit D supplementation as a treatment for various maladies have shown any real benefit. Don’t lose sight of the other issues in the tests, although people do get false positives on initial tests for UTIs, which is why a culture is important.
I have been dealing with low D for years before Zepbound. Just last month the Endo society changed the guidelines for vit D no need to treat if under 50yr of age and even then only with symptoms if under 75. Something like that.
Well obviously. I was just questioning if others had the same issues if it maybe has something to do with the medicine because according to my dr it does
And the doctor found the problem...
And it has a simple solution...
I don't know that I'd be relying on anonymous people I don't know for medical advice
Actually, on most subs it's supposed to be forbidden to dispense medical advice
Re your culture, I will say that Zep do be wreaking havoc on the urinary tract. Especially if you don’t drink like an obscene amount of water and tend to hold it. I’ve started a supplement w d manose that seems to help.
Low D is very common and unlikely a ZepBound issue the urine tests are not off the wall out of range high so it maybe a uti or not. It’s your call though
My vitamin D used to be extremely low. My doctor gave me pills to take and I couldn't stand it. I am not a very good pill taker, Not if you want me to take it everyday for the rest of my life.
I found this. It tastes good. It comes in a couple of flavors. Since I have taken it, my labs for Vit D have been on point.
[Vitamin D Drops](https://www.amazon.com/gp/product/B0CKHK7SN7/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1)
It probably has nothing to do with your passing out though. Most likely your UTI and/or low blood pressure/sugar could have something to do with it.
This is very interesting as I did not know that low Vitamin D was a possibility with tirzepatide. I have taken vitamin D supplements for several years and have been fine with D blood tests. I saw my doctor Tuesday and he did blood tests which included Vitamin D and I wondered why.
OP, do you have to quit Zepbound? Your symptoms sound horrendous, but can't you get back on track with supplements? I guess this scared the heck out of you.
How long have you been on Zepbound and how long have you been sick? A small number of people do seem to react to Zepbound this way from the start.
I hope you feel better fast!
I have been on it since April it did really scare me because I never fainted like that before so it was just out of the ordinary for me and I’m just gonna wait till I see another doctor on Wednesday to see what they think. Just stop the medicine for a little while because my mom is like very against me doing it and it’s freaking out.
Good luck with the next doctor. Family members can be very judgy. That's one reason I keep the use of tirzepatide to myself. (Except for these great subReddit groups)!
Hey There OP!, It looks like you’re posting about side effects. Did you know that the most common side effects can be found on the Zepbound website? Simply click [here](https://zepbound.lilly.com/how-to-use) for more info. Below is also a list of common side effects. * **Nausea** * **Diarrhea** * **Constipation** * **Stomach (Abdominal) Pain** * **Indigestion** * **Injection Site Reactions** * **Fatigue** * **Allergic reactions** * **Belching** * **Hair Loss** * **Heartburn** While these are some of the most common side effects, this isn't all of them. Truth is the medicine affects everyone differently, but most see some or a combination of these common effects. Be sure to visit the search bar for something specific or click [here](https://www.reddit.com/r/Zepbound/search/?q=side%20effects&restrict_sr=1) for all post regarding side effects. A lot of good remedies for certain side effects can be found [here](https://www.reddit.com/r/Zepbound/search/?q=side%20effects&restrict_sr=1). According to the manufacturer "In studies, most nausea, diarrhea, and vomiting occurred when people increased their dose—but the effects generally decreased over time." Not everyone responds well to this medication. If side effects are continuous and impacting your everyday life, you should consult your dr or healthcare provider for strategies on how to mitigate these outcomes. Complications from this (or any) treatment are usually a result of ignoring persistent side effects. **This is not meant to discourage discussion of your side effects, simply here to supplement** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Zepbound) if you have any questions or concerns.*
I always have low vitamin D regardless of Zepbound. You get vitamin D from sun or supplements
Ok. When I read your question it looked like you were asking if you should quit zepbound because you blacked out due to low vitamin D. What actually were you asking then.
That I’m aware of I’m in supplements they’re. It helping.
Are you ok op?
Are you on prescription strength vitamin D? I have to take prescription strength vitamin D once a week just to have normal vitamin D levels.
This ⬆️
FYI even my doctor didn’t tell me this but you need to take K2 with your D3 otherwise you’ll continue to be deficient. I had to find this information through experts online and now my D is fine. Before I had to take the Rx megadose and it would go up for that month and fit my labs and then right back down.
Yes! Taking a supplement with D3 and K2 is what finally got my vitamin D level in the normal range- only 1 point above normal, but it’s a start! Magadoses weekly along with daily D3 alone didn’t do anything for me
Low blood pressure is notorious for causing this get it checked.
Yes, and standing up too quickly.
My blood pressure has been normal.
https://www.mayoclinic.org/diseases-conditions/orthostatic-hypotension/symptoms-causes/syc-20352548
I work in healthcare so I’m aware of orthostatic BP
Ok. You didn’t mention working in healthcare in your post. Not everyone knows about OBP. Since you’re in healthcare, you probably already know that it’s doubtful that a vitamin D deficiency would cause you to faint, which is what your post implies. Lack of nutrition, low blood pressure, low sugar, maybe, but not low vitamin D.
I’m not here to argue with you. Just offering a reality check to avoid fear mongering.
Yeah everything else is normal so I’m not sure what’s happening
Well, whatever it is I hope it’s nothing serious.
Me too 🥹
Low vitamin D isn't going to make you pass out. Looks like you have a UTI. Did he treat you for that? See a better doctor.
They tested for UTI and he said it’s fine I don’t have any symptoms of an uti.
Whoa whoa whoa I just looked again at your screenshots and the reflexive urine culture literally says "Culture indicated, results to follow." How is this guy telling you this is fine?! Make sure you follow up and get those culture results.
Medical professional- she has many squamous cells meaning it is a poor catch. If LE and Nitrites are negative, highly unlikely to be a true UTI. Especially since she doesn’t have symptoms.
Agreed. Asymptomatic. Negative for leukocytes and nitrites. I wouldn't treat for UTI.
I'm a primary care doc. Agree. And even if the reflexed culture is positive, it sounds like asymptomatic bacteriuria which shouldn't be treated either (with some exceptions)
It says her WBC value is 6-10.
Oh interesting, good to know, thank you
I’m not sure I wish I had an answer
I am sorry ugh. FWIW the reason I say make sure you follow up and get those culture results (and it looks like you're automatically receiving the results in your patient portal, so that is good) is because this is sounding awfully similar to what happened to me. ER for bad UTI...urinalysis...obvious positive results...doctor prescribed an antibiotic that ended up being ineffective against the strain of bacteria I was infected with. They did a culture in the ER that day, part of the purpose of which is to tell the doctor which antibiotics will be effective against the infection, but they never followed up to contact me with the results. This was 20 years ago before results were electronically delivered to patients. And I was young and didn't know to follow up. UTIs can be sneaky - even if they're not actually getting better, symptoms can go away. Which is what happened to me, so I just assumed the antibiotics were working and I was getting better. Until a few days later at work I started getting mild lower back pain...and then within 2 hours I couldn't stand up anymore, I was doubled over in pain from how infected my kidneys were. None of this is to scare you, just to hopefully prevent this from happing to you or anyone else!
This.
Speaking from experience, you won't always have symptoms. And I'm sorry but that is NOT a normal urinalysis. I would strongly consider getting a second opinion, especially if you still aren't feeling right (in other ways, I hear you that you aren't experiencing UTI symptoms). Like in the elderly, for example, UTIs often present as confusion/dementia-type symptoms. My lay knowledge stops there, in terms of whether a UTI can cause you to pass out, etc. You're a woman so you probably know this all too well (I assume we've all experienced the "joy" of a UTI, and by joy I mean the screaming horror, of course, lol) but I've had one mistreated by an incompetent ER doctor before and nearly landed in the hospital when it progressed up to my kidneys. It's just something to be careful with.
My elderly father ended up calling an ambulance last year when he couldn’t get out of bed and went to the emergency room. Turned out to be a UTI, which can really hit you hard when you’re nearly 93. Luckily, it was diagnosed within 2-3 hours, he was treated, went home the next day and should be celebrating his 94th birthday at the end of this month.
Oh goodness, poor guy. Glad he got taken care of and is doing great now!
I come from tough stock! In December 2020, my colon perforated just as I received a phone call at 2:30 am from the nursing home, telling me that my Mom had died. The symptoms went away within two minutes, not to reappear for three days. I was sick for four days before I went to the emergency room on the evening of the fourth day that I felt ill. At 1:00 the next morning, I had emergency surgery. They removed 10” of my colon and I had a temporary colostomy. I was in septic shock. I spent 16 days in the hospital and 10 weeks in bed at home. Five months after the surgery, I had a second surgery to reverse the colostomy and have 5” more of my colon removed. 14 months after that surgery, I had a complete hysterectomy because they feared I had endometrial cancer. I entered surgery at about 7 am, the recovery room at 2:30 pm and went home before 7 pm, taking only Tylenol. We take a licking and keep on ticking!
OMG!! I like your attitude 😀
I agree I’m going to go to someone else
Your white blood cells are abnormally elevated, along with squamous epithelial cells and trace bacteria. You should be treated for uti.
When I was in high school, I fainted and they found a UTI when I went to the ER. I had zero symptoms so I was surprised to learn that. My blood pressure was also super low when the first responders got there. No idea how or if the two were linked.
Have you had any fevers? I was asymptomatic for a UTI and it turned into Pyelonephritis. I passed out at work and had to be admitted to the hospital on IV antibiotics for 5 days.
Sitting here with my sister who is an RN at a gyn practice. She says you have a uti.
I figured as much thanks!
Not likely. Barely elevated WBC, few Bacteria, many Epis? No leukocyte esterase or nitrites? It's like a 99% chance this was a poor clean catch urine. RNs are not trained to interpret labs.
I’d get a second opinion, medically. It doesn’t sound like Zepbound is to blame but passing out is a big deal — usually more than a vitamin deficiency — and you’ll want to figure that out. In any case, I hope you feel better!
I also have low vitamin d levels, I have been taking Olly Hello Happy and my levels have been slowing rising! Hope you feel better!
I just checked my levels and they were at 22 last month, so not as low as yours but I’d recommend foods with vitamin d and supplements!
See I’m taking the same vitamins and it’s not working 🥺
Get the Genestra D Mulsion. It’s like a lemon flavoured gel. It raised my levels quickly
The doctor who did your bloodwork needs to tell you what strength of D to take. I’ve struggled with the pills helping in the past and was paying for vitamin D injections but it got very expensive. The last time I did research on the different vitamin brands and ended up with Pure Encapsulations. They have been amazing!
Sounds like you need a different doc
Been to two😑
I’d go to one more and if they say the same it’s time to listen to them.
Nausea/vomiting happened before or after the passing out? More likely you passed out from low blood pressure., low blood sugar, or severe dehydration
The nausea and vomiting happened after I take my blood pressure everyday and nothing it was normal and I drink lots of water too. So I’m not sure what’s going on.
Are you pregnant
No thank god
I second this! My vitamin D is low like that, has been for a very long time. I don’t notice or feel anything ‘off’ from it, no physical symptoms. Granted we’re all different but I can’t see vitamin D, or lack of, being the cause. Also, sounds to me, based on OPs post, that the doctor is anti GLP and would use any excuse to get you off of them. I’d suggest seeing an endocrinologist or a doctor who specializes is obesity. With the exception of a few really knowledgeable or curious ones, general practitioners and PCPs aren’t necessarily a great first choice for weight loss guidance. In my experience anyway. Edit spelling
If you did not trip over anything, my guess is low blood sugar, low blood pressure, dehydration or an infection. Just because your BS and BP normalized during your check doesn't mean it wasn't an issue when you fainted. It's protocol in Healthcare to get a BP when a fall happens, and there is a reason for it. Could also be a cardiac issue. Your brain somehow wasn't getting the oxygen or sugar it needed. Why did that happen? Could be a ton of issue but if you fainted out of nowhere, I'd check my BP 2x daily and anytime I felt "off." I'd ask for a cardio referral to make sure heart is okay.
Not only do you have low vitamin D, you also appear to have a mild UTI (edit: I see others have suggested the same). Neither would cause fainting though or have anything to do with Zepbound. Your doc is way off base here.
That’s what I’m thinking as well. So I’m gonna get antibiotics for the uti
I had the same thing happen in September (before I went on Mounjaro). It turned out to be that my electrolytes were out of whack. Are you taking electrolytes? If not, I would start asap. I have had to test a couple with my doctor, and had the best luck with the Hydrant brand. Also, I have had life long Vit D issues. The Now brand 5,000 iu's keeps me at the optimal level of 75 and makes my doctor happy every time she sees my bloodwork. Apparently most people are low these days.
I take vitamin d and drink electrolytes not sure what’s going on
Based on your bloodwork, you need to change your Vit D supplement because it isn't working. I was able to go from 11 to 75 in a couple of months.
Interesting
Look for D3 with K2. (I take Microingredients brand, 10000 iu every day) You need to take them with a fat-soluble source like coconut oil, avocados or hummus. (This brand has coconut oil in them!) You also need to take a good magnesium with the D to help it absorb! Celtic sea salt is also great! A little on or under the tongue and a pinch into a cup of each water.
It looks like you have an infection based on your white blood cell count. An infection can most certainly give you all the symptoms you’re having and then some. If left untreated it can also affect your mind. Please tell a loved one right away that you have an infection and have them help you until you can get antibiotics.
Yes, I’ve been eating and staying hydrated that what I’m saying too I have to be sick with something.
It’s an infection. You need antibiotics. I edited my original post if you didn’t see the rest.
Yeah they said it’s no infection so I went to another doc and he said the same 😑
Why did they say your white blood cells were high?
He didn’t he said possibly infection
So he did say it was an infection or not?
He said could be doesn’t look serious
Yea take some antibiotics and hydrate.
To explain why your doctors didn’t think your urinalysis results were a true infection: 1) the wbc count is only a LITTLE high. Often with uti it is 50+, 100s+ or “too numerous to count 2) squamous cells just means the urine is contaminated by skin from the perineal area 3) most importantly if you are not having SYMPTOMS of urinary frequency, urgency, pain with urination or bladder/lower abdominal pain then guidelines currently recommend against treating with antibiotics even if your culture does come back with bacterial growth
Please don’t take medical advice from Reddit. See an endocrinologist for a complete work up, they should understand this type of med and side effects.
I’m not taking medical advice I just wanted to see if anyone had the same experience. I see my doctor regularly and get checkups and follow through with everything and nothing so far.
I love how people here act like you can just decide to see an endocrinologist 😂 my PCP has been trying to refer me to an endocrinologist for year and every one kicks back the referral because my symptoms aren’t too severe and my labs aren’t too extreme.
My PCP won’t even give me a referral. She says the lab tests she can order are all I need, and just wanting a full work up isn’t enough to warrant seeing an endo. It’s frustrating because I’d really like more extensive labs. So I absolutely agree with you, seeing an endocrinologist is sometimes easier said than done.
My husband, who is on Wegovy also got light headed and passed out. He mentioned it to his endocrinologist, who said it wasn't because of his thyroid (the reason he sees his endocrinologist), and then punted it back to his MD.
I’m confused if your post is trying to state you Zepbound is causing your vitamin D levels to drop? Not sure what your vit D level has to do with Zepbound at all. Just make sure you take supplements.
I may have wrote it wrong English isn’t my first language but my doc keeps saying zepbound and my weight are the problem
It’s ok Yeah Vit D deficiency is common and happens to many many people regardless of a glp1 medication.
Good to know
Curious, what is your diet like?
So usually I have eggs and fruit in the morning and make a protein shake. For lunch I’ll have something small like chicken and veggies or a salad. Then dinner I usually have a protein veggies and some sort of soup or a side salad. I don’t eat out at all anymore. I work out 2x a week.
Does your insurance cover a nutritionist? I would speak with one that is familiar with the weight loss medication. Be careful! I have passed out before, when I would fast, my sugar would get too low (this was way before I started taking Zepbound). Wish you well!
It does I have one currently
I switched from Ozempic to Zepbound about 6 months ago and not long after that, started getting extreme dizzy spells. I talked to my doctor, she did blood work that came back normal but my blood pressure was low at the last two visits, so she had me step down off the beta blockers I’d been taking for around 5 years for hypertension. It hasn’t seemed to make a difference. The dizzy spells are getting more frequent and yesterday, I blacked out for a few seconds for the first time. I was fortunate to be standing in a doorway, so when I went down, I just kind of slid down the frame, then landed on my butt with my legs out in front of me. I had been holding my 6 month old nephew minutes before, so it could have ended disastrously. My sister is diabetic, so as soon as I felt well enough to get up, I used her monitor to check my blood sugar but it was good. I’m sharing because now I’m curious if other people on Zepbound have had this issue! If it matters, SW: 220, CW: 145 and I’m about to move into maintenance. I’m considering going back to Ozempic for that, just in case it helps since the dizziness started around the same time I switched.
How are your iron levels?
They’re like one point off but other then that okay
How long have you been on Zep? And had you eaten that day before you passed out? Hope you feel better!
For the low vitamin d - my doctor said I should take vitamin D, no matter what for immune and bone development. As for the other issues, I hope you find the answer.
thank you
Agree with everyone else here that low vitamin d won’t make you pass out and you likely have a uti. But also wanted to add that a very high percent of Americans have a vitamin d deficiency (like close to 50% from what I recall). The gummy vitamins are junk. You should ask your dr for the 10,000 iu and up in a gelcap form. I am prescribed weekly. It’s helped.
This is not a UTI, this is a contaminated sample due to not being obtained clean catch. nor are your symptoms related to low vitamin D. These can’t be all the labs they took so this is not enough info to comment on. It looks like your urine protein is high, but you cut off those results, as an example. Blood chemistry, CBC would be helpful
I will die on this hill from an educational perspective because my MIL died because no Dr would take her seriously. She was diabetic, tummy pain, bloated and gassy, and had labs with elevated wbc, protein, calcium, and kept getting low blood sugars. She was treated three times for a UTI she had no symptoms for because to them it was a textbook UTI. Finally her 4th ER visit they did a scan and found spots on her liver and a biopsy showed it was cancer. She passed away 3 weeks to the day from getting her diagnosis after months of going to her primary and ER knowing something wasn't right.
Oh my goodness I’m so sorry. I’m not diabetic but I do have tummy pain. I get bloated and stuff like that.
I had a full lab work up done with Vitamin A and D, Hemoglobin A1C and Metabolic panel done before starting zepbound. Extra Vitamin D was ordered for me cause mine was so low. Your doctor should have had a preflight checklist like my medical weight loss clinic did for me.
I had this done as well, and also had a vitamin D deficiency. It came up with some supplements and sunshine. Fast forward six months, I also started having issues with dizziness / lightheadedness and nausea. My doctor noticed my nails had some ridging in them and ordered a full iron panel- My hemoglobin levels were fine, and my red blood count was in the low normal range- but in the full iron panel, he found my ferritin levels were low, and I was becoming anemic (likely from changes in my eating habits.) Ferritin is the protein that stores iron, and it’s not measured on basic blood tests. I’ve also had issues with low blood sugar from not eating on regular intervals nor drinking enough, but I have seen HUGE improvement in symptoms since my iron has been corrected.
Spend some time in the sun, expose your arms, legs to direct sunlight without sunblock. It only needs to be for 10-15 minutes a day. Add that to eating vitamin D rich food daily. Good for you in advocating for yourself & your health!! That isn’t always easy to do. Hope you’re feeling better soon!
I don’t think you should continue zepbound with this doctor. Could he still be right? Maybe. Your glucose was ok at the time of this test, but maybe at the time of passing out, it wasn’t? It can change quickly. But a doctor to go straight to blame isn’t good. Your side effects are worrying and I wouldn’t necessarily think it’s smart to continue without closer monitoring from someone who isn’t going to jump to just blaming the med instead of finding a way to work around. I’m not sure what dose you are on, but it seems like it may be too much. If you can’t drop down a dose, extending the time between is the next best option. I would also invest in a home glucose monitor. If you can afford it out of pocket, you might want to even ask for a prescription for a constant glucose monitor to watch even closer, but your insurance might not cover it so that’s why you should be prepared to pay out of pocket. Edit: also, are you monitoring your blood pressure? Fast weight loss can make it drop and also cause you to pass out. You may need to slow the weight loss to let your body adjust.
Yes I monitor my blood pressure it’s normal.
Talk to your doctor about the passing out. Sometimes vitamin deficiencies can contribute to stuff like that but you need to consult with a medical professional because there's usually more than that involved. As far as that D level -- 50,000IU per week, if you hate daily pills, or 5000IU once a day is great for most people when they are building levels. Early morning sun is your least damaging, if you get outside.
This is great advice. Early morning sun is also great for your natural sleep cycles. Fwiw, I have to take 5000 IU/day on an ongoing/long-term basis just to keep my vitamin D levels normal and good. This is under my doctor's supervision, of course, with regular testing.
I do get morning sun and take the vitamins so far nothings working
Considering adding k2 to vitamin d, it helps with absorption and because I read you are Mediterranean you might need to take a higher dose for longer because we got that weak sauce sun. (I work with, as employed by, an MD who takes vitamin d deficiency very seriously.) some of our patients from India take 10,000iu vitamin d daily during the winter.
Consider getting a new provider. When I had deficient vitamin D levels, my psychiatrist prescribed repletion therapy (as the commenter above mentioned, I took 50000 IU weekly for 2 months, then monthly). I've heard from an Arab friend & oncology fellow that all people from the Mediterranean living in the US will become deficient - the sun just isn't strong enough to maintain the levels we're historically used to. If it's the case for you, most likely the daily sun & OTC vitamins won't be enough.
Haha that’s exactly it I’m from the Mediterranean that’s crazy
Lol well there you have it!! Time for a Mediterranean vacation, or just a Mediterranean GP ;)
I’m going at the end of the month
Looks like a UTI on your tests. Take a vit d supplement, get treated for the UTI, stand up slowly, might be orthostatic hypotension. Get a new doctor. If you're nauseated on zep take a lower dose. Or give it up. Up to you
See it’s been constant vomiting I have no symptoms of a uti and they told me it’s my weight and zepbound. I saw two different doctors
How can your weight cause you to pass out? Unless you're underweight? And your blood pressure is all right ? Have they checked your kidney and liver functions? Ruled out pancreatitis.or gallbladder issues? Checked your blood sugar? Certainly if you go off zepbound and you start feeling better, you may have your answer. I hope they can figure this out for you. Dizziness is a rarer possible side effect of zepbound. All my very best to you.
I have not checked anything with my pancreas or kidneys. That’s what my doctor just constantly says that my weight is the root of all problems is probably because he doesn’t give a shit and I’ve been to another doctor after him said the same thing I just wanna make sure that I’m healthy and safe so I didn’t take my shot this week and I’m gonna, continue for a little bit just to see if that resolves the issue
Be aware it can take about 28 to 35 days for zep to clear your system. Hopefully you will start to feel better soon after missing your next shot. A high BMI can cause a lot of issues. I'm sorry your doctors aren't taking the time they should to explain anything to you or doing a thorough workup. You deserve better than that.
Oh wait they checked your blood sugar. Had it been too low or was it too high?
Zepbound is not causing a vitamin D deficiency which caused you to pass out. Certainly something else caused you to pass out, but it wasn't due to vitamin D deficiency. I am chronically low and have even lower numbers than you. Edit: Clarifying that even if Zepbound makes it more difficult to absorb vitamin D, low levels of vitamin D are not causing OP to pass out. Something else is, and it certainly needs to be investigated.
I mean...it could, though? Zepbound changes how well we absorb other medications, so if oral supplements are one's source of vitamin D, I could definitely see it having an effect.
I'm not arguing that Zepbound doesn't inhibit vitamin absorption, I'm saying that low vitamin D, in and of itself, would not cause someone to pass out. As many others have mentioned, many of us have even lower levels than OP. Certainly Zepbound could inhibit absorption of vitamins. But low vitamin D levels wouldn't be the cause of passing out. Edited my original comment for clarity.
Thank you for the edit. I agree that low vitamin D would not cause someone to pass out (in fact I had already commented the same to OP previously).
First - don't take medical advice from reddit. Please follow up with another physician. However, did they not tell you that you have a urinary tract infection? Your sample was a little dirty with epithelial cells, but you have WBCs and bacteria in your urine. Are you on antibiotics? Your vitamin D isn't critically low. Get yourself a water soluable form of D. It's more bioavailable. Start with 50,000 IU weekly. This isn't a Zepbound problem, you have an infection.
I’m surprised he didn’t prescribe you Vitamin D. My doctor gave me a prescription for 1.25 mg 1x a week. It helps with the fatigue. Perhaps a doctor could prescribe you something a little stronger?
Possibly I’ve tried many different doses
I get extremely low vitamin D every two or so years. My last test was a 12.1 and that was about 3 months before Zepbound. doctor just gave me the weekly tablets with 50k ou if vitamin D for 2 months. Now I’m doing a daily multivitamin
What dose are you on? It might be as simple as titrating down
I don’t think these issues are related to Zepbound, most people are deficient in Vitamin D and need a supplement (make sure you take D3 with K2 to help with absorption). It also looks like you have a UTI, those can be caused by any number of things. As for passing out I’d look at low blood pressure and hypoglycemia as possible reasons.
I would ask for a prescription Vitamin D to get your levels up. I had to do 12 weeks of 50,000 once a week to get my levels up. Mine was the lowest the doctor has ever seen, at a 6, and it was affecting my sleep.
I will try that
Vitamin D deficiency is actually pretty common. Take a supplement and check again later. I wouldn’t stop Zep.
My Dr that prescribed my Zepbound recommended taking vit d daily. Sorry to hear what you’re going through. Good luck!
Ouch!! Hope you are doing ok! I too wish I knew what was causing it. I've experienced dizziness while on Mounjaro/Zepbound too! It didn't show up until after a year on the medicine or more. I swore it was the spironolactone I was taking for hair loss? I'm still not so sure. I have been pretty lucky that I was near the side of my bed each time it happened or could lean against the wall because I could feel it was about to happen. My BP was good, my BS was good, my O2 was good...still baffling. My vitamin D was low before even starting this medicine, I was at a 21, so my endo recommended taking 10,000 iu(s) of Vitamin D3 for a month and then kept me on 2,000 iu(s) daily. I went from 21 in May 2022 to 44 by Oct 2022. I decide to do 4,000 iu(s) during the winter months just for kicks....since I definitely wasn't getting any sun lol Wishing you the best! Hope everything turns out ok.
Yeah, I was in my kitchen, trying to grab a pizza pan out of the oven and I don’t even remember falling. I hit my head really hard. I have like a bruise on my face and then mom was freaking out. She told me she was screaming and shaking me and spilling water on my face, and it was not waking me up so after a minute, I woke up and I went to the doctor. He basically blamed my weight and the medicine so my mom’s like we’re gonna go to someone else they made me do all the bloodwork and then I have a follow up on Wednesday so we’re gonna see.
Get D3 supplements - 5,000 iu. Make sure it’s D3 because that’s the most bioavailable form. Sending you good energy for healing.
You’re doctor sounds like an idiot. Go get blood work elsewhere and get proper diagnosis and treatment.
Vimergy has vitamin D drops. You can get them on Amazon. I use them regularly.
For perspective, I took a vitamin D test when Covid started and they were linking deaths to vitamin shortages. Mine was similar to yours. I started taking a vitamin D3 K2 supplement. I took it for 6 months. I was like doubling the dose, because I figured I was so low. I took another test and I was the lowish side of normal. I was shocked. I think the recommended daily value for vitamin D is too low for most people. Or maybe some of us are predisposed to be low on it. Idk. Now I use a liquid that I drop directly into my mouth that’s supposed to be very bioavailable. I need to go get tested again.
I started on 10mg and I had diarrhea and vomiting. Def gonna stop taking it. I lost 25 and I guess the last 25 I will do naturally. I hav3 3 unused shots. Not sure what I should do with them.
It may be unfashionable to say so, but Vitamin D is WAY overhyped. People don’t usually have symptoms until their levels get much lower than yours. Virtually none of the studies on Vit D supplementation as a treatment for various maladies have shown any real benefit. Don’t lose sight of the other issues in the tests, although people do get false positives on initial tests for UTIs, which is why a culture is important.
I hope they’ll resolve it
I take vitamin d3 daily. My levels used to be low but just had my bloodwork done last week and it's normal now!
I take it daily as well
I have been dealing with low D for years before Zepbound. Just last month the Endo society changed the guidelines for vit D no need to treat if under 50yr of age and even then only with symptoms if under 75. Something like that.
You said your doctor blamed your weight and the meds…what is your current height/weight? I didn’t see it in the post…
So, you're going to increase what you lack right? I don't know what this has to do with the weight loss drug
Well obviously. I was just questioning if others had the same issues if it maybe has something to do with the medicine because according to my dr it does
And the doctor found the problem... And it has a simple solution... I don't know that I'd be relying on anonymous people I don't know for medical advice Actually, on most subs it's supposed to be forbidden to dispense medical advice
Add electrolytes.
Re your culture, I will say that Zep do be wreaking havoc on the urinary tract. Especially if you don’t drink like an obscene amount of water and tend to hold it. I’ve started a supplement w d manose that seems to help.
Low D is very common and unlikely a ZepBound issue the urine tests are not off the wall out of range high so it maybe a uti or not. It’s your call though
My vitamin D used to be extremely low. My doctor gave me pills to take and I couldn't stand it. I am not a very good pill taker, Not if you want me to take it everyday for the rest of my life. I found this. It tastes good. It comes in a couple of flavors. Since I have taken it, my labs for Vit D have been on point. [Vitamin D Drops](https://www.amazon.com/gp/product/B0CKHK7SN7/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1) It probably has nothing to do with your passing out though. Most likely your UTI and/or low blood pressure/sugar could have something to do with it.
This is very interesting as I did not know that low Vitamin D was a possibility with tirzepatide. I have taken vitamin D supplements for several years and have been fine with D blood tests. I saw my doctor Tuesday and he did blood tests which included Vitamin D and I wondered why. OP, do you have to quit Zepbound? Your symptoms sound horrendous, but can't you get back on track with supplements? I guess this scared the heck out of you. How long have you been on Zepbound and how long have you been sick? A small number of people do seem to react to Zepbound this way from the start. I hope you feel better fast!
I have been on it since April it did really scare me because I never fainted like that before so it was just out of the ordinary for me and I’m just gonna wait till I see another doctor on Wednesday to see what they think. Just stop the medicine for a little while because my mom is like very against me doing it and it’s freaking out.
Good luck with the next doctor. Family members can be very judgy. That's one reason I keep the use of tirzepatide to myself. (Except for these great subReddit groups)!