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What deficiency causes high blood pressure?

Vitamin D deficiency may be linked to heart disease and an increased risk of high blood pressure (hypertension).

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Can vitamin D deficiency cause high blood pressure? Answer From Fouad Chebib. M.D. It's long been known that getting too little of vitamin D weakens bones. But when it comes to heart health, the role vitamin D may play is less clear. Vitamin D deficiency may be linked to heart disease and an increased risk of high blood pressure (hypertension). However, recent research casts doubt on whether taking a vitamin D supplement reduces the risk of heart attack or stroke. Still, vitamin D remains an important nutrient for overall good health. The National Academies of Sciences, Engineering, and Medicine recommends 600 international units (IU) of vitamin D a day for adults ages 19 to 70. For adults age 71 and older, the recommendation increases to 800 IU a day. Some doctors question whether these levels are adequate and think that getting more vitamin D would benefit many people. But the National Academies of Sciences, Engineering, and Medicine recommends that adults avoid taking more than 4,000 IU a day. If you're concerned that you're getting too little — or too much — vitamin D, contact your doctor. He or she may recommend a blood test to check the level of vitamin D in your blood. Screening for vitamin D deficiency is important in African Americans and others with dark skin. Darker skin has higher levels of melanin, the pigment that gives skin its color. The more melanin you have, the harder it is for your skin to make vitamin D from the sun.

Others who may benefit from screening for vitamin D deficiency include:

People who don't spend a lot of time in the sun

Older adults

People with certain health conditions that make it difficult to absorb vitamin D

With Fouad Chebib. M.D.

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What depletes potassium?

Vomiting, diarrhea or both also can result in excessive potassium loss from the digestive tract. Occasionally, low potassium is caused by not getting enough potassium in your diet. In most cases, low potassium is found by a blood test that is done because of an illness, or because you are taking diuretics.

Low potassium (hypokalemia) refers to a lower than normal potassium level in your bloodstream. Potassium helps carry electrical signals to cells in your body. It is critical to the proper functioning of nerve and muscles cells, particularly heart muscle cells. Normally, your blood potassium level is 3.6 to 5.2 millimoles per liter (mmol/L). A very low potassium level (less than 2.5 mmol/L ) can be life-threatening and requires urgent medical attention. Low potassium (hypokalemia) has many causes. The most common cause is excessive potassium loss in urine due to prescription medications that increase urination. Also known as water pills or diuretics, these types of medications are often prescribed for people who have high blood pressure or heart disease. Vomiting, diarrhea or both also can result in excessive potassium loss from the digestive tract. Occasionally, low potassium is caused by not getting enough potassium in your diet. In most cases, low potassium is found by a blood test that is done because of an illness, or because you are taking diuretics. It is rare for low potassium to cause isolated symptoms such as muscle cramps if you are feeling well in other respects.

Low potassium symptoms may include:

Weakness

Fatigue

Muscle cramps

Constipation

Abnormal heart rhythms (arrhythmias) are the most worrisome complication of very low potassium levels, particularly in people with underlying heart disease. Talk to your doctor about what your blood test results mean. You may need to change a medication that's affecting your potassium level, or you may need to treat another medical condition that's causing your low potassium level. Treatment of low potassium is directed at the underlying cause and may include potassium supplements. Don't start taking potassium supplements without talking to your doctor first.

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