We have noticed an almost epidemic of low blood 25 OH Vitamin D3 levels in patients that have been tested. We have also noted much lower levels of Vitamin D3 in patients with positive Lactulose Breath Tests (suggesting SIBO, small intestinal bacterial overgrowth).
Patients in whom the SIBO is not treated do not respond to Vitamin D3 supplementation, whereas those treated for SIBO respond to the Vitamin D3 supplementation.
Comments and experience on these lines are welcome. Thank you.
I think this paper answers to your question, adequately.
http://www.ncbi.nlm.nih.gov/pubmed/23689561
I think people with higher intestinal bacterial load content (sub clinical bacterial overgrowth syndrome) will have malabsorption related nutrient and vitamin deficiency.I would rather search for liver/ ileal disease if someone has vit.D deficiency without high intestinal bacteria.If somebody has high intestinal bacteria with def. of vit.D, search for blind loop syndrome/ diverticular disease.
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