Your next step is dietary: vitamin-D fortified cereal with skim milk, and regular servings of tuna, salmon or, if you’re a fan, mackerel or sardines. Eight ounces (1 cup) of milk provides 98IU of vitamin D, a good start on Horlick’s recommended 800-1000IU. Most dry cereals add about 40IU. And then there’s that oily fish… which brings us to supplements. Take a look at those calcium pills you’re taking. (What? You’re not taking calcium? Most of us with breast cancer need it, due to the effect of cancer drugs on our bones. Check with your doctor if you’re not taking a calcium supplement.)
Most calcium pills include a vitamin D supplement; the recommended 1200mg calcium a day (two tablets) will probably give you 400IU vitamin D, half Horlick’s new recommended amount. Add a multivitamin, which typically offers 400IU of vitamin D, and there you have it.
So, between the sunlight you get (or don’t); and the milk, cereal, and fish you eat (or don’t); and the supplements you take (or forget to take), you CAN get sufficient vitamin D into your system. As another tool we can use to help prevent a recurrence, it’s worth making the effort.
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