Should patients with otolithiasis take vitamin D or D3?
Generally speaking, there is no specific recommendation for people with benign paroxysmal positional vertigo (BPPV) to take vitamin D versus vitamin D3. However, BPPV patients may appropriately supplement vitamin D under medical guidance. The detailed analysis is as follows:
BPPV may be caused by factors such as endocrine disorders, insufficient inner ear blood supply, or genetic predisposition, and can lead to symptoms including dizziness, nausea, and vomiting. Vitamin D is a fat-soluble vitamin that helps regulate the secretion of parathyroid hormone and calcitonin, thereby influencing bone metabolism. A deficiency in vitamin D may result in incomplete bone calcification, leading to osteomalacia, osteoporosis, muscle atrophy, and related conditions. Vitamin D aids the body in absorbing calcium, strengthens bones, helps prevent osteoporosis, and thus may provide some benefit to patients with BPPV. Appropriate supplementation with vitamin D and other nutrients may help prevent the occurrence or recurrence of BPPV.
In addition, BPPV patients may, under medical supervision, take medications such as mecobalamin tablets, betahistine hydrochloride tablets, and oryzanol tablets as adjunctive treatments. In daily life, it is also advisable to consume fresh fruits and vegetables in moderation, such as tomatoes and apples.