A middle-aged man was put under vitamin supplement therapy on the advice of a private nutritionist containing over 20 over-the-counter supplements (Table 1). He had a rather complex history of spinal tuberculosis, an inner ear tumor, a build-up of fluid in the brain, bacterial meningitis, and chronic sinusitis. Signs and symptoms Recurrent vomiting Nausea Abdominal pain Leg cramps Tinnitus Dry mouth & increased thirst Diarrhea Weight loss (28 lbs or 12.7 kg) Table 1.
Supplements taken by the patient Medical investigation High levels of calcium, magnesium, and vitamin D (7 times higher) Acute kidney injury X-rays and PET scans were normal CT chest/abdomen/pelvis: Calcified nodules were observed bilaterally in the upper lobes and were more pronounced in the right apex. A notable paucity of intra-abdominal fat was also seen. A few calcified granuloma-type nodules were noticed in the…
