Definitely go to the endocrinologist.
Vitamin D deficiency causes the PTH (parathyroid glands) to rise and become overactive. A good endo will check your PTH, vitamin D, etc. and then recommend what to do next.
With vitamin D deficiency common in the US and in Crohn's patients, every Crohn's patient should probably see an endocrinologist.
Btw, if you are on Entocort then I do not recommend the typical dosing of 50,000IU vitamin D (ergocalciferol) once or twice a week for 6-8 weeks. Why? Corticosteroids are used to treat people (the very few) who have too much vit D. So I believe Entocort interferes with vit D absorption.
My daughter's own dose of 50000IU weekly caused high liver enzymes while she was on 6 mg Entocort. Worse, not long after she stopped the high dosage her vit D plummeted even though she was taking a maintenance dose of 800IU vit D3, daily.
Through trial and error she discovered the only way she can keep the PTH under control is to take at least 1800IU vit D3 daily.
Post Edited (njmom) : 2/11/2008 7:13:27 PM (GMT-7)