Your medical history includes chronic gut issues like IBS (Irritable Bowel Syndrome) and gastritis, along with heart palpitations, anxiety, low mood, normal B12 and calcium levels, but a significant vitamin D deficiency.

🩺 Summary of Medical History + Key Issues

• Chronic gut problems (IBS, gastritis) affecting diet tolerance, especially non-vegetarian foods and dairy.
• Heart palpitations and anxiety episodes without clear triggers.
• Persistent low mood.
• Normal B12 and calcium levels, but very low vitamin D level (5.47), indicating severe deficiency.

⚠️ Possible Side Effects of High-Dose Vitamin D3

• High-dose vitamin D3 (60000 IU weekly) can sometimes cause side effects like increased calcium levels, which may lead to symptoms such as palpitations and anxiety.
• TMJ (temporomandibular joint) symptoms are less commonly linked but could be aggravated by stress or anxiety.
• The product information notes uncommon side effects including rash, nausea, and high calcium levels, but heartbeat irregularities and anxiety could be related to calcium imbalance or individual sensitivity.

🩺 Recommendations on Vitamin D Treatment

• Given your symptoms worsening after vitamin D intake, it is important to consult an endocrinologist or a gastroenterologist to reassess your dose and monitor calcium levels.
• Alternative dosing schedules or forms of vitamin D supplementation might be considered to reduce side effects.
• Addressing anxiety and mood with a mental health specialist could also help manage symptoms alongside physical treatment.

Please consult an endocrinologist or gastroenterologist promptly to review your vitamin D therapy and overall management.