Sections. By Mark Flood, D.O. Annular tear symptoms can arise when the annulus fibrosus (the tough exterior) of an intervertebral disc rips. The outer layers of the annulus fibrosus near the vertebral endplates are replete with nerve fibers that are very sensitive to pain.ections. By Mark Flood, D.O. Annular tear symptoms can arise when the annulus fibrosus (the tough exterior) of an intervertebral disc rips. The outer layers of the annulus fibrosus near the vertebral endplates are replete with nerve fibers that are very sensitive to pain.
Those of us who are deficient and start on a vitamin D supplement usually take five to six weeks to reach the recommended level of vitamin D. If you're in doubt, it's always best to have a chat with your GP who might arrange a blood test. The B vitamins and vitamin C are all water soluble.
If you are severely deficient in vitamin D (lower than 20 ng/ml), I suggest that you start with 5,000 IU/day with food. Then re-test your levels and calcium after 6 weeks. If your levels have not increased you may need to double this dose or consider injections once a week for a couple of months.