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Closure of Practice

This Practice will be closing on the 30th November 2018.

Please contact us to have your records transferred to your new My Health record, the new government data base, or ask your new GP to request a copy of your records and we will transfer your records to them.

Fax number is 07 55288444 until the 30th November 2018 or email “” up to 30th November2018 and thereafter.

Healthxam Newsletter October 2014

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Healthxam Newsletter August 2014

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Welcome Dr Robert Cliffe

Healthxam wishes to announce Dr. Robert Cliffe  as the latest addition to our team.

We’re very pleased Dr. Cliffe has joined us, and we’re sure he will be a welcome

addition to all our patients, and the broader community in Runaway Bay.

Dr. Cliffe is now available for new appointments and new patients, so come in and make a time to see him.

Dr. Cliffe has clinical interests in the areas of general practice, skin cancer and child

Health. He enjoys flying, watersports, the out door lifestyle and

time with his family.

Dr. Cliffe is a DAME & certified by CASA to perform Class I, 2 and 3 Aviation Medical examinations and is similarly approved by EASA for European Aviation Medicals.

Vitamin D3 – Information for Patients

 Vitamin D3 is really a hormone, with a chemical structure like a broken cholesterol molecule. The precursor of Vitamin D3 is produced in the skin under the influence of Ultraviolet light (UV light). This precursor then undergoes changes in the liver and kidney to produce Vitamin D3.

Deficiency of vitamin D has many effects including:

  • Increased cancers, especially prostate ,breast, and bowel.
  • Reduced bone density
  • Arterial stiffening and other cardiovascular effects
  • Brain fog
  • Reduced muscular strength
  • Increased skin cancer
  • Increased DM type 2
  • Reduced immune function and increased infections.

People with skin cancer are often vitamin D deficient. Malignant melanoma is frequently  associated with vitamin D deficiency.

Vitamin D3 excess does not occur naturally and requires incorrect excessive supplementation.

The diagnosis of vitamin D deficiency requires a blood test.

Normal levels of Vitamin D are between 50 and 300 nmol/L.

It is important to realise that merely being in the normal range does not necessarily indicate that you have optimal levels of Vitamin D.

At Health Optimisation we generally treat low or marginal levels with vit D3 injections, often followed up with oral supplementation.

Levels up to 85 nmol/L may require oral supplementation alone.

Generally levels above 85 do not require treatment, but may do so if you are suffering significant symptoms or certain diseases such as MS.

The dosage for supplementation depends on the extent of the deficiency. As a guide we generally supplement with 300 000iu initially by injection  then 5000iu daily orally.

It is important not to oversupplement with vitamin D3 as excess D3 can cause toxicity  and calcium abnormalities.

Normally we do a Vit D lab test again at 6 months to assess the efficacy of the treatment. Sometimes further treatment is required at that stage.

We are asked a lot about the causes of vitamin D deficiency. The levels of deficiency in Australia are certainly surprisingly high. This may relate to lack of sun exposure, sun exposure with sunblocker only, increased indoor habit. Also the food sources of VitaminD3, which include dairy fats have been substantially reduced in the modern Australian diet. In countries with low levels of UV light the prevalence of vitamin D deficiency is higher.

If you have any questions in relation to vitamin D3 please contact SkinXam on, or call the Clinic telephone 07 5537 5888.