Hi Morty1,

I'm not a nurse but I've been a melanoma patient for many years.

Have they tested your Vitamin D level? NICE guidelines state that every newly diagnosed melanoma patient should have their Vit D level tested so that they know what dose of supplement to advise. If their Vitamin D is very deficient the GP should prescribe a short term, high dose supplement & then retest after a time. Once it has reached the required level the patient must then buy their own Vitamin D at a maintenance dose level which many clinicians say 400iu per day but some need to take a higher dose (I take 1000iu daily). The best supplement is an oral spray as it is absorbed into the body quicker than a capsule (Holland & Barratt & Amazon sell the sprays). If, when tested, your Vitamin D level is low but not deficient, you will be advised to purchase a slightly higher dose (perhaps 2000iu) & then be retested in about 6 to 12 months. If you haven't been tested, please ask your nurse/consultant at your next appointment or your GP.

As for other lifestyle changes - the most important is to wear Factor 30 or 50 when out & about in the UK between March and October and of course, when abroad throughout the year. Also, cover up with clothing as that is the best protection. A hat & sunglasses are a must (melanoma can also be in the eye, not just the skin). Keep out of the sun at the height of the day - seek shade. Even when driving, ensure your face is protected & your right arm is too as the UV goes through the windows (people who drive as a profession ie. lorries, taxis etc are prone to melanoma on the right arm or face).

Eat a healthy, balanced diet - the recommended amount of fruit & veg. No fancy diet or supplements help stop a recurrence of melanoma, just try to keep your immune system healthy & it will do the work for you.

I will send you a friend request. If you accept it I can send you more hints & tips by private message. Good luck with your treatment, please let us know how you get on,

Angie (Stage 3 melanoma patient since 2009)