How Much Vitamin D Do You Really Need to Take?

How Much Vitamin D Do You Really Need to Take?

This is a 30 minute video on some studies that have been carried out by the Grass Roots organization. If you learn nothing else from me, know that Vitamin D can save your life. Unfortunately, we have been mis-guided into believing that any amount of sun is dangerous. This is just not true. If sun exposure is at an all time low, sun screen use an all time high, and consequently melanoma cases are sky rocketing? We clearly have something else to blame.

Of course sun exposure is the healthiest most efficient delivery of Vitamin D but this is impossible to obtain if you reside above the equator. Supplementation is then necessary. Remember, our RDA for supplements were set to simply avoid blatant disease of that particular deficiency, ie: Rickets is the noted diesease from a Vitamin D deficiency. At 400IU per the RDA, that's the only thing you'll prevent. I am recommending a minimum of 1000IU of Vitamin D to my clients as well, 25OHD testing to detect potential deficiency. At this point, your Dr. might recommend a prescription strength of 50,000IU's once weekly and a lower daily dose thereafter.

I constantly hear "I drink milk" or "I eat cheese". Unfortunately, the fortified dairy is a synthetic form of Vitamin D. You want Vitamin D3 or as it is also referred to, cholecalciferol.

This winter arm yourself! Take 1tsp. per 50lb. of body weight of Norweigen Cod Liver Oil. My recommended brand is Carlsons, Lemon Flavored 500mg DHA. Not only will this supply you with a nice dose of Vitamins A & D but your daily dose of omega 3 fatty acids as well!

Though Cod Liver Oil has a dose of Vitamin D, I would recommend one arm themselves with a boost of additional D with Carlsons D drops at 1-2 drops per day. This will provide you with 1000-2000 additional IU's for illness protection.

In the 1950's, the use of Cod Liver Oil for supplementation was discouraged by none other than Dr. Spock, the infamous pediatrician whom most parents counted on to deliver safe and accurate information. Dr. Spock claimed that vaccinations will now replace the need for supplementation. What a sad day that was. Now, with the rates of ADD, ADHD, Autism and other developmenatal disabilities, soaring cancer rates, debilitating brain disorders, we need to get back to our traditional roots of whole food supplementation.

In light of the H1N1 virus, you and your children will be much better served by supplementation, fresh whole foods and a reduction in processed foods for optimal immune support.

Be Well

Low Vitamin D levels found in acutely ill patients

If you learn nothing else from me, you should remember that Vitamin D is as far as I'm concerned the most important supplement one could take. Remember, there are only 2 ways to obtain Vitamin D. The first, through that of the sun and your cholesterol. Cholesterol plays an important role in the uptake of Vitamin D. It is converted in the kidney and without sun or the supplementation of Vitamin D3 in the form of cholecalciferol, you are most likely deficient if you live above the equator. Now when I ask folks how they are getting their Vitamin D, the first thing women will tell me is "Well it's added to my calcium source". That would be ergocalciferol, Vitamin D from plant matter. Unfortunately, that's not the correct form we're looking for here. Yes, D2 assists in the uptake of calcium and is helpful in the prevention of osteoperosis but it's not the complete picture. The story below from my favorite source, Science Daily is a great example of just how deficient we are. With the current h1n1 virus, your vitamin D is your immune system.

Carlsons Vitamin D3 drops, High Quality Cod Liver Oil like Carlsons Lemon Flavored 500mg DHA as well, 20 minutes exposure to summer sun will help boost your immune system and pave the road to good health. If you suffer pain like fibromyalgia, a 25OHD test might just be in order for you!

ScienceDaily (May 2, 2009) — A group of endocrinologists in Sydney have observed that very sick patients tend to have very low levels of Vitamin D. The sicker they are, the lower the levels.
Dr Paul Lee, Professor John Eisman and Associate Professor Jackie Center, researchers at Sydney's Garvan Institute of Medical Research, examined a cohort of 42 Intensive Care Unit (ICU) patients. Forty-five percent turned out to be Vitamin D deficient.

"Until now, the medical community has thought of Vitamin D deficiency as a chronic condition," said Dr Lee. "Little is known about its acute complications."

"Last year, we published several cases showing that Vitamin D deficiency can cause acute complications in the intensive care unit."
"Recently, Vitamin D has been recognised for its many roles beyond the musculoskeletal system. It has been implicated in diabetes, in the immune system, in cancers, in heart disease and in metabolic syndrome."

"Vitamin D appears to have roles in controlling sugar, calcium, heart function, gut integrity, immunity and defence against infection. Patients in ICU suffer from different degrees of inflammation, infection, heart dysfunction, diarrhoea and metabolic dysregulation – so vitamin D deficiency may play a role in each of these common ICU conditions."
"So we did a preliminary study and found that 45% of people in our ICU were Vitamin D deficient. There may be a bias, in that all patients were referred to endocrinology, so the numbers may not reflect the prevalence in a standard ICU cohort. However 45% is still a significant proportion.

When the team correlated the Vitamin D levels with a disease severity score, there was a direct correspondence between sickness and Vitamin D deficiency. In other words, the sicker someone was, the lower the levels of Vitamin D. Out of the 42 patients studied, there were 3 deaths. The 3 patients who died all had the lowest level of Vitamin D in the cohort.
"Perhaps when we are well, we have ways to compensate for organ dysfunction if we run low on Vitamin D," said Lee.

"But when we are very sick, the "sick organs" draw upon any vitamin D available to function properly, therefore we may need extra Vitamin D to maintain organ function during critical illness. However, at this stage, we don't know whether Vitamin D deficiency is just a marker of ill health, or whether it contributes to disease severity."

Lee believes that the study, while preliminary, is important because it highlights the fact that Vitamin D deficiency is common in intensive care units and is associated with disease severity.
The next step will be a randomised control study to investigate whether Vitamin D has benefits in critically ill patients. In simple terms, two groups of patients (who are evenly matched) will be treated, with Vitamin D added to the treatment of one group, but not the other. The outcomes will then be compared.

So should doctors be trying to raise the Vitamin D levels of their patients in the meantime?
Dr Lee hopes the randomised study may provide a more definitive answer to the question. "However, Vitamin D is very safe. It's inexpensive and has a very large safety window, making toxicity unlikely, unless there are underlying diseases causing high calcium. Giving vitamin D to severely deficient patients is very unlikely to cause harm. In addition, ICU patients are lying in bed for a long time, and are at risk of bone loss and osteoporosis. So if nothing else, Vitamin D will help protect their bones."

These findings will be published as a letter in the April 30, 2009 issue of theNew England Journal of Medicine.

Inadequate Vitamin D Levels Linked To High Use Of Narcotic Medication By Patients In Chronic Pain

With the increased rates of Fibromyalgia, many are reaching to pain medication for pain management I found the following story quite interesting. I have a dear friend that suffers fibromyalgia and I am constantly impressed with the the amount of research and application of holistic remedies my friend utilizes. The pain from fibromyalgia can be debilitating hence the need for pain medication but at what cost to the rest of the systems? I would encourage each and every fibromyalgia patient to work on optimum nutrition, supplementation and pain management therapies such as EFT and let the pain killers and muscle relaxers be your last choice and not your first. There are many inflammatory foods that perpetuate the pain in the body like refined sugars and flours. Choose fresh fruits and vegetables, nuts, seeds, quality animal proteins and quality fats and oils like olive, coconut and butter. Your body will thank you with higher function and less pain.

ScienceDaily (Mar. 27, 2009) — Mayo Clinic research shows a correlation between inadequate vitamin D levels and the amount of narcotic medication taken by patients who have chronic pain. This correlation is an important finding as researchers discover new ways to treat chronic pain.
According to the Centers for Disease Control and Prevention, chronic pain is the leading cause of disability in the United States. These patients often end up taking narcotic-type pain medication such as morphine, fentanyl or oxycodone.

This study found that patients who required narcotic pain medication, and who also had inadequate levels of vitamin D, were taking much higher doses of pain medication — nearly twice as much — as those who had adequate levels. Similarly, these patients self-reported worse physical functioning and worse overall health perception. In addition, a correlation was noted between increasing body mass index (a measure of obesity) and decreasing levels of vitamin D. Study results were published in a recent edition of Pain Medicine.

"This is an important finding as we continue to investigate the causes of chronic pain," says Michael Turner, M.D., a physical medicine and rehabilitation physician at Mayo Clinic and lead author of the study. "Vitamin D is known to promote both bone and muscle strength. Conversely, deficiency is an under-recognized source of diffuse pain and impaired neuromuscular functioning. By recognizing it, physicians can significantly improve their patients' pain, function and quality of life."

Researchers retrospectively studied 267 chronic pain patients admitted to the Mayo Comprehensive Pain Rehabilitation Center in Rochester from February to December 2006. Vitamin D levels at the time of admission were compared to other parameters such as the amount and duration of narcotic pain medication usage; self-reported levels of pain, emotional distress, physical functioning and health perception; and demographic information such as gender, age, diagnosis and body mass index.

Further research should document the effects of correcting deficient levels among these patients, researchers recommend.

This study has important implications for both chronic pain patients and physicians. "Though preliminary, these results suggest that patients who suffer from chronic, diffuse pain and are on narcotics should consider getting their vitamin D levels checked. Inadequate levels may play a role in creating or sustaining their pain," says Dr. Turner.

"Physicians who care for patients with chronic, diffuse pain that seems musculoskeletal — and involves many areas of tenderness to palpation — should strongly consider checking a vitamin D level," he says. "For example, many patients who have been labeled with fibromyalgia are, in fact, suffering from symptomatic vitamin D inadequacy. Vigilance is especially required when risk factors are present such as obesity, darker pigmented skin or limited exposure to sunlight."
Assessment and treatment are relatively simple and inexpensive. Levels can be assessed by a simple blood test (25-hydroxyvitamin D [25(OH)D]). Under the guidance of a physician, an appropriate repletion regimen can then be devised. Because it is a natural substance and not a drug, vitamin D is readily available and inexpensive.

In addition to the benefits of strong muscles and bones, emerging research demonstrates that vitamin D plays important roles in the immune system, helps fight inflammation and helps fights certain types of cancer.

Other study authors from Mayo Clinic include W. Michael Hooten, M.D., Department of Anesthesiology; John Schmidt, Ph.D., Department of Anesthesiology Research; and Jennifer Kerkvliet, Cynthia O. Townsend, Ph.D., and Barbara Bruce, Ph.D., all from the Pain Rehabilitation Center.

Am I Vitamin D Deficient?

Vitamin D and Your Health Deficiency

Good Question! There is no way to know for certain until you get a 25-hydroxyvitamin D test, also called a 25(OH)D. Levels should be above 50 ng/ml year-round, in both children and adults. Thanks to Bruce Hollis, Robert Heaney, Neil Binkley, and others, we now know the minimal acceptable level. It is 50 ng/ml. In a recent study, Heaney, et al expanded on Bruce Hollis's seminal work by analyzing five studies in which both the parent compound (cholecalciferol) and 25(OH)D levels were measured. They found that the body does not reliably begin storing cholecalciferol in fat and muscle tissue until 25(OH)D levels get above 50 ng/ml. The average person starts to store cholecalciferol at 40 ng/ml, but at 50 ng/ml virtually everyone begins to store it for future use. That is, at levels below 50 ng/ml, the body uses up vitamin D as fast as you can make it, or take it, indicating chronic substrate starvation—not a good thing. 25(OH)D levels should be between 50–80 ng/ml, year-round.

How Can I Order A Vitamin D Test and What Kind Should I Get?
The only blood test that can diagnose vitamin D deficiency is a 25-hydroxyvitamin D. Get your levels above 50 ng/ml year-round.

The Vitamin D Council has partnered with ZRT Labs to make a discounted take-home Vitamin D Test Kit that you can order on the Internet. A portion of the proceeds from the sale of each test will be donated to the Vitamin D Council by ZRT to help us in our mission to end the worldwide epidemic of vitamin D deficiency. The tests will be available to order in either a quantity of one (1) or four (4). Whether you will be testing your entire family or simply retesting yourself, consider the 4 test kit as it is much less expensive per test.

How it works
This is a home test for 25(OH)D, requiring a finger or heel stick to get several drops of blood. You order the test kit, which ZRT will ship to you. After receiving your kit either you, or someone you know in the medical field, will do a finger or heel stick and put the blood on the blotter included in the kit. You will then send the blotter paper back to ZRT in the envelope provided. ZRT will perform the 25(OH)D test in their lab and send the results directly back to you. The Vitamin D Council has verified that results obtained by ZRT are accurate and correspond very well to the results given by both LabCorp and DiaSorin RIA. These tests are good for either adults or children and avoid the venipuncture many children dislike.
However, if you have insurance, you may be able to save money by going to your doctor instead. You can have your doctor order the test—some insurance companies will pay for a 25(OH)D test, some will not. Unfortunately, about 20% of United States doctors order the wrong test. They order a 1,25-dihydroxy-vitamin D, thinking that by measuring the most potent steroid in the human body, calcitriol, they are getting useful information. They are not. 1,25-dihydroxy-vitamin D is an adaptive hormone; it goes up and down with calcium intake. So these doctors see the 1,25-dihydroxy-vitamin D is normal or high and tell their patients that they are ok when really, they are vitamin D deficient—advice that may prove fatal. Furthermore, most doctors who see a 25(OH)D of 30 ng/ml will tell you that level is fine when it is not—that is, few doctors know how to correctly interpret the test results. With ZRT, you are in control of when you test, how often you test, and what you do with the results.

How Much Vitamin D Should I Take?
Again, we don't know. This is a difficult question because it relies on so many personal factors. Everyone's situation is either a lot, or at least a little, different. How much vitamin D you need varies with age, body weight, percent of body fat, latitude, skin coloration, season of the year, use of sunblock, individual variation in sun exposure, and—probably—how ill you are. As a general rule, old people need more than young people, big people need more that little people, heavier people need more than skinny people, northern people need more than southern people, dark-skinned people need more than fair-skinned people, winter people need more than summer people, sunblock lovers need more than sunblock haters, sun-phobes need more than sun worshipers, and ill people may need more than well people.

Quite a few factors are involved, as you can see. However, don't feel bad, no one understands it. Vitamin D is used by the body—metabolically cleared—both to maintain wellness and to treat disease. If you get an infection, how much vitamin D does your body use up fighting the infection? If you have cancer, how much vitamin D does your body use up fighting the cancer? If you have heart disease, how much vitamin D does your body use up fighting the heart disease? If you are a child with autism, how much vitamin D does your brain need to turn on the genes that autism has turned off? If you are an athlete, how much vitamin D does your body use to make you stronger and quicker? Nobody knows the answer to these questions.

What We Recommend
If you use suntan parlors once a week or if you live in Florida and sunbathe once a week, year-round, do nothing. However, if you have little UVB exposure, my advice is as follows: healthy children under the age of 2 years should take 1,000 IU per day—over the age of 2, 2,000 IU per day. Well adults and adolescents between 80–130 pounds should start with 3,000 IU per day while those over 130 pounds but less than 170 pounds should take 4,000 IU per day. Those over 170 pounds should receive 5,000 IU per day. Two months later have a 25-hydroxy-vitamin D blood test, either through ZRT or your doctor.

Start supplementing with the vitamin D before you have the blood test. Then adjust your dose so your 25(OH)D level is between 50–70 ng/ml, summer and winter. But remember, these are conservative dosage recommendations. Most people who avoid the sun—and virtually all dark-skinned people—will have to increase their dose once they find their blood level is still low, even after two months of the above dosage, especially in the winter. Some people may feel more comfortable ordering the blood test before they start adequate doses of vitamin D. We understand. Test as often as you feel the need to, just remember, no one can get toxic on the doses recommended above and some people will need even more.