"D" Is For "Don't Stay Out Of The Sun Without It"
As a sun avoider, I was taking 1,000, then 2,000 iu of Vitamin D, but, for a few months, I've been taking 5,000 iu. I'm planning to get tested to see whether I need more (and I suspect I will, per what a light olive-skinned friend of Northern Italian extraction discovered when he was tested). There's a terrific article on Vitamin D on LewRockwell.com, believe it or not, by Donald W. Miller, Jr., MD. An excerpt:
There are thirteen vitamins humans need for growth and development and to maintain good health. The human body cannot make these essential bio-molecules. They must be supplied in the diet or by bacteria in the intestine, except for vitamin D. Skin makes vitamin D when exposed to ultraviolet B (UVB) radiation from the sun. A light-skinned person will synthesize 20,000 IU (international units) of vitamin D in 20 minutes sunbathing on a Caribbean beach.Vitamin D is also unique in another way. It is the only vitamin that is a hormone, a type of steroid hormone known as a secosteroid, with three carbon rings.
Steroid hormones such as cortisone, estrogen, and testosterone have four carbon rings. Ultraviolet B radiation in sunlight breaks open one of the rings in a steroid alcohol present in the skin, 7-dehydrocholesterol, to form vitamin D (cholecalciferol). The liver changes this molecule into its circulating form, 25-hydroxyvitamin D (calcidiol, 25[OH]D), the "vitamin D" blood tests measure. Cells throughout the body absorb 25-hydroxyvitamin D and change it into 1,25-dihydroxyvitamin D (calcitriol), the active form of vitamin D that attaches directly to receptors on the DNA of genes in the cell's nucleus.
The vitamin D hormone system controls the expression of more than 200 genes and the proteins they produce. In addition to its well-known role in calcium metabolism, vitamin D activates genes that control cell growth and programmed cell death (apoptosis), express mediators that regulate the immune system, and release neurotransmitters (e.g., serotonin) that influence one's mental state.
...Now, a century later, a wealth of evidence suggests that rickets, its most florid manifestation, is the tip of a vitamin D insufficiency/deficiency iceberg. A lack of Vitamin D can also trigger infections (influenza and tuberculosis), autoimmune diseases (multiple sclerosis, Type 1 diabetes, rheumatoid arthritis, and inflammatory bowel disease), cardiovascular disease, and cancer. Practitioners of conventional medicine (i.e., most MDs) are just beginning to appreciate the true impact of vitamin D deficiency. In 1990, medical journals published less than 20 reviews and editorials on vitamin D. Last year they published more than 300 reviews and editorials on this vitamin/hormone. This year, on July 19, 2007, even the New England Journal of Medicine, the bellwether of pharmaceutically-oriented conventional medicine in the U.S., published a review on vitamin D that addresses its role in autoimmune diseases, infections, cardiovascular disease, and cancer (N Engl J Med 2007;357:266-281).
...There is now strong scientific evidence that vitamin D does indeed reduce the risk of cancer. Evidence from a well-conducted, randomized, placebo-controlled, double-blind trial proves beyond a reasonable doubt that this is the case, at least with regard to breast cancer. A Creighton University study has shown that women over the age of 55 who took a 1,100 IU/day vitamin D supplement, with calcium, and were followed for 4 years had a highly statistically significant (P <0.005) 75% reduction in breast cancer (diagnosed after the first 12 months) compared with women who took a placebo (Am J Clin Nutr 2007;85:1568-1591).
If you decide you want to order some Vitamin D, the brand I take (Biotech, 5,000 iu) is available on Amazon, but for an exorbitant price. While I appreciate how sweet you've all been about buying stuff through Amy's Mall, it's way cheaper here, right from the Biotech site. Oh yeah -- they're tiny capsules and very easy to take.
And remember, I'm your Advice Goddess, not your doctor. I'm just reporting on what I'm doing. For actual medical advice on whether Vitamin D supplements are right for you, turn to somebody who practices evidence-based medicine -- if you can find such a person. (Don't be to sanguine that your doctor bases their treatment for you on evidence, as opposed to which drug company reps take them to lunch.)







I remember my mother telling me, when my daughter was born, that her grandmother had told her to make sure that I was given at least 15 mins in the sun every day. She told her it was to prevent rickets. My mother insisted I do the same w/ my daughter and I did. My little girl has had very few health problems while her peers are almost always sick. I can't help but think the sunlight plays a part in her good health. I don't keep her cooped up inside all day. From mid morning to 8 pm, we're at the pool or outside riding our bikes, etc..
If you use sun block and wear a big hat, you can still get enough sun to be beneficial, but not harmful. I do this every day at the pool. I esp. have to be careful- I have Lupus and a couple of other chronic conditions that LOVE the sun, but Lupus hates the sun. It really is a balancing act; Too much sun and I flair, not enough sun, and I get sick. (Even with supplements.)
I generally use 35 strength combined with 45 Zinc for the face and a huge floppy hat. I use the same on my daughter. I've (thankfully) not had a problem this summer with flairs or other pain. I seem to have struck on the right combo.
It's probably a good idea to get tested. All sorts of issues can arise if your deficient in Vit. D. (others, too!) Issues that ppl wouldn't even think about being caused by a deficiency. Like morning aches and pains and stiffness throughout the day. Thanks, Amy, for posting this. :)
OT- I've redone my browser, so I can see the ads, but only on your page.
I'm sorry I didn't respond the other day to either you or Luljlp; I had a filling fall out and I spent my time curled up and drugged up until I could see the dentist. (Tooth pain is the worst! I hope this makes sense- I'm still loopy from the pain killers. :)
Truth at August 17, 2009 3:39 AM
Teeth arent that bad, imagine haveing your ribs spread and half your lung cut out
lujlp at August 17, 2009 5:55 AM
Just be careful not to overdo the Vitamin D. IIRC, it's a fat-soluable vitamin that accumulates, and so it's possible to overdose on it.
Cousin Dave at August 17, 2009 7:40 AM
Amy Alkon
https://www.advicegoddess.com/archives/2009/08/vitamin-d.html#comment-1663264">comment from Cousin DaveJust be careful not to overdo the Vitamin D. IIRC, it's a fat-soluable vitamin that accumulates, and so it's possible to overdose on it.
Thanks for your concern, Dave, but please read the whole piece, and go on Dr. Eades' site and look up Vitamin D on his blog. Deadline now, can't go find the links.
Amy Alkon
at August 17, 2009 7:54 AM
Living in texas and having kids, I just can't avoid the sun. We get our 20 mins a day or so with no sunblock, and we drink lots of milk. I think we will get tested though, just to be safe. I've actually been toying with the idea of seeing an endocrinologist too, to get all my hormones checked. Thanks!
momof4 at August 17, 2009 8:06 AM
"For actual medical advice on whether Vitamin D supplements are right for you, turn to somebody who practices evidence-based medicine -- if you can find such a person."
Perhaps that nice young doctor who spoke up at Sheila Jackson Lee's townhall?
Robin at August 17, 2009 8:09 AM
I just moved from Seattle and pretty much everyone in Washington state is vitamin D deficient (for obvious reasons), and evidentially me even more so. I was so low they even did a bone density scan to make sure I was ok, as well as put me on high dose prescription vitamin D that I took for awhile (I think it was like one 50,000 IU once a week).
Anyways, I now know how important it is to take vitamin D and highly recommend it (research shows it can make you feel happier too). Which reminds me, I should probably order some.
Stacy at August 17, 2009 8:16 AM
Amy Alkon
https://www.advicegoddess.com/archives/2009/08/vitamin-d.html#comment-1663273">comment from momof4We get our 20 mins a day or so with no sunblock, and we drink lots of milk. I think we will get tested though, just to be safe.
This is wise. My epidemiologist friend said (about getting sun to get D) that D enters the body gradually through oils in the skin, and that we bathe more now than humans ever did, so the benefits of sun exposure can actually be washed off.
Amy Alkon
at August 17, 2009 8:19 AM
Here's some solid, empirical science presented in a very entertaining lecture by Michael Holick on UCTV.
Eugene at August 17, 2009 8:21 AM
Let's not forget that semen is also a source of Vitamin D:
http://www.lumrix.net/medical/andrology/semen.html
Snoopy at August 17, 2009 9:06 AM
Robin - you funny.
Amy,
I hear Carlson Labs makes a good Vitamin D supplement. I will check into your suggested brand as well. I've been taking vitamin D now for a while but I read somewhere that you need to be particular about the brands. So I was just researching this yesterday.
This post was really good timing for me.
Feebie at August 17, 2009 9:09 AM
Amy Alkon
https://www.advicegoddess.com/archives/2009/08/vitamin-d.html#comment-1663283">comment from FeebieMy epidemiologist friend told me it's very important to see that vitamins you take aren't made in China or from Chinese-produced ingredients. Eades, if I remember correctly, told me Biotech are good on that level. Also from memory, I think Carlson is one of the good brands (ie, not made in China, at least.) I take fish oil, too -- IFOS certified to not be swimming in mercury. Cheap vitamins, if they're from China, or contain harmful substances, can be very costly in the long run.
Amy Alkon
at August 17, 2009 9:22 AM
Speaking of fair skinned red heads, did you see the study about red heads needing more novacaine than other people at the dentist?
From the NYT:
A growing body of research shows that people with red hair need larger doses of anesthesia and often are resistant to local pain blockers like Novocaine. As a result, redheads tend to be particularly nervous about dental procedures and are twice as likely to avoid going to the dentist as people with other hair colors, according to new research published in The Journal of the American Dental Association.
Researchers believe redheads are more sensitive to pain because of a mutation in a gene that affects hair color. In people with brown, black and blond hair, the gene, for the melanocortin-1 receptor, produces melanin. But a mutation in the MC1R gene results in the production of a substance called pheomelanin that results in red hair and fair skin.
******
But at least we don't go grey.
sean at August 17, 2009 10:35 AM
I also take 5,000 IU/day vit D from Biotech. My doctor at William Beaumont Hospital (Detroit area as you know, Amy) recommended it and their clinic sells the Biotech brand now.
The same doc also recommended taking fish oil capsules and said per his research the CostCo brand is good/safe.
Nancy at August 17, 2009 10:54 AM
I've always wondered what variations we'd see in humanity had we not been reduced to a few ten thousand and nearly made extict near the dawn of our species.
lujlp at August 17, 2009 10:57 AM
Dr. Eades has mentioned Dr. Davis's heartscan blog, and he's also very much in favor of vitamin D3 supplementation, but warns about vitamin D2, which you may get prescribed, while D3 is available OTC. He also prefers softgels, as he believes it's better absorbed in oil than dry in tablets. This article from last week talks about the case against vitamin D2. I'm starting to collect URLs to refer to for supplement related information, so people who ask me what to take can make their own decisions based on the information I used. The other web site Dr. Davis runs also has a set of tests you can order if you can't get them done by a doctor, and are not in New York or California.
Tracy at August 17, 2009 11:41 AM
> sells the Biotech brand now.
Sorry, can't read it without thinking of the street-slang taunt for women.
Crid [CridComment @ gmail] at August 17, 2009 11:57 AM
"that D enters the body gradually through oils in the skin" Amy
what with the what now? I thought it was created inside your skin... not on top. Is it good that I have oily skin?
Anywho the thing about reds an novacaine... I was only a red as a baby, and grew out when I got bigger, thought the beard comes in red [think Viking] and I can say that various types of deadeners and painkillers in general don't work so well. My dentist starts me 1/2 hour early with double the normal amount of shots just to get it to work. he did a crown about 20 years ago, and it wasn't dead enough. I broke the arm of his chair...
SwissArmyD at August 17, 2009 1:14 PM
Amy, thank you for the excellent post! This is why I keep on reading your blog.
I am living my life mostly inside. I have reached the point where the summer afternoons are painful for my eyes. So, knowing that the vitamin D had that impact on my health, it put the bottle of Vit. D supplements high on my list of things to get tomorrow.
Toubrouk at August 17, 2009 7:17 PM
Thanks Amy! I just got diagnosed with a Vitamin D deficiency, among others, despite eating really well. I bought some vitamins off the shelf until I could do the research. Thanks for the Biotech tip. What calcium, fish oil, and multiple do you take? If they're compatible for me, I'll grab them through Amazon.
JulieA at August 17, 2009 7:39 PM
Amy Alkon
https://www.advicegoddess.com/archives/2009/08/vitamin-d.html#comment-1663446">comment from JulieAI take Nordic Naturals fish oil because they don't give me fish burps, and because (very important) they're certified by IFOS (Int'l Fish Oil Standards) -- to not be laced with mercury, etc. Important to keep them in the fridge and not have them be in the car, etc., so they don't get rancid.
Have to change my cal-mag, so I'll try to remember to let you know when I change it.
Amy Alkon
at August 17, 2009 10:17 PM
Let me get this straight.
Amy, you have a bug up your ass about smokers and fat people being a burden on society. You resent the employed who have subsidized health insurance as a benefit of their employment while you have to pay your own premiums.
You also resent retirees who have pensions they worked for and earned.
You're a middle aged woman who needs Ritalyn to make it through your very stressful life as a single, well paid writer of an advice column that you post for free on your blog while begging your blog readers for money because newspapers are dropping your column. That you post for free on your blog.
OK, I think I got all that.
I'm still a little lost about the assistant you have. I assume you pay that person something? Nevermind.
Now, this test you're going to have to see if you need vitamin D because you deliberately avoid the sun? You are going to pay for 100% of that test out of your own pocket, right?
Of course you are. You're not that big of a hypocrite, are you?
Jaynie59 at August 17, 2009 10:35 PM
Heh, way to leave out lots salient info Jaynie...
Like how you take ritalin when you have a diagnosed condition called ADD, you have to sign for it every month in person because it's a controlled substance, and that's what helps you lead a normal life that a person like Jaynie obviously take for granted...
Or that part where when you have incredibly pale skin of a red-head, you might avoid the sun, because it damages your skin directly, and you have a much greater risk of skin cancer...
Which? if you get it, is ever so much more expensive than a basic blood test panel that you would get with a routine physical every year.
So. d'ja get all that? "well paid" is relative... and in essence Amy is a businees woman. We find value in what she writes, and do what we can to compensate for that.
She does the JOB and she gets PAID. How is that different from you?
SwissArmyD at August 18, 2009 8:50 AM
Leave a comment