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Monday Health & Wellness: Vitamin D

admin April 4, 2011

Yes, vitamin D is so important that it deserves its own post. 🙂  This was actually inspired by a new study that just came out, showing that many moms (41% in this study) were vitamin D deficient, and they were at a very increased risk of gestational diabetes!  There are so many studies coming out showing what vitamin D is linked to that it’s time to take a closer look.  Why is vitamin D so important, what is enough, and where do we get it?

What is Vitamin D?

Vitamin D is actually not a vitamin at all; it is a pre-hormone.  It helps to regulate many of the hormones in our bodies, as well as the use of other vitamins.  There are two major types: D2, or ergocalciferol; and D3, or cholecalciferol.  D3 is more natural and much better absorbed.  Most fortified foods contain D2, because it is cheaper.

Without vitamin D:

  • Our bones don’t absorb calcium or phosphorus
  • Our pancreas doesn’t use insulin very well, or make enough of it (leading to type II diabetes)
  • Cancer becomes more likely (vit D slows down cell proliferation, or multiplying; and it encourages cellular diversity.  Cancer cells are alike and multiply quickly)
  • Inflammation is more likely (vit D is anti-inflammatory)
  • Our immune systems are weaker
  • We are more sensitive to low-level radiation
  • Deficiency has been linked to depression, autism, asthma, obesity, arthritis, and just about every other major disease

 

Vitamin D is crucial to health.  There have been a number of studies completed in the last several years.  Here are just a few:

There are lots more.  But, it’s very clear that we need vitamin D!!

How Much is Enough?

Recently, the FDA increased the RDA (Recommended Daily Allowance) on vitamin D, in light of new research.  Unfortunately, it’s been criticized as being far too low, and the council entirely ignored most of the research available, citing only “bone health” as a benefit of vitamin D.

The current RDA for vitamin D is just 600 IU for adults, and 400 IU for children (adults over 70 are 800 IU).  This was updated as of November, 2010.  Previously, the RDA was just 200 IU for everyone.

It is very important to note that the RDA is not the “maximum safe amount,” it is “the minimum amount required to stave off serious deficiency.”  It is perfectly safe, and encouraged, to get more than the RDA on basically all nutrients.

Many doctors are now recommending supplementation in the 1000 – 2000 IU per day range, and up to 4000 IU for pregnant and nursing women.  Some even recommend 10,000 IU in times of illness (safe for several weeks), or even 50,000 IU during severe illness (safe for only a few days; do this only under the care of a medical professional).  Supplementation levels over 40,000 IU per day can cause toxicity over time (several weeks or months).

The best way to tell if your levels are adequate is with a serum blood test.  According to most research, 33 – 49 ng/mL is considered “normal,” while 50 – 65 ng/mL is considered “optimum.”  Some even recommend being in the 65 – 80 ng/mL range.  Over 100 ng/mL is generally toxic, but extremely difficult to achieve.

Unfortunately, the government recommends being only “greater than 20 ng/mL” for adequate health, and consider over 50 ng/mL “toxic.”  This brings great concern, because in studies where close to half of the people are found to be deficient, which standards are they actually using?  It may be that nearly all the people are deficient if these standards are the ones being used.

How Do We Get It?

It can be hard to maintain adequate levels of vitamin D (especially with the current advice to “avoid the sun” and such low standards for vitamin D levels!!).  However, it is certainly possible, and ideal!

The sun is the absolute best source of vitamin D, and the one we were meant to get it from whenever possible.  This is more difficult for dark-skinned people (melanin blocks absorption of UVB rays, which cause vitamin D synthesis) and those in Northern areas with limited sun.

It is possible to make about 10,000 IU from the sun in just 20 minutes, if you are fair-skinned and the sun is out.  Shade reduces this up to 50%, and darker skin reduces it too.

Do not use sunscreen!  This is especially important if your time in the sun is limited.  (On an all-day trip, there are some safer alternatives to common sunscreens.)  SPF 8 reduces 95% of the UVB rays, and anything higher completely eliminates them.  You will not synthesize vitamin D if you are wearing sunscreen while outside.  Do not use it unless absolutely necessary (such as on a beach trip), and then only apply after a couple hours outside.  Loose, light clothing is a good alternative on such trips too.

There are very few food sources of vitamin D.  Cod liver oil remains the best source, and one I highly recommend (and which we take daily).  It is important to balance it with vitamin A for the best absorption, which is why a whole-food source like cod liver oil is the best idea.

Lard from pastured pigs is a good source; fish is a minor source (salmon, tuna, mackeral).  All plant sources contain only D2, which is not well absorbed.  Vitamin D must come from the sun or an animal source.

Do not take prescription supplements; these are made from vitamin D2!  They are not well absorbed and will not raise your vitamin D levels sufficiently.

Vitamin D requires fat to be absorbed, because it is a fat-soluble vitamin.  If you are not consuming enough dietary fat, you will not reap the benefits!  This is why most food sources are fat (lard) or fatty sources (mackeral).  It is best absorbed if combined with omega-3 fatty acids (again, why it’s found primarily in fish or foods that also contain omega-3s!).  It is important to continue to eat occasional fish or other omega-3 sources even if you are getting it from the sun, for this reason.

Interestingly, these same fats can protect your skin from the sun so that you do not burn.  Consume plenty of saturated fats, and plenty of water while you are in the sun (or when you get sun frequently) to minimize burns and maximize synthesis.

(Since beginning a traditional diet and upping my saturated fat intake, I no longer burn on my arms or legs, no matter how long I am outside.  I used to burn terribly.  My face and neck and other areas that are not usually exposed burn slightly if exposed too long.)

Magnesium deficiency (another serious problem we’ll talk about in upcoming weeks) and can also reduce vitamin D absorption rate.  Magnesium is required to convert it into a usable form.

Shower habits, too, can affect your ability to synthesize vitamin D (yes, really).  Vitamin D, as a fat-soluble vitamin, is made in the oily layer of your skin.  It is then slowly absorbed over 2 – 3 days.  If you shower everyday and use soap, you will wash this oily layer off your skin and will not absorb the vitamin D you just made!  The best idea is to rinse off with plain water if you really need to, but otherwise aim to shower only 2 – 3 times per week.  (If you shower less often slowly, you will find that you don’t need it so much.  I used to shower daily, and now shower 1 – 2 times per week and have no problems.  I slowly reduced how often I shower over a period of about 7 or 8 years, though it definitely doesn’t need to take that long!)

Do you get enough vitamin D?  What is your major source?

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17 Comments

  1. Great article, thanks for posting. Did your research cover sun exposure and skin cancer specifically? Or are you saying that enough vitamin d and fat should reduce all cancers? Thanks for any clarification!

    Reply

  2. Amanda,

    Yes, enough fat and vit D should reduce the risk of ALL cancers, according to my research. There are notes on a couple different cancers here, skin and breast I think. But on the same site there's lots more studies about other types of cancer too.

    Reply

  3. I'm glad you mentioned you only shower 1-2 times a week. I usually take a shower 2x a week (unless I get particularly sweaty/dirty) and people have made me feel like I'm gross. Most of my friends shower every day and can't imagine taking fewer showers.
    I've always figured it's better for our hair/skin to not shower so much and I love hearing I was on the right track. Thanks for the post!

    Reply

  4. How can you only shower only once or twice a week? Don't you feel dirty or experience a body odor when not cleaning yourself frequently? Just curious since I've tried to go without a shower but start to smell.

    Reply

  5. Tanya,

    It took awhile to kind of "cut down" before I could manage. In high school when I showered every weekday, by Sunday it was awful! lol. Changing diet has something to do with it, too. I also started to use less soap when I do shower, just on parts likely to get dirty most of the time. I've never really been able to use deodorant (at least not commercial) — sensitive to it — that might have something to do with it too. Gradually cut back, drink more water, eat whole foods, switch to natural body products (if you haven't already) and over time it should be easier.

    Reply

  6. I found out the hard way that I need 8000 IU per day just to stay "normal". I was probably low for many years before finding this out less than 2 years ago. After being diagnosed with cancer in January, I'm now wondering if this lack of Vitamin D contributed. I'll never know definitively, but am keeping my dosage high and making sure my children get plenty as well (through gelcaps for the 3, 4, 6, and 10 YO) and Green Pastures fermented cod-liver oil for the baby who will actually take it.

    Reply

  7. Thank you for bringing attention to this important topic! It is essential but not often emphasized.
    I am curious, can you tell me where you learned about the idea of showering affecting D synthesis? I have a good understanding of vitamin D synthesis, but I am very unfamiliar with the idea that it's synthesis is inhibited by washing off of skin oils. It is synthesized in the lowermost parts of the epidermis, so how this is directly affected by oils is puzzling. Maybe you can direct me to where I can read more about it.
    Thanks 🙂

    Reply

  8. Thanks for this information! My 2 month old son’s pediatrician gave me a prescription for vitamin D drops I thought it was odd and thought to myself I need to search about Vitamin D on MAM blog. This was so helpful!

    Reply

  9. Great timing! Just found out I’m Vitamin D deficient after my annual physical last week. They suggested buying a supplement to increase my levels and will recheck in 3 months. I forgot about cod liver oil, I think it’s time I bite the bullet and order some for myself. I’m still nursing my 14 month old so I’m sure I could use the extra fat and vitamins in it.

    Reply

  10. I read this: “It is beyond ironic that for quite some time now, everyone has been encouraged by the “authorities” to avoid the sun in order to keep from getting cancer, yet it is that very sun exposure that would help in avoiding cancer in the first place! “Avoid midday sun, or you`ll get melanoma!” we`re told. But melanoma is mostly triggered by UVA rays from the sun – not UVB. When is cancer-causing UVA exposure the lowest? Right around midday. When is UVB exposure the highest? Also right around midday. A high UVB:UVA ratio (high UVB and low UVA) is the best for creating vitamin D in the body, and this occurs when the sun is highest in the sky – exactly the time (ironically) that is often suggested to be avoided.” (http://www.naturalnews.com/027345_Vitamin_D_exposure_sun.html) Have you studied that at all (the need to be out in the middle of the day especially)?

    Reply

  11. Hi MAM!
    Great post! but here is a few questions… FCLO claim that they do not know how much vita D is in it… which is y my doc wants me to use supplements as well. I have a vita D3 supplement that I use for me and the kids. We are NEVER out in the winter so how much should the kids and I be shooting for and to get that amount is it safe to take that much vita A in FCLO??? Also y do they call the supplement vita D3 if its made of D2?

    Reply

  12. I’ve cut back on the showers out of necessity with the little ones running around, nice to know there might be some benefit to it! Very interesting information. I have been taking a supplement for the last maybe 9 months and this has been by far my best pregnancy – #6, currently at 34 weeks, as far as energy levels and I had zero morning sickness and have wondered if the Vit D helped with that!

    Reply

  13. […] get sick in the winter.  First and most important is that people tend to be very deficient in vitamin D.  Without vitamin D, our immune systems don’t work properly (neither do a lot of other […]

    Reply

  14. […] your vitamin D levels for a healthier pregnancy as well as to avoid illness.   Cod liver oil will help with this, […]

    Reply

  15. […] sun is so important to health.  The sun produces vitamin D in your skin, and vitamin D has myriad health benefits — and probably more they haven’t […]

    Reply

  16. […] (A side benefit of this is the increased ability of absorb vitamin D through oils on the skin!) […]

    Reply

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I’m Kate, mama to 5 and wife to Ben.  I love meeting new people and hearing their stories.  I’m also a big fan of “fancy” drinks (anything but plain water counts as ‘fancy’ in my world!) and I can’t stop myself from DIY-ing everything.  I sure hope you’ll stick around so I can get to know you better!

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