or kidney and liver diseases do not receive enough vitamin D from food.
Vitamin D is produced by the body on its own, if you are in the sun,
in order to stimulate its sufficient production of sufficiently direct contact
with the sun's rays for 5-30 minutes a week,
provided that you do not use protective creams
. Excessive contact with the sun puts you at risk of developing skin cancer
, so sun cream is still necessary, in addition, don't get carried away with sunbathing.
There are not many foods rich in vitamin D, but there is a lot of it in oily fish,
especially in cod liver. Also in small doses it is found in beef liver,
eggs and cheese.
Vitamin D is also often added to many foods artificially, for example, in milk or cereals.
Is there a danger of an overdose of vitamin D?
The body tends to accumulate fat-soluble vitamins, which include vitamin D,
but even if you stay in the sun for a very long time, this will not lead to an excess of vitamin
. It is also quite difficult to get too much vitamin D from food,
even from the one in which it is added by manufacturers, unless you eat cod liver.
Vitamin D is widely available as a dietary supplement,
and can be found in almost any supermarket.
However, due to the fact that the body accumulates fat-soluble vitamins,
taking it in large quantities can lead to intoxication, which will cause nausea
, vomiting, loss of appetite, constipation, weakness and weight loss.
High levels of vitamin D in the blood will also raise calcium levels, which can cause confusion and abnormal heart rhythms. So if you have any contraindications, consult your doctor before taking any dietary supplements. And follow the instructions on the package, unless your doctor makes his own adjustments.
It is estimated that, depending on age and habitat, 30 to 100% of Americans are deficient in vitamin D. More than half of American children are also deficient. Nearly 3/4 of pregnant women are deficient, putting their unborn children at risk for a range of problems. Globally, vitamin D deficiency is an epidemic and affects more than a billion people. In my practice, more than 80% of people are deficient in vitamin D. in whom I checked the indicators of vitamins in the blood.
No one knows exactly why this happens, except for the fact that we spend too much time indoors, and when we do get outside, we cover the skin with a layer of sunscreen. But I think that's not all. But whatever the reason, we're basically dealing with a global epidemic.
How much vitamin D should I take?
The body's need for vitamin D varies depending on age, weight, percentage of fat,
the breadth in which you live, the darkness of your skin, the time of year,
how often you use sun cream and your life habits in general,
and probably whether you are sick with something.
In the most general case, older people need more vitamin than young people,
more big than small, full more than thin, northerners more than southerners,
people with dark skin more than people with light, winter people more than summer,
sunscreen lovers more than those who do not use it,
those who hide from the sun more than those who love it, as well as sick more than healthy.
But my colleagues across the country and I are finding that even if people spend the time we thought was enough, their blood levels of vitamin D are still lower than they should be, so I don't know why I'm only saying this after almost half an article, but there's a simple and cheap solution to the problem, and it's ... food additives.
Here are some recommendations:
Vitamin D3 – 2000 IU
If the level of vitamin in your blood is above 45 ng / mg, then to maintain it, I recommend taking 2000-4000 IU per day, depending on weight, time of year, time you spend in the sun, where you live, skin color and, obviously, the level of vitamin in the blood. In other words, if you are older, more, live in northern latitudes, it's winter. you rarely go outside and have dark skin, I recommend aiming for the upper dosage limit.
Vitamin D3 5000 IU
At 35-45 ng / ml, I recommend compensating for the lack of vitamin by taking 5000 IU per day for 3 months under the supervision of a doctor, and then do a second analysis.
Vitamin D3 10000 IU
At levels below 35 ng/ml, I recommend compensating for the vitamin deficiency
by taking 10,000 IU per day under medical supervision,
and then, three months later, doing a second test.
It usually takes at least 6 months to optimize the amount of vitamin D
in your blood if you already have a deficiency.
Once it passes, you can reduce the dose to a maintenance level of 2,000-4,000 IU per day.
What about vitamin D intoxication?
It is impossible for the body to produce too much vitamin D as a result of contact with the sun's rays: the body has a mechanism of self-regulation, and it will produce exactly as much as necessary. However, in rare cases, an overdose is possible when taking dietary supplements, since vitamin D is fat-soluble, and therefore accumulates in the body for a long time. Thus, if you take it 5,000 IU or more per day, it is better to do a blood test somewhere every 3 months.
What blood test should I take to check?
The only blood test that can diagnose vitamin D deficiency is 25-hydroxyvitamin D (25 OH-vitamin D). Unfortunately, some doctors still order the wrong test, 1,25-dihydroxy-vitamin D. In fact, a common cause of elevated 1,25-dihydroxy-vitamin D is low 25(OH)D or vitamin D deficiency. So when doctors see that 25-dihydroxy-vitamin D is normal or even above normal, they tell the patient that there is nothing to worry about, when in fact the disadvantage is often still there.
It is better if your doctor will do an analysis for you. Unfortunately, even in some laboratories, in particular in Qwest, there are problems with the correctness of the results, which sometimes give erroneously inflated indicators.
If you do not want to see a doctor, the ZRT laboratory does a spot blood test, which can be ordered bypassing the doctor.