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Vitamin D

Up until recent history, Vitamin D has been best known for it’s critical involvement in the absorption of calcium and consequently it’s role in bone density. More recently, research has been uncovering Vitamin D’s other critical roles in health maintenance and disease prevention.

It is because Vitamin D is a steroid hormone precursor that it has such a wide spread positive health effects. Vitamin D deficiency plays a role in 30 different conditions, 17 of those being different types of cancer.  Included in that list are:

  • Autoimmune diseases
  • Birth defects
  • Chronic pain
  • Cancer
  • Depression
  • Diabetes
  • Fatigue
  • Gum disease
  • Hypertension
  • Heart disease
  • Muscle wasting
  • Muscle weakness
  • Osteoarthritis
  • Osteoporosis
  • Stroke

Forms of Vitamin D



  1. Cholecalciferol (vitamin D3)Cholecalciferol is the naturally occurring form of vitamin D. It is manufactured in the skin when sunlight contacts bare skin.  It takes 30 minutes of full body sun exposure for the skin to make a minimum 10,000 units of vitamin D.  This form of vitamin D is also the form that is found in over-the-counter supplements in pharmacies and health food stores.
  2. Calcidiol (25-hydroxy vitamin D)Calcidiol is made from cholecalciferol (D3).  This is the form of vitamin D that is considered a prehormone.  Blood levels of Calidiol are considered the best indicator of a person's vitamin D status.  Doctors most commonly use it's other name (25-hydroxy vitamin D) when ordering the lab test.
  3. Calcitriol (1,25-dihydroxy vitamin D)Sometimes referred to as the “active form” of vitamin D, Calcitriol is made from Calcidiol predominantly in the kidneys.  This is considered one of the most potent steroid hormones in the human body.  Calcitriol has been and continues to be studied for it’s anti-cancer activity. 
  4. Ergocalciferol (vitamin D2 or Calciferol)This form of vitamin D is not naturally found in the body.  It is derived from fungus.  Ergocalciferol is available over-the-counter in small quantities in some countries, and by presciption only in others.  Ergocalciferol (D2) is converted into cholecalciferol (D3) in the body.

Dosage


Dosage depends of age and weight.  Current recommendations are changing as research brings new information to light.

Fairly conservative guidelines for healthy individuals are:

Healthy children under 1 year of age:  1000IU
Healthy children over 1 year of age:  1000IU for every 25lbs of body weight
Healthy adults and adolescents:  2000IU per day
Pregnant and lactating mothers: 2000IU per day

Please note, these are general guidelines only.  Please consult a Naturopathic Physician or other knowledgeable, qualified health professional for your specific needs.

Larger doses are sometimes recommended, however, this should only be done under the supervision of a Naturopathic Physician, or other knowledgeable, qualified health professional.

 


2 Comments to Vitamin D:

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Victor Carulei on Saturday, January 14, 2012 1:51 PM
Hi, At this time there is very little evidence to support these "promising" statements. All the trials conducted so far show CONFLICTING results. Much more investigation is required before jumping on this alternative bandwagon. V Carulei
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Dr. Bailey on Sunday, January 15, 2012 7:35 PM
Dear Victor, I agree that it is always prudent to question any results in scientific studies The evidence with vitamin D is certainly not ALL conflicting. The trend of the over all evidence demonstrates that vitamin D does play a positive role in our health, and lack of sun exposure, and the resulting lack of vitamin D places people at risk of a long list of diseases. To simply say that vitamin D (or lack thereof) is solely responsible for the cure (or cause) of any particular disease would be naive. Sufficient vitamin D is linked to better health outcomes, and conversely, the lack of vitamin D is linked to poorer health and survival rates in certain diseases. I think there is a certain amount of hype out there on the internet and in the news. This has certainly been seen before in other health topics over the decades regarding various vitamins, minerals, diet fads, etc. I think over the upcoming years we will see not whether vitamin D is beneficial, but just how beneficial it is. We will know more about how it benefits certain patients with particular conditions, and how it will interact in combination with which other treatments including pharmaceuticals, other vitamins, minerals, herbs, etc. Some of these interactions have already had some investigation, while others have yet to be studied. Nevertheless, evidence suggests that for the average individual, a moderate vitamin D intake provides benefit. In regards to this "alternative bandwagan", the research that has been done so far around the world, is the result of work by PhDs and MDs who are professional reaseachers - anything but alternative. A great website to visit is www.vitamindcouncil.org - perhaps it can provide you with some further information.
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