November 03, 2016

Vitamin D part 1 of 2

Articles by Dr. Erdman are for informational purposes, and are not to be taken as specific medical advice.

One of the subjects I try to engage most patients in is that of nutrition and nutritional supplementation.  Coming into the winter months, a few words about vitamin D3 seem appropriate.

Did you know vitamin D is not really a vitamin at all?  It is a steroidal hormone precursor necessary to every cell in the body, yet not found in the natural food supply; except in eggs, liver and fatty fish.  Essentially, it affects your entire health condition.  Heart heath, skin health, the aging process, athletic performance, vascular system, immune system, bone health, carbohydrate and fat metabolism, and pregnant women all need optimal vitamin D levels.  If you are eating a low fat to no fat diet, you need even more vitamin D.  Dark skinned people need more than normal due to melatonin blocking UVB rays entering the skin.  Vitamin D regulates over 2000 genes in the body!


There are essentially three ways to get vitamin D.  The first is by natural exposure to the sun.  In summer months, May to August, this is the preferred method.  You only need about 15 minutes of midday sun to make 20,000 IU’s of Vitamin D.  (You must expose most of your skin, not just your face, hands and feet!)  The body will self-regulate, and stop producing D when you reach your maximum dose.  Don’t burn!

Secondly, especially in climates above 30° latitude and between September and April, supplementation of vitamin D3 is necessary.  How much?  Well, that’s where blood work comes into play.  You need to know where your levels are, before you can say exactly how much you need to take.  The correct test needed is the 25(OH) D or 25-hydroxyvitamin D.  It is measured in nanograms per deciliter (ng/dl). Here is a simple chart:

50-70
Optimal
70-100
Treating cancer & heart disease
>100
Excess
>180
Overdose with side affects

Here are some general dosages as recommended by Dr. Mercola:

Under 5 years old
35 IU per pound per day
5 – 10 years old
2500 IU/day
Adults & pregnant women
5,000 -10,000 IU/day
Only way to know for sure is blood test!

Third, you can use tanning beds with UVB bulbs.  These are NOT the ones found in most tanning beds, they are UVA, and only serve to brown your skin, not give you vitamin D conversion.


I know, I know…the medical profession says stay out of the sun and especially the tanning beds.  Well, for your good health, you will need to overcome your fear of the sun!  Don’t let them scare you.  The medical and cancer society’s say to stay out of the sun because it causes skin cancer.  Do you believe it? 

  In my next article, we’ll look at recent research that proves they are wrong, and how ignoring vitamin D from the sun is actually more harmful to you than the dreaded sun exposure.