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Sun phobia, sunscreens, and spending too much time indoors have all contributed to the problem of vitamin D insufficiency.
Introduction It is conservatively estimated by most experts that 70 percent of the population in Canada and the United States is vitamin D deficient. In my private medical practice in Toronto, I found a very similar percentage of my patients to be vitamin D deficient as well. About five years ago, when all the newspapers were filled with the latest news and research about vitamin D, I routinely started to measure the levels of vitamin D in all my patients. To my utter surprise, the majority had suboptimal levels of the vitamin, even during the summer months. I reasoned that this was because people were frightened to death about the cancer-causing dangers of too much sun exposure and the many media pronouncements about using sunscreens, coupled with scary stories of vitamin D toxicity from oral supplements.
Sun phobiaa condition imposed on the population by sun-paranoid dermatologistssunscreens, and spending too much time indoors due to the fear of aging from sun damage have all contributed to the problem of vitamin D insufficiency. One of the worst offenders in creating vitamin D deficiency is the use of commercial sunscreens, none of which have been proved to prevent skin cancer and most of which contain carcinogenic chemicals. Studies now indicate that while sunscreens may prevent sunburns, they do virtually nothing to prevent cancer and other illnesses.
When the June 8, 2007, front page of the Toronto Globe and Mail proclaimed the cancer-preventing benefits of vitamin D and the Canadian Cancer Society chirped in with their modest recommendation for everyone to take 1,100 IU of vitamin D daily, the natural health community may have felt vindicated. Many scientists felt hoodwinked.
This cancer-preventive property of vitamin D was no big news to world experts and researchers who have been touting the numerous benefits of the vitamin for well over a decade. The medical profession and its various antiquated societies are, unfortunately, far behind in applying scientific data to clinical health concerns. Its a nice gesture on their part to recommend 1,100 IU of vitamin D a day to prevent cancer, but its far from enough. Current research indicates that the figure for cancer prevention should be closer to 10,000 IU daily. This figure will probably surface as a regular recommendation only in another decade. Its just the way the snail goes for the world of conventional medical wisdom.
But change will come. We are now seeing daily evidence of vitamin Ds promise as study after scientific study is published extolling its benefits for virtually every human disease. Vitamin D deficiency and insufficiency play a role in causing seventeen types of cancer (especially of the breast, colon, and prostate) as well as autoimmune diseases like birth defects, chronic pain, depression (especially seasonal affective disorder), diabetes (Type 1 and Type 2), fibromyalgia, heart disease, hypertension, multiple sclerosis, muscle wasting, muscle weakness, obesity, osteoarthritis, osteoporosis, periodontal disease, and stroke. Furthermore, vitamin D has been proved to regulate over two thousand genes in the body, and this may be why so many diseases are directly influenced by its availability.
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Vitamin D Basics Vitamin D is not your typical vitamin. First, vitamin D (also called the sunshine vitamin) is created under the skin by ultraviolet light. We usually get vitamins from the foods we eat; however, in the case of vitamin D, there simply are not enough rich food sources for people to get adequate amounts in their diet. To get sufficient vitamin D, we need to be exposed to sunshine or use supplements.
Second, unlike other vitamins, vitamin D is turned into a hormone in the body. This biochemically active form of vitamin D is closely related structurally to two other hormones, cortisone and estrogen.
The body has a huge need for vitamin D. All cells, tissues, and organs in the human body have vitamin D receptors, basically meaning that they await the arrival of the vitamin (or hormone) to perform various vital functions.
The most basic and best-known role of vitamin D is to regulate calcium and phosphorus metabolism; that is, vitamin D tells calcium and phosphorus where to go and what to do. Working with the parathyroid glands located in the neck, vitamin D helps the gut absorb calcium and helps to balance calcium with phosphorus in the arteries, bones, kidneys, and teeth. If calcium and phosphorus intakes are adequate and vitamin D is deficient, major problems can arise in numerous tissues and organs, leading to diseases such as atherosclerosis, blood-clotting disorders, kidney stones, osteoporosis, and at least thirty-six other diseases.
When vitamin D levels in the blood are low, both calcium and phosphorus levels decrease, causing parathormone to be released from the parathyroid glands. This, in turn, causes the bones to release calcium and phosphorus to maintain a steady state of these two minerals in the blood. When vitamin D levels in the blood are sufficient, the hormone calcitonin causes excess calcium and phosphorus to be returned to the bones. Vitamin D works to orchestrate this complex phenomenon, and sufficient levels are crucial for bone health.
Without adequate amounts of vitamin D, bones lose minerals and even mass. Low levels of calcium also affect the nervous system and the cardiovascular system. In addition, it is now known that vitamin D controls several adrenal gland hormones, the speed at which cells grow, the production of enzymes, and the function of some of our genes.
VITAMIN D IN THE HUMAN BODY
Without sunshine or a source of ultraviolet lightor in people with very dark skinvitamin D production is significantly impaired. Vitamin D3 (cholecalciferol) is actually manufactured in the skin when ultraviolet light, either from the sun or a tanning bed, interacts with the enzyme 7-dehydrocholesterol to form it. Then the liver and kidneys take over, converting vitamin D3 into the major circulating, active forms of vitamin D called 25-hydroxy cholecalciferol and 1,25-dihydroxy cholecalciferol.
If vitamin D is ingested from either an animal or plant source (it exists in only minute amounts in the plant kingdom), it is absorbed through the walls of the small intestine with the aid of bile coming from the gallbladder (or the liver, in those people without gallbladders). Some conditions such as food allergies can bind vitamin D and prevent its absorption from the gut.