The following program
presents principles designed
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to promote good
health and is not intended to
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take the place of
personalized professional
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care. The opinions and
ideas expressed are those of
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the speaker.
Viewers are encouraged to
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draw their own conclusions about
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the information presented.
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Welcome to
"Wonderfully Made." My name is
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Dr. George Guthrie,
Medical director of The
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Lifestyle Center of
America. Have you ever been
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told by your doctor
that you should avoid sun
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exposure. You know
too much sun can actually
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cause, cause sunburn
which is uncomfortable but
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often lead to skin
cancer as well, on the other
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hand you need some
sun exposure to be healthy
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we're here to talk about
it today on Wonderfully Made
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joining me is Dr.
Tim Arnott. Hi George,
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good to be here,
yeah good to be here Tim.
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Well, so there is this
is argument too much sun,
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too little sun, I am
sure everybody's heard
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how important it is
to stay out of the sun,
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but what benefits
might the sun have to us.
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Well, George it's very
interesting that sunlight
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actually can help you
lower your risk of a number
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of disease, in fact are
you aware that sun exposure
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could actually lower
your risk of developing high
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blood pressure and
that can help you lower
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your risk of coronary
artery disease and perhaps
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even lower your risk of
stroke. Now, when it comes
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to your bones you could
actually lower your risk
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of osteoporosis and
an adult form of rickets,
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something similar to
rickets that's called
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Osteomalacia and did
you also know that you could
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perhaps lower your
risk, your child's risk of
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type-1 diabetes by
helping them to get adequate
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sun exposure. Oh!
These are some rather
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amazing claims
you're making here doc,
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it seems to me folks
should understand what the
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active element is that
we are talking about here,
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Vitamin D.
Absolutely Vitamin D is the,
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the important element
you may not, well you may
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have thought that
when you eat that bean and
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that whole grain.
That the calcium and the
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magnesium and the
phosphorous in those foods,
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just automatically
goes into your blood stream
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after the digestive
process, but the reality is that
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the creator has
designed us so that in order to
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get the maximum
amount of calcium, magnesium
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and phosphorous from
the food in the intestine
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into the blood stream
you need the help of an
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important vitamin
that vitamin is vitamin D.
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Now, George tell us
how is it that Vitamin D,
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is actually made. Well,
it's actually misnamed it's
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not really a vitamin
overall it's a hormone.
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We didn't understand
that as we discovered it
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we came it through
this disease process we know
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as rickets and nobody
knows, knew what cause
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the disease process as
they began to experiment
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and try to find out,
one doctor discovered they
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can take kids with
rickets and put them in front of
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an arc and that would
take care of their rickets
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and then. You're
talking about an arc lamp,
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yes, is that correct, an
arc lamp a strong electrical
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arc and then they
discovered that we could
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actually put them, the
kids on the roof of the
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hospital and their
rickets would go away I mean
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that's that was kind
of interesting, from that
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came the discovery of
this substance actually
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which we call a
vitamin but which is actually a
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hormone. In fact what
happens is this, cholesterol in
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our bodies in the skin
it goes through a little
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preparation process
and then sunlight comes and
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hits that cholesterol in
the skin and in hitting it
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breaks one of its rings
and turns it into what we
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understand to be Vitamin
D, its actually a Previtamin
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D first which can be
stored in the skin and then
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released into the blood
stream as our body needs it
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to manage calcium,
magnesium and some other
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things, absolutely and
so vitamin D is so very
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important and the
other thing to keep in mind
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as if your kidney
disease, if you have diabetes
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and your kidneys have
been injured perhaps you
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had long-standing high
blood pressure and your
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kidneys have been
injured from that,
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you may not be turning
vitamin D, Previtamin D
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into the active form of
vitamin D and so it's even
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more important for
those individuals to make sure
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that they have all of
the vitamin D that they
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need, and the other
thing that's important is if
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you have extra dark
skin and extra protection
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in the skin from the sun
those individuals especially
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need to listen to
this program because not
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uncommonly George
those individuals who have
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darker skin pigment
are especially at risk
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of having low vitamin
D levels and they could
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have higher blood
pressure, actually higher risk
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of cancer, higher risk
of osteoporosis and higher
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risk of these
autoimmune diseases a type
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1 diabetes, Lupus and
even Rheumatoid arthritis.
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In the recent enhanced
data there is, that's the
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national collection
of data that occurs on a
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regular basis in this
country when they looked at
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vitamin D, they were
estimates of 40 to 60
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percent of African
Americans actually deficient
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in vitamin D, and
once I say that we really
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should point out that
if you're going to measure
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this in your blood to
see if you have adequate
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amounts that one
should be measured is called
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25-hydroxy-vitamin
D, chances are your
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doctor hasn't thought
of it, it would be good
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for you to write it
down. So, we will mention it
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again towards the end
of the program but just
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to let you know 25-
hydroxy-vitamin D is the
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important one. It's
actually made from the
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vitamin D that comes
from the skin it goes to the
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liver its turned into
the 25-hydroxy and then as
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you pointed out to Tim,
the kidney changes it to its
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most active form,
the 1,25-dihydroxyvitamin
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D folks don't
need to remember that.
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Now, George what
they do need to remember
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and what Dr. Michael
Holick at Boston University
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an expert in Vitamin D
physiology recommends is
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that we have our
Vitamin D level checked every
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year just like you might
check a cholesterol level
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and as George
mentioned earlier that's the
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25-hydroxy-form of
vitamin D. So, really all
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you need to remember
the number 25 and Vitamin D
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and your doctor should
be able to take it from
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there once a year.
Now, just a word on where we
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might want that vitamin
D level to be when it is
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checked because
frankly George the last time I
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had it checked on one
of my patients I saw that
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if they were seven with
their level they would be
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in the normal
range, is that really true?
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Well, the normal range
is generally defined in a
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population, they
will measure a population,
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measure two standard
deviations in either way and
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then say that's a
normal from the bottom end to
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the top end but we
know for vitamin D,
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that in order to get
optimal positive benefits
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from the vitamin D it
really should be greater than
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30 to turn down or turn
off the parathyroid hormone
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and Pros probably
closer to 40 in order to give
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optimal protection
against cancer maybe we should
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talk a little bit
about that, yes actually very
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interesting studies
coming out showing that
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vitamin D has an affect
on the cells of your body,
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it actually slows down
the rate of cell division and
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vitamin D actually encourages
the cells of your body
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to go to full maturation,
in other words to become
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a completely fully
matured cell and of course
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cancer is, is a cell that
is dividing too rapidly cell
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division out of control
and it leads to cells that are
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not fully mature. So,
vitamin D is a powerful tool
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to help lower the risk
of cancer now what cancers
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are we actually
talking about. Well, I think of
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Dr. Garland study that
look at several thousand
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people got their
vitamin D levels and then watch
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them over several
years time to see who would
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actually that colon
cancer or cancers they found
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an 80 percent reduction
in colon cancer in those
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that started with a
highes levels of vitamin D,
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that's significant, 80
percent lower risk of the
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number one cancer of
men and women who are not
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smoking. Now, that's
something that you can walk
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outside for and
frankly you don't have to walk
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outside for very long
in order to get all of the
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vitamin D that
you need. What is the
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recommendation for skin
exposure in order to get
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at least a minimum
amount of vitamin D.
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Well, you know there
is a little science behind
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deciding this and my
understanding is as it is
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done with healthy
medical students what ever
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that means they put them
on the, out in the sun to
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turn them just pink not
to burn but just pink all
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over and if they turn
just pink they make some where
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between 10 to 20,000
international units just
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with that slight
reddening of the skin,
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doing calculations
from that down to the
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recommended daily
intake of either four hundred
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international units a
day for younger adults and
00:10:25.40\00:10:28.59
for those who are over
7600 international units
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we find that about
seven minutes a day well
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technically three days
a week but better seven
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minutes a day with
just the head neck and the
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wrist and hands
exposed will actually make
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adequate amount of
vitamin D for people.
00:10:46.98\00:10:49.14
Alright and so you
wanna spend a few minutes I
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believe Dr. Michael
Holick recommends little bit
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more probably 15
minutes but it depends frankly
00:10:56.83\00:10:59.85
on where you live if
you live in Miami, seven
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minutes probably is
perfect in fact it may be a
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little too much
depending on what kind of skin
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that you have, so
anyway from seven to fifteen
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minutes three days a
week on your face, hands and
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arms, not much
exposure and you will get to the
00:11:15.64\00:11:18.35
vitamin D that you
need but just remember that
00:11:18.42\00:11:21.35
if you live in
north of Oklahoma city,
00:11:21.40\00:11:23.82
Oklahoma during the
winter your probably won't
00:11:23.94\00:11:26.82
make any vitamin D
and so that's why its
00:11:26.91\00:11:30.19
important that you
store up a little extra during
00:11:30.34\00:11:33.14
the summer months
to compensate for what
00:11:33.26\00:11:36.46
you won't be making
during the winter months
00:11:36.52\00:11:39.12
and what is our
recommendation on taking a
00:11:39.52\00:11:41.67
supplement or we
recommending the 200 the
00:11:41.80\00:11:44.71
400 and the 600.
Well, how we get vitamin D
00:11:44.78\00:11:49.56
orally is really
another interesting topic,
00:11:49.66\00:11:53.07
in order to take care
of rickets in this country
00:11:54.39\00:11:56.54
the Federal Government
decided to put vitamin D
00:11:57.35\00:12:02.36
with in milk a lot of us
think of milk as a source of
00:12:02.43\00:12:07.49
vitamin D but the truth
is its not observed that
00:12:07.86\00:12:11.24
well and some studies
that actually looked at milk
00:12:11.32\00:12:14.38
off the shelf found
that the vitamin D they said
00:12:14.60\00:12:17.66
was in their wasn't
in there to begin with.
00:12:17.81\00:12:19.37
Now, I am sure
industry has done some things to
00:12:19.40\00:12:21.92
correct that
since that became known.
00:12:21.99\00:12:23.96
But vitamin D, taken
orally is not all that well
00:12:24.81\00:12:28.62
observed and so it
would make sense for those
00:12:28.80\00:12:32.51
people who are at risk
for example those people
00:12:32.72\00:12:35.17
who are living in the
north in the winter time,
00:12:35.40\00:12:37.83
those people who are
unable to get out in the
00:12:38.30\00:12:40.53
sun at all to take a
supplement, supplement.
00:12:40.80\00:12:43.35
And while the international
unit recommendation
00:12:44.03\00:12:47.37
is about 400 to 600
if you are gonna take it
00:12:47.46\00:12:50.43
orally probably need
a thousand international
00:12:50.48\00:12:53.75
units to maintain a
level and we know that it's
00:12:54.00\00:12:57.03
safe to take up to 2,000
international units a day
00:12:57.36\00:13:00.34
of the vitamin D, with
out any toxicity or problems.
00:13:00.77\00:13:03.82
So, certainly if you
are not spending much time
00:13:04.63\00:13:07.38
outside may be you
have a night job and you
00:13:07.41\00:13:10.31
sleep during the day,
or may be you are African
00:13:10.49\00:13:13.79
American and have a
extra protection in your
00:13:13.92\00:13:16.36
skin against the
sun and certainly those
00:13:16.48\00:13:20.37
individuals who are at
higher risk and we're gonna
00:13:20.58\00:13:23.30
talk about that in a
few minutes. Those who are
00:13:23.49\00:13:25.89
at higher risk of
vitamin D deficiency, these
00:13:25.92\00:13:28.39
individuals would
probably want to take a thousand
00:13:28.43\00:13:31.08
international units of
vitamin D, and as George
00:13:31.70\00:13:35.07
mentioned the American
institute of medicine says
00:13:35.26\00:13:37.84
that is a safe level
once you at one year of age
00:13:37.95\00:13:41.57
all the way through
adulthood and you can take
00:13:42.04\00:13:44.28
up to 2,000
international units a day.
00:13:44.31\00:13:47.09
Now, as we've mentioned
earlier George there is
00:13:47.67\00:13:50.55
actually some evidence
of that vitamin D could
00:13:50.86\00:13:55.26
actually help lowering
your risk of autoimmune
00:13:55.44\00:13:58.66
diseases, tell us a
little bit about this. I don't
00:13:58.76\00:14:01.88
think we understand
for assure the mechanism it
00:14:01.97\00:14:05.64
probably at least in my
mind has something to do
00:14:05.95\00:14:08.64
with that anticancer
effect where it helps to the
00:14:08.91\00:14:11.87
cells to differentiate
and do what they are suppose
00:14:11.97\00:14:14.35
to, one of the isomers
of the vitamin D actually
00:14:14.46\00:14:17.68
goes into the
nucleus and helps to balance
00:14:17.85\00:14:20.62
things out. Autoimmune
disease is a whole host of
00:14:20.71\00:14:26.55
diseases which the
immune system gets confused
00:14:26.67\00:14:29.62
and starts to fight
ourselves for example people
00:14:29.73\00:14:34.11
with rheumatoid
arthritis have the immune system
00:14:34.14\00:14:36.68
turning and
actually fighting the joints.
00:14:36.79\00:14:39.37
Sometimes it attacks
the skin sometimes a variety
00:14:40.15\00:14:43.15
of different areas and
it seems that adding vitamin
00:14:43.18\00:14:47.40
D, may actually help
to control that reaction
00:14:47.56\00:14:51.67
especially if it's
caught early in the disease.
00:14:51.79\00:14:54.07
And so we see that Vitamin
D will actually help your
00:14:55.12\00:14:58.65
immune system your
white blood cells if you will
00:14:58.81\00:15:02.00
to better determine
whether what they are
00:15:02.42\00:15:04.96
dealing inside you is
self or non-self, friend or
00:15:05.04\00:15:09.96
enemy and you
certainly don't want your immune
00:15:10.09\00:15:12.69
system fighting
yourself because this can be
00:15:12.97\00:15:14.99
devastating and
that's what happens in type 1
00:15:15.11\00:15:17.90
diabetes. Now, Dr.
Koponen at the Institute for
00:15:18.32\00:15:22.26
Child Health in
London conducted some very
00:15:22.53\00:15:25.08
interesting studies on
Finnish children. You may not
00:15:25.15\00:15:28.50
know that Finland in
this country where they have
00:15:28.57\00:15:31.38
very little sunlight
during the winter months.
00:15:31.46\00:15:34.55
In fact, they don't
have any during parts of that
00:15:35.09\00:15:37.35
time at season, and
they're not getting as much of
00:15:37.64\00:15:41.19
the direct rays of the
sun being that far north.
00:15:41.27\00:15:44.83
So, these individuals
have a significant increase
00:15:45.26\00:15:48.34
risk of vitamin D
deficiency and they have the
00:15:48.49\00:15:50.53
number 1, their children
that is have the number 1
00:15:50.80\00:15:53.22
risk of type 1
diabetes in the world and what
00:15:53.77\00:15:57.79
they did was to put
this children half of them on
00:15:57.85\00:16:01.62
vitamin D and another
group was just put on a
00:16:01.87\00:16:04.81
placebo and what they
were able to show is that
00:16:05.02\00:16:08.09
individuals, children in
Finland who took vitamin D
00:16:08.32\00:16:11.99
were at 88 percent
lower risk of type-1 Diabetes
00:16:12.29\00:16:17.43
during the course of
that study, then what they
00:16:17.93\00:16:20.47
did was to take individuals
children in Finland and
00:16:20.56\00:16:24.03
put them on the
recommended daily allowance
00:16:24.10\00:16:27.64
so for vitamin D, by
the Finnish Government,
00:16:27.82\00:16:30.54
2,000 international
units a day which we mentioned
00:16:30.76\00:16:33.79
earlier as the upper
limit of safe intake in this
00:16:33.82\00:16:38.46
country by our
government and what they
00:16:38.53\00:16:40.85
showed with these
children taking 2,000
00:16:40.93\00:16:43.53
international units of
Vitamin D a day were at
00:16:43.57\00:16:46.23
78 percent lower
risk of type 1 diabetes
00:16:46.63\00:16:50.45
compared to children
who were taking less than
00:16:50.85\00:16:53.66
2,000 international
units of vitamin D. And so for
00:16:53.82\00:16:58.59
those individuals
whose children are not
00:16:58.82\00:17:01.20
getting the sun
exposure that you might want
00:17:01.30\00:17:04.89
them to get for some
one reason or another you
00:17:05.02\00:17:08.30
would probably want to
make sure that they are
00:17:08.33\00:17:10.50
getting at least a
thousand international units a
00:17:10.56\00:17:13.31
day and if they're severally
limited in sun exposure
00:17:13.45\00:17:17.30
you may want to boost
that even as much as 2,000
00:17:17.38\00:17:20.33
international units
a day and so remember
00:17:20.43\00:17:24.42
vitamin D, sunlight
actually helps your body to
00:17:24.72\00:17:28.63
not the so interesting
in harming you, your own
00:17:29.22\00:17:33.05
tissue but you know this
is kind of interesting Tim,
00:17:33.16\00:17:35.83
I understand how the
folks in Finland, the kids in
00:17:35.97\00:17:38.60
Finland don't get enough
sunlight especially in the
00:17:38.88\00:17:41.17
winter is my
understanding that there is an
00:17:41.21\00:17:43.61
increase in vitamin D
deficiency related diseases
00:17:43.73\00:17:47.42
in this country as
well. Do, you think that might
00:17:47.76\00:17:51.29
have something to do
how much time kids spend
00:17:51.32\00:17:54.46
in front of a TV or a
video monitor, absolutely,
00:17:54.50\00:17:58.36
that's what I was
alluding to, children are
00:17:58.39\00:18:00.84
spending more and
more time in side now,
00:18:01.01\00:18:04.45
recently we've been
hearing about this as a epidemic
00:18:04.73\00:18:08.18
of childhood obesity
and type two diabetes in
00:18:08.34\00:18:12.25
children largely
related to their non use of the
00:18:12.35\00:18:17.53
large muscle groups
because they are spending
00:18:17.63\00:18:19.55
more indoors in front of
the scene and not realizing
00:18:19.71\00:18:24.22
they are not only
gaining weight and developing
00:18:24.39\00:18:27.71
insulin resistance and
diabetes but they are being
00:18:27.87\00:18:31.49
deprived of an
important if you will vitamin D
00:18:31.64\00:18:35.68
which is so important
for strong bones for a
00:18:35.79\00:18:39.22
healthy immune system
that knows the difference
00:18:39.36\00:18:41.49
between and non
self and so many other
00:18:41.62\00:18:44.74
benefits of
keeping blood pressure low.
00:18:44.83\00:18:46.90
So, its so
important to step out just for
00:18:47.85\00:18:50.55
seven minutes three
times a week we would
00:18:50.74\00:18:54.32
recommend that you
would spend probably seven
00:18:54.38\00:18:57.09
to fifteen minutes most
days of the week because
00:18:57.34\00:19:00.86
vitamin D is so
important but of course we want
00:19:01.65\00:19:03.91
to emphasize you don't
wanna burn your skin in
00:19:03.94\00:19:06.44
fact you don't even
wanna turn your skin pink and
00:19:06.47\00:19:09.91
Dr. Michael Holick would
actually tell you that your
00:19:10.30\00:19:12.47
only need to spend one
forth of the time outside
00:19:12.56\00:19:16.28
that it would take to
burn the skin to get all
00:19:16.35\00:19:19.16
vitamin D you need.
So, if you burn the skin in
00:19:19.31\00:19:22.11
fifteen minutes then
four minutes is all that you
00:19:22.22\00:19:25.70
need to spend out there
to get all the vitamin D
00:19:25.78\00:19:28.30
that you need. Tim,
we've mentioned of type 1
00:19:28.36\00:19:32.51
diabetes probably not
been caused by vitamin D
00:19:32.54\00:19:37.45
deficiency but vitamin D
deficiency allowing it to
00:19:37.64\00:19:40.22
come because immune
system is not that balance.
00:19:40.39\00:19:42.84
There are also some
connections with that type
00:19:43.25\00:19:45.99
two diabetes and apparently
in some resistance and
00:19:46.40\00:19:49.00
what not. Tell us about
that oh this is exciting
00:19:49.80\00:19:52.36
in fact you know if you
have some free time rather
00:19:52.49\00:19:56.11
than spending it in
front of screen you may want
00:19:56.14\00:19:58.82
to spend some time
reading about your own body's
00:19:58.85\00:20:02.13
physiology you know
we're told that our children
00:20:02.62\00:20:04.86
should understand
how their body works and
00:20:04.98\00:20:08.03
I was fascinated to
read that the body actually
00:20:08.06\00:20:12.98
needs calcium in
order to release the little
00:20:13.10\00:20:17.75
packets of insulin from
the beta cell of the islets of
00:20:18.24\00:20:22.62
the pancreas. So, that
you can put that insulin
00:20:22.65\00:20:25.40
out into the blood
stream so it can go out and help
00:20:25.58\00:20:27.67
your blood sugar and the
fats in the blood should be
00:20:27.86\00:20:30.65
taken up and so in
order to release insulin from
00:20:30.71\00:20:34.22
the pancreas you need
a good calcium level and
00:20:34.39\00:20:37.84
of course you won't
have a good calcium level
00:20:37.97\00:20:39.98
unless you step outside
and get some sun or and,
00:20:40.32\00:20:44.66
and or take a
supplement and frankly we're
00:20:44.85\00:20:48.16
recommending both
at least that I usually
00:20:48.25\00:20:50.38
recommend to my
patients spend your seven
00:20:50.45\00:20:52.77
to fifteen minutes
daily out in the sunlight and
00:20:52.90\00:20:56.22
take at least a
thousand international units of
00:20:56.30\00:20:58.59
vitamin D don't take
anymore than 2,000 international
00:20:58.69\00:21:01.93
units and remember
you've got vitamin D in some of
00:21:02.02\00:21:05.49
the foods that you are
taking in perhaps and also in
00:21:05.69\00:21:08.52
that multivitamin so take
that in the consideration when
00:21:08.57\00:21:11.99
you're calculating of
the 2,000 total for today.
00:21:12.02\00:21:15.67
Its also true that not
only as that beta cell function
00:21:16.77\00:21:20.91
improve but also insulin
sensitivity, there is some
00:21:21.13\00:21:23.71
recent study pointing to
that is improving how diabetes
00:21:23.90\00:21:27.95
actually need less insulin
to get the same response.
00:21:28.08\00:21:30.98
In fact, there is
good news for both type 1,
00:21:31.59\00:21:33.61
and type 2 diabetes
in the vitamin D realm.
00:21:33.64\00:21:36.86
Now, Dr. Chapuy and
his colleagues at Lyon,
00:21:37.38\00:21:41.98
France reported to
the New England Journal of
00:21:42.28\00:21:43.79
medicine a very
interesting benefit of vitamin D
00:21:44.05\00:21:47.44
and calcium for women
who are at high risk of a
00:21:47.56\00:21:51.12
hip fracture. These
women were actually average age
00:21:51.28\00:21:54.48
78 to 90 now they
were healthy but you know
00:21:54.76\00:21:59.24
when you get that to
that age your bones are
00:21:59.42\00:22:02.04
typically have lost a
fair amount of calcium and
00:22:02.20\00:22:05.41
you're at higher risk
of a fracture and so what
00:22:05.48\00:22:08.32
they did was they took
half of these individuals these
00:22:08.35\00:22:11.15
women and they put
them on a double placebo the
00:22:11.32\00:22:14.65
other half of the
women were actually put on
00:22:14.84\00:22:17.72
1200 mg of elemental
calcium and 800 international
00:22:17.84\00:22:23.15
units of vitamin D and
then they followed these women
00:22:23.18\00:22:27.57
and found that those
who are taking the calcium
00:22:27.60\00:22:31.44
and the vitamin D
were actually at 43 percent
00:22:31.84\00:22:36.48
lower risk of a hip
fracture 18 months later and the
00:22:36.63\00:22:41.45
bone mineral density
that means the calcium part
00:22:41.61\00:22:45.86
of the bone actually
increased by 3 percent in
00:22:45.89\00:22:49.16
those women on the
two supplements versus a
00:22:49.19\00:22:52.20
five percent decrease
in bone mineral density in
00:22:52.48\00:22:56.05
those who are in the
double placebo after 18 months.
00:22:56.22\00:22:59.58
And so just paying
attention to some simply things
00:23:00.18\00:23:04.11
like calcium and
vitamin D can prevent to
00:23:04.24\00:23:07.18
something very
potentially serious as a hip
00:23:07.44\00:23:09.82
fracture because after
a hip fracture what often
00:23:09.90\00:23:14.00
happens is an elderly
individual may be put to
00:23:14.09\00:23:17.27
surgery to do a
pinning of that hip they may
00:23:17.36\00:23:20.67
develop an ammonia
after the surgery and that
00:23:20.88\00:23:24.21
can often times be
life threatening or it may
00:23:24.33\00:23:28.32
lead to the rest of life
spent in a long term care
00:23:28.51\00:23:32.03
facility and so.
Keeping the bones strong very,
00:23:32.17\00:23:36.26
very important benefit
of vitamin D. There are
00:23:36.69\00:23:41.41
couple other groups of
people that are at risk
00:23:41.78\00:23:44.53
for having low vitamin
D levels, one of those are
00:23:45.00\00:23:49.52
new born infants you
know those that are breast
00:23:49.99\00:23:53.13
feed do not get any
vitamin D in the breast milk,
00:23:53.27\00:23:57.03
remember the cow's
milk doesn't have it in it,
00:23:58.48\00:24:00.44
it really had to be
added and of course is added
00:24:00.82\00:24:03.25
to formulas. There
are some doctors who are
00:24:03.54\00:24:05.86
recommending that
when babies come home from
00:24:06.10\00:24:07.65
the hospital they
actually get a vitamin D shot or
00:24:07.73\00:24:10.62
some way to get the
vitamin D in until they
00:24:11.25\00:24:14.68
finally old enough and
their parents are, are able
00:24:14.90\00:24:17.88
to get them out in
the sun so they can get a
00:24:18.01\00:24:19.79
little bit of vitamin D.
At the other extreme of life
00:24:19.84\00:24:23.20
is this the elderly
group people who are older
00:24:23.38\00:24:27.45
have a decrease in the
body's ability to make the
00:24:28.17\00:24:30.48
previtamin D and so
are often deficient in it
00:24:30.57\00:24:34.54
and these need to be,
both these groups need
00:24:34.78\00:24:37.08
to be watched very
carefully. There's another
00:24:37.15\00:24:40.23
group of individuals
who would benefit from
00:24:40.31\00:24:42.70
vitamin D there was an
article published in the
00:24:42.86\00:24:46.48
annals in New York state
the medical society there,
00:24:47.35\00:24:50.71
they've published a case
report of five individuals
00:24:51.02\00:24:54.34
who had severe
weakness, these individuals
00:24:54.74\00:24:56.91
were either
wheelchair bond or they were not
00:24:57.05\00:25:00.35
able to get off of a
bed they were basically not
00:25:00.43\00:25:03.71
ambulatory and they
found these individuals
00:25:03.88\00:25:06.57
were severally vitamin
D deficient and all that
00:25:06.71\00:25:10.38
they did was to give
them a loading dose of vitamin
00:25:10.41\00:25:13.14
D, 50,000 international
units once a week for
00:25:13.17\00:25:16.27
six weeks and all five
of these chronically ill
00:25:16.40\00:25:20.38
patients who are unable
to walk were, were able to
00:25:21.05\00:25:24.02
get up and be
ambulatory just after replacing
00:25:24.10\00:25:28.99
the vitamin D, because
the muscles actually need
00:25:29.07\00:25:32.01
a good calcium level
in order to have strength
00:25:32.04\00:25:34.90
and so if your vitamin
D is rock bottom because
00:25:35.57\00:25:38.60
you're not getting
out in the sunlight your
00:25:38.68\00:25:40.74
calcium and the tissue
will be low. The muscles
00:25:40.77\00:25:43.36
will not have the
strength that they need,
00:25:43.39\00:25:45.39
and so if you've been
facing some fatigue or some
00:25:45.52\00:25:48.17
weakness of the
muscles vitamin D maybe part
00:25:48.28\00:25:51.88
of the solution for
you. At lifestyle center of
00:25:52.16\00:25:56.04
America where we both
work, for the last almost
00:25:56.07\00:26:00.78
two years we have
been measuring vitamin D
00:26:01.18\00:26:03.55
levels on people
who come for help.
00:26:03.66\00:26:06.01
Now these, this group
of people often has a group
00:26:06.27\00:26:10.04
of illness as we focus on
lifestyle diseases diabetes,
00:26:10.10\00:26:14.44
heart disease,
hypertension, obesity.
00:26:14.64\00:26:18.57
We have found
depending on how we measure it,
00:26:19.42\00:26:21.94
upto about sixty
percent of this people have
00:26:22.50\00:26:26.10
less than optimal
levels of vitamin D, that's a
00:26:26.24\00:26:29.61
significant number of
people, getting that monitored
00:26:29.92\00:26:32.79
and fixed is an important
part of their treatment.
00:26:33.26\00:26:36.09
Now Vitamin D is a
fascinating sort of a subject
00:26:36.83\00:26:43.11
if you would, it's
neat how the creator has put
00:26:43.28\00:26:47.63
together, something as
bad if we can put it that
00:26:47.74\00:26:51.42
way as cholesterol
when hit by the sun and
00:26:51.57\00:26:57.19
we might for
spiritual lesson spell that SON
00:26:57.35\00:27:01.09
become something that
is very beneficial and
00:27:01.87\00:27:04.67
protective, it brings
life to us protection against
00:27:04.77\00:27:09.44
death and cancer and
as well energy and good
00:27:09.81\00:27:14.25
physiologic
function isn't that amazing.
00:27:14.50\00:27:17.33
Tim, in our last little
bit let's review what the
00:27:18.62\00:27:21.45
levels should be if
people have chance to
00:27:21.75\00:27:24.42
write that
25-hydroxy- vitamin D level down
00:27:24.60\00:27:28.10
again. Yes, so the
vitamin D level that you
00:27:28.19\00:27:32.49
would like to have is
about at least 30, 30 to 60
00:27:32.70\00:27:36.88
and frankly 40 to 60
would probably be even
00:27:37.27\00:27:39.91
better and
that's again the number
00:27:40.11\00:27:41.87
25-hydroxy-vitamin D
and just a final word those
00:27:41.91\00:27:47.08
with Fibromyalgia
may also find significant
00:27:47.14\00:27:50.75
benefit from getting
their vitamin D level up
00:27:50.89\00:27:54.18
because muscles that don't have
00:27:54.73\00:27:56.89
enough calcium can
tightened and actually be
00:27:57.11\00:27:59.76
very, very constricting
and painful. So, we would
00:28:00.00\00:28:03.22
recommend that you
get all of the benefits of
00:28:03.31\00:28:07.07
sunlight that the
creator has chosen and find
00:28:07.16\00:28:10.56
out once again how
you are wonderfully made.
00:28:10.65\00:28:13.98