The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health and is not 00:00:02.96\00:00:04.75 intended to take the place of 00:00:04.76\00:00:06.01 personalized professional care. 00:00:06.02\00:00:07.90 The opinions and ideas expressed 00:00:08.63\00:00:10.23 are those of the speaker. 00:00:10.58\00:00:12.24 Viewers are encouraged to draw their own 00:00:12.25\00:00:13.74 conclusion about the information presented. 00:00:13.75\00:00:16.16 Welcome to Wonderfully Made. 00:00:35.85\00:00:37.56 My name is Lee Wellard, a Lifestyle 00:00:37.93\00:00:40.25 Educator from Wildwood Lifestyle Center. 00:00:40.26\00:00:42.22 And today we have with us Dr. Scott 00:00:42.83\00:00:44.72 Grivas, welcome Dr. Grivas. 00:00:44.73\00:00:46.52 Thank you so much Lee. We're gonna be 00:00:46.53\00:00:48.16 looking at a very important topic today, 00:00:48.17\00:00:50.33 one that effects every one of us at some 00:00:50.34\00:00:52.96 point if we don't get enough of it, 00:00:52.97\00:00:55.29 today's topic is Vitamin D. 00:00:55.30\00:00:57.66 Dr. Grivas how important is Vitamin D 00:00:58.23\00:01:00.79 with regards to health? Very important Lee, 00:01:01.16\00:01:04.34 Vitamin D which by the way it's not really a 00:01:06.63\00:01:10.19 Vitamin, that's right, it's a hormone, 00:01:10.20\00:01:11.67 steroid likehormone. It's responsible for up 00:01:12.55\00:01:17.59 regulating the last count I got over 200 genes in 00:01:17.60\00:01:22.44 the body that regulate normal body metabolism. 00:01:22.45\00:01:26.62 In fact now we found Vitamin D receptors in 00:01:26.89\00:01:29.77 almost every organ system and every cell, 00:01:30.24\00:01:33.03 so for optimum health, we have to have 00:01:33.93\00:01:37.91 sufficient qualities of Vitamin D. 00:01:37.92\00:01:39.79 Now, how common is Vitamin D deficiency? 00:01:40.24\00:01:42.70 Vitamin D deficiency is now consider to be 00:01:43.95\00:01:46.30 pandemic worldwide, not just in certain 00:01:46.31\00:01:50.46 countries but in almost all countries. 00:01:50.47\00:01:52.99 And it's interesting that even in those tropical 00:01:53.49\00:01:56.30 countries where you would think there's 00:01:56.97\00:01:58.83 plenty of sunlight that most people are so 00:01:58.84\00:02:02.70 clothing themselves that they are limiting how 00:02:02.71\00:02:06.75 much sun they actually do get, and so even in 00:02:06.76\00:02:09.42 some countries like the Saudi Arabia in this at 00:02:09.86\00:02:14.63 least half of the population still are 00:02:14.64\00:02:17.49 Vitamin D deficient. That's amazing, yeah, 00:02:17.95\00:02:20.78 and there's been a lot of discussion about how 00:02:20.79\00:02:23.00 much Vitamin D should we take, what do we see 00:02:23.01\00:02:28.54 as safe guidelines. I know science is 00:02:28.55\00:02:30.52 constantly changing, and we just want, 00:02:30.53\00:02:33.76 they want to know that this isn't an exact science, 00:02:33.77\00:02:36.61 there's still lots of things to be yet 00:02:36.62\00:02:38.73 discovered when it comes to Vitamin D 00:02:38.74\00:02:40.56 and across the board with all kinds of 00:02:40.57\00:02:43.65 nutrients, but just to get a safe idea what do you 00:02:43.66\00:02:47.71 see as ideal serum level? What we're measuring 00:02:47.72\00:02:52.74 now is 25-hydroxyvitamin D that's the name of the 00:02:52.75\00:02:58.31 Vitamin D that we're measuring in the blood. 00:02:58.74\00:03:00.79 And probably the best way to look at what is 00:03:01.85\00:03:06.03 the best level is to look at serum levels and 00:03:06.04\00:03:09.29 individuals who are getting adequate sun exposure. 00:03:09.30\00:03:12.40 And in those countries where there is plenty of 00:03:13.58\00:03:16.60 sunlight all through the year and people are 00:03:16.61\00:03:18.75 outdoors a lot their levels may run 50 to 70, 00:03:18.76\00:03:22.22 alright, you know nanograms per 00:03:23.18\00:03:25.73 you know deciliter, the optimum is still being 00:03:25.74\00:03:31.03 discussed alright but I think most recently 00:03:31.82\00:03:36.49 their recommendations at least get that Vitamin D 00:03:38.06\00:03:41.46 level over 40. You know, on laboratory 00:03:41.47\00:03:45.03 charts for reference ranges it used to be 22 00:03:46.38\00:03:49.85 to 100, then 32 to 100, right. And now we are 00:03:49.86\00:03:54.33 recognizing that bone mineral density actually 00:03:54.34\00:03:57.71 increases up to levels of about 40. 00:03:57.72\00:04:01.63 Now how often should we as individuals go 00:04:02.44\00:04:05.88 and get a Vitamin D test at a clinic or hospital? 00:04:05.89\00:04:09.88 Well, if you get a Vitamin D check and it 00:04:11.10\00:04:14.82 is low, then you're going to need to follow 00:04:14.83\00:04:17.34 up on that deficiency state. 00:04:17.35\00:04:19.12 In normally if it's low will replace for about 00:04:19.70\00:04:23.70 two months, and then will recheck the level. 00:04:23.71\00:04:25.94 Now, if you're in normal range to begin 00:04:26.24\00:04:29.07 with probably no more than a couple of times a 00:04:29.08\00:04:32.14 year where it's available. And which we check in 00:04:32.15\00:04:36.34 more as we go into the winter months, are there 00:04:36.81\00:04:40.16 specific times of the year that would be 00:04:41.05\00:04:43.50 better to get a Vitamin D check? 00:04:43.51\00:04:45.06 Almost everybody Lee drops the Vitamin D 00:04:45.42\00:04:48.13 during the winter time, right, so you know that 00:04:48.14\00:04:50.78 is going to drop and that's where perhaps an 00:04:50.79\00:04:53.64 intelligence supplementation 00:04:53.65\00:04:55.63 program would be advisable. 00:04:55.64\00:04:57.24 Okay, let's just talk a minute about 00:04:57.25\00:05:00.07 supplementation, there are different kinds of 00:05:00.08\00:05:03.36 supplementation that we can take, 00:05:03.37\00:05:05.33 what would be, what was you recommend is 00:05:05.34\00:05:07.64 one of the better supplementations. 00:05:07.65\00:05:09.70 Well, first of all let me state what is the most 00:05:10.50\00:05:12.74 commonly prescribe supplementation and 00:05:12.75\00:05:15.43 that's Vitamin D3, right, Vitamin D3 comes from 00:05:15.44\00:05:20.08 an animal source usually the sheep lanolin. 00:05:20.09\00:05:22.97 And it is the more potent of the 00:05:24.48\00:05:26.76 two replacement types. The other Vitamin D2 00:05:26.77\00:05:31.25 comes from the plants it's ergocalciferol, 00:05:31.65\00:05:35.53 but it's only about one third as potent, 00:05:36.01\00:05:38.89 one third is effective in raising serum levels. 00:05:38.90\00:05:42.87 So, you have to take more, right, but I, 00:05:43.13\00:05:46.92 myself I have the preference of wanting a 00:05:46.93\00:05:49.92 plant based supplement, and if my patients are 00:05:49.93\00:05:54.22 open to that I will prescribe Vitamin D2. 00:05:54.23\00:05:57.83 And in situations where people are profoundly 00:05:58.59\00:06:02.70 depressed in their levels, they have a nice 00:06:03.29\00:06:06.15 high potency Vitamin D2 that you can take by 00:06:07.41\00:06:10.83 capsules just once a week. And it's easy for people 00:06:10.84\00:06:14.13 to take rather than having to take it every day. 00:06:14.14\00:06:16.23 Now, can one have a Vitamin D deficiency 00:06:16.89\00:06:19.63 and not even be aware they have it, 00:06:19.64\00:06:21.92 they have no symptoms, is that possible? 00:06:21.93\00:06:23.98 It's possible certainly. Is that common? 00:06:24.15\00:06:26.59 Well, most of the people that we screen 00:06:27.09\00:06:30.10 are Vitamin D deficient, and so they come in 00:06:30.11\00:06:33.04 with a variety of different medical 00:06:33.05\00:06:35.40 problems, and they also turn up with 00:06:35.41\00:06:38.58 Vitamin D deficiency. And as we talked about 00:06:38.59\00:06:41.59 a few minutes ago Vitamin D is so 00:06:42.13\00:06:44.77 important in prevention of disease in so many 00:06:44.78\00:06:48.56 areas, that they may present with one disease 00:06:48.57\00:06:52.14 that maybe fueled by Vitamin D deficiency. 00:06:52.15\00:06:54.79 Right, let's talk for minute about this 00:06:54.80\00:06:57.37 certain diseases and disorders that could 00:06:57.38\00:06:59.51 arise from Vitamin D deficiency, if you 00:06:59.52\00:07:03.06 would like to share many of these 00:07:03.07\00:07:05.60 conditions that we're seeing resulting from this? 00:07:05.61\00:07:07.92 Sure, one of the big problems we have here 00:07:07.93\00:07:11.96 in our aging population is osteoporosis, 00:07:11.97\00:07:15.70 and we know that Vitamin D which is 00:07:16.59\00:07:20.05 helpful in absorbing calcium, okay, 00:07:20.68\00:07:24.46 through the gastrointestinal tract. 00:07:24.47\00:07:26.38 That it is necessary to be able to mineralize 00:07:26.89\00:07:30.83 normally the bone structures, so if we lack 00:07:30.84\00:07:34.29 Vitamin D we're going to have a progressive 00:07:34.30\00:07:38.15 decline in the bone mineral density until we 00:07:38.16\00:07:41.21 reach the, what is refer to as osteopenia or 00:07:41.22\00:07:44.81 lessening of that mineralization to frank 00:07:44.82\00:07:48.90 osteoporosis which is more severe forms of 00:07:49.39\00:07:51.95 demineralization, fracture risk increase in, 00:07:51.96\00:07:55.39 in that setting. But Vitamin D is also 00:07:55.40\00:07:58.45 very helpful to prevent the muscular skeletal 00:08:00.05\00:08:06.37 types of aches and discomforts 00:08:06.38\00:08:08.79 that people have. You may have heard 00:08:08.80\00:08:12.09 the term fibromyalgia, you know people just 00:08:12.10\00:08:15.17 hurt, they are sore in different areas. 00:08:15.42\00:08:17.81 And so many of these people now, 00:08:18.49\00:08:20.55 now that we recognize Vitamin D deficiency 00:08:20.88\00:08:23.37 have been shown to be Vitamin D deficient. 00:08:24.04\00:08:25.93 You replace the Vitamin D and 00:08:26.39\00:08:28.04 "fibromyalgia" disappears. 00:08:28.05\00:08:31.02 Vitamin D is responsible for the 00:08:32.16\00:08:34.46 regulation of blood pressure to help keep 00:08:34.47\00:08:39.32 pressures in the normal range, blood sugar, 00:08:39.58\00:08:42.22 insulin resistance. Vitamin D is key in 00:08:42.64\00:08:45.54 those situations. Vitamin D plays a very 00:08:45.55\00:08:50.12 important rule in immune function and 00:08:50.13\00:08:53.62 helps to suppress these autoimmune type 00:08:53.63\00:08:57.93 disorders that we see psoriasis for instance, 00:08:57.94\00:09:01.65 psoriatic disease and Crohn's disease and 00:09:02.27\00:09:05.03 these autoimmune you know fuel diseases. 00:09:05.20\00:09:08.13 Vitamin D helps suppress that and it is 00:09:08.62\00:09:11.30 also been shown now to be protective against 00:09:11.31\00:09:15.33 cancer, as well as infectious diseases, 00:09:15.34\00:09:18.66 tuberculosis and so forth. I remember we had a, 00:09:18.67\00:09:22.08 lady came to our Lifestyle Center, 00:09:22.09\00:09:23.83 actually she is one of your patients, 00:09:23.84\00:09:25.37 and she was writing a book, and she was, 00:09:26.03\00:09:29.49 for few months just sitting at 00:09:29.95\00:09:31.42 home writing this book. She was actually health 00:09:31.43\00:09:33.99 educator, and she ended up with multiple 00:09:34.00\00:09:37.25 sclerosis, if you remember that, 00:09:37.26\00:09:39.31 and she came, actually my wife was her 00:09:39.32\00:09:41.95 lifestyle counselor at that time. 00:09:41.96\00:09:43.67 And you ran a check on a Vitamin D levels and 00:09:44.29\00:09:48.09 they were quite low, and when she made 00:09:48.10\00:09:50.99 those changes and she took supplementation at 00:09:51.00\00:09:55.14 the time, then things started to improve and 00:09:55.15\00:09:58.50 to this day she hasn't had that MS back, no, no. 00:09:58.51\00:10:02.02 And so we see that there could be a lot of 00:10:02.46\00:10:04.49 disease perhaps we are not even aware of 00:10:04.50\00:10:06.98 that could be a contributing factor that 00:10:07.64\00:10:09.72 are yet to be discovered. Right. Now, let's talk 00:10:09.73\00:10:13.67 for moment about the amount of Vitamin D, 00:10:13.68\00:10:17.18 obviously we, we get different amounts with 00:10:17.19\00:10:19.69 different colored skin. How do we know how 00:10:19.70\00:10:24.00 much that we personally need? 00:10:24.01\00:10:25.91 It is so variable Lee depending upon like 00:10:26.81\00:10:29.58 you said skin color, even the degree of body 00:10:29.59\00:10:33.99 weight, because as people tend to get over 00:10:34.00\00:10:37.68 their ideal weight, increased fat stores, 00:10:37.69\00:10:40.33 Vitamin D is stored in the fat, it is not 00:10:40.34\00:10:43.07 available for use. So, it's, it's very 00:10:43.08\00:10:47.20 important that a person who let say is aged, 00:10:47.21\00:10:51.14 they don't produce as much Vitamin D as the 00:10:51.15\00:10:54.24 younger person, they are darker skinned, 00:10:54.25\00:10:57.25 or they over their ideal weight, these people are 00:10:57.67\00:11:00.08 gonna need more Vitamin D and there's 00:11:00.09\00:11:02.16 no way to predict, you have to measure serum levels. 00:11:02.17\00:11:05.47 Right, right, so we could be actually 00:11:05.48\00:11:08.36 getting enough sunlight and yet still be 00:11:08.37\00:11:12.01 deficient, well, in some instances. 00:11:12.02\00:11:14.29 Well, you're getting sun exposure, but obviously 00:11:14.95\00:11:17.09 it's not enough. Right, okay, okay, so as 00:11:17.10\00:11:19.44 we get older we have a harder time producing, 00:11:19.45\00:11:23.39 yes, the Vitamin D, okay. And so I believe 00:11:23.66\00:11:25.90 by the time we're about 70, we have a 75 00:11:25.91\00:11:31.02 percent reduction, exactly, of production 00:11:31.03\00:11:33.43 of that Vitamin D level. Let's talk a minute 00:11:33.93\00:11:37.16 about sunbathes at Wildwood and other 00:11:37.17\00:11:39.87 lifestyle centers you have solarium where 00:11:39.88\00:11:42.44 you sit down and I've had this myself, 00:11:42.45\00:11:44.98 sometime don't workout there and I just took of 00:11:45.84\00:11:49.42 my shirt and got that direct sun exposure, 00:11:49.43\00:11:52.23 how important would sunlight therapy like 00:11:53.51\00:11:56.35 that be to someone who is deficient? 00:11:56.36\00:11:58.78 Well, it's very important, the more we 00:11:59.79\00:12:03.01 get the greater we can raise serum levels. 00:12:03.02\00:12:06.08 I think it's been estimated that with a 00:12:06.09\00:12:08.66 more full body exposure like what 00:12:08.67\00:12:10.87 you're talking about in, in a private solarium 00:12:10.88\00:12:13.77 setting, that you after about maybe 15 00:12:13.78\00:12:17.91 minutes, 20 minutes of sunlight exposure in 00:12:17.92\00:12:21.21 the middle part of the day, you can generate, 00:12:21.59\00:12:24.76 the body will generate maybe up to 10,000 00:12:24.77\00:12:27.74 international units of, of Vitamin D, 30 minutes 00:12:27.75\00:12:31.56 maybe up to 20,000, so you can really boost 00:12:31.57\00:12:34.98 your levels by sun exposure in proper settings. 00:12:34.99\00:12:38.57 Now, you don't wanna get burned, that's very 00:12:38.77\00:12:41.00 important, we're not encouraging people to 00:12:41.01\00:12:43.90 take what we're saying and then go out in the 00:12:43.91\00:12:45.87 sun and then get your sun burn, right, 00:12:45.88\00:12:47.99 because that's then increasing 00:12:48.00\00:12:49.77 your risk for skin cancer. Right, and we could 00:12:49.78\00:12:52.96 equate having sun, sunlight or sunbathes 00:12:52.97\00:12:56.14 like food, is the certain amount that you wanna 00:12:56.15\00:13:00.09 eat and once you reach that limit you don't 00:13:00.10\00:13:02.85 want to overindulge, exactly, and 00:13:02.86\00:13:05.37 overindulging under sunlight can produce lot 00:13:05.67\00:13:08.66 of cancer. In fact we know today that 00:13:08.67\00:13:10.84 melanoma is one of the fastest growing cancers 00:13:12.30\00:13:15.93 in, in North America and around the world. 00:13:16.65\00:13:19.04 So, obviously we're not quite finding that 00:13:19.25\00:13:22.37 balance somehow between getting enough 00:13:22.46\00:13:24.89 and also having too much. You know Lee, it's also 00:13:25.53\00:13:29.93 important for us to recognize that with this 00:13:29.94\00:13:33.61 rising incidence of skin cancer melanoma and 00:13:33.62\00:13:37.12 the other skin cancers. It's not just the sunlight 00:13:37.13\00:13:42.67 as people have adopted more and more animal 00:13:43.66\00:13:47.46 fats into their diet, it is these animal fats that 00:13:47.47\00:13:51.45 are deposited in the skin that when radiated are 00:13:51.46\00:13:55.43 much more likely to produce the cancerous 00:13:55.44\00:13:58.51 changes, than someone on a plant based diet, 00:13:58.52\00:14:01.18 so we need to recognize that also. 00:14:01.19\00:14:03.01 Sun doesn't need to get the bad press that it has 00:14:03.23\00:14:07.90 over these years, okay, so that people are so 00:14:08.33\00:14:10.25 afraid of, okay. Let's talk for moment 00:14:10.26\00:14:12.54 about sunblocks, I come from Australia, 00:14:12.55\00:14:16.61 we love the sun, and we love to go to the beach, 00:14:17.17\00:14:20.79 and I know we have highest incidence of 00:14:21.31\00:14:23.16 skin cancer in the world, but do these things 00:14:23.17\00:14:27.96 really protect us or are they just a way to be 00:14:27.97\00:14:32.61 intemperate with getting that sunlight. 00:14:32.62\00:14:35.66 You know, I think the sunscreens they are 00:14:36.27\00:14:38.36 protective, they have a place, sure we wouldn't 00:14:38.37\00:14:41.19 say we would never use them proper clothing, 00:14:41.20\00:14:43.75 you know, for excessive exposure in the sun, 00:14:44.19\00:14:47.17 but what I would recommend is that get 00:14:47.85\00:14:51.50 at least that amount that you're going to need 20 00:14:51.51\00:14:55.26 to 30 minutes a day of direct sun exposure to 00:14:55.27\00:14:58.74 as much of the body as you can, then you can 00:14:58.75\00:15:01.91 use your cover, okay. So, when you are out 00:15:01.92\00:15:04.46 longer periods then you know you are protected. 00:15:04.47\00:15:07.05 Now what would be one of the best times of 00:15:07.27\00:15:09.79 the day to get your sunlight? 00:15:09.80\00:15:11.85 In the northern hemisphere between 00:15:12.72\00:15:15.64 let's say 10 in morning and 2 to 3 in the 00:15:15.65\00:15:18.38 afternoon, that's when the sun is more directly 00:15:18.39\00:15:22.74 you know over head and you're getting those 00:15:23.13\00:15:25.87 rays that will give us the best radiation exposure. 00:15:25.88\00:15:28.98 Okay, now there is probably lot of people 00:15:28.99\00:15:31.24 watching that live up there north like Michigan, 00:15:31.25\00:15:35.59 Canada maybe even Antarctica who would 00:15:36.67\00:15:39.19 say well that's alright for you, but you know 00:15:39.20\00:15:41.95 the sun doesn't get that high to often for us, 00:15:41.96\00:15:45.01 what can we do to help with Vitamin D deficiency? 00:15:45.52\00:15:48.44 If the person is tested and they are deficient 00:15:48.69\00:15:52.94 then I would recommend some form 00:15:52.95\00:15:54.57 of supplementation. So, that we can get 00:15:54.58\00:15:57.26 those levels up to at least optimum for health. 00:15:57.27\00:16:00.90 Okay, now are there any medications that 00:16:01.33\00:16:05.38 can interfere with Vitamin D metabolism. 00:16:05.39\00:16:08.60 Yes, we recognize that, a number of agents, 00:16:08.61\00:16:12.66 the steroids for instance can, can interfere, 00:16:13.17\00:16:16.32 birth control pills, medications that we use 00:16:17.06\00:16:21.14 sometimes to control seizer disorders, 00:16:21.15\00:16:23.43 or to treat tuberculoses, I mean there are lots of 00:16:23.44\00:16:26.63 different agents that are out there 00:16:26.64\00:16:28.16 that can play a role. Sometimes I deal with 00:16:28.17\00:16:31.33 patients who say to me you know I can't 00:16:32.01\00:16:34.68 tolerate the sun too much, you know it 00:16:34.69\00:16:37.71 has an effect on me they have autoimmune 00:16:37.72\00:16:40.10 conditions, would we discourage them to get 00:16:40.11\00:16:43.78 out in the sun or would we use a more 00:16:43.79\00:16:46.77 temperate approach? Well, I would 00:16:46.78\00:16:49.19 encourage them to begin trying to get some 00:16:49.20\00:16:52.94 sun exposure; you have to work with 00:16:52.95\00:16:55.60 individuals with their own fear factor, right. 00:16:55.61\00:16:59.77 And if they are afraid we certainly don't want 00:16:59.78\00:17:01.96 to push them out to where they become 00:17:01.97\00:17:06.02 distressed and stressed over that, we might use 00:17:06.03\00:17:09.25 the supplementation now. But I try to encourage 00:17:09.26\00:17:13.22 people to understand the principle that God 00:17:13.23\00:17:15.66 made the sun, that it is good. 00:17:15.67\00:17:18.27 It's a natural remedy, it's a natural remedy, 00:17:18.41\00:17:20.39 it's not something to fear but like anything 00:17:20.40\00:17:23.74 that's good it can be taken to extremes, right, 00:17:23.75\00:17:26.71 and that's when we get into trouble. 00:17:26.72\00:17:28.21 Exactly, so the message we want you to 00:17:28.22\00:17:31.08 remember is one of temperance, moderation 00:17:31.48\00:17:34.76 in that which is good and absence from that 00:17:34.77\00:17:36.85 which is harmful. Let's talk for a moment about 00:17:36.86\00:17:39.83 the effect that Vitamin D has on the mind, 00:17:40.06\00:17:42.92 I remember many years ago I was in Japan and 00:17:42.93\00:17:47.05 I was stationed in the place where for six 00:17:47.06\00:17:49.35 months had very little sunlight. 00:17:49.36\00:17:51.66 And I just remember feeling that depression 00:17:52.22\00:17:55.31 and when the sunlight would come out, 00:17:55.84\00:17:57.47 it was just like living in another world, sure. 00:17:57.48\00:18:00.08 And I just wanted to rip my shirt off and get that 00:18:00.09\00:18:02.53 sunlight, what effect does Vitamin D 00:18:02.54\00:18:06.23 deficiency have on the mind? 00:18:06.24\00:18:08.03 Studies have demonstrated a marked increase in 00:18:09.26\00:18:13.16 depressive illnesses with the lack of 00:18:13.17\00:18:16.26 Vitamin D, lack of sunlight exposure. 00:18:16.27\00:18:18.85 Now, we even recognize that certain 00:18:20.58\00:18:22.83 illnesses that effect thought process in such 00:18:22.84\00:18:25.94 us schizophrenia much more common in 00:18:25.95\00:18:29.67 individuals who have been deprived of sunlight. 00:18:30.17\00:18:32.81 And so, I think we recognize that yes 00:18:33.46\00:18:35.96 indeed mind function is also 00:18:35.97\00:18:38.88 regulated by Vitamin D. Let's talk about the 00:18:38.89\00:18:42.48 immune system, Vitamin D's role in that 00:18:42.49\00:18:45.74 in protecting the body against things like 00:18:45.75\00:18:49.37 arthritis, and I remember years ago 00:18:49.69\00:18:52.81 it wasn't that long ago where people who had 00:18:52.82\00:18:56.08 tuberculoses, their treatment was open air 00:18:56.09\00:19:00.02 and sunlight, and we seem to have forgotten 00:19:00.03\00:19:02.65 this blessing that God has given us. 00:19:04.07\00:19:05.97 The immune system needs the sun and 00:19:07.49\00:19:12.45 Vitamin D it as we had mentioned up regulates 00:19:12.46\00:19:16.74 genes for the production even singularly of 00:19:17.30\00:19:20.47 certain types of we called them cytokines 00:19:20.48\00:19:23.34 or cell chemicals that are helpful in 00:19:23.35\00:19:26.56 combating infectious diseases 00:19:26.57\00:19:29.37 such us tuberculoses. And so the history of 00:19:29.38\00:19:33.76 our old TB sanatoriums where we used to put 00:19:33.77\00:19:37.18 people out in the sun to recover, that had a lot 00:19:37.19\00:19:41.03 of scientific physiologic basis, because indeed 00:19:41.04\00:19:45.29 that helps the immune system fight against 00:19:45.30\00:19:47.84 infectious diseases, those cells that are set 00:19:47.85\00:19:51.59 into the area of infection can function 00:19:51.60\00:19:53.50 can function best when they have ample 00:19:53.81\00:19:56.06 amounts of Vitamin D. And you know we now 00:19:56.07\00:19:59.47 recognize too that the body itself produces 00:19:59.48\00:20:03.94 antibiotic and antiviral like substances that are 00:20:04.61\00:20:09.90 inherent in the organism when it is expose to 00:20:09.91\00:20:13.54 Vitamin D. So, some are even now 00:20:13.55\00:20:17.15 suggesting that with colds and with other 00:20:17.16\00:20:20.44 infections to take added doses of Vitamin D. 00:20:20.45\00:20:23.36 Do you think we are at a point you know in 00:20:24.41\00:20:25.94 history where it necessitates use of 00:20:25.95\00:20:29.16 supplementation, can we get away from that, 00:20:29.17\00:20:32.13 we just have to have a perfect environment 00:20:33.23\00:20:35.73 and live a temperate lifestyle? 00:20:35.74\00:20:37.31 Well, I wouldn't want to press everyone into the 00:20:38.22\00:20:41.62 supplementation route, I would tell people to try 00:20:41.63\00:20:45.12 to get as much sun as is possible, especially 00:20:45.13\00:20:49.63 during the summer months, I think 00:20:49.64\00:20:51.30 supplementation is much less needed, 00:20:51.31\00:20:54.68 but if you are doing all that you can and your 00:20:55.55\00:20:58.87 Vitamin D levels are still low don't be foolish. 00:20:58.88\00:21:02.60 It's not assent to take a supplement if you need 00:21:03.30\00:21:07.05 it in order to get the levels 00:21:07.06\00:21:09.24 up to optimum levels. Let's talk about that 00:21:09.25\00:21:12.18 about the low side of things, when do you as 00:21:12.19\00:21:15.44 a physician start to get very concerned about 00:21:15.45\00:21:18.47 someone's Vitamin D levels? 00:21:18.48\00:21:19.96 Well, I've seen Lee patients come in and 00:21:20.96\00:21:23.48 their Vitamin D level is less than 4 wow, okay 00:21:23.49\00:21:26.88 and they are usually hurting, they have many 00:21:26.89\00:21:30.12 medical problems. And so I will try to get that 00:21:30.13\00:21:33.69 level up fairly quickly and I will use a high 00:21:33.70\00:21:36.71 potency replacement 50,000 international 00:21:37.20\00:21:40.56 units of Vitamin D once a week, I'll check them 00:21:40.57\00:21:43.87 two months later if its still low I'll continue for 00:21:44.65\00:21:47.86 another 8 weeks. But the more common 00:21:47.87\00:21:51.34 scenario is someone will come in and their 00:21:51.35\00:21:53.99 Vitamin D levels are in the low 20s, okay. 00:21:54.00\00:21:57.25 They maybe feeling pretty well, but we're 00:21:57.26\00:21:59.81 checking their Vitamin D levels and they are 00:21:59.82\00:22:01.73 low and so for that person I will be more 00:22:01.74\00:22:04.94 moderate and temperate with my replacement, 00:22:04.95\00:22:07.11 I'll encourage them to get more sunlight, 00:22:07.12\00:22:09.24 but I may use a small amount of 00:22:09.92\00:22:11.91 supplementation maybe 2 to 3000 international 00:22:12.40\00:22:16.10 units of D2 a day to gradually 00:22:16.11\00:22:19.32 build that level up. And that would 00:22:19.33\00:22:21.69 correspond with what is currently being 00:22:21.70\00:22:24.15 recommended of 800 to 1000 international units 00:22:24.16\00:22:30.24 of Vitamin D3 daily. Right, okay so what 00:22:30.25\00:22:34.57 you're saying is we have to moderate the 00:22:34.58\00:22:37.52 amount according to the deficiency and perhaps 00:22:37.53\00:22:40.60 even the person himself, the age level, 00:22:41.18\00:22:44.08 right, and what conditions we are 00:22:44.53\00:22:46.24 working with, yes, so there's no exact amount 00:22:46.25\00:22:49.39 really is there, no, we have to look at each 00:22:49.40\00:22:52.45 individual case. Let's talk about Vitamin D 00:22:52.46\00:22:55.93 and its role when it comes to even the 00:22:55.94\00:22:59.75 digestive system I believe, it has an effect 00:22:59.76\00:23:02.64 upon absorption of, of calcium, yes, certainly, 00:23:02.65\00:23:06.41 are there any symptoms that may occur in that 00:23:06.42\00:23:10.38 úarea as a result of lack. Lack of calcium well 00:23:10.39\00:23:14.63 certainly you know that's when we get into 00:23:14.64\00:23:16.54 the problem with bone pain and 00:23:16.55\00:23:19.25 increase fracture risk. And the lower the 00:23:19.26\00:23:23.35 levels of Vitamin D you can even get into a 00:23:23.36\00:23:25.76 syndrome called osteomalacia which is 00:23:25.77\00:23:28.91 a, a syndrome, a condition where people 00:23:28.92\00:23:34.40 actually, they just have a lot of bone pain 00:23:34.41\00:23:37.39 rickets, is the childhood kind of presentation for 00:23:37.90\00:23:42.55 extreme osteomalacia involving the long 00:23:42.56\00:23:45.55 bones, or the cartilage here in the, in the chest, 00:23:45.56\00:23:50.03 so yes there can be very significant problems 00:23:50.51\00:23:53.89 with low levels. Now, from your studies, 00:23:53.90\00:23:56.38 you find that the first 12 has the majority of the 00:23:56.39\00:24:00.88 problems with Vitamin D deficiency than more 00:24:00.89\00:24:04.28 native people who are out more, do they have 00:24:04.29\00:24:06.79 less of a problem? Less of a problem, 00:24:06.80\00:24:08.84 yeah because the more sun exposure that that 00:24:09.62\00:24:12.38 they are getting, and they are working 00:24:12.39\00:24:13.52 outside and they also have the other 00:24:13.53\00:24:16.31 balancing things of being outdoors in the 00:24:16.32\00:24:18.83 fresh air, they are exercising, right, 00:24:18.84\00:24:20.76 these are God's answers to, to disease, in other 00:24:20.77\00:24:26.31 words to be outdoors. So we get in a, a triple 00:24:26.32\00:24:29.68 blessing really when we, when we get this 00:24:29.69\00:24:32.36 sunlight, we're usually outside getting the fresh 00:24:32.37\00:24:34.85 air, we're getting the exercise, working and 00:24:34.86\00:24:38.21 it's just enhancing everybody function 00:24:39.55\00:24:41.60 really that's what you're saying the Vitamin D is 00:24:41.61\00:24:44.04 helping every cell of the body is helping all the 00:24:44.05\00:24:46.83 tissues, it's helping the organs, and most 00:24:46.84\00:24:49.79 importantly it's helping the mind to be at 00:24:49.80\00:24:52.42 function, right, more coherently. 00:24:52.43\00:24:54.61 And we are, I believe is God originally intended 00:24:54.80\00:24:58.58 us to be we're outside in touch with God's nature 00:24:58.59\00:25:03.34 and we can commune better with him as we 00:25:03.72\00:25:07.08 are in that environment. So, our minds are 00:25:07.09\00:25:09.73 drawn to the creator, and so there are many, 00:25:09.74\00:25:12.55 many benefits spiritually, physically, mentally 00:25:12.56\00:25:15.70 from, from the outdoor life. 00:25:15.71\00:25:19.30 Now, is that any danger in getting too much 00:25:19.45\00:25:22.19 Vitamin D from a supplementation, is that 00:25:23.29\00:25:26.93 any concerns? There is a theoretical 00:25:26.94\00:25:30.31 concern in all of the exposures I've had to 00:25:30.32\00:25:34.54 Vitamin D supplementation in 00:25:34.80\00:25:37.05 patients, I've rarely seen that and that is only in 00:25:37.06\00:25:42.28 individuals who have been very intemperate. 00:25:42.29\00:25:44.64 Studies have shown that you can take up to 00:25:46.24\00:25:48.05 10,000 international units of Vitamin D 00:25:48.06\00:25:51.22 daily for months and never have any adverse 00:25:51.23\00:25:55.31 consequences with that. You'll never get too 00:25:55.32\00:25:59.04 much from sun exposure because the 00:25:59.05\00:26:00.83 body regulates that you cannot get an overdose 00:26:00.84\00:26:04.03 of Vitamin D from sun. But yes we just tell 00:26:04.04\00:26:08.14 people you know follow up with your Vitamin 00:26:08.15\00:26:11.11 D, you know we don't need to run it to that 00:26:11.12\00:26:13.95 high extreme either because there can be 00:26:13.96\00:26:16.22 problems kidney stones, metastatic calcification 00:26:16.57\00:26:19.73 throughout the body, but that's rare it's not a, 00:26:19.74\00:26:22.66 it's not a common problem. So, we don't wanna 00:26:22.90\00:26:25.42 scare people away from taking needed 00:26:25.43\00:26:27.59 supplements because of this very uncommon 00:26:27.60\00:26:31.65 problem of excess. Right, right now can 00:26:31.66\00:26:33.63 people get enough Vitamin D in their foods? 00:26:33.64\00:26:36.46 It's very difficult because even in the 00:26:37.19\00:26:39.71 fortified food you are only talking about 00:26:39.72\00:26:41.72 maybe 100 units here or there. 00:26:41.73\00:26:44.94 And it just doesn't give enough adequacy 00:26:46.25\00:26:50.69 for the serum levels to raise. 00:26:52.21\00:26:56.34 So, that's something that some people are 00:26:57.44\00:27:00.12 using instead of supplementation, 00:27:00.13\00:27:02.19 so it would be more encouraging in getting 00:27:02.76\00:27:05.33 sunlight and on top of that where need be 00:27:05.34\00:27:08.22 a healthy amount through supplementation source. 00:27:08.68\00:27:11.86 Well, if they're taking it in fortified foods they're 00:27:11.87\00:27:14.24 still supplement, I see okay. 00:27:14.25\00:27:16.75 In their mind they may think not, right, but they 00:27:16.76\00:27:19.15 are still supplementing. Right, very good, 00:27:19.16\00:27:21.49 well we would like to thank you for coming 00:27:22.32\00:27:23.72 today on the program. I hope you've enjoyed 00:27:23.73\00:27:26.99 today's program and the information has been 00:27:27.00\00:27:29.50 useful to you. The Bible says in Ecclesiastes 00:27:29.51\00:27:33.85 chapter 11 and verse 7: How pleasant it is for 00:27:33.86\00:27:39.04 the eyes to behold the sun; and as we looked 00:27:39.05\00:27:42.98 at Vitamin D today I hope it's been an 00:27:42.99\00:27:45.00 encouragement to you to bring about changes 00:27:45.01\00:27:48.34 in your life that could enhance your Vitamin 00:27:48.35\00:27:51.60 D levels. My name is Lee Wellard, a health 00:27:51.61\00:27:55.01 educator from Wildwood Lifestyle Center, 00:27:55.02\00:27:57.71 I really hope you've enjoyed today's 00:27:58.26\00:27:59.91 program. Please join us again next time for 00:27:59.92\00:28:03.08 another program on Wonderfully Made and 00:28:03.09\00:28:05.88 just keep in mind that your body is God's temple. 00:28:05.89\00:28:08.97