A few of Dr. Gominak's slides,
all slides are attached at the bottom of this page
Updates:
Sleep, Vitamin D, Vitamin B-12, IBS, Fibromyalgia - Gominak March 2015
Sleep problems cured by vitamin D, etc. – workshops and patient workbooks – Gominak 2018
What’s the right dose?
- We make 20,000 IU of vitamin D on our skin in 1-6 hours in a bathing suit, middle of the day middle of the summer.
- Time needed to accomplish this is related to skin color.
- 1,000 IU/day is clearly not going to replace this.
- There are two types of doses :
- 1) Repleating dose ( going from 15 ng/ml to 65 ng/ml ) and
- 2) Maintenance dose (staying at 65ng/ml)
- The one time dose to go from 18 to 60 is much higher than the maintenance dose.
- Repleating dose is 10-20K/day for 4-6 weeks depending on the first measured level and, what month it’s measured in, and how long it’s been that low.
Dosing vitamin D
- Summer dose is zero to 10,000 and different for each person based on where they live, how much they go outside and how fast they make it, ie skin color.
- Dark skinned people make it slower, they are made for very high sun environment and use melanin in their skin to block D formation so they don’t get too high.
- We know that darker skinned people have more sleep disorders, this is why.
- Each person needs to learn their own winter dose and summer dose that keeps them 60-80 ng/ml.
Dosing vitamin D
- Surprisingly, once my patients wake up strong, happy and pain free for several months they can often tell by the way they feel that their level isn’t right.
- When they feel worse they decrease or increase by half of their dose.
- If, within a day or so, they’re feeling good again it usually means they went the right way.
- Always insist on numbers to support these moves in the first to second year. After that they may not need to be done as often.
- All insurances will do four vitamin D levels per year with the ICD 9 of 268.9; vitamin D deficiency. All of your patients make that diagnosis so don’t be afraid to use it.
Other vitamin deficiencies that affect sleep may develop after long periods of D deficiency
- D hormone has other cofactors that are necessary for its action in each cell, so I always give a multivitamin.
- B12 helps the sleep and should be >500. If it’s below 500 I supplement with 1000 mcg per day for several years.
- D has receptors in the parietal cells of the stomach that make acid and intrinsic factor so B12 deficiency is usually a secondary deficiency to D deficiency and what we’ve been taught about “pernicious anemia” is actually wrong, once you replace the D as well as the B12 the anemia usually corrects.
- Anemia of “chronic disease” always has a low D level in the background, and in my experience usually corrects with the proper vitamin D replacement, 60-80 ng/ml.
- All the cells of the bone marrow, including red cells and platelets have vitamin D receptors on their surface.
Vitamin D side effects
- Leg cramps or worsening headaches may suggest magnesium is low, give sunflower or pumpkin seeds as a magnesium source daily or take magnesium gluconate 500 mg/day. (not oxide) send them to www.vitamindcouncil.org. for any questions.
- If D causes diarrhea (1/50 of my patients) put the D on the skin instead of orally for a while or try the powdered form instead of D dissolved in oil. Or carefully use a tanning bed.
- Be careful of giving supplemental D to people who are not sick. They may not need it and if it gets too high it will goof up their sleep.
- If they feel worse immediately lower the dose.
In the third year of giving lots of patients vitamin D some questions remain
- Why are some of my daily headache sufferers developing burning in their hands and feet?
- Why don’t all of the patients who came to see me for burning in the hands and feet get completely better with D?
- Why do some vitamin D deficient patients have pain and some do not?
- Why are some people cured of pain using D and some not?
- Why haven’t the irritable bowel symptoms gone away even though the reflux has?
- Why aren’t my patients losing weight at the rate that they gained it when they became D deficient?
- Why are some of my patients still not sleeping normally with everything I know of in range?
- What is it that their brain still wants to sleep normally?
Why do all of these people have “abnormal colonic microbiomes”?
- Hypertension
- Heart disease
- High cholesterol
- Obesity
- Stroke
(All who we know have sleep apnea and low D) - Multiple Sclerosis
- Rheumatoid arthritis
- Psoriasis
- Ulcerative colitis, crohn’s
- Lupus
- Autoimmune diseases of almost any kind
See also VitaminDWiki
- Sleep longer if have more vitamin D – many studies
- Search VitaminDWiki for SLEEP
- Search for Gominak on VitaminDWiki 450 items as of Jan 2018
- Poor sleep and lack of vitamin D - Nov 2011 also by Gominak
- Sleep disorder and nonspecific pain implies low vitamin D, especially if dark skin – March 2013
- Many sleep disorders cured with vitamin D levels of 60 to 80 nanograms – May 2012
- Handout on Vitamin D (Hormone D) and sleep - Gominak 2012
- All items in category Sleep
101 items - Need 40 to 80 ng of vitamin D to lose weight – Colgan Sept 2013
- Need at least 80 ng of vitamin D if have chronic kidney disease – May 2012
- Update on Treating Multiple Sclerosis with high dose vitamin D - Sept 2013 150 ng
- Overview Loading of vitamin D many way to restore levels in a month or two
- Vitamin B12
VitaminDWiki: there are several other forms of Vitamin D for poor guts
- Nanoencapsulated vitamin D is stable and bioavailable – May 2012
- Vaginal suppository of 6300 IU vitamin D stopped vaginal infection – Feb 2011
- Alternatives if not swallow pills or not absorb vitamin D
- Gut-Friendly Vitamin D
- Sublingual vitamin D
See also web
- Vitamin D Improves Selected Metabolic Parameters but Not Neuropsychological or Quality of Life Indices in OSA: A Pilot Study Jan 2017
RCT used only 4,000 IU daily for only 15 weeks
Not enough, for not long enough: 8,000 IU for 30 weeks would likely have found a benefit
Sleep disorders cured by 60-80 ng of vitamin D and some B vitamins – March 201325705 visitors, last modified 20 Mar, 2018, This page is in the following categories (# of items in each category)Attached files
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