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Vitamin D proven to help in many ways, but little change in recommendations - Holick Jan 2025


The D-Lightfully Controversial Vitamin D & its Health Benefits from Inception until Death

YouTube 19 minutes

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Summary by GLAPS AI Jan 2025

Introduction to Dr. Michael Holick:

  • Dr. Michael Holick, a prominent researcher at Boston University Medical Center, has significantly contributed to understanding Vitamin D's role in human health.
  • He identified the major circulating form (25-hydroxyvitamin D3) and the active form (1,25-dihydroxyvitamin D3) of Vitamin D and explored its synthesis and effects on the skin.

Vitamin D Guidelines and Recommendations:

  • 2010: Recommended Dietary Allowance (RDA) increased to 600-800 IU, with 2,000 IU considered safe.
  • 2011: Endocrine Society recommended higher daily intake (400-1,000 IU for infants, 600-1,000 IU for children, and 1,500-2,000 IU for adults, with adjustments for obesity).
  • 2024 guidelines: Mixed findings; higher dosages during pregnancy (2,500 IU/day) are suggested, but general supplementation recommendations remain conservative.

Health Implications of Vitamin D Deficiency:

  • Deficiency linked to rickets, osteomalacia, fractures, infections, cardiovascular disease, cancer, and increased mortality.
  • Pregnant women with low Vitamin D levels risk preeclampsia, premature births, C-sections, and infant dental issues.

Evidence from Observational and Randomized Studies:

  • Observational studies associate Vitamin D deficiency with higher risks of chronic illnesses.
  • Randomized control trials (RCTs) often fail to demonstrate clear benefits, partly due to study limitations and baseline Vitamin D levels already being sufficient in participants.

Vitamin D's Role in Pregnancy and Early Life:

  • Higher Vitamin D levels during pregnancy are linked to reduced risks of preeclampsia, premature birth, and neonatal mortality.
  • Adequate maternal Vitamin D levels can improve infant outcomes, such as stronger bones and fewer dental caries.

Association with Chronic Diseases and Mortality:

  • Vitamin D impacts immune function, reducing risks for respiratory infections, Type 1 and Type 2 diabetes, autoimmune diseases, and cardiovascular disease.
  • Higher Vitamin D levels (40-60 ng/mL) are associated with reduced mortality rates and overall improved health outcomes.

COVID-19 and Vitamin D:

  • Studies suggest that Vitamin D deficiency increases the risk of COVID-19 infection, hospitalization, and mortality.
  • Sufficient Vitamin D levels can lower the odds of severe outcomes.

Obesity and Vitamin D:

  • Obesity reduces Vitamin D availability due to sequestration in fat tissue, requiring higher supplementation levels for optimal health benefits.

Recommendations for Optimal Levels:

  • Dr. Holick advocates for maintaining 30-60 ng/mL of 25-hydroxyvitamin D through
    supplementation of 4,000-5,000 IU/day for most individuals.

Vitamin D Deficiency as a Public Health Issue:

  • Compared to historical examples like Ignaz Semmelweis (handwashing advocacy), Dr. Holick highlights the widespread neglect of addressing Vitamin D deficiency despite strong evidence of its health benefits.---

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Attached files

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22224 C-section risk.webp admin 28 Jan, 2025 26.62 Kb 62