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The Easiest Way to Prevent Colds and Flu

Posted: 08/07/10 09:00 AM ET

America has a nasty cold.

Collectively, we cough, sniffle and sneeze our way through one billion colds a year, spending 1.5 billion dollars for doctor visits and 2 billion dollars on non-prescription cough and cold treatments. Fortunately, few people die of a cold. But you can't say that about the flu.

The influenza virus hospitalizes more than 200,000 Americans a year and kills 36,000, many of them over 65. (And flu shots are no guarantee. From 2007 to 2008, the shot was only 44 percent effective in stopping the flu.)

Is there any way to make yourself less vulnerable to these two infections?

Yes, says a study published on June 14 in the open access online medical journal Plos One. Make absolutely certain you have higher-than-normal blood levels of vitamin D.

Here's what you need to know about the study and its practical application.

The study was led by James R. Sabetta, MD, in the Department of Medicine at Yale University School of Medicine and the Section of Infectious Diseases at Greenwich Hospital in Greenwich, Connecticut. He and his colleagues observed the obvious: rates of "acute respiratory tract infections" (colds and flu) rise in the fall and winter. But why? Could the seasonal drop in blood levels of vitamin D -- a hormone-like nutrient produced most abundantly in the body when the skin is exposed to the strong, direct sunlight of summer -- explain the phenomena?

To find out, the researchers took monthly measurements of the blood levels of vitamin D (25-hydroxyvitamin D) in 195 healthy adults. The measurements started the third week in September and continued for the next four to five months. At the same time, the study participants were asked to report any acute respiratory tract infections. The results were, well, decisive.

Those who had blood levels lower than 38 ng/ml (nanograms per milliliter) had twice as many upper respiratory tract infections.

Among the 18 people in the study who consistently maintained blood levels of vitamin D above 38 ng/ml, 15 were completely free of upper respiratory tract infections -- no colds, no flu! (Of those 18 folks, 13 were taking vitamin D supplements. More about that in a minute.)

And when the above-38 group did succumb to cold or flu, their illnesses were shorter. The percentage of days ill with acute respiratory tract infections in the above-38 group was 4.9 times lower than in the below-38 group.

Of the other 180 participants -- all of them with blood vitamin D levels consistently below 38 ng/ml -- 81 developed colds and flu.

The study's statistical summary: the 38 plus group had a two-fold decrease in the risk of developing a cold or flu.

The Yale researchers aren't the first to link vitamin D levels and the flu. In research reported in the American Journal of Clinical Nutrition in March, 2010, Japanese doctors studied 334 children, half of whom took 1200 IU of vitamin D daily. Eighteen of the children taking vitamin D developed the flu, compared to 31 children not taking the vitamin, a risk reduction of 58 percent. An earlier study in the Archives of Internal Medicine looked at 19,000 adults and adolescents and found that those with the lowest blood levels of vitamin D were 40 percent more likely to have had a recent cold or flu, compared to those with the highest levels. In another study, women taking 2,000 IU of vitamin D (to protect bones) had an average of nine episodes of colds and flu over three years of taking the supplement -- compared to an average of 30 episodes in a group of women taking 200 IU of vitamin D.

But the Yale study was the first to methodically track vitamin D levels and colds/flu incidence during the cold/flu season. What did the Yale researchers have to say about their startling results?

"Maintenance of a 25-hydroxyvitamin D serum concentration of 38 ng/ml or higher should significantly reduce the incidence of acute viral respiratory infections and the burden of illness caused thereby, at least during the fall and winter." Easier said than done.

A deficiency of vitamin D is incredibly common, says James Cannell, MD, president of the Vitamin D Council (www.vitaminDcouncil.com) and co-author of the paper "Epidemic Influenza and Vitamin D," published in the Journal of Epidemiology and Health. In fact, your risk of a deficiency of vitamin D is 50 percent -- one out of every two Americans is likely to have blood levels below 20 ng/ml, he says.

In fact, Dr. Cannell is convinced that a low blood level of vitamin D is the reason people are vulnerable to cold and flu viruses. "Vitamin D dramatically increases the production of the body's own antimicrobial peptides," he told me, for the "Cold and Flu" chapter of my most recent book, Speed Healing (Bottom Line Books). "If you have sufficiently high blood levels of vitamin D, you'll have enough of those peptides to kill cold and flu viruses before they have a chance to penetrate the mucosal barrier."

Here are Dr. Cannell's recommendations for making sure your blood levels of vitamin D stay high throughout the year.

There's only one way to know for sure if your levels are high enough -- get a blood test. But you don't have to go to a doctor to do it. The ZRT Laboratory (www.zrtlab.com) provides a reliable in-home vitamin D blood test, says Dr. Cannell. He recommends a test every six months.

Maintain blood levels of between fifty to eight ng/ml. While 38 ng/ml was generally protective in the Yale study, Dr. Cannell says research shows this higher level is necessary for vitamin D to be stored in muscles and fat and most effectively do its preventive work. And that's a lot of work. Studies over the past few years show vitamin D can prevent (and often treat) cancer, heart disease, type 2 diabetes, osteoporosis, obesity, depression, asthma, multiple sclerosis, ulcerative colitis, and many other conditions. In fact, high levels of Vitamin D have been linked to a reduction of death from any cause. (The nutrient has such a wide ranging effect, says Dr. Cannell, because it targets more than 2,000 genes -- 10 percent of the human genome.)

Take a vitamin D supplement. Dr. Cannell recommends 5,000 IU a day. (To get that amount from D-fortified milk, you'd need to drink 50 glasses a day, he points out.) "Anyone who takes this amount regularly shouldn't get a cold or flu," he told me. "If you do get one, it should be mild." He also recommends taking vitamin D3 (cholecalciferol), not vitamin D2 (ergocalciferol), its synthetic analog. "Vitamin D3 is the compound your skin makes naturally when you go in the sun, and it's more potent and safer than vitamin D2." And don't worry about an overdose, says Dr. Cannell. "There is not a single case in the medical literature of vitamin D toxicity while taking regular doses of 25,000 IU or less," he says. (The ideal vitamin D supplement includes co-factors like magnesium and zinc, says Dr. Cannell, and he has formulated his own brand, from Purity Products (www.purity.com): Dr. Cannell's Vitamin D.)

Spend some no-sunblock time in the sun during the summer months. He recommends near-daily exposure of most of the whole body (not just the face and hands) for 5 to 10 minutes, when the sun is highest in the sky (when your shadow is longer than you are). "You're not making much vitamin D when your shadow is shorter," he says.

 
America has a nasty cold. Collectively, we cough, sniffle and sneeze our way through one billion colds a year, spending 1.5 billion dollars for doctor visits and 2 billion dollars on non-prescriptio...
America has a nasty cold. Collectively, we cough, sniffle and sneeze our way through one billion colds a year, spending 1.5 billion dollars for doctor visits and 2 billion dollars on non-prescriptio...
 
 
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04:08 PM on 09/20/2010
Garlic helps in addition to Vitamin D3. Here is an article about fighting flu naturally this seasons. Practical advice that is easy to try for any family...
http://biovedawellness.com/2010/08/preparing-for-flu-season-naturally/
05:46 PM on 08/10/2010
Another article copying claims from vaccine manufacturers when there's no study or statistic to back it up. Kind of like Fox News and these nutty bloggers.
01:58 AM on 08/09/2010
Interesting article but I tend to believe the rates of cold/flu jump in the fall and winter just because people are staying indoors more during that time. Believe me, being in the medical field I'm all for herbal/vitamin/supplemental treatments compared to vaccines because it reduces the patient load and it's a breath of fresh air knowing people are trying to take care of themselves, but the flu vaccine is still a must every year, even though it works only 44% of the time as you stated. No matter how many people get vaccinated, differing age groups are more susceptible to acquiring a cough/cold/flu, even if they recieved the shot or nasal spray, so I bet the numbers of children and elderly brought that 44% number down considerably.
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HUFFPOST COMMUNITY MODERATOR
SvrWx
Eileen, toora tooluri Eh..
11:30 PM on 08/08/2010
I've always been lax in the washing of my hands and am not obsessive about cleanliness...and I maybe get sick twice a year. Nice strong immune system!!
12:59 PM on 08/08/2010
Another error - quote: "when the sun is highest in the sky (when your shadow is longer than you are). "You're not making much vitamin D when your shadow is shorter," he says."

This is of course physically impossible. The quote should read "when the sun is highest in the sky (when your shadow is shorter than you are). "You're not making much vitamin D when your shadow is longer".
09:31 AM on 08/08/2010
Also, keep you hands away from your eyes and mouth (except mouth with feeding). many germs are rubbed into the eyes when you're tired, etc. Get your flu shots and avoid large crowds when a lot is going around.
http://health-actuary.blogspot.com/
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HUFFPOST SUPER USER
Trittydi
Special on pap smears at Walgreen's this week ....
04:39 AM on 08/08/2010
We've heard that the results aren't as good for colds - and that has been our experience to some degree so far - I'd like more time to tell for sure.

My husband and I take 10,000 IU a day and our children (all 20-something) each take 5000 IU daily. One of my daughters and I had a particularly vicious cold a few months ago, but that's all in the year we've all been taking it. My son, away at school, told me that everyone around him was getting sick all the time and he never caught anything.

But VD3's benefits go far beyond the flu:
Prevention of Chronic Disease by Blood Serum Levels/VD3 - ng/ml.
http://www.radiomartie.com/hot/disease_incidence%20prevention_by_serum_level_chart_0001-1.jpg

And this is well worth your time to read - and explains why your doctor won't be telling you about VD3:
Why Governments sell VD3 Short:
http://www.ft.com/cms/s/2/11180df8-beaa-11de-b4ab-00144feab49a.html
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10:36 AM on 08/08/2010
Hopefully thats not from dietary supplements. You could end up like Gary Null and almost die from taking a supplement that was supposed to contain 2,000 IU but instead contained 2 million IU. Too much vitamin D is harmful. More doesn't equal better.
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HUFFPOST SUPER USER
Trittydi
Special on pap smears at Walgreen's this week ....
12:29 AM on 08/09/2010
I've done my homework and I read the studies and papers from the sites listed. Frist of all - VD3 is not a vitamin it is a very special hormone, a steroid hormone and it is in a class by itself. So the rules change from the get-go.

VD3 supplementation is a very personal thing - determined by blood serum levels, age and weight. Your comments would apply to some supplementation - but not VD3.
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HUFFPOST SUPER USER
Trittydi
Special on pap smears at Walgreen's this week ....
12:35 AM on 08/09/2010
Gary Null's case was an aberration, from his own brand of supplements and unlikely to be a routine concern. We've been taking VD3 for over a year and we're all doing amazingly well. I don't take Gary Null's supplements anyway, and I don't plan to.
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HUFFPOST SUPER USER
Sheldon101
sheldon101blog.blogspot.com Wakefield transcripts
01:45 PM on 09/17/2010
Why Governments Sell VD3 Short
-----------
Trittydi wrote: "And this is well worth your time to read - and explains why your doctor won't be telling you about VD3:Why Governments sell VD3 Short:
http://www.ft.com/cms/s/2/11180df8-beaa-11de-b4ab-00144feab49a.html

I read it from top to bottom. It is an excellent article It explains the difficulties in getting public health experts to raise the recommended daily amount of Vitamin D from all sources.

What it doesn't do is provide any nefarious reasons for doctors or public health experts not raising the recommendation. To the extent that this is Trittydi's intention, it is wrong.

It also doesn't make much sense. If Vitamin D supplementation is as good as its advocates believe, wouldn't it lower health care costs?

The Institute of Medicine, at the request of Health Canada and American agencies is reviewing the Daily Recommended Intake of Vitamin D. Their report should be coming out any day soon.
http://www.hc-sc.gc.ca/fn-an/nutrition/vitamin/vita-d-eng.php
http://www.iom.edu/Activities/Nutrition/DRIVitDCalcium.aspx

My prediction: the Daily Recommend Intake of Vitamin D will increase within a few years.
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medicontheedge
big loud broad
03:26 PM on 08/07/2010
Actually, the BEST way is for everyone to practice good handwashing.
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Susan Orlins
Writer and author of blog Confessions of a Worrywa
12:35 AM on 08/08/2010
Yes!! I have been collecting handshake alternatives since the outbreak of Legionnaire's Disease in 1976! I've written about this in a post called Waving Good-bye to Handshakes on my blog www.confessionsofaworrywart.com.

That said, I am delighted to know I can protect myself further by bumping up my vitamin D3!
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Trittydi
Special on pap smears at Walgreen's this week ....
04:42 AM on 08/08/2010
Good hand washing doesn't come close to the benefits of VD3 -- you'll never get others to be good about that.

Scientists know that the incidence of chronic disease rises the farther you are from the equator ... that makes VD3 the best bet on flues -- why would you turn down the other benefits?

VD3's benefits go far beyond the flu:
Prevention of Chronic Disease by Blood Serum Levels/VD3 - ng/ml.
http://www.radiomartie.com/hot/disease_incidence%20prevention_by_serum_level_chart_0001-1.jpg

And this is well worth your time to read - and explains why your doctor won't be telling you about VD3:
Why Governments sell VD3 Short:
http://www.ft.com/cms/s/2/11180df8-beaa-11de-b4ab-00144feab49a.html
*
10:41 AM on 08/08/2010
do you deny the germ theory of disease? good hand washing is a measure to keep germs out of your body. Also don't touch your face before washing your hands, keep hands out of eyes, mouth, nose; and sneeze in your arm sleeve not in your hands. If you sneeze on your hands you're just going to spread germs when you touch things afterwards.
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bgofca
03:22 PM on 08/07/2010
taking supplements many help, but the best way to prevent catching a cold is to wash your hands well
several times a day and use a hand sanitizer occasionally when soap & water is not available. Also, keep you hands away from your eyes and mouth (except mouth with feeding). many germs are rubbed into the eyes when you're tired, etc. Get your flu shots and avoid large crowds when a lot is going around. also wash fruits and veggies after you bring them home from the market.
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naschkatze
A free man creates himself.
01:28 PM on 08/07/2010
Thank you. My doctor recently put me on Vit D supplements because I had a low reading in spite of taking Calcium with D for many years. As I am one who gets several colds a year, I hope this is a bonus I was unaware of.
01:18 PM on 08/07/2010
Great article! However, a few corrections:

1) Dr. Cannell's name is John Cannell, not James.

2) Vitamin D Council's URL is vitamindcouncil.org, not .com

3) There was a typo on the recommended blood level range - should be 50-80 ng/mL, not 8.

4) When one's shadow is longer than one is tall, one is NOT making any vitamin D. This is because when the Sun's rays enter the atmosphere at too much of an angle, the atmosphere filters out all UVB. It is this oblique angle of the Sun which causes the shadow to be longer.

Comment to argyle:

This isn't snake oil, the evidence is overwhelming. Please read the research before hastily discounting the validity of (and benefit of) vitamin D:

http://www.ncbi.nlm.nih.gov/pubmed
11:01 AM on 08/07/2010
I was interested right up until you provided a convenient link where I could purchase this miracle.

And If the sun is highest in the sky your shadow is very short. It is longest when the sun is the lowest.
10:54 AM on 08/07/2010
Even in the winter in Nebraska (which can be brutal), I try to go outside and expose my face and hands while the sun is at its most intense. I exercise outside if possible, and if not because of snow and ice on the streets/trails, I stand so that I'm sheltered from the wind in a sunny spot for a few minutes a day. I can't remember the last time and I had a cold or the flu, and I haven't gotten shots for several years.
09:08 AM on 08/07/2010
Correction:

"Maintain blood levels of between fifty to EIGHT ng/ml."

"EIGHT" should be "eighty" as in "Maintain blood levels between 50 and 80 ng/ml."

My comment:

People should understand that 50-80 ng/ml IS NOT 50-80 nmol/L. 50-80ng/ml is equal to 125-200 nmol/L.

The most widely cited level of vitamin D sufficiency is 30 ng/ml, (70 nmol/L) and this
WILL NOT provide adequate protection against diseases such as colds and flu.

If you do not know your current vitamin D levels than statistically you are overwhelmingly likely to be deficient.

Educate yourself about vitamin D health (make sure there is something soft next to you when you fall out of your chair) and pass it on. Insist that your doctors monitor your vitamin D levels at least twice a year. Educate them about vitamin D health as they are typically stubborn in regards to new research that does not come from drug companies or their representatives.