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Dr. Soram Khalsa

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What You Can Do About The Vitamin D Epidemic

Posted: 05/14/09 04:22 PM ET

There are two serious vitamin D health epidemics in America today; one is the epidemic of vitamin D deficiency and the other is the epidemic of ignorance about vitamin D deficiency.

As a board certified internist, I have chosen, for the last 30 years, to take a personalized approach in my practice of integrative medicine. I have worked with literally hundreds of herbs, vitamins and dietary supplements, to help my patients, often when drugs did not work. In all this time, I have not seen one nutritional supplement that has the power to affect human health as much as vitamin D. This is because Vitamin D is not actually a vitamin - it is a hormone that has the ability to interact and affect more than 2,000 genes in the body.

It is for this reason that vitamin D deficiency has been linked with many of the diseases of modern society. Vitamin D deficiency is associated with 17 types of cancer, heart disease, high blood pressure, diabetes, autoimmune disease, chronic pain, osteoporosis, asthma, and most recently with autism.

Over my 30 years of practicing medicine, countless times I have had to deliver or discuss with a patient their sad and possibly terminal diagnosis. Diseases like cancer and heart disease are at best life altering, and most times life threatening. When I have this kind of difficult conversation with a patient, I often reflect that if their vitamin D level had been normal for the previous many years, maybe they would never have developed this disease.

This understanding has fueled my passion about vitamin D and inspired me to write my book, The Vitamin D Revolution. In the hope of preventing unnecessary suffering and loss of life, I want to spread the word about the importance of taking this supplement every day. I recommend that all otherwise healthy adults take 2,000 IU of vitamin D daily.

Worldwide, it is estimated that the epidemic of vitamin D deficiency affects one billion people. In America, medical journal articles estimate that 30-50% of Americans are deficient in vitamin D. I question whether this number is really too low, as in my practice in sunny Southern California, 90% of my new patients have a vitamin D deficiency when they start with me.

As part of my campaign to correct vitamin D deficiency, and in collaboration with Hay House publishing, I have released an easily affordable and attainable at-home vitamin D testing kit package.

Ideally, your health care provider is your partner in exploring your vitamin D status, but patients usually do not want to visit their doctor just to ask for a vitamin D level, and many doctors are not yet up to date on the importance of vitamin D. If you use the at-home test kit and your blood level of vitamin D is low, I would encourage you to discuss this information with your physician. I have provided a special section in my book showing how I treat the various vitamin D levels that can help facilitate the discussion that you have with your doctor.

Although the majority of the health food store vitamin D supplements are very reputable, there are still some companies out there that are not so reliable. A consumer often cannot tell the difference between the two, and for that reason I have worked closely with a supplement manufacturer that normally makes products only for physicians' offices. Through our partnership, we have been able to make pharmaceutical quality vitamin D, with guaranteed potency, available at supermarket prices.

Over the weeks ahead, I plan to blog on the Huffington Post about the many aspects of vitamin D and its association with the chronic diseases of modern society. I invite your comments and your questions either here or on my vitamin D blog. There you can also watch my interview with Joel Roberts about my vitamin D project.


 
 
 

Follow Dr. Soram Khalsa on Twitter: www.twitter.com/vitamindrev

There are two serious vitamin D health epidemics in America today; one is the epidemic of vitamin D deficiency and the other is the epidemic of ignorance about vitamin D deficiency. As a board cert...
There are two serious vitamin D health epidemics in America today; one is the epidemic of vitamin D deficiency and the other is the epidemic of ignorance about vitamin D deficiency. As a board cert...
 
 
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09:02 AM on 06/02/2009
I had a rash of symptoms including feeling worn out a few months ago and thought it might be my thyroid (I have hypothyroidism). My endocrinologist ran a complete battery of blood work and discovered that I was severely deficient in vitamin D. One should be at 30 or higher, she said. My levels were at 7. She prescribed me a weekly pill in the amount of 50,000IU a week and within just a few days I felt so energized and refreshed. It's certainly made me a believer.
11:26 PM on 05/24/2009
Part of the problem is there are a lot of people with Fibromyalgia, Crohns, Sarcoidosis, Lupus, Rhumatoid Arthritis, Lyme, and many others. These people suffer from a dysregulated VDR (vitamin D receptor) where Vitamin D25 is converted at hightened rates to a seco-steroid hormone D125 thereby producing a low Vitamin D test result. But the answer for these people is NOT to give them more Vitamin D!!! It's actually to deprive the body of Vitamin D so the hormone levels balance out and the infammation decreases. These diseases have been proven to be the result of a bacterial infection on a cellular level (Lbacteria). But it's not until you get the Vitamin D levels straigtened out that the bodies own immune system, coupled with pulsed antibiotics can effectively treat the bacterial infection. I'm not saying this is the case for everyone. But a basic Vitamin D test will NOT tell you if you have a dysregulated VDR but a D Metabolites test will. Telling people who may have an autoimmune deficiency that they should take more Vitamin D is doing them harm. Just because D levels show low in a basic blood test does not mean you should supplement with D. Please see www.marshallprotocol.com and http://bacteriality.com/2007/09/15/vitamind/ for more information
KNOWLEDGE IS POWER!!!
11:09 PM on 05/18/2009
Now that the gov is dimming the sunlight with aerosol spraying of barium and aluminum, we will have even more deficiencies and health issues.
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SunnyT
01:18 PM on 05/18/2009
I read not long ago that Vitamin D in pill form acts as a steroid in the body and has the same effects / side effects as Prednisone. I took supplemental Vitamin D at the time because of the cancer prevention news, but I had unpleasant effects and discontinued taking it. Now I won't take a multivitamin because it will contain Vitamin D, and I won't eat or drink any product with added Vitamin D.

I think some sun exposure every day is perfectly safe and healthy. I trust nature more than man-made vitamins or absorbing through my skin any of the chemicals in sunblocks.
01:41 AM on 05/19/2009
SunnyT
It is fine to get your D from the sun as long as you know about all the factors that play a role in getting Vitamin D from the sun. Remember, if you live above the 35th parallel you will get NO D from November to March every year!
Vitamin D is indeed a hormone and that is why it is so powerful. But it is NO way related to Prednisone, or the side effects of Prednisone
I am not sure why you had a problem with the Vitamin D you took unless there was a contaminant in the pill. Vitamin D will have no side effects when taken in the proper dose.
Dr Soram
02:11 AM on 05/25/2009
Dr. Soram,
There is much information why people who have certain auto immune diseases have awful reactions to Vitamin D, both naturally and suplementally. Please, Please read up on Lbacteria and Vitamin D research www.bacteriality.com

1.Vitamin D is not a vitamin; it is an immunosuppressive steroid. 2.The vast majority of studies fail to account for the long-term effects of vitamin D.
3. Chronically ill people are not deficient in vitamin D.
4. Healthy people are not deficient in vitamin D and do not need to consume extra amounts of this steroid.
5.The public does not require extra sun exposure in order to prevent vitamin D “deficiency.” 6.Vitamin D does not reverse osteoporosis.
7.Extra vitamin D does not reduce the risk of cancer. 8.Vitamin D deficiency does not cause rickets.
9.Most researchers fail to consider the alternate hypothesis about vitamin D. 10.When it comes to vitamin D, the current medical climate of consensus is hostile to new ideas.
11.Research touting vitamin D’s benefits is often biased, methodologically weak, and ultimately misleading.
12.The dairy and supplement industries are intent on heavily promoting vitamin D.
13.The media is neither well-informed nor objective about vitamin D.
14.We must take immediate action to remedy the health crisis that has resulted from faulty conclusions about vitamin D in chronic disease.
02:19 AM on 05/25/2009
For 10 yrs my husband has been suffering from chronic pain that up until now western medicine just treated with more and more pain meds. Now he's on the Marshall Protocol with great success! This is the science behind it

According to recent molecular models, the steroid 25-D binds the Vitamin D Receptor and affects the activity of the immune system as well, but in a manner opposite to 1,25-D. When the steroid 25-D binds the Vitamin D Receptor, it decreases the activity of the receptor, causing the innate immune system to slow down and shut off. This effect begins around 20 ng/ml and gradually increases with higher levels of 25-D, until the VDR becomes completely blocked.

At the moment, most researchers understand that 1,25-D activates the Vitamin D Receptor. However, they are unaware of the models which demonstrate that 25-D has the opposite effect. Consequently, they do not understand that when people start to supplement with extra vitamin D (which is converted into 25-D) the Vitamin D Receptor begins to turn off, not on.

Most of these researchers are also unaware of a new understanding about the cause of many chronic diseases. As a person falls ill with a chronic disease, L-form bacteria begin to live inside the cells of the immune system and in various tissues.These bacteria create proteins that, just like elevated 25-D, are able to bind and block the Vitamin D Receptor.
01:34 AM on 05/18/2009
2000 i.u.? if your testing for that then im surprised you don;t find 100% of the people deficient. I like homeopathic medicine and all, however buyer beware, all the holistics i have talked to have claimed 90% of the problems are caused by one thing, the funny part is their all different depending on who you talk to. The last guy I talked to claimed everything was caused by low stomache acid and prescribed bitters for everything. Oh and he also blamed it on low body temperature, so everyone should do their own research.
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Aranxa
Have fun storming the castle!
05:10 AM on 05/16/2009
I have almost always lived in the Northeast and am sick and miserable from October to April. Daylight Savings Time day in the spring is my favorite holiday. Better than Christmas or my birthday. It means the beginning of several months of health and happiness for me. If it were not for my required winter trips to the Caribean, I don't know how my physical or mental health would survive. There is a reason the North West has such a high rate of suicide, and serial killers.
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davidwayneosedach
05:18 PM on 05/15/2009
If this theory is correct then rainy places like Seattle should be more vitamin d deficient than say las vegas?
02:19 PM on 05/17/2009
Except our lifestyles keep us out of the sun. There have been studies Jordan and Arabia showing 90% are vitamin D deficient and they certainly get plenty of sun but customs there ensure they keep their bodies covered
02:13 PM on 05/15/2009
As someone who lives in the Southwest and has had skin cancer removed four times, I know the sun isn't my friend, at least not in large doses. I do get some sun (I've read that even 10-15 mins a day is helpful), but always make sure I have sunscreen on at least my face even if I'm only outside for a little while. While I have been lucky so far just getting the "good" kind of cancer (if there's such a thing), basal cell, cancer can, and does, kill. So I would say while some sun can be very beneficial, please don't think sitting in the sun for hours is some kind of cure-all.
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elenanatx
learn to close read to interpret substance
11:42 AM on 05/15/2009
I'm 48 and was diagnosed with Graves Disease and extremely low vitamin D. My docotr put me on 50,000IU pills twice a week for 8 weeeks. I'm now in hypothyroid mode and still taking the vitamin D, for about 4 more weeks. I have to say after one week of taking them I felt better and now I will stay on top of this. Lesson to learn...Sunshine is good for you. I use to enjoy the sun when I was younger without over doing it. But somehow through the years I stopped doing outdoor activities and going swimming. Working by being inclosed in a building for 9-10 hours a day, five days a week, plus sitting in a car to and from work, and going home to stay in another building is not healthy. Not to forget doing the same thing on the weekends...staying INDOORS for every venture. Patio cafe's and outdoor walks here I come!
11:01 AM on 05/18/2009
elenanatx it sounds like your doctor is taking good care of you. 1/4 to 2/4 of a Minimal Erythema Dose of Sun during the summer will give you a good amount of D. Otherwise stay on the pills!
Dr Soram
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TXfemmom
Grandma with eye on the future
11:12 AM on 05/15/2009
I have primary immunodeficiency. It is a genetic disorder where insufficient amounts of B subclass lymphocytes are produced. I had a series of immune globulin infusions and then within a couple of months, my problems reappeared.

Then, I had a series of immune globulins every two weeks for six months, and they cost a fortune. During this time, I INSISTED upon being tested for Vit D and it was tremendously low. I went on Vitamin D once a week in the prescription capsules and Vitamin B injections once a week. I am now five months past the end of the second series of immune globulin infusions and all but one of the subclass lymphocytes remain adequate. I finally got the doctor to admit that the Vitamin D and Vitamin B may well be the reason for this. I am also attemping to spend fifteen to twenty minutes a day taking in the sunlight which is not enough to have to use sunscreen.
11:52 AM on 05/15/2009
Right on!

It has taken a dedication on my part, yet I have found several "spots" on the planet (one of which is my own back yard) to sit and connect with the sun, the earth and my breath. I wish the same for you.
11:02 AM on 05/18/2009
Thank you for sharing your story TXFemmom
These are the things I have seen in my practice as well and that is why I wrote the book, to get the word out to more people!
Dr Soram
09:53 AM on 05/15/2009
I've been concerned about the Vitamin D deficiency epidemic for years and I do blame this deficiency on the move to working indoors all day long, an hysterical obsession with sunscreen (much of it created by marketers) and an irrational fear of the sun. Yes, we need to be careful but the pendulum has swung so far against the sun that people are making themselves miserable (mood problems) and even killing themselves (cancers, etc.) by never going outdoors or, if they do, smothering their vitamin D-making capabilities with 100 SPF sunscreen.

They may avoid skin cancer but they might spend much of their lives depressed and then get colon cancer instead. If I had to make the choice, I'd go for the skin cancer.

I addressed this problem in a recent post on my blog:

http://rebeccaclayhaynes.blogspot.com/2009/02/i-love-sun.html

In the long run, I'm not entirely convinced that people can really get the vitamin D they need from a pill. There's a reason why the sun is up in the sky -- its benefits far outweigh its risks -- and we should, in moderation, take advantage of its life-giving and healing properties.
06:17 PM on 05/15/2009
I've had skin cancer on my nose twice, on my forehead and pre-cancer on my back. My dermatologist said skin cancer is almost always due to sun exposure. My dermatologists have all told me to use sunscreen, I also take Bioastin. People ARE dying because of skin cancer and the sun is generally the culprit. I do still go outside, but always with sunscreens and even then avoid being out for more than 10 to 15 mins. at a time and/or really cover my face by wearing a hat. MODERATE sun exposure is relative. I've read doctors say even 10-15 minutes a day gets you enough sun exposure for vitamin D. It's easy to say you'd go for skin cancer, but until you've been there, I wouldn't start advising people not to "smother" themselves in sun screen. It takes a shot glass of sunscreen to cover and protect all of your skin. Vitamin D is, indeed, important, but so is protecting yourself from potentially deadly skin cancer.
08:45 AM on 05/15/2009
I started taking 1,000 a day and after a few months my hair started thinning. Actually it was falling out. I stopped and my hair came back in. Now what? I hope you address this.
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evekendall
08:44 AM on 05/15/2009
Dr. Khalsa, are you aware of any studies to test the connection between low vitamin D (in pregnant women, neonates, and children) and the development of autism - or is it just speculation at this point? I am convinced that most of our illnesses are related to lack of proper nutrition and exercise - and children in this country, in general, have very bad diets and stay indoors too much.
09:26 AM on 05/15/2009
Take a look at the Autism section on www.vitaminD3world.com there is a good summary there
11:07 AM on 05/18/2009
Evekendall there is just beginning to be evidence about Autism and D. May DAN doctors are using D with good results along with other natural therapies in Autism. A search of PUBMED however only revels 10 articles on that topic.
However every child should have their vitamin D level tested and normalized whether they have an illness like autism or not.
08:44 AM on 05/15/2009
I have fibromyalgia. About a year ago my doctor had my Vitamin D level tested and found it very low. He prescribed a large weekly supplement for a few months, then a smaller, daily maintenance dose. This did not "cure" my problem but it has reduced it to a level with which I can have a reasonably "normal" life, i.e. I can now walk more than half a block without muscle cramping, I can do some gardening (my passion) without having to pay for it with 2-3 days in bed on painkillers and I can pick up my baby granddaughter. I am amazed and grateful.
10:50 AM on 05/15/2009
gelfling545
I am glad the D helped you as you must have had osteomalacia which is adult rickets.
As an integrative medicine doctor I encourage you to look for an integrative doctor in your area as there is much more to be done for fibromyalgia
Dr Soram
01:41 PM on 05/16/2009
Gelfling,

Please research the connection between untreated/undertreated hypothyroidism and fibromyalgia. When I was untreated for my hypothyroidism and adrenal insufficiency, I had all the symptoms of fibro. After being OPTIMALY treated, all the symptoms disappeared. There was NO fibro before the inadequate thyroid tests were introduced. Doctors treated based on symptoms before that which were exactly the same symptoms that are now called fibro. You can find a good doctor for this on Mary Shoman's website where she has a list of Top Docs. http://www.thyroid-info.com/topdrs

I wish you luck as I personally know this can be eliminated.
06:45 AM on 05/15/2009
Here is another great site that gives you all the information on vitamin D. www.vitaminD3world.com
This site also has just producted a new micro tablet formulation of vitamin D and are offering free supplies for customers children. It also has a good newsletter worth signing up for.
New data on the role of vitamin D in prostate cancer is worth reading as just about everyone knows someone with this condition. There are also details of trials running in cancer patients in Canada using up to 40,000IU per day
11:26 AM on 05/15/2009
your link does not work. the correct address is:
www.vitamind3world.com
11:31 AM on 05/15/2009
http://www.vitamind3world.com/
these links are not working but just google it and you will find it.
I just went there.