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Medical Forum / General / General / June 2007

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Getting it wrong in the land down under at the MJA

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betaine_hcl@yahoo.com - 19 Jun 2007 10:58 GMT
Note how the following authors get it wrong.

MJA 2006; 184 (7): 338-341

Estimates of beneficial and harmful sun exposure times during
the year for major Australian population centres

By
Amanda J Samanek, Emma J Croager, Peter Gies, Elizabeth Milne,
Richard Prince, Anthony J McMichael, Robyn M Lucas and
Terry Slevin

Quote

Exposing the whole body to 1 MED produces serum vitamin D
concentrations
equivalent to an oral intake of between 10 000 and 25 000 IU.
Thus, exposing 15% of the body, for example the face, arms and hands,
to 1 MED would be equivalent to an oral dose of 1500 to 3750 IU of
vitamin D. For those aged 19 to 50 years, 200 to 600 IU per day of
vitamin D taken orally is recommended to prevent vitamin D
deficiency. The current Australian guidelines for recommended
vitamin D intake for different age groups are 200 IU/day
from birth to 50 years of age, 400 IU/day for people aged 51 to 70
years,
and 600 IU/day for those over 71 years. Therefore, 1/6 to 1/3 MED
would be sufficient to provide this amount.

Unquote
-----------------------------------------------------------
No matter that current Australian guidelines are grossly wrong.
Evidence is that a normal person that is replete in vitamin D
with uses about 3600 IUs a day of vitamin D3.

Of course, the Australian government gets it wrong also as
they've only approved the so-called vitamin D2 for use not the true
vitamin cholecalciferol as I recall. And the IU values of "vitamin D2"
in
comparison to vitamin D3 are also wrong. Vitamin D3 has a
4 times the biopotency over the longer term compared to D2.

Note that these authors fail to examine the serum blood
levels of 25 OH vitamin D which is the 'silver' standard for
determining
deficiency or insufficiency or adequacy or even excess of the vitamin.
Their conclusions are based on false assumptions and on no
immediate lab work on their part.

These authors should listen to the following
webcasts. The first is simple enough they might even
understand it. The second webcast is designed for those
who actually know the topic.

http://www.postgradmed.com/issues/2004/01_04/tan.htm

http://app2.capitalreach.com/esp1204/servlet/tc?cn=asbmr&c=10169&s=20343&e=6950&&

---------------------------------------------------------------------------------
I say get some sun on more than just the face, arms and hands and
also
take a couple thousand units of vitamin D3 perhaps
more during the darker months of the year. If you live in the tropics
expose more skin if only for 10 minutes (assuming you're white)  a
day
during the mid day sun. Do however avoid the sun if you are photo
sensitive due meds, mutation, or disease. If you're black you
may need 2 hours of the midday sun for an optimal dose of D.

And remember public health authorities and dermatologists through
their fear mongering about vitamin D3 and the sun are
the cause of much of the prostate cancers, breast cancers, multiple
sclerosis and
type 1 diabetes that afflicts the population of the world.
The vitamin prevents these diseases. Not a 100 percent but
as high as 80 percent of some of these diseases.
tedhutchinson - 20 Jun 2007 09:51 GMT
In support of the above may I add a couple of links for the skeptics.
http://www.ajcn.org/cgi/content/full/84/4/694
The case against ergocalciferol (vitamin D2) as a vitamin supplement

and
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17218096
Circulating Vitamin D3 and 25-hydroxyvitamin D in Humans:

this last shows how we are currently running out bodies short of
Vitamin D3 and how really we need to reconsider 75nmol/L as the
baseline and adopt 100nmol/L = 40ng/mL as a safer measure of Vitamin D
adequacy.

One of the best and perhaps more accessible of the sessions at the
( Vit d conference link provided above) was the session by Vieth.
the paper he was talking about has since been published and is
available online
http://www.ajcn.org/cgi/content/full/85/1/6
Risk assessment for vitamin D

If you just want to hear the Vieth session you can use the arrows by
the slide preview to skip to Slide 61 but the Bess Dawson Hughes talk
is quite accessible for the layperson (like me) and shows the
difference having adequate Vit D3 can make to older people.
Just pause the talk to look carefully at those graphs for the speed
test for walking 8mts and Rising from a chair.
We should be regarding levels having  Vitamin D3 status above 100nmol/
L as a human right and regard levels below that as wilful neglect in
the same way we wouldn't respect a care home that let it's occupants
starve, we should not tolerate the current levels of  Vitamin D
deficiency.
tedhutchinson - 20 Jun 2007 10:15 GMT
> http://www.postgradmed.com/issues/2004/01_04/tan.htm

This doesn't lead me to a webcast. Are you sure it is the intended
link.
The Webcast that got me thinking about Vitamin d was this

Prospects for Vitamin D Nutrition
http://www.insinc.com/onlinetv/directms13oct2005/softvnetplayer.htm

A very interesting presentation detailing the human species' need for
vitamin D.
Presented by vitamin D expert Dr. Reinhold Vieth.
betaine_hcl@yahoo.com - 21 Jun 2007 01:33 GMT
I am really sorry.

Here is the right link.
http://audio.medscape.com/pi/editorial/cmecircle/2007/7087/audio/heaney/heaney.mp3

I found the correct link in the tranfer history of my browser Opera.

Thank you for calling my attention to the mistake.

> >http://www.postgradmed.com/issues/2004/01_04/tan.htm
>
[quoted text clipped - 7 lines]
> vitamin D.
> Presented by vitamin D expert Dr. Reinhold Vieth.
 
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