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Why You Should Still Take Vitamin D

Recently the U.S. Preventive Task Force stated that the combination of vitamin D at 400 IUs and calcium at 1000 milligrams cannot be recommended as supplementation to prevent fractures in postmenopausal women.

When this recommendation was published, I had quite a few patients email and call me about stopping their calcium and vitamin D. I pointed out to them the fact that vitamin D has many other benefits. Calcium is important as well and can best be assimilated when it is consumed as food (cheese, milk, kale, broccoli, etc.).

Vitamin D has been found to improve balance and muscle function. It boosts the immune system and reduces weight gain, and it helps to maintain a healthy blood pressure. Population studies have found that adequate vitamin D levels correlate with lower mortality rates. In fact, a recent study published by the Endocrine Society’s Journal of Clinical Endocrinology and Metabolism (JCEM) found that early mortality in seniors was significantly reduced in those who took calcium and vitamin D.

The task force bases its recommendations on scientific evidence. These days you can find scientific evidence to go in multiple directions. I understand that. But, there comes a point where common sense needs to prevail. We now live in a world where the sun’s rays have become stronger due to the thinning of the ozone layer. This requires the use of sunscreen. The use of sunscreen prevents the absorption of vitamin D, which is a necessary vitamin for bone and overall health.

Populations deprived of vitamin D are seeing a resurgence of rickets. This is a disease where the bones become brittle as a result of vitamin D deficiency. In northern climates the incidence of osteoporosis is high due to the lack of vitamin D exposure. Most practicing physicians would agree that when vitamin D is supplemented in people with low levels, the patients improve.

I recommend that my patients take vitamin D (usually a minimum of 1000 IUs) and a total intake of 800 milligrams of calcium (mostly from food) daily. I monitor vitamin D levels and aim for a level between 40 and 80.

It is often hard to decide what to do when every other day or even every other hour there are different messages given to the public. Here is my clear message: Do not stop your vitamin D and calcium. Even if the combination does not prevent postmenopausal fractures, it will contribute to your overall health.

Do you think daily supplements benefit your health, or do you think they’re a waste of money? Let us know in the comment box below. 

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File under: In the News

Contributor

Robin Miller

Dr. Robin Miller, Sharecare Editorial Advisory Board Member, currently practices Internal Medicine and serves as the medical director of Triune Integrative Medicine, a highly innovative Integrative Medicine clinic in Medford, Oregon. She has produced the award-winning health series, “Is there a Doctor in the House,” which is shown nationwide on the GE-sponsored Patient Channel, and is the author of "Kids Ask the Doctor" and the co-author of “The Smart Woman's Guide to Midlife and Beyond: A No-Nonsense Approach to Staying Healthy after 50".

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Comments

  1. Rose Marie Leija

    Hi my name is Rose Marie

    I just went for my well check up, and found that my Vit D level is at 15. So I am currently taking 50000 once a week. Many of my friend male and female are lacking Vit D why is that.?I think more studies need to be done on why our bodies are lacking Vit D? Its great to hear about the benefits the Vit D has.

    July 11th, 2012, 9:08 am
  2. Carrie Dickinson-Terry

    According to the Natural Standard website on vitamin D, there are other sources of vitamin D from the diet including fish, eggs, fortified milk, and cod liver oil. Not only is vitamin D good for bone health, but also for muscle health, fall prevention, and may be helpful in asthma. For asthma, researchers have found that people with asthma tend to be vitamin D deficient, but more research needs to be done before anyone knows how helpful vitamin D is for the condition. It’s interesting how a little vitamin seems to do so much for the body.

    July 12th, 2012, 11:38 am
  3. Robin Miller MD

    Hello Rose Marie, One of the reasons so many are lacking vitamin D is because most of us have gotten into the habit of wearing sun screen. This is a really good thing. However, we are unable to absorb vitamin D when we use it. That is why it is so important to take a vitamin D supplement and have your vitamin D levels followed by your doctor.

    July 13th, 2012, 9:39 am
  4. aileen miller

    You really cleared up the debate about Vitamin D for me. I have one more question though. As we get older , is it harder to absorb Vitamin D from the sun because of our skin thickness–even without sun screen?

    July 25th, 2012, 9:08 pm

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