vitamin D Archives | Intellexi Med

Vitamin D [Show Notes]

August 1, 2016 in Podcasts tagged bone health / calcium / immune system / skin / sunlight / vitamin D by Cynthia H.

Vitamin D Basics

Vitamin D is made by your skin.

Lots of foods are fortified with Vit D.

Vitamin D2 is plant-based. Plants make vitamin D then you eat them and absorb it. This is also the type of Vitamin D that is added to other foods.

Vitamin D3 is animal-based. You absorb very little Vitamin D from animal food sources. This is the type that your skin makes.

Review

The membranes of your cells are made up of cholesterol. It allows them to stay fluid and flexible, and it allows diffusion of some nutrients.
UV-B rays come down from the sun and travel through the top layer of your skin. Those rays interact with the cholesterol in the skin cells and cause it to break away and it starts a changing process as that loose molecule makes it way to the bloodstream. *Think the Hulk transformation*. By the time it reaches the bloodstream, it has become D3 (~ 12 hour long process).

Vit D3 = Calcitriol (tri = 3)
Vit D2 = Calcidiol (di = 2)

The news will tell you that Vit D is needed to prevent the Winter Blues or that it’s good for your bones.

Deeper Stuff

Vitamin D has 2 jobs to help with your bone health. It tells your intestines to make calcium-carrying and phosphorus-carrying proteins, so when you eat foods that contain calcium or phosphorus, the cells of the small intestines will have the ability to transport these molecules into the bloodstream. Then in your periosteum (the membrane that covers your bones), Vitamin D works with parathyroid hormone to tell the periosteum cells to make the same kinds of proteins to get the calcium out of the blood and into the bone-building process.

Vitamin D also has an important role in your immune system. It plays a part in cell differentiation. It helps an immune system cell know which type of cell it needs to specialize as (B-cell, T-cell, macrophage) to do the optimum job based on the type of invader that has entered your body.

While sun exposure stimulates Vit D production, there has to be a balance to avoid skin aging and risks of cancer. Taking Vit D supplements can be a safer alternative.

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Music Credits: “Radio Martini” Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/

Feed You Bones [Show Notes]

January 11, 2016 in Podcasts tagged bones / calcium / diet / food / osteoporosis / recommendations / supplements / vitamin D by Cynthia H.

Basics

Calcium is a natural element (yep, one of those periodic table guys). Our teeth and our bones are made strong by it.

For most healthy adults, daily recommended amount is 1000 mg. For females approaching 50 years old, recommendation increases to 1200 mg to 15oo mg per day.

The trick to supplementation is knowing that your body can only absorb 500 mg of elemental calcium at a time. So you gotta split it up. When you get it from your diet, then this is NBD because it will naturally be spread out between your meals and snacks.

These supplements always go with Vitamin D. Vitamin D is responsible for helping with calcium absorption. If you’re low on D (and more people are than might realize b/c very few jobs have you working out in the sun – and Vitamin D is synthesized and activated by UV exposure), calcium can’t be absorbed and used like it should.

2 types of OTC supplements

Calcium carbonate (Caltrate) – a base (also what makes up OTC antacid tablets [i.e. Tums] so a bonus if you have heartburn); requires the acid in your stomach to break out of the tablet for your body to use.
Calcium citrate (Citracal) – an acid; doesn’t require extra stomach acid to be absorbed. A good supplement for those who had gastric bypass, because the stomach has been shrunk and there are less acid pumps to break down medications that require acid to work. Bad for people with reflux or ulcers.

The labels can be tricky. It will say “600 mg Calcium Carbonate”, but you have to look for the hint of how much elemental calcium that is equal to. This is because your recommended daily dose is in milligrams of elemental calcium. So, doctors don’t always tell you that when they recommend it. Your calcium-rich foods are going to provide you with 250-300 mg of elemental calcium per serving (about 25% of your daily requirement).

Random dietary sources (between 6-20% of your daily requirement)

White Beans
Black-eyed Peas
Sardines (cuz you eat their bones?!)
Dried Figs
Bok Choy
Molasses
Kale
Turnip Greens
Almonds
Oranges
Sesame Seeds

Calcium-fortified foods

Instant Oatmeal
Mainstream orange juices
Soy products (because you’re using them instead of dairy and animal products)
Cheerios

Vitamin D helps your stomach absorb the calcium into the blood. And then in the blood, keeps the calcium from binding with other things, so it’s free when the body needs it in other places.

Unfortunately, pounding supplements is not going to reverse osteoporosis.

Recommended dose for kids

1 to 3 years old — 700 milligrams daily
4 to 8 years old — 1,000 milligrams daily
9 to 18 years old — 1,300 milligrams daily

Usually not hard for kids to get the right amount with their diet plus a vitamin. Babies don’t need supplementation since their main source of nutrition is milk (breast milk or formula).

Seasonal Affective Disorder – is partly due to a Vit D deficiency, because Vit D also helps with mood. The sun exposure is the best way to supply your body with Vit D. A bonus is that sunlight stimulates serotonin production in your brain which is also responsible for good mood.