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Vitamin D Supplements

Vitamin D Supplements. It is a fat soluble vitamin. Not just a vitamin it is a prehormone Found in some food and made in the body after exposure to UV rays It cannot be made by the body likes normal victims. It is made by the skin after being exposed to sunlight.

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Vitamin D Supplements

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  1. Vitamin DSupplements

  2. It is a fat soluble vitamin. Not just a vitamin it is a prehormone Found in some food and made in the body after exposure to UV rays It cannot be made by the body likes normal victims. It is made by the skin after being exposed to sunlight Check out the Vitamin D Overview

  3. Similar to Vitamin A it attached to a “Protein-Taxi” for transport and is mainly stored in the liver with smaller amounts in the tissues Yet more about Vitamin D

  4. Existed over 500 million years Industrial revolution : rickets Cod liver oil: common folklore medicine Discovery of Vit D as the antirachitic factor in cod liver oil(1920) Discovery of conversion of 7-dehydrocholesterol in the skin to vit D (1937) Antirachitic property in food Fortification of food with vitamin D was patented Complete eradication of rickets in US US public service issuing warnings about sun-induced health risk Over next 30 yrs skin cancer hazard of excessive sun exposure became well established History of Vitamin D

  5. Strong bones and teeth are known benefits, BUT WAIT THERE’S MORE Due to it’s part in cell growth and development Vitamin D plays a role in: Looking after out immune system, Brain, nervous system, our joints and muscles. It might even help to help slow down the ageing process Here are a few Bennies of Vitamin D

  6. Routine screening Rectify deficiency / insufficiency Maintain levels through a patient-specific combination of diet, supplementation, and sun exposure Where do we go from here?

  7. Annual testing of 25(OH)D • Consider time of year in testing • Lowest levels generally towards end of winter, early spring Recommendations

  8. Low dietary intake: BF infants, children who do not drink fortified milk Malabsorption syndrome Severe liver disease Kidney disease Drugs Higher latitudes People who spend little time outside Older adults Decreased sun exposure due to cultural reasons Races with high skin melanin levels Who is at greatest risk?

  9. To correct deficiency: 50,000 IU vitamin D weekly x 8 weeks, reassess and repeat if necessary Supplementation (adults)

  10. IOM Recommendations (AI)

  11. To maintain recommended levels: 800 - 1000 IU / day if not getting enough sun exposure to maintain vitamin D levels or 50,000 IU 1-2 times monthly Maintenance (adults)

  12. Depends on: • Age • Amount of vitamin D obtained from diet • Skin darkness • Sunshine intensity How much sun?

  13. Significant skin exposure • Face, neck, arms, hands • Arms, legs • Adequate sun strength • Time • 25% of the time it would take to cause pinkness of the skin (Caucasians) • People with dark skin require significantly more sun exposure Holick, 2004 How much sun?

  14. Food Sources of Vitamin D • Cod liver oil – 1 TBS • Salmon 3.5 oz. • Mackerel 3.5 oz. • Tuna, canned, in oil, 3 oz. • Sardines 3.5 oz. • Milk (fortified) 8 oz. • Ready to eat cereal (fortified) ¾ - 1 cup • Egg 1 whole • Liver, 3.5 oz. • Cheese, swiss 1 oz. • 1,360 IU • 360 • 345 • 200 • 250 • 98 • 40 • 20 • 15 • 12

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