80% of Adolescents in Europe Are Found to be Vitamin D Deficient

Vitamin D is so important during childhood and adolescence because of its important role in cell growth,as well as skeletal structure and development. In addition, as I have  discussed  in my book, adequacy of vitamin D helps prevent conditions such as coronary heart disease, osteoporosis, diabetes, infections, and autoimmune disease. My recent podcast #2, discusses some new findings in regards to these conditions.

A new study was just published looking at vitamin D status of adolescents in Europe. This was part of the Healthy Lifestyle in Europe by Nutrition in Adolescence study (HELANA). This study is analogous to then the NHANES studies in the United States.

In this study, they looked at a sample of 1006 adolescence of which 470 were males. The age range of the adolescents was 12 to 15 years old. This was done in 10 cities in nine European countries.

They looked at the results of the vitamin D levels of the adolescence in the study. The level of sufficiency that they were using in this study was 30 ng/mL. We now know from science that we all need at least a blood level of 34 ng/mL in order to optimize absorption of calcium from our diet.

The shocking results of the study were that 80% of the adolescents had sub optimal level of vitamin D. Specifically 39% had levels between 20 and 30 ng/ml, which the authors called insufficient. Another 27% had levels between 11 and 20ng/ml which they called merely deficient. An additional 15% of the young people had levels less than 11 ng/ml and they were called severely deficient.

They also found  the levels in the adolescents decreased  the more the patient weighed.

With all of these types of data, including the data that shows 70% of American youths are deficient in vitamin D, it would be wonderful if our government could mandate everybody taking a pill containing at least 1000 IU and preferably 2000 IU of vitamin D every day.

Please check your own children and ask your friends and relatives to check their children especially teenagers to ensure that they have adequate levels of vitamin D. You can watch my video HERE for a short quick way to know what to do with you Vitamin D levels.

REFERENCE

002-Ask Dr Soram -The Latest in Vitamin D–For Breast Cancer–MS–Lupus And More !

Ask Dr Soram PodcastIn this episode of Ask Dr Soram , I discuss new findings on the importance of Vitamin D and how many people are realizing it.

Vitamin D relieves  pain in breast  cancer patients on Estrogen blocker drugs. Read it here

and another article about  this HERE

Vitamin D helps Lupus
Article 1
http://l.drsoram.com/pmXE5k
Article 2

Dermatologists now finally are recommending vitamin D, decades after they told us to wear sunblock which blocks us from making vitamin D! They posted an article on their website

Increasing recognition of the importance of vitamin D for multiple sclerosis patients. This is discussed a lot in my book ,

Ryan McLaughlin, a teenager from Scotland launches a social network just to spread the importance of vitamin D and other therapies for  multiple sclerosis. He did this in honor of his mother who suffers from MS. Interview with him here

Here  is Ryan's website

See you next time on Ask Dr Soram.

If you have questions you would like answered on my show please email me at questions@askdrsoram.com or call and leave a Voicemail at our Voicemail box number 310 499 0275.

 

My First Podcast! 001-Ask Dr Soram

Ask Dr Soram Podcast I am delighted to announce that I am starting a PODCAST ! It is called Ask Dr Soram . I expect it will come out weekly with the newest information about Integrative medicine and the practical use of natural medicines to get and stay well.

I have also created a new email address and a new Question Line Voicemail so you can call in your health questions from anywhere in  the world. I know that some of my readers are in many different countries. My answers will not be able to be given directly to one person but rather will generically discuss how I would approach a patient in my office with similar problems

The email to send questions is questions@askdrsoram.com and the call in number which is already activated is 310 499 0275.

Today's' show introduces the podcast and discusses the importance of Vitamin D for knee surgery healing.

The other subject is using the right sunblock and how to choose a good health one.

The EWG link for sunblock review that I mention is HERE and it will show you the best sunblocks that EWG has tested.

I look forward to going forward with you my listeners and readers to expand and enrich your health!

Multiple Sclerosis and Multiple Risk Factors

Multiple sclerosis (MS) researchers have often suspected that there are multiple factors that cause MS. New research published in Neurology on April 19, 2011, reports that the combination of two circumstances, little exposure to sunlight and a history of having the Epstein-Barr virus (mononucleosis), increases your risk of developing MS.

There are few diseases as disruptive and debilitating as multiple sclerosis. MS affects your ability to walk, speak, and see. When you have MS, the protective coating around the nerves, called the myelin sheath, is damaged. This causes your nerve impulses to act irregularly and also for the nerves to be inflamed. In addition to being painful, this inflammation triggers an autoimmune dysfunction, resulting in more nerve damage.

Doctors have determined that, like many other medical diseases, if you have a family history of MS, your likelihood of developing the disease is higher than someone who does not have the same medical background.

Scotland has the highest incidence of MS in the world; in Africa there is virtually no one with t he disease. This phenomenon doesn’t have as much to do with one’s DNA, though, as it does to one’s exposure to sunlight.

George C. Ebers, M.D., of the University of Oxford in the United Kingdom and a member of the American Academy of Neurology reported on a prospective study (mentioned above) conducted in hospitals all over the United Kingdom (where the prevalence of MS is high). After fellow researchers identified 56,681 cases of multiple sclerosis and 14,621 cases of infectious mononucleosis, they found that 61 percent of all patients with MS had low vitamin D; 72 percent had both a low vitamin D and a history of Epstein-Barr.

Exposure to the Epstein-Barr virus causes no symptoms in some and infectious mononucleosis (mono) in others. Often called the kissing disease, mono presents with a high fever, swollen glands, and extreme fatigue. Regardless of whether someone’s experience with mono is symptomatic or non-symptomatic, an individual will carry antibodies for the virus.

Dr. Doug Brown, head of biomedical research at the MS Society notes, “Vitamin D has been closely studied in recent years and is thought to be a key factor in the development of MS.” Other well-respected researchers, including J.J. Cannell. M.D., of the Vitamin D Council, concur that low vitamin D levels put one at a higher risk for MS (and many, many other conditions).

Dr. Ebers concluded, “It’s possible that vitamin D deficiency may lead to an abnormal response to the Epstein-Barr virus,” Ebers said. Based on this study, it seems likely that this response could also increase your risk of MS.

Reference: Ramagopalan, S.V., et al. Relationship of UV exposure to prevalence of multiple sclerosis in England, Neurology, April 19, 2011; Pages: 1410-1414
 

Cardiovascular Disease Linked to Vitamin D Deficiency-Again!

vitamin D and heart attacks As you probably know, I feel strongly about educating others on the important role that vitamin D plays in supporting health. That is why I wrote The Vitamin D Revolution: How the Power of This Amazing Vitamin Can Change Your Life.

A few years ago, the typical person didn’t know much about vitamin D, so, in the book, I explained how the sunshine vitamin worked as both a vitamin and a hormone. I also wrote about the many studies showing vitamin D’s connection to bone health, cancer, the immune system, chronic pain, and other conditions.

When I was writing The Vitamin D Revolution, I suspected that the cardiovascular system also benefited greatly from the proper levels of vitamin D. At the time there were only a few studies that supported my hunch.

New data is in, though, which undeniably establishes a link!

Findings of a prospective study on cardiovascular disease (CV), done with approximately 41,500 people, were published recently in the American Journal of Cardiology. Researchers concluded that there is an overwhelming connection between low vitamin D blood levels,  less than30 ng/ml, and a significantly higher risk of all cardiovascular incidents. These include heart attack, stroke, congestive heart failure, coronary artery disease (narrowing and stiffness due to arterial plaque), and even death.

Because these are risk factors for CV, researchers also looked for the prevalence of diabetes, hypertension (high blood pressure), hyperlipidemia (high cholesterol), and peripheral vascular disease (narrowing and constriction of arteries and veins, especially to the legs and feet). Researchers found that those individuals with vitamin D deficiency were significantly more likely to both have or develop these conditions.

In The Vitamin D Revolution, I stated there was a widespread deficiency of low vitamin D throughout the world. Although I would have been happy if I had been proven wrong about this, the study supported my theory. When they reviewed the patient records, 63.6% were found to be deficient. This was true regardless of age and gender.

Optimal levels of vitamin D are so critical to long-term health. Yet vitamin D deficiency is rampant in the world today. I encourage you to support your cardiovascular system—and all of your body’s systems and its musculoskeletal structure. You can do this by keeping your blood levels of vitamin D in the optimal range: between 40–70 ng/ml. Research indicates there is little to no risk, but lots of benefits.

Please ask your doctor for a vitamin D blood test or you can order an at home kit from my store.  Keep your vitamin D levels up for good health !

Anderson JL, et al., Relation of vitamin D deficiency to cardiovascular risk factors, disease status, and incident events in a general healthcare population, Am J Cardiol., 2010 Oct 1;106(7):963-8. Epub 2010 Aug 11. (Intermountain Heart Collaborative (IHC) Study Group.)

 

How to Remember to take your Suplements!

Many patients have trouble remembering to take their prescribed supplements. This system will help you organize your vitamins so they are easy to take. With this system you will only have to open your supplement bottles once a week!

Watch as Heather Shows you how: [simple_video]

Sunlight Affects Medicine Absorption

A new study shows that your vitamin D level may affect what dosage your doctor will prescribe for certain medications. This study, published in Drug Metabolism & Disposition, was the first of its kind to show that the body’s vitamin D level can affect the liver’s ability to break down and metabolize medication. This may give physicians and researchers insight into a puzzling question: Why do patients with otherwise similar medical histories respond differently to the same dosage of medicines?

The study was conducted at the Karolinska Institutet, a medical university in Sweden. Researchers evaluated data on 70,000 patients who were taking immune-suppressant drugs, including tacrolimus and sirolimus, to prevent transplant rejection.

These patients had their blood monitored regularly, so it was easy for researchers to compare blood samples drawn in the winter (January – March) with those taken in late summer (July – September). The comparison showed that blood concentrations levels of tacrolimus and sirolimus were lower in the summer months and higher in the winter months. This means that these patients required more of the medicine in the summer to achieve the same amount of protection they could receive in the winter from a lower dosage.

Sweden has long winter nights and long summer days, so one’s exposure to sunlight—and its ability to produce vitamin D—is significantly different in winter and summer. Sunlight and vitamin D activate a liver enzyme called CYP3A4, which aids in the breaking down of certain medicines, including tacrolimus and sirolimus.

Researchers also took blood samples from patients taking cyclosporine, a drug used for the same purpose. No significant difference was seen in blood concentration levels between winter or summer, probably because the enzyme CYP3A4 is not required for metabolizing cyclosporine.

Although more research is necessary, this study suggests that the enzyme CYP3A4 may provide an important piece of information to doctors prescribing medications. Given that vitamin D is the sunshine vitamin, and vitamin D levels increase with sun exposure, it’s likely that researchers will discover additional medications that can be lowered in the summer while still conferring the needed benefits. 

This may call for closer monitoring of certain drug blood levels depending on the season. In the case of these immunosuppressant transplant drugs correct dosage is critical to prevent organ transplants from being rejected. As more and more people realize the benefits of taking Vitamin D this also will require doctors to monitor blood levels of drugs.

Although more research is required, it seems that Vitamin D dosages of patients will probably affect the metabolism of some drugs. Prospective studies need to be done to prove a causal relationship.

Lindh, J.D., Seasonal variation in blood drug concentrations and a potential relationship to vitamin D, Drug Metab Dispos, 2011 May;39(5):933-7. Epub 2011 Feb 24.

 

Dairy Aggravates Acne

John McDougall, M.D., wrote an article called “Acne Is Caused by Diet, Especially Dairy Products” in his March 2011 newsletter. Although it has long been debated whether or not diet plays a role in acne, Dr. McDougall wrote about two studies that clearly show the connection. The typical Western diet does aggravate acne.

A study published in November 2010 in the European Journal of Dermatology examined the diets of 783 Koreans with acne to see if their outbreaks were aggravated by certain foods. Researchers concluded “A high glycemic load diet, dairy food intake, high fat diet, and iodine in Korean foods appear to play a role in acne exacerbation.”

It seems that avoiding pizza and chocolate bars was sage advice after all.

Why is this? The answer may be in an article published by B.C. Melnik and G. Schmidt, which Dr. McDougall referenced in his e-letter. These researchers explained the systemic changes which result from eating high-glycemic foods as well as foods containing dairy.

Teen AcneWhen you eat a diet high in sugar, it causes your insulin levels to rise. These foods include highly processed foods, including junk food, which convert to sugar and cause surges of insulin in the blood stream. High levels of insulin create inflammation throughout the body. Since acne is an inflammatory disease of the skin, anything that increases inflammation should be avoided.

These same highly processed foods (sometimes called refined carbohydrates) cause an increase in the growth hormone “insulin-like growth factor-1 (IGF-1).” An increase in IGF-1 has also been shown to encourage acne growth.

Dairy products affect hormones in two ways that contribute to skin problems. First, dairy contains a milk protein that causes IGF-1 to rise. Fat is not to blame, because studies show there are increases in insulin-like growth factor regardless of whether you drink whole milk or a low-fat version.

The same milk protein promotes a rise in androgen levels. Although a male hormone, androgens are present in women and men (girls and boys). Androgens cause an increase in oils and sebum (a greasy substance in the pores)—a perfect environment for bacteria growth, which often leads to breakouts and acne.

If you are concerned about your skin, particularly if you are plagued by teen or adult acne, consider removing dairy from your diet. Know that if you are eating a Western diet, which is high in fat, sugar, meat, dairy, and junk food, its inflammatory properties are likely affecting the condition of your skin.

References:

1. Jung JY, Yoon MY, Min SU, Hong JS, Choi YS, Suh DH. The influence of dietary patterns on acne vulgaris in Koreans. Eur J Dermatol. 2010 Nov-Dec;20(6):768-72.
2. Melnik BC, Schmitz G. Role of insulin, insulin-like growth factor-1, hyperglycaemic food and milk consumption in the pathogenesis of acne vulgaris. Exp Dermatol. 2009 Oct;18(10):833-41.

 

Vitamin D on ABC Good Morning America with Dr Oz

I found this video from some time ago from Good Morning America with Dianne Sawyer and Dr Oz.

He does a good job of summarizing the important points about Vitamin D.

Remember take pills for your D and check your blood levels twice a year …November and March. My store sells a pharmaceutical quality Vitamin D which guarantees you get what is on the label !

Whole Food Plant Based Diet for a Healthy World

I am delighted to let all my patients, readers and friends know that I have completed the eCornell online six week intensive training program in Whole Food Plant Based Nutrition.

The course was fantastic! It was led by Dr. T. Colin Campbell and it was based on his tremendous research from his book The China Study. I learned in the course that a whole food plant based diet is able to  prevent as well as to treat the two most common diseases in America, heart disease and cancer.

Aside from Dr. Campbell's excellent lectures, there were many other speakers as well. One of my favorite lectures was by Douglas Lisle Ph.D. who spoke on "The Pleasure Trap". This lecture was about how our own biochemistry and neurochemistry get stimulated by street drugs and junk foods into a persistent cycle that keeps us trapped in our addictive drug or food behavior. Of course he talked about how to get out of this painful cycle that SO many Americans are stuck in. I recommend his book The Pleasure Trap to you. Or you can get the DVD.

My other favorite lecture was by Caldwell Esselstyn, M.D. His lecture was on how to prevent and reverse heart disease using the Whole Food Plant Based Diet. He is a prominent surgeon at the Cleveland Clinic and after many years of working as a breast cancer surgeon he wanted to look into how to prevent the chronic diseases of America. He focused on heart disease and in his amazing lecture in the course he showed us before and after photographs of coronary angiograms showing how advanced heart disease had completely reversed when people followed a Whole Food Plant Based diet for a few years.

I was truly impressed, and I am already speaking with my patients who have coronary artery disease about using this diet as a treatment. In recent days the most prominent individual to adopt this diet is President Bill Clinton. President Clinton was interviewed about this diet by Wolf Blitzer of CNN and you can watch his interview at this site:

President Clinton lost weight back to his High School weight and looks forward to seeing the diet bring him benefit for his heart disease. He had to have coronary by-pass surgery and some years later the newly implanted arteries clogged again and he need a stent put in to keep the new artery open. That was the stimulus for him to go on this diet.

If you or your family has heart disease, please do consider reading Dr Esselstyn’s  book and trying the diet !

To learn more about this course go to this site for the course.

and you can watch the intro video here

Also a wonderful new movie about the Whole Food Plant Based Diet just came out starting Dr Campbell and Esselstyn and others. I highly recommend it ! It is called Forks over Knives.

I look forward to writing more articles on my blog about the benefits of a Whole Food Plant Based Diet.
Please let me know your thoughts!