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Why should you keep your vitamin D level around 50 ng/ml?
Posted on September 19, 2011
by Dr John Cannell
Why should you keep your vitamin D level around 50 ng/ml? Four different
sources, using four different rationales, and four different lines of
reasoning, all lead to the same conclusion.
First, what is the vitamin D level of our closest simian relatives, such
as chimpanzees living wild in Africa? Professor Reinhold Vieth reports
the answer is between 40 and 60 ng/ml. This, by itself, does not prove
we need such levels, but it certainly raises that question.
Humans who regularly expose their full body to sun exposure, like
lifeguards, maintain levels between 40-60 ng/ml without supplementing.
Second, what is the vitamin D level of humans who work in the sun
without clothes, such as lifeguards, and without supplementing? We lived
in the sun for 2 million years, so certainly lifeguards have more
natural vitamin D levels than do people who work indoors. Again, the
answer is between 40-60 ng/ml. Here, we have stronger naturalistic
evidence unless one assumes the vitamin D levels of indoor workers are
natural.
Third, what vitamin D levels do women have to achieve to convert from
having little to having lots of vitamin D in their breast milk?
Professors Bruce Hollis and Carole Wagner recently answered that
question, again 40-60 ng/ml, enough to sustain the infant’s vitamin D
levels. One could claim breast milk is not supposed to have vitamin D in
it, and that primitive man was supposed to expose newborns to sunlight.
But then you would be arguing that primitive man was supposed to expose
their infants to predators, which I find unlikely. Besides, we know from
the second reason that any woman receiving consistent full body sun
exposure would have vitamin D in her breast milk.
Finally, what is the vitamin D level of people who show no evidence of
substrate starvation? That is, at what level do people begin to store
the parent compound (cholecalciferol) in their fat and muscles?
Professor Robert Heaney answered that question: around 40 ng/ml. I
remember seeing several patients in the hospital who had vitamin D
levels of 40-50 ng/ml in February. Both had worked as roofers the summer
before and both had worked with their shirts off. The mechanism for
humans who migrated away from the equator must have been the same, to
store the parent compound in muscle and fat during the summer for use in
the winter. The body stores it well before it turns on the enzymatic
machinery to get rid of excess vitamin D.
So we have the above four questions, questions from four very different
sources. Chimps, outdoor workers, lactating women, and clinical subjects
all lead to the same answer: 40 ng/ml is the lower limit of a natural
level. Taking into account errors in laboratory testing and variations
in human techniques, we must accept what the Endocrine Society recently
recommended, that healthy vitamin D levels are somewhere around 50
ng/ml, levels the Vitamin D Council has advocated for the last 8 years.
About Dr John Cannell
Dr. John Cannell is founder of the Vitamin D Council. He has written
many peer-reviewed papers on vitamin D and speaks frequently across the
United States on the subject. Dr. Cannell holds an M.D. and has served
the medical field as a general practitioner, itinerant emergency
physician, and psychiatrist.
View all posts by Dr John Cannell →
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4 Responses to /Why should you keep your vitamin D level around 50
ng/ml?/
1.
Angelo Kostas said on September 19, 2011 at 11:59 am
I was pleased of my recent 25hydroxyVitD result (taken this past
March) of 59 ng/ml. My oral supplementation regimen was 5ooo IU four
days a week, and 10, ooo IU three days a week for four months
(Novemeber – Feburary) to yield the aforementioned results.
Currently, I take 5000 IU per day, seven days a week, and will be
resuming my 10,000 IU into my regimen in a couple of months. Thanks
Vitamin D Council for the guidlelines :)
2.
Richard Chura, D.C. said on September 22, 2011 at 8:16 am
Over the past 3 1/2 years I have slowly brought my level from 14
ng/ml ! to a recent (April ’11) level of 63 ng/ml. It required a
dose over the past year of ….15,000 to 20,000 IU DAILY, as lower
5,000-10,000iu dosages failed to raise me above 44ng/ml…. (I even
found a bogus product through the Internet which allowed me to
plummet from 44 in the spring of 2010 to 27 in the fall). I am
curious as to whether this interval is due to my stature (6’5″ and
275lbs) ? or simply a long standing deficiency ( I moved to northern
Michigan in the early 80s and soon began experiencing complaints I
now recognize as potentially related to a lack of Vit D…)
3.
ruthiedicken@gmail.com said on September 22, 2011 at 11:14 am
I am very grateful for your blog. I wonder if you could address the
findings of higher vit d levels and increase in disease or a reverse
J/u shaped curve?? My sister and I were discussing her level and she
sent me this link:
http://www.nap.edu/openbook.php?record_id=13050&page=433 It
references 3 studies that show increase risk in higher levels:
Visser, Melamed, Jia. Thanks so much for all your hard work and
analyses!
4.
Brant Cebulla said on September 22, 2011 at 2:20 pm
Dr. Cannell spoke a little bit about the subject in a previous blog:
http://blog.vitamindcouncil.org/2011/07/14/vitamin-d-blood-serum-levels-and-cancer/
Dr. Grant has written a peer-reviewed paper critiquing u-shaped
studies: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092568/ He
particularly addressed Melamed in a section.
Also, if you have the time, check out this Harvard Forum YouTube
show on the IOM vitamin D report.
http://www.youtube.com/watch?v=KBryEJXSaLk&feature=results_main&playnext=1&list=PLADAC815C411BB3D1
It’s an hour long, but I think around 45-50 minutes you can see
renowned nutritionist Walter Willett’s agitation with what the IOM
took away from those studies.
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