Vitamin D is considered nature’s sunshine
vitamin, and it's a vitamin we can make in our bodies… under proper
conditions. Large-scale studies have found that deficiency is widespread in not
just adults but in children as well. Vitamin D promotes healthy growth and
development; supports teeth, bone, and muscle health; assists with a healthy
immune and cardiovascular system; and aids in a healthy mood.
Many children, like adults, do not
get enough time in the sun during certain crucial times of the year to make and maintain
adequate 25(OH)D levels, which is the form made after D3 is converted in the
liver. In addition to lack of time in the sun, it's also difficult to
synthesize adequate amounts of vitamin D from sunlight due to sunscreen,
latitude, color of skin, and various other factors. There are also not many naturally-occurring dietary sources of vitamin D.
It can be found in
the flesh of fatty fish like salmon (approximately 500 IU (12.5 mcg) in 3 ounces), mackerel, and tuna.
It's also in fish liver oils, but not many people consume these on a weekly
basis. Most of the dietary vitamin D comes from fortified foods; therefore,
many should look to supplemental vitamin D3 to maintain adequate levels
throughout the year. Research has found that vitamin D3 is the preferred form
to supplement with to increase levels effectively.
Various institutions have stated
their reference range recommendations for vitamin D, and they vary widely. The Institute
of Medicine Food and Nutrition Board sets the standard and states adults should have a vitamin D level of 20+ng/mL. Many disagree, and feel it's too
low. The Endocrine Society states sufficiency as 30-100 ng/mL, and the Vitamin
D Council states adequacy as 40-80 ng/mL. The optimal vitamin D level range is
not yet established, but somewhere between 30-70 ng/mL is desirable, based on research.
The amount necessary to increase
and maintain D levels is different for everyone and varies throughout the
season. If your level is very low, a practitioner may recommended you take anywhere from 4-10,000 IU (10-250 mcg)/day for several
months until levels increase into the adequate range.
Make sure to have your levels tested regularly. It takes at least 3 months
to increase levels, and you can do a re-test to see if you have adequately
increased your levels within 3-6 months. If your level is within the desirable
range, then it's recommended to retest in one year.
Be sure to stay on top of your D levels all year long, as it's so crucial for the entire body.
