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LiberalArkie

(15,728 posts)
Sat Mar 21, 2015, 03:58 PM Mar 2015

Scientists Confirm Institute of Medicine Recommendation for Vitamin D Intake Was Miscalculated

http://www.newswise.com/articles/scientists-confirm-institute-of-medicine-recommendation-for-vitamin-d-intake-was-miscalculated-and-is-far-too-low

Researchers at UC San Diego and Creighton University have challenged the intake of vitamin D recommended by the National Academy of Sciences (NAS) Institute of Medicine (IOM), stating that their Recommended Dietary Allowance (RDA) for vitamin D underestimates the need by a factor of ten.

snip


The recommended intake of vitamin D specified by the IOM is 600 IU/day through age 70 years, and 800 IU/day for older ages. “Calculations by us and other researchers have shown that these doses are only about one-tenth those needed to cut incidence of diseases related to vitamin D deficiency,” Garland explained.
Robert Heaney, M.D., of Creighton University wrote: "We call for the NAS-IOM and all public health authorities concerned with transmitting accurate nutritional information to the public to designate, as the RDA, a value of approximately 7,000 IU/day from all sources.”

snip
54 replies = new reply since forum marked as read
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Scientists Confirm Institute of Medicine Recommendation for Vitamin D Intake Was Miscalculated (Original Post) LiberalArkie Mar 2015 OP
Wow, and I was wondering if I was being overprescribed because the doc put me on 3000 IU a day. Erich Bloodaxe BSN Mar 2015 #1
I take 4000 iu and can feel the difference. PeoViejo Mar 2015 #2
Feel a difference? Ruby the Liberal Mar 2015 #17
Try this out... I know several people who have been prescribed 3K a day: freshwest Mar 2015 #19
I get that it is good for bones and teeth Ruby the Liberal Mar 2015 #20
Not just that. It affects the cardio vascular system, muscle health, etc. The ratio of calcium to freshwest Mar 2015 #22
I find it really helps mental function... My doc tested me years ago and mine was practically peacebird Mar 2015 #27
Thanks! Ruby the Liberal Mar 2015 #51
I tried 6K a Day but went back to 4K PeoViejo Mar 2015 #53
ok, wait a minute: didn't i just see something a few days ago about how vitamin D recs are ND-Dem Mar 2015 #3
It says that science enables us to adapt as we obtain more information Orrex Mar 2015 #5
somebody making a mistake in calculations for the RDAs isn't "enabling us to adapt as we ND-Dem Mar 2015 #6
Then your question was flawed. Orrex Mar 2015 #8
maybe you just didn't read it and are trying to cover up your laziness. an error that isn't ND-Dem Mar 2015 #12
Again, what kind of answer do you think you were seeking? Orrex Mar 2015 #13
I'm not sure what you mean by traditional medicine, but naturopaths, for example, pnwmom Mar 2015 #23
Low Vitamin D Linked with Depression in Young Women PADemD Mar 2015 #10
"Too much vitamin D can be as unhealthy as too little, study suggests" nilram Mar 2015 #15
Don't worry about it moonbeam23 Mar 2015 #32
Not worried about it; responding to ND-Dem's post nilram Mar 2015 #50
This is good to know. ananda Mar 2015 #4
Wow! and thought this was going to be the other way around! hedgehog Mar 2015 #7
Wonderful vitamin think4yourself Mar 2015 #9
But SCIENCE! Science! What? ooo, you mean dietary science can make mistakes? HereSince1628 Mar 2015 #11
Hah! My doctors had recommended I take 4,000 units a day pnwmom Mar 2015 #14
Vitamin D is a fat soluable vitamin & needs to be in a fat solution to be absorbed. hue Mar 2015 #24
I do take it with fat-soluble foods. That's not the problem. pnwmom Mar 2015 #25
Message auto-removed Name removed Mar 2015 #39
You obviously don't live in the cloudy part of the Pacific Northwest. For months at a time, we can get very little sun. pnwmom Mar 2015 #40
Message auto-removed Name removed Mar 2015 #41
My skin doctor, eye doctor, and internists have all told me that people living here need supplements pnwmom Mar 2015 #42
Post removed Post removed Mar 2015 #43
So you don't trust physicians or Registered Dieticians with Masters Degrees. pnwmom Mar 2015 #46
Message auto-removed Name removed Mar 2015 #47
And then there was this doctor on CBS recently. He made the hosts very cross. madfloridian Mar 2015 #16
I didn't watch the interview, but many of the doctors who deny the value of D supplementation pnwmom Mar 2015 #26
Be careful about overdoing it. Kber Mar 2015 #18
Then go to the UC San Diego website. Even 4 years ago they were recommending 4000 units daily. pnwmom Mar 2015 #21
I cut back after things warm-up and can work outside. PeoViejo Mar 2015 #54
So the old Science was Woo? nt MannyGoldstein Mar 2015 #28
Science changes, that why it is science. Otherwise it would be called a religion. LiberalArkie Mar 2015 #31
Pretty sure man will never be able to go faster than light. former9thward Mar 2015 #34
Poster kept using the past tense, maybe s/he is from the future? DRoseDARs Mar 2015 #36
Possibly. former9thward Mar 2015 #37
There might be ways around that, even Einstien's theories possibly allowed that... Humanist_Activist Mar 2015 #52
what a comment, Manny Duppers Mar 2015 #48
I have been taking 5000 IU for some time. Before some decides to load up though they still_one Mar 2015 #29
Is it good for you or bad for you this week? joanbarnes Mar 2015 #30
Got Milk? Spitfire of ATJ Mar 2015 #33
this is UC University research! Duppers Mar 2015 #49
does this actually surprise anyone? niyad Mar 2015 #35
I too was surprised...thought they would say people were wasting their time and money. SoapBox Mar 2015 #38
I asked my eye doctor if there was anything I should be taking for eye health pnwmom Mar 2015 #45
The USDA's recommendations haven't caught up to the lower value. Jim Lane Mar 2015 #44

Erich Bloodaxe BSN

(14,733 posts)
1. Wow, and I was wondering if I was being overprescribed because the doc put me on 3000 IU a day.
Sat Mar 21, 2015, 04:02 PM
Mar 2015

And I suck at remembering to take it, so I generally only wind up with 1000 IU a day...

freshwest

(53,661 posts)
22. Not just that. It affects the cardio vascular system, muscle health, etc. The ratio of calcium to
Sat Mar 21, 2015, 05:35 PM
Mar 2015
other minerals is also crucial. The people I know getting it are taking it for cardiovascular health. Thus, one would definitely 'feel it.'

peacebird

(14,195 posts)
27. I find it really helps mental function... My doc tested me years ago and mine was practically
Sat Mar 21, 2015, 05:54 PM
Mar 2015

nonexistant due to hitting menopause at 38.... Lack of collagen means I can't convert enough sunlight into my own Vit D.

 

ND-Dem

(4,571 posts)
3. ok, wait a minute: didn't i just see something a few days ago about how vitamin D recs are
Sat Mar 21, 2015, 04:05 PM
Mar 2015

*too high*?

and if this story is true, what does that say about "science"? because current recs have been in place for a while. years, I believe.

Orrex

(63,220 posts)
5. It says that science enables us to adapt as we obtain more information
Sat Mar 21, 2015, 04:18 PM
Mar 2015

The process isn't instantaneous, but it's a hell of a lot quicker to adapt than traditional medicine, for instance.

 

ND-Dem

(4,571 posts)
6. somebody making a mistake in calculations for the RDAs isn't "enabling us to adapt as we
Sat Mar 21, 2015, 04:24 PM
Mar 2015

obtain more information," it's a mistake, and a huge one, as the RDA recommendations are formulated by a panel of scientists.

I presume you understand the difference between a math error and a judgment about where to set the recommendations based on the available science?


In a letter1 published last week in the journal Nutrients the scientists confirmed a calculation error noted by other investigators, by using a data set from a different population. Dr. Cedric F. Garland, Dr.P.H., adjunct professor at UC San Diego’s Department of Family Medicine and Public Health said his group was able to confirm findings published by Dr. Paul Veugelers2 from the University of Alberta School of Public Health that were reported last October in the same journal.

“Both these studies suggest that the IOM underestimated the requirement substantially,” said Garland. “The error has broad implications for public health regarding disease prevention and achieving the stated goal of ensuring that the whole population has enough vitamin D to maintain bone health.”


http://www.newswise.com/articles/scientists-confirm-institute-of-medicine-recommendation-for-vitamin-d-intake-was-miscalculated-and-is-far-too-low



Orrex

(63,220 posts)
8. Then your question was flawed.
Sat Mar 21, 2015, 04:29 PM
Mar 2015

An error that isn't immediately caught says nothing at all about science and speaks instead of human fallibility, but I suspect that that isn't the answer you were hoping to get.

What kind of answer do you think you were seeking?

 

ND-Dem

(4,571 posts)
12. maybe you just didn't read it and are trying to cover up your laziness. an error that isn't
Sat Mar 21, 2015, 04:35 PM
Mar 2015

caught by multiple panels of scientists is a big deal and speaks to the quality of today's 'science,' which is polluted by monetary & power considerations much more than in the past.

And as these recommendations have been in place for some time, I believe for years, it's a little worse than "wasn't immediately caught".

Orrex

(63,220 posts)
13. Again, what kind of answer do you think you were seeking?
Sat Mar 21, 2015, 04:38 PM
Mar 2015

And what do you propose as an alternative to the polluted "science" that you decry with scare-quotes?

pnwmom

(108,990 posts)
23. I'm not sure what you mean by traditional medicine, but naturopaths, for example,
Sat Mar 21, 2015, 05:39 PM
Mar 2015

emphasize the importance of Vitamin D, folic acid, and other nutritional factors much more than most "traditional" M.D.'s.

moonbeam23

(313 posts)
32. Don't worry about it
Sat Mar 21, 2015, 06:33 PM
Mar 2015

Do you know how many thousands and thousands of IUs you would have to take to get to 140...they have tested doses up to 19,000 per day without toxicity...

An ideal is 50-70 and it takes around 4-5000 daily for a long time to get there...and if you have a serious disease, 10,000 per day for a month is a good start...

They did a large study on cancer patients and found that over 90% had low level (below 20) when they were diagnosed...

So for health and immunity, it is important to take enough of this cheap supplement which is a hormone as well as a vitamin...

Thanks to Dr. Richard Becker, i have become a Vitamin D disciple lol

think4yourself

(838 posts)
9. Wonderful vitamin
Sat Mar 21, 2015, 04:29 PM
Mar 2015

If you struggle with depression ask your doctor to test your Vitamin D levels. Mine were low and they prescribed me 50,000 IU weekly for 4 weeks(pill was same size as 1000 IU.)
It got me on the road to recovery quickly.

HereSince1628

(36,063 posts)
11. But SCIENCE! Science! What? ooo, you mean dietary science can make mistakes?
Sat Mar 21, 2015, 04:33 PM
Mar 2015

Why does science make such a think about what appear to others to be redundant study and analysis?

Well, go back to the OP, the answer is pretty much sitting there.

pnwmom

(108,990 posts)
14. Hah! My doctors had recommended I take 4,000 units a day
Sat Mar 21, 2015, 04:41 PM
Mar 2015

but my blood levels still were too low. I need to take 6-8K a day to have the levels where my doctor wants them. So it's not that I'm freakish -- it's just that the current recommendations were too low.

hue

(4,949 posts)
24. Vitamin D is a fat soluable vitamin & needs to be in a fat solution to be absorbed.
Sat Mar 21, 2015, 05:40 PM
Mar 2015

Taking the slow release form with meals is better. Sometimes those Vit-D pills just pass through our guts without being fully dissolved and absorbed.
Some doctors think of Vitamin D (the name is a common generalization) as a prehormone and it does have a steroid chemical base that is found in 3 forms; D2, D3 and calcitriol which is an active form that is finally finished in the kidneys.
Sun light can change a cholesterol in Your skin into a precursor of active Vit D, cholecalciferol, by opening a hydroxyl ring. Vit D helps regulate calcium in our bodies; our blood and bones and other tissues.

So often it is how You take the precursor of Vit D and when. Take the supplement with foods that have natural fats--its why milk is required to have Vit D added. Milk is a natural fat solution. And try to get some sun light--not too much is You have a skin cancer risk.


pnwmom

(108,990 posts)
25. I do take it with fat-soluble foods. That's not the problem.
Sat Mar 21, 2015, 05:45 PM
Mar 2015

But I live in a part of the country where it isn't always easy to get it from the sun. And I have to be especially careful about skin cancer because I have a relative who had melanoma.

So I've been taking the amount that the UC doctors now say I should be taking. And it's been resulting in the blood levels that my doctor wants to see.

http://www.sciencedaily.com/releases/2015/03/150317122458.htm



Response to pnwmom (Reply #25)

pnwmom

(108,990 posts)
40. You obviously don't live in the cloudy part of the Pacific Northwest. For months at a time, we can get very little sun.
Sat Mar 21, 2015, 08:12 PM
Mar 2015

But welcome to DU, anyway!

http://www.nwrunner.com/new/index.php/stay-healthy/nutritionwellness/82-vitamin-d-deficiency-a-special-problem-for-northwest-runners

A problem for Northwest runners?

Most people living in the Northwest spend limited time outdoors during the winter months. Even disciplined athletes who run outdoors get little sun exposure and unless they eat salmon every day, most likely don’t get enough vitamin D from their diet. So the next time you visit your healthcare provider, plan to have a discussion regarding your vitamin D status. With all the accumulating evidence regarding its health benefits, it is one nutrient you don’t want running in short supply.

Response to pnwmom (Reply #40)

pnwmom

(108,990 posts)
42. My skin doctor, eye doctor, and internists have all told me that people living here need supplements
Sat Mar 21, 2015, 08:22 PM
Mar 2015

I know perfectly well what overcast days are like and yes, I have gotten sunburn on an overcast day. But they are not the same as the heavy clouds we get here in the winter -- and we have much shorter days because of the latitude.

Response to pnwmom (Reply #42)

pnwmom

(108,990 posts)
46. So you don't trust physicians or Registered Dieticians with Masters Degrees.
Sat Mar 21, 2015, 08:28 PM
Mar 2015

I'm curious where you find your more trustworthy research.

Response to pnwmom (Reply #46)

pnwmom

(108,990 posts)
26. I didn't watch the interview, but many of the doctors who deny the value of D supplementation
Sat Mar 21, 2015, 05:47 PM
Mar 2015

are looking at studies where they gave dosages that were much too small to have any effect (for example, a study of blood pressure involving dosages of only 400 IU's.)

Kber

(5,043 posts)
18. Be careful about overdoing it.
Sat Mar 21, 2015, 05:09 PM
Mar 2015

D us fat soluble.

And the website for this article looks like an industry promotional group rather than a scientic organization.

I agree 600 may be too low, especially for women and especially in winter. I couldn't find any news articles (admittedly, quick google search, not exhaustive Internet research) backing this claim.

Just saying overdosing isn't harmless, so supplement this article with further research before acting on it.

pnwmom

(108,990 posts)
21. Then go to the UC San Diego website. Even 4 years ago they were recommending 4000 units daily.
Sat Mar 21, 2015, 05:35 PM
Mar 2015

The way to make sure you're not getting too much is to have your doctor check your levels with a blood test. Mine was too low still, even with 4000 units, so she raised my dose.

http://ucsdnews.ucsd.edu/archive/newsrel/health/02-22VitamanD.asp

"We found that daily intakes of vitamin D by adults in the range of 4000-8000 IU are needed to maintain blood levels of vitamin D metabolites in the range needed to reduce by about half the risk of several diseases - breast cancer, colon cancer, multiple sclerosis, and type 1 diabetes," said Cedric Garland, DrPH, professor of family and preventive medicine at UC San Diego Moores Cancer Center. "I was surprised to find that the intakes required to maintain vitamin D status for disease prevention were so high – much higher than the minimal intake of vitamin D of 400 IU/day that was needed to defeat rickets in the 20th century."

SNIP

"Now that the results of this study are in, it will become common for almost every adult to take 4000 IU/day," Garland said. "This is comfortably under the 10,000 IU/day that the IOM Committee Report considers as the lower limit of risk, and the benefits are substantial." He added that people who may have contraindications should discuss their vitamin D needs with their family doctor.

 

PeoViejo

(2,178 posts)
54. I cut back after things warm-up and can work outside.
Fri Mar 27, 2015, 05:17 PM
Mar 2015

..and my body can produce Vitamin D with the help of Sunlight.
I go from 4000 to 2000.

LiberalArkie

(15,728 posts)
31. Science changes, that why it is science. Otherwise it would be called a religion.
Sat Mar 21, 2015, 06:18 PM
Mar 2015

Science used to not know about bacteria and disease. Science discovered the relationship, knowledge about bacteria changed. Was keeping wounds clean 100 years ago woo? No, science fact changed with knowledge. Just because science said that man could not go faster than the speed of light did not mean it would always be that way.

 

Humanist_Activist

(7,670 posts)
52. There might be ways around that, even Einstien's theories possibly allowed that...
Sun Mar 22, 2015, 08:44 AM
Mar 2015

and while his theories have been shown to be able to make accurate predictions, there is the possibility that someone in the future can supplant him like he supplanted Newton.

still_one

(92,375 posts)
29. I have been taking 5000 IU for some time. Before some decides to load up though they
Sat Mar 21, 2015, 06:09 PM
Mar 2015

Should really get a Vitamin D toter

SoapBox

(18,791 posts)
38. I too was surprised...thought they would say people were wasting their time and money.
Sat Mar 21, 2015, 07:10 PM
Mar 2015

After Mom had lumbar compression fractures from super bad osteoporosis, doctor put her on a once per month D pill...it seemed really high at the time, something like 50,000 IU. So she was on it for a few years and then...Medicare wouldn't cover it any more. Then after that, doctor just didn't seem interested in having her take it. Granted she was basically doing ok and was in her 90's but now I'll wonder if she should have continued to supplement.

I'm living in SoCal and am outside a LOT but am going to ask my doctor about my levels anyway.

Thanks for posting.

pnwmom

(108,990 posts)
45. I asked my eye doctor if there was anything I should be taking for eye health
Sat Mar 21, 2015, 08:26 PM
Mar 2015

and he said the two things he recommends are Vitamin D (enough to get my blood levels into a good range) and magnesium.

This was the third doctor who said it was important to get my Vitamin D levels tested and to supplement as needed.

 

Jim Lane

(11,175 posts)
44. The USDA's recommendations haven't caught up to the lower value.
Sat Mar 21, 2015, 08:26 PM
Mar 2015

Prompted by this thread, I checked my multivitamin and found it contained 400 IU, stated to be 100% of the DV. Because the OP says that the RDA is 600 IU, my guess was that the manufacturer was misrepresenting the product.

It turns out that there's a complication I didn't know about. The U.S. Department of Agriculture sets a DV (Daily Value), which is indeed 400 IU. By contrast, the RDA (Recommended Dietary Allowance) is 600 IU, according to the NIH website.

Perhaps a detailed investigation of this difference would produce an explanation we've seen in other contexts: "Follow the money."

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