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The health effects of vitamin D supplementation: evidence from human studies

Roger Bouillon, Despoina Manousaki, Cliff Rosen

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Katerina Trajanoska, Fernando Rivadeneira, J. Brent Richards

2021 · Nature Reviews Endocrinology

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arcticbull
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UV causes skin cancer - but the majority of them (10:1) are basal cell and squamous cell carcinomas. These have a 99-100% 5-year survival. While UV exposure can increase the risk of melanomas, it makes you less likely to die from them [1]. The UVA-mediated release of nitric oxide from the skin improves your cardiovascular health and you are far more likely to die of CVD than skin cancers, especially if you screen for them. Early stage melanomas have a 99.6% 5-year survival. [1] https://academic.oup.com/jnci/article/97/3/195/2544082 Also note there is very limited evidence for the health benefits of vitamin D supplementation, especially if you're anywhere close to a normal level. [2] https://www.nature.com/articles/s41574-021-00593-z
Mistletoe
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Vitamin d supplementation studies are a lot more ambiguous than this though. And this also matches my "feel". Getting sun makes me feel good in a way that vitamin D supplementation never does. I was once at a dinner and sitting at the table with the head of the Office of Dietary Supplements for the US government and asked him this question- "How should I get vitamin D and how much should I take?" He answered quite quickly "Get it from sunlight." Your skin autoregulates how much vitamin D is made this way. "The health effects of vitamin D supplementation: evidence from human studies" https://www.nature.com/articles/s41574-021-00593-z I do think the question is complicated…
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by the fact that humans have wildly different skin tones. What is applicable for skin types that are very pale is quite different than darker skin tones. This question has been complicated even more by recent migration of humans into zones their skin was never meant to be exposed to. It feels like the dermatologists all made their guidelines based on people with porcelain skin that live at the equator. The truth is more complicated than that, people with darker skin develop low vitamin D status follwing those guidelines. Humans love to have blanket rules they can follow without regard to extenuating circumstances like different skin tones, but that isn't reality.
ccleve
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This paper is from 2013. It is out-of-date. More recent large scale studies of Vitamin D supplementation show no benefit, except in cases of substantial deficiency. https://www.nature.com/articles/s41574-021-00593-z Sunlight, however, does show benefits. This suggests that Vitamin D is just a side effect of sunlight exposure, and does not by itself do any good.
jijijijij
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Good thing I also mentioned doctors, who are, of course, applying the concluded result of research. But maybe you are talking about another "medical context". I threw your "vitamin D supplementation proved beneficial" into Google and this Nature review article on vitamin D supplementation was the first result: * https://www.nature.com/articles/s41574-021-00593-z Here is some additional reading you may find interesting: * https://en.wikipedia.org/wiki/Ad_hominem
arcticbull
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There is very little evidence for vitamin D supplementation unless tests show you are severely deficient. If you’re replete they do nothing. Getting outside is significantly more beneficial. Unless a test shows you’re on the rickets train it’s not going to do much or anything. Basically the same as any other vitamin, if you’re deficient correct the deficiency. If you’re not don’t waste your time. [edit] also note that in the sun UVB rays cause production of vitamin D while UVA rays cause the release of nitric oxide which lowers blood pressure and improves cardiovascular health. That’s likely a real benefit of going outside separate from the D pathway. [1] https://www.nature.com/articles/s41574-021-00593-z
arcticbull
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What's interesting with Vitamin D supplementation is there doesn't appear to be any strong clinical evidence for its effectiveness unless you're severely deficient and on the road to rickets. So long as your serum 25OHD concentration is >50nmol/L according to this meta analysis, there's no clear effects. [1] > In conclusion, supplementation of vitamin D-replete individuals does not generate overall health benefits; however, correction of severe vitamin D deficiency remains essential. Probably would be a lot better off going outside and synthesizing your own. Spending time in nature and in the sun does a lot of other useful things - for instance UV exposure induces nitric oxide synthesis too, which lowers blood pressure. [2] [1] https://www.nature.com/articles/s41574-021-00593-z [2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593895/

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