Vitamin D
Q: Do I need to take a vitamin D supplement?
A: It's likely -- 70 to 75 percent of women are deficient in vitamin D. To know for sure, request a simple blood test (called 25-hydroxy-vitamin D) from your doctor; your levels should be between 40 and 100. Vitamin D is critical: Its deficiency is linked to osteoporosis, low immunity, and coronary artery disease. It's also an important nutrient in the prevention of several cancers (including breast and prostate).
So many people are deficient because the only way that our bodies can produce vitamin D is by exposure to the sun. But if you live north of the 35th parallel (which runs from southern California through North Carolina), the sun's rays are not strong enough during the winter months for vitamin D production, and even below that latitude, it takes much longer in the winter to get the amount you need. During the summer, we necessarily wear sunscreen to prevent skin cancer, but this also prohibits vitamin D production.
For people who are deficient, I start them off at 2,000 units a day, and often two days of the week I give them 20,000 units. Once they're back up to the optimal range, I recommend a minimum daily supplement of 1,000 units, which is the equivalent of 10 to 15 minutes of exposure to strong sunlight.
Note: People with calcium and kidney stone problems need to be taking extra vitamin D, and it's always important to clear any new supplement with your doctor before taking it.
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