Best Way To Get Vitamin D From The Sun

Best Way To Get Vitamin D From The Sun

Vitamin D Facts: Everything You Need to Know

Medically Reviewed by Dr Samantha Miller, MBChB

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Vitamin D is important for maintaining a healthy body, primarily because it helps you fully maximize your body's absorption and utilization of calcium, an important mineral that we all need. When paired with calcium, vitamin D helps regulate bone remodeling and growth, ensuring healthy, strong bones. Vitamin D can also help protect older adults from osteoporosis, which occurs due to excess bone loss from aging.

Furthermore, this nutrient boosts your immune system and reduces inflammation within your body, potentially warding off future medical conditions in the process. It also plays a vital role in cell growth, neuromuscular functions and protein encoding. Studies have shown that a regular, healthy vitamin D intake can also serve as an antidepressant and make people feel generally happier. But that's not all you'll want to know about vitamin D.

Sources of Vitamin D

Vitamin D is naturally found in certain foods and now appears in many more foods that have been fortified with added nutrients. The best sources of naturally occurring vitamin D are oily fish such as salmon, tuna, cod, sardines and mackerel. Fish liver oils are another good source of vitamin D. Small amounts of the nutrient are present in beef liver, cheese, egg yolks and mushrooms.

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Commonly, vitamin D-fortified foods include whole milk, orange juice, margarine and breakfast cereals. It's important to look at the label and nutrition facts to verify that vitamin D is in a particular food you're considering. Because dairy products are often fortified with vitamin D, lactose intolerant or vegan individuals should keep an eye on their diets to ensure they get enough of the vitamin.

Sun exposure is another method of naturally obtaining vitamin D, as our bodies can create their own vitamin D upon exposure to ultraviolet (UV) rays from the sun. However, it's difficult to gauge exactly how much sun exposure can generate sufficient vitamin D, as overexposure can be harmful, too. UV rays are also known to trigger free radicals, which can lead to skin cancer if left unchecked.

It's been suggested that getting approximately 15 minutes of sun exposure between 10 a.m. and 3 p.m. at least twice a week to your face, arms, legs or back will help your body synthesize enough vitamin D. It's important to note that you can't cover the exposed area of your body with sunscreen if you choose to get vitamin D naturally. The SPF blocks UV rays and can hinder your body's ability to create vitamin D. If you're in the shade or behind a window, the rays will not get through. If the climate where you live is primarily cloudy, it's important to get your recommended amount of vitamin D via other means.

Dietary supplements are also an excellent way of obtaining vitamin D. Supplements come in two forms: vitamin D3 (cholecalciferol), which is identical to the form your body makes when exposed to sunlight, and vitamin D2 (ergocalciferol), which differs slightly from D3 in its chemical side-chain structure. There's some evidence that vitamin D3 increases and maintains overall levels slightly better than vitamin D2.

Side Effects of a Vitamin D Deficiency

Vitamin D deficiency occurs when you don't adequately absorb the nutrient or when your kidneys can't convert the nutrient to its active form. This deficiency can result in medical conditions, two of which are called rickets and osteomalacia.

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Rickets, a disease characterized by a failure of bone tissues to get enough minerals, can result in abnormal, soft bones and skeletal deformities. It's most common in children. Fortunately, it isn't permanent, and kids can consume as few as 1 to 3 teaspoons of cod liver oil a day to reverse the condition.

With the help of fortified foods today, rickets is almost obsolete in the United States. Osteomalacia, characterized by soft and weak bones, is usually present in adults. It's commonly treated with an intense regimen of vitamin D replacement under the care of a physician.

Vitamin D and Other Health Conditions

Vitamin D deficiency has been linked to cardiovascular disease, and people with lower levels of vitamin D appear to be at an increased risk of having a heart attack or stroke. However, the exact relationship isn't clear, and there appears to be no benefit to cardiovascular risk in taking a vitamin D supplement.

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Research is also ongoing to find if there's a link between vitamin D and multiple sclerosis (MS). It appears that vitamin D deficiency is linked to the development of MS, and people with MS and higher levels of vitamin D appear to have reduced disease activity.

Low vitamin D has been linked to an increased risk of contracting respiratory illnesses such as influenza A. It appears that people with low vitamin D levels are at greater risk of severe novel coronavirus (COVID-19) infection. It's not clear yet if routine vitamin D supplementation would reduce this risk.

Because vitamin D is a fat-soluble substance, it can stay in your body for several days. Thus, vitamin D poisoning is possible if you supplement too much vitamin D over a period of a few months. Symptoms of vitamin D overdose include dehydration, vomiting, decreased appetite, irritability, constipation and fatigue. If left unaddressed, vitamin D poisoning can lead to anorexia, over-calcification of the bones and internal organs, kidney stones and hypertension (high blood pressure). It's important to note that vitamin D poisoning usually only occurs with excessive intake of dietary supplements. It's highly unlikely to occur as a result of normal dietary intake and sun exposure.

Daily Dosage Recommendations

The recommended dietary allowances for vitamin D vary depending on your age and other health and life circumstances, such as pregnancy. For infants under 12 months, the recommended intake is 400 international units (IU) or 10 micrograms (mcg). For individuals under 70 years old, the recommended intake is 600IU (15mcg). For individuals over 70 years old, the intake increases to 800IU (20mcg).

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Best Way To Get Vitamin D From The Sun

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Can Vitamin D Cause Hypercalcemia

Can Vitamin D Cause Hypercalcemia

Vitamin D supplements Share on Pinterest
Hypercalcemia and kidney damage are possible side effects of vitamin D supplementation.

Doctors tend to consider vitamin D levels to be adequate if there are at least 20 nanograms (ng) of the vitamin per milliliter (mL) of blood. If levels rise above 50 ng/mL, a person may experience adverse side effects.

However, most research indicates that the toxicity threshold for vitamin D is fairly high, around 200–240 ng/mL.

A person with levels of vitamin D in this range usually consumes between 10,000 and 40,000 international units (IUs) of the vitamin per day.

Below are some of the most serious side effects associated with overexposure to vitamin D.

1. Hypercalcemia

Most of the significant side effects associated with vitamin D toxicity are related to hypercalcemia.

Hypercalcemia is an excess of calcium in the blood. This occurs when there are more than 10,4000 ng/mL of calcium in the blood.

Researchers often cite this threshold as 10.4 milligrams (mg) of calcium per deciliter of blood or as 0.104 mg/mL.

There is a strong relationship between vitamin D and calcium. When there are high levels of vitamin D metabolites in the blood, this increases the amount of calcium that the intestines absorb.

High levels of vitamin D metabolites can also promote the release of calcium from the bones into the bloodstream.

Having too much calcium in the blood can lead to a wide range of complications and symptoms. Some of the most serious include:

  • a loss of appetite
  • diarrhea and constipation
  • confusion, disorientation, or trouble thinking
  • nausea and vomiting
  • joint and muscle pain
  • continuous headaches
  • irritability and anxiety
  • unexplained exhaustion
  • muscle weakness
  • increased thirst and more frequent urination
  • an irregular heartbeat
  • reduced reflexes
  • a metallic taste in the mouth
  • high blood pressure

2. Kidney damage

Excess calcium in the bloodstream can bind with phosphate and form crystals that deposit in soft body tissues.

These crystals can cause tissue damage and eventually organ damage, depending on their location, number, and size.

The kidney is especially vulnerable to calcium deposits because of its role as a filter and its many small passageways.

When calcium deposits get stuck in kidney tissues, nephrocalcinosis can occur. If this condition is severe, it can cause permanent kidney damage and, eventually, kidney failure.

Symptoms of nephrocalcinosis include:

  • nausea and vomiting
  • fever and chills
  • severe pain in the stomach, the sides of the back, or the groin area, including the testicles in men

Authors of a 2015 review considered the effects of vitamin D3 toxicity.

On average, the people affected had taken a total of 3,600,000 IU of the vitamin in fewer than 3 months. They experienced several side effects, including acute kidney damage.

3. Irregular heartbeat and heart attack

Extreme hypercalcemia can reduce or change the ability of the heart's cells to function, and people with severe hypercalcemia often experience irregularities in the heartbeat.

A person with severely high levels of calcium or phosphate in the blood may also develop calcium deposits, or plaques, in the arteries or valves of the heart.

In 2012, doctors reported the case of a 70-year-old woman who received calcium injections in the equivalent of 80,000 IU/day over 30 days.

She experienced hypercalcemia and complete heart blockage, which required a permanent pacemaker.

Some signs of heart complications associated with vitamin D toxicity include:

  • an irregular heartbeat, which may be temporary or continual
  • chest pain
  • unexplained exhaustion
  • high blood pressure
  • pain when exercising
  • dizziness
  • chest pain

4. Brittle bones and bone pain

When there is too much calcium circulating freely in the bloodstream, the body may not have enough hormones to bind the mineral to the bones effectively.

Vitamin D toxicity can cause hypercalcemia and subsequent problems with the bones. Some symptoms include:

  • aching or painful bones
  • instability
  • an increased rate of falling
  • bones that are prone to fracture or break
  • severely stooped posture
  • severe back or joint pain
  • loss of height or length of limb

5. Dehydration

Elevated levels of calcium in the blood can harm the kidney's ability to concentrate urine.

This can result in a person producing and passing unusually large quantities of urine, which is called polyuria.

Researchers are not entirely sure why this occurs. One theory is that high calcium levels reduce the effects of antidiuretic hormones.

These hormones encourage the kidneys to retain water, and fewer hormones may result in larger quantities of diluted urine.

When a person passes a lot of diluted urine, they lose large quantities of water and electrolytes. For this reason, a person with vitamin D toxicity may be prone to dehydration.

Symptoms of moderate dehydration include:

  • a dry mouth and tongue
  • restlessness
  • irritability
  • sunken eyes
  • increased thirst
  • decreased urinary output
  • decreased tear production and dry eyes
  • skin that is slow to return to normal after being pinched

Severe dehydration can result in life-threatening conditions. Other signs and symptoms of this condition include:

  • a weak or absent pulse
  • low blood pressure
  • unexplained exhaustion
  • very little or no urine output
  • unconsciousness

6. Pancreatitis

Hypercalcemia can cause acute pancreatitis, which is the term for inflammation of the pancreas.

In 2017, researchers published a review of the features and treatment of vitamin D toxicity-induced acute kidney injury.

They studied the experiences of 19 people with the toxicity. Each had taken an average of 6,000,000 IU of the vitamin over 1–3 months.

Two of the 19 people experienced acute pancreatitis as a complication.

Signs of pancreatitis include:

  • upper stomach pain that extends to the back
  • nausea and vomiting
  • a rapid pulse
  • weight loss
  • fever

7. Lung damage

When high levels of calcium and phosphate in the blood bind to form crystals, these deposit in soft tissues.

The crystals are especially likely to deposit in soft-tissue organs that act as filters, such as the lungs.

If many of these calcium salt deposits, or ectopic calcifications, are present in the lungs, they can impair the organ's function.

Some signs of the resulting lung damage include:

  • coughing
  • trouble breathing
  • chest pain

Many people take high doses of vitamin D supplements, and the rate of adverse side effects is relatively low.

However, long-term or excessive consumption of vitamin D in supplements or foods can cause adverse side effects.

The body stores vitamin D in fat tissues, and it can take weeks or months for the effects of vitamin D toxicity to fully wear off.

However, some prescription formulas contain a combination of vitamin D and calcitriol. A person with vitamin D toxicity who has taken this combination will usually recover within a few days because calcitriol breaks down quickly in the body.

Vitamin D supplements are not right for everyone.

The supplements can interact with some medications. People on any of the following medicines should consult a doctor before taking vitamin D supplements:

  • steroids
  • phenobarbital and phenytoin, which can treat epilepsy
  • orlistat, a weight loss medication
  • cholestyramine, which can reduce cholesterol

Also, some medical conditions can increase sensitivity to vitamin D. A person with any of the following conditions should consult a doctor before using vitamin D supplements:

  • primary hyperthyroidism
  • cancer
  • sarcoidosis
  • granulomatous tuberculosis
  • metastatic bone disease
  • Williams syndrome

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Unexplained exhaustion may be a sign of too much vitamin D.

Most people who have taken too much vitamin D will experience at least two of the following symptoms within a few days of overdosing:

  • unexplained exhaustion
  • a loss of appetite and weight loss
  • constipation
  • dry mouth
  • skin that is slow to return to normal after being pinched
  • increased thirst and frequency of urination
  • continuous headaches
  • nausea and vomiting
  • reduced reflexes
  • confusion, disorientation, or trouble thinking
  • an irregular heartbeat
  • muscle weakness and reduced muscle tone
  • changes in gait

People with severe or chronic vitamin D toxicity may develop life-threatening symptoms, including:

  • extreme dehydration
  • high blood pressure
  • slowed growth
  • trouble breathing
  • temporary losses of consciousness
  • heart failure and heart attack
  • kidney stones and kidney failure
  • hearing loss
  • tinnitus (ringing in the ears)
  • pancreatitis (inflammation of the pancreas)
  • gastric ulcers
  • coma

Vitamin D toxicity can cause a wide range of symptoms, and each individual may respond differently.

A person has a higher risk of experiencing toxicity if they have taken supplements over an extended period or taken excessive amounts. This can cause vitamin D to build up in the blood.

The risk of experiencing adverse side effects after absorbing vitamin D from the diet or exposure to the sun is very low.

Can Vitamin D Cause Hypercalcemia

Source: https://www.medicalnewstoday.com/articles/322602

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