Vitamin D

Here is an excerpt from this article. This is some HARDCORE scientific research and a GREAT POST....!

Now if I could just figure out what a "Knockout Mouse" is... ? LOL

Really though, the SIMPLE ANECDOTAL observation is that I FEEL DAMN GOOD when I am catchin some rays. I tend to be thinner, feel better, and sleep well. It would also be an interesting experiment to find out the relationship as to the health of people who spend time in the sun as it relates to CHILLIN, Working outdoors, and the amount of skin exposed. At first I would think you would need to factor in a VANITY co-efficient, but the goodness of the sun just appears to be AUTOMATIC in MANY ways... Its almost like - you dont have to, but YOU WILL CONFORM to health in the light of the SUN... Really makes sense as GENETICALLY - We are founded by it....:) And there weren't no clothes or no roofs when the code was first built...

VD regulates biosynthesis of estradiol and
testosterone
Numerous studies investigated the putative physiological
relationship between circulating levels of
25OHD3/1,25(OH)2D, the activity of VDR and VD
metabolizing enzymes, and serum testosterone and
estradiol levels in both animals and humans (Tanaka
et al. 1976, Hyldstrup et al. 1984, Small et al. 1984,
Hochberg et al. 1985, Krabbe et al. 1986, Sonnenberg
et al. 1986, Hagenfeldt et al. 1992, Morley et al. 1993,
Inpanbutr et al. 1996, Zofkova & Kancheva 1996,
Otremski et al. 1997, Rapado et al. 1999, Kinuta et al.
2000, van Abel et al. 2002, Braga et al. 2002,
Van Cromphaut et al. 2003, Echchgadda et al. 2004,
Valimaki et al. 2004, Kastelan et al. 2009, Fleet &
Schoch 2010, Krishnan et al. 2010a, 2010b, Meng et al.
2010, Pilz et al. 2011, Ramlau-Hansen et al. 2010,Wehr
et al. 2010, Ceglia et al. 2011, Foresta et al. 2011,
Lundqvist et al. 2011, Lee et al. 2012). It has been shown
that estrogen promotes the two-step activation of
cholecalciferol to 1,25(OH)2D3 and reinforces a positive
effect on calcium homeostasis through a direct stimulatory
effect on intestinal calcium absorption. Testosterone
is also a stimulator of calcium absorption in
prepubertal boys, but studies in mice show that androgens
increase calcium excretion by inhibiting expression of
renal calcium transport proteins (Fleet & Schoch 2010,
Hsu et al. 2010).
Regulation of aromatase (CYP19A1) and estrogen
production by VD has been extensively studied in tissueand
cell lines from breast, adipose tissue, bone, and
gonads (Krishnan et al. 2010a, 2010b). 1,25(OH)2D3 is a
known regulator of aromatase expression (Bouillon et al.
2008, Haussler et al. 2011), but the effect is tissue
specific due to activity of different promoters (1.3,1.4,II)
in various tissues. 1,25(OH)2D3 mediates transcriptional
repression of aromatase expression in breast, in contrast
to a modest gonadal induction (ovary) and a high
induction in bone (Krishnan et al. 2010b). The proposed
tissue-specific regulation is in line with an earlier study
showing lower aromatase expression in testis and
epididymis concomitant with lower serum estrogen
and elevated gonadotropins in Vdr KO mice compared
with wild-type animals (Kinuta et al. 2000). Interestingly,
the reduced serum estrogen level was reversible
following calcium supplementation, indicating that at
least part of the impaired gonadal aromatase expression
was due to hypocalcemia. In contrast, the elevated LH
level persisted and may therefore depend on additional
factors besides calcium imbalance (Kinuta et al.
2000). A recent study supported the tissue-specific
1,25(OH)2D3-mediated regulation of aromatase
expression using three different cell lines. Besides
tissue-specific regulation of aromatase, they also found
that 1,25(OH)2D3 induced androgen production in
Figure 4 CYP24A1 expression in human spermatozoa. Semen sample
from a man from the general population with sperm concentration:
123 million/ml and 87% motile sperm. 85% of his spermatozoa are
expressing CYP24A1 at the annulus (left). Semen sample from a man
part of an infertile couple with sperm concentration: 6 million/ml
and 50% motile sperm. This man has 0% expressing CYP24A1 at the
annulus (right). Arrowhead indicates annulus and arrows indicate
expression at the neck. Bar corresponds to 10 mm. Figure reproduced
from Blomberg Jensen M, Jørgensen A, Nielsen JE, Leffers H,
Andersen AN, Skakkebaek NE, Juul A, Rajpert-De-Meyts E &
Jørgensen N 2012 Expression of the vitamin D metabolizing enzyme
CYP24A1 at the annulus of human spermatozoa may serve as a
novel marker of semen quality. International Journal of Andrology.
By permission of John Wiley and Sons.
Vitamin D and male reproduction 141
Reproduction, a high quality journal publishing research into the cellular and molecular biology of reproduction Reproduction (2012) 144 135–152
breast and prostate but caused an opposite effect in
adrenal cells (Lundqvist et al. 2011).
It is noteworthy that the observed in vitro effects
seemed less pronounced in vivo as VD-deficient
chickens had higher (although not significantly) serum
testosterone levels than controls, despite that VD
deficiency caused low calbindin expression in the
Leydig cells (Inpanbutr et al. 1996). However, another
study found low serum testosterone in VD-deficient rats,
which increased to normal values following supplementation
of 1,25(OH)2D3 (Sonnenberg et al. 1986).
Importantly, a small human study conducted on boys
younger than 18 years with VD-resistant rickets
(no functional VDR) showed that the sensitivity to LH
was not affected by VD, as serum testosterone concentration
after hCG stimulation (hCG test) was normal
(Hochberg et al. 1985). Several human studies (Table 1)
have investigated the relationship between 25-OHD3 or
1,25(OH)2D3 and testosterone production. A direct
comparison of these selected studies is not advisable
because the cohorts differ greatly in size, age, comorbidities,
median 25-OHD3 level, and the use of relevant
confounders such as time of blood sampling, serum LH,
calcium, etc. The positive associations between serum
25-OHD3 and testosterone/free androgen index (FAI) are
mainly reported in men above 40 years of age, with a
median BMI above 25 and presence of comorbidities
such as metabolic syndrome, diabetes, or cardiovascular
disease. By contrast, in younger healthy men, serum
levels of 25-OHD3 were either not associated or
negatively associated with testosterone and FAI, while
serum 25-OHD3 was positively associated with SHBG
(Valimaki et al. 2004, Ramlau-Hansen et al. 2011).
Other studies have shown that both serum 25-OHD3 and
testosterone levels decline with age, while gonadotropins
and SHBG increase. The age-related alterations
may be of clinical importance and probably partly
responsible for the increased risk of osteoporosis with
age (van Abel et al. 2006, Giovannucci et al. 2006,
Kaplan et al. 2006, Bischoff-Ferrari 2008, van Schoor
et al. 2008, Ross 2011, Lee et al. 2012). Simple
associations do not prove causality but may rather
reflect other imbalances as indicated in a large study
examining 1340 men aged 76 years or older. Here, total
testosterone inversely correlated with serum phosphorous,
while calcium levels were positively correlated with
PTH (Meng et al. 2010).
Accumulating evidence suggests a complex interplay
between bone, gonadal function, calcium absorption
and excretion, glucose metabolism, and pituitary
function (Fukumoto & Martin 2009, Hwang et al.
2011, Oury et al. 2011, Pi et al. 2011): sex hormones
regulate calcium absorption, bone formation, and
insulin production; VD stimulates calcium absorption,
bone formation, estrogen and insulin production; and
bone markers such as osteocalcin stimulate testosterone
and insulin production. The complicated relationship
must be taken into account when investigating associations
between VD and sex hormones, and it is not
advisable to extrapolate from simple associations
between two factors, because the disturbance or
imbalance in a selected organ may be fully or partly
compensated by various mechanisms;
for instance, low
serum VD levels by calcium mobilization due to
elevated PTH secretion. Such compensation may be
decreasing with age, which could explain the positive
associations reported in older men with comorbidities,
but further studies are needed to clarify this. New
association studies should therefore address the relationship
between sex hormones and VD levels by including
additional factors such as calcium, PTH, phosphate, LH,
estrogen, and optimally also BMD, osteocalcin, IGF1,
FGF23, body fat percentage, and glucose metabolism to
determine causal associations that can be subsequently
used as endpoints for validation in randomized clinical
trials (RCT).
Most of the association studies investigating VD and
testosterone stratified their cohort in tertiles or quartiles.
This can be appropriate, but the conclusions drawn may
be limited, in particular when 25-OHD3 serum level is
the explanatory variable. VD has the highest impact on
most organs in the concentration range from undetectable
to 50 nM (20 ng/ml), while most of the effects are
stable when serum 25-OHD3 levels exceed 75–100 nM
(Dawson-Hughes et al. 2005, Lips 2006, Lips et al.
2010). Thus, the clinical relevance is reduced when the
median VD concentration in the cohort is high, as an
increase in serum 25-OHD3 level from 80 to 90 nM is
unlikely to have any major physiological effect. Recently,
a large association study showed a dose–response
relationship between 25-OHD3 and testosterone. It
was comparable to the effects observed between VD
and PTH secretion or calcium absorption, because it was
strong in the lower range of the serum 25-OHD3 scale
and leveled off above 50–80 nM (Nimptsch et al. 2012).
This could be due to a direct effect of VD progenitors on
the Leydig cells, although it could also be secondary to
changes in calcium homeostasis caused by VD deficiency
(Bouillon et al. 2008). Unfortunately, this study was
limited by the low proportion of VD-deficient men, thus
precluding investigation of associations at the very low
end of 25-OHD3 levels (!25 nmol/l), where the effect
presumably would be larger. Moreover, most of the
studies reporting a positive association between VD
and total testosterone/FAI are limited by an age effect
(Table 1). Men with high 25-OHD3 serum concentrations
are generally younger and have a higher
testosterone level than men with low 25-OHD3. The
age difference between each quartile is more than 1 year
in the large association study investigating more than
2000 men referred for coronary angiography, and a
similar age trend was found from the lowest to the
highest VD quintile in a recent association study (Wehr
et al. 2010, Nimptsch et al. 2012). Although most studies
142 M Blomberg Jensen
Reproduction (2012) 144 135–152 Reproduction, a high quality journal publishing research into the cellular and molecular biology of reproduction
adjust their analyses for age, they are not adjusted for the
frequency of comorbidities such as impaired bone
health, glucose metabolism, kidney function, calcium
absorption, etc., that follows with increasing age. This
concern was corroborated by a recent association study
including more than 3000 elderly men (Lee et al. 2012).
The authors found the same positive associations
between 25-OHD3 serum level and testosterone/FAI,
but after adjusting for health and lifestyle factors,
no significant associations were observed between
25-OHD3 and any of the reproductive hormones.
However, the putative positive effect of VD on
testosterone production was supported by a small RCT,
which showed increasing testosterone following VD
supplementation (average 48 years). The clinical value
is limited by the design of the study as they mainly
tested the effect of weight loss. Moreover, the causal
factor is not obvious despite that the increase in
testosterone was 2.7 nM in cholecalciferol-treated
men vs 0.9 nM in the control group (Pilz et al. 2011).
In conclusion, sufficient data exist to claim that VD is
a strong regulator of aromatase expression and may
be involved in regulation of steroidogenesis in human
Leydig cells, but so far, there is not enough evidence for
a stimulatory effect of VD on testicular testosterone
production
Blomberg Jensen M. Vitamin D metabolism, sex hormones, and male reproductive function. Reproduction 2012;144(2):135-52. Vitamin D metabolism, sex hormones, and male reproductive function

The spectrum of vitamin D (VD)-mediated effects has expanded in recent years, and VD is now recognized as a versatile signaling molecule rather than being solely a regulator of bone health and calcium homeostasis. One of the recently identified target areas of VD is male reproductive function. The VD receptor (VDR) and the VD metabolizing enzyme expression studies documented the presence of this system in the testes, mature spermatozoa, and ejaculatory tract, suggesting that both systemic and local VD metabolism may influence male reproductive function. However, it is still debated which cell is the main VD target in the testis and to what extent VD is important for sex hormone production and function of spermatozoa. This review summarizes descriptive studies on testicular VD metabolism and spatial distribution of VDR and the VD metabolizing enzymes in the mammalian testes and discusses mechanistic and association studies conducted in animals and humans. The reviewed evidence suggests some effects of VD on estrogen and testosterone biosynthesis and implicates involvement of both systemic and local VD metabolism in the regulation of male fertility potential.
 
These articles are so long. Are there no cliffs? I think everyone who posts such an article should also provide a few cliffs. I'm not going to read all this stuff.
 
That is a CLIFF - LOL. I try to highlight or at least color change any points which I feel pertinent to the aspect which I an presenting.

This IS a kick-ass article and study though, with MANY aspects considered. I have no doubt that from a technical standpoint, the more facet that the study includes, the more targets present. Minimally, what speaks out about this particular study, is the DEPTH which they pursued the Vit D action in the body. Which is of course merited, but USUALLY OMITTED from similar scientists who may ONLY be SERVICING a particular faction. Sometimes, IMHO, the lack of depth to an acticle can give away a motive. Or sometimes it can just prelude greated interest, as well as compliment establised data. So we have to DISCERN ALWAYS.:)

If you are a SERIOUS learner and participant at this forum, you will one day find the value. As you can HEAR crackpots like myself, you can LISTEN to others alike, and maybe even obide by what information is passed. But when it comes time to actually pop that "forum directed pill" is the magical moment of tell. At that time you with either not acknowledge that you are taking advice from NO ONE & GHOSTS of INTERNET BULLSHIT; or you WILL APPRECIATE the data that Doc Scally and others provide as a foundation for your OWN RESEARCH.:D

You WILL find Millard's MESO is UNIQUE from this aspect as there are not many other forums of this type which ATTEMPT to similate SCIENTIFIC DATA into LAYMANIZED ANECDOTAL Society. Definitely first I think. But again, my experience with other forums is limited at best. And there is NO DOUBT that this place is first and premier in having a doc like Scally to oversee and interact ACCORDINGLY & APPROPRIATELY...:)

These articles are so long. Are there no cliffs? I think everyone who posts such an article should also provide a few cliffs. I'm not going to read all this stuff.
 
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I just get tired of his whining. He says he's here to learn but then complains the reading is too long? Really? Hardly on the same level as a Stephen King novel.

One side of me feels for the guy because he's all kinds of fucked up but then he says something as dumb as that and I think it's time for him to put on his big girl panties and deal with his problems.

A big part of his problem is he's just lazy and low T + other problems = I have a reason to do nothing with my life.
 
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I just get tired of his whining. He says he's here to learn but then complains the reading is too long? Really? Hardly on the same level as a Stephen King novel.

One side of me feels for the guy because he's all kinds of fucked up but then he says something as dumb as that and I think it's time for him to put on his big girl panties and deal with his problems.

A big part of his problem is he's just lazy and low T + other problems = I have a reason to do nothing with my life.

Don't feel too badly. Your tax dollars are paying his disability check.
 
Girgis CM, Clifton-Bligh RJ, Hamrick MW, Holick MF, Gunton JE. The Roles of Vitamin D in Skeletal Muscle: Form, Function, and Metabolism. Endocrine Reviews. http://edrv.endojournals.org/content/early/2012/11/20/er.2012-1012.abstract

Beyond its established role in bone and mineral homeostasis, there is emerging evidence that vitamin D exerts a range of effects in skeletal muscle. Reports of profound muscle weakness and changes in the muscle morphology of adults with vitamin D deficiency have long been described. These reports have been supplemented by numerous trials assessing the impact of vitamin D on muscle strength and mass and falls in predominantly elderly and deficient populations. At a basic level, animal models have confirmed that vitamin D deficiency and congenital aberrations in the vitamin D endocrine system may result in muscle weakness. To explain these effects, some molecular mechanisms by which vitamin D impacts on muscle cell differentiation, intracellular calcium handling, and genomic activity have been elucidated. There are also suggestions that vitamin D alters muscle metabolism, specifically its sensitivity to insulin, which is a pertinent feature in the pathophysiology of insulin resistance and type 2 diabetes. We will review the range of human clinical, animal, and cell studies that address the impact of vitamin D in skeletal muscle, and discuss the controversial issues. This is a vibrant field of research and one that continues to extend the frontiers of knowledge of vitamin D's broad functional repertoire.
 
[:o)] OR Should he get really pissed now.. But then again, Democratic, capitalist, or FREEDOM, is in fact socialism in disguise.

if you summed up all the rogues in the ER tonight, and then did the math and realized that they are already "bought and paid", you would then KNOW that we are indeed SOCIALISTS IN DISGUISE. The ONLY difference is that the HIGH side has HIGHER BOUNDS, and to MORE. Be it only 0.5% of pop. But MORE..

Don't feel too badly. Your tax dollars are paying his disability check.
 
STILL, I can honestly and ACCURATELY ATTEST that the Vitamin D campaign MUST be the GREATEST CROCK OF SHIT IN THE "MIRACLE VITAMIN CAMPAIGN" of the 21st Century (Are we there yet?:drooling:)

AT LEAST Vitamin E will make my blood THIN or something, and actually FUCK with my current cardiovascular condition as a NOTEWORTHY physical RESPONSE to MEGADOSING. SHIT! If I megadosed Vitamin E to the SCOPE and EXTENT which we CAN OVERDOSE "vitamin D", I'd be in the fucking morgue..!!!!!

FURTHER, I get more POSITIVE RESPONSE which I can actually MEASURE in PHYSICAL SENSATION & RESPONE from Drinking some MILK every day, or CATCH'N some RAYS...!

So here is the million dollar question as to WHO EXACTLY IS BBC3. If you can determine the LAST law enforcement agency in the last decade to which BBC ADVISED SIMILAR, and from the SUN ASPECT, - - You Win the PRIZE. However you will find you are getting a SECOND hand reward as I won it LONG AGO.. And times over.. LLOL:eek:

Girgis CM, Clifton-Bligh RJ, Hamrick MW, Holick MF, Gunton JE. The Roles of Vitamin D in Skeletal Muscle: Form, Function, and Metabolism. Endocrine Reviews. http://edrv.endojournals.org/content/early/2012/11/20/er.2012-1012.abstract

Beyond its established role in bone and mineral homeostasis, there is emerging evidence that vitamin D exerts a range of effects in skeletal muscle. Reports of profound muscle weakness and changes in the muscle morphology of adults with vitamin D deficiency have long been described. These reports have been supplemented by numerous trials assessing the impact of vitamin D on muscle strength and mass and falls in predominantly elderly and deficient populations. At a basic level, animal models have confirmed that vitamin D deficiency and congenital aberrations in the vitamin D endocrine system may result in muscle weakness. To explain these effects, some molecular mechanisms by which vitamin D impacts on muscle cell differentiation, intracellular calcium handling, and genomic activity have been elucidated. There are also suggestions that vitamin D alters muscle metabolism, specifically its sensitivity to insulin, which is a pertinent feature in the pathophysiology of insulin resistance and type 2 diabetes. We will review the range of human clinical, animal, and cell studies that address the impact of vitamin D in skeletal muscle, and discuss the controversial issues. This is a vibrant field of research and one that continues to extend the frontiers of knowledge of vitamin D's broad functional repertoire.
 
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Summary Of The Vitamin D Pathway
http://edrv.endojournals.org/content/early/2012/11/20/er.2012-1012.abstract

10562
 

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From The link:

At a basic level, animal models have confirmed that vitamin D deficiency and congenital aberrations in the vitamin D endocrine system may result in muscle weakness. To explain these effects, some molecular mechanisms by which vitamin D impacts on muscle cell differentiation, intracellular calcium handling, and genomic activity have been elucidated. There are also suggestions that vitamin D alters muscle metabolism, specifically its sensitivity to insulin, which is a pertinent feature in the pathophysiology of insulin resistance and type 2 diabetes.

Its Great stuff doc..!:) The more I look at it I shold jjust be quoting to whole thing. Cause I am not relating well to the general area I refer here. But, I appereciate your AGAIN Pardon of my MOST SPECIAL EFFECTS :D But you know I cant help myself SOMETIMES.. LOL

And what I really find interesting is the DEPTH of the current study level of this subject (as really that was what I was trying to point out in my earlier excerpt from the previous article I made address too). I find it kinda interesting that they CHASE DOWN the essential role of vitamin D like they do, ranging from DNA expression/RNA action to its involvement in the CNS and muscle. You just did not see this kind of depth to the old vitamin E studies is all im saying. Or maybe I wasnt looking? Or maybe cause its just not there? Or maybe cause we have moved a little big further away from the myths created by the "wizzard" who knows..


Apologies for being a dumbass layman, but i have taken it upon myself to present the laman interpretation as I see it..

You have to know its crankin my motor with regard to my usual ground back to natural happening as it relates and that I am getting ready to further hound down some info regarding UV-B/ &A interaction, and how it relates. While supplementation of vitamin D MAY mitigate the effects of the lack of nutural sun eposure which MAY be realted, It most likely will not mitigate for the cholesterol which would have otherwise been metabolized. Gots to wonder if this is the same stuff stickin...?!

You also have to wonder IF the liver CAN produce MASTER hormones without the consequential cholesterol production ( which I believe in the process its a precursor), so further meaning produce as a "healthy interaction" as intended. I keep getting back to the SUN... Sorry.

Finally, the vitamin D articles involve CALCIUM often. I LOVE SODIUM. And I cant help but wonder about potassium lately.

Time to pig out. Happy Thanksgiving to all....!!!:)

 
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What kind of D levels in the blood are allowed officially? I heard that 30ng/ml is already too much and dangerous. What's the latest on D blood levels? :confused:
 
Boucher BJ. The problems of vitamin d insufficiency in older people. Aging Dis 2012;3(4):313-29. http://www.aginganddisease.org/AD-2012-Barbara.pdf

This report reviews evidence on disorders related to inadequate vitamin D repletion in older people. Vitamin D is as essential for bone health in adults as in children, preventing osteomalacia and muscle weakness and protecting against falls and low-impact fractures. Vitamin D is provided by skin synthesis by UVB-irradiation from summer sunshine and to a small extent by absorption from food. However, these processes become less efficient with age. Loss of mobility or residential care restricts solar exposure. Reduced appetite and financial problems often add to these problems. Thus, hypovitaminosis D is common world-wide, but is more common and more severe in older people.

Non-classical effects of vitamin D, depending on serum circulating 25-hydroxyvitamin D concentrations, are present in most non-bony tissues; disorders associated with hypovitaminosis D include increased risks of sepsis [bacterial, mycobacterial and viral], cardiovascular and metabolic disorders [e.g. hyperlipidemia, type 2 diabetes mellitus, acute vascular events, dementia, stroke and heart failure]. Many cancer risks are associated with vitamin D inadequacy, though causality is accepted only for colo-rectal cancer.

Maintenance of repletion in healthy older people requires intakes of >/=800IU/day [20mug], as advised by the Institute of Medicine [IOM], but achieving such intakes usually requires supplementation. Excessive intakes are dangerous, especially in undiagnosed primary hyperparathyroidism or sarcoidosis, but the IOM finds doses <4000 IU/day are safe. Many experts suggest that >/=1000-2000 IU [25-50mug] of vitamin D daily is necessary for older people, especially when independence is lost, or hypovitaminosis D could add to the clinical problem. Much higher doses than these are needed for treatment of established deficiency or insufficiency.
 
Bergman P, Norlin A-C, Hansen S, et al. Vitamin D3 supplementation in patients with frequent respiratory tract infections: a randomised and double-blind intervention study. BMJ Open 2012;2(6). Vitamin D3 supplementation in patients with frequent respiratory tract infections: a randomised and double-blind intervention study -- Bergman et al. 2 (6) -- BMJ Open

Background - Low serum levels of 25-hydroxyvitamin D3 are associated with an increased risk of respiratory tract infections (RTIs). Clinical trials with vitamin D3 against various infections have been carried out but data are so far not conclusive. Thus, there is a need for additional randomised controlled trials of effects of vitamin D3 on infections.

Objective - To investigate if supplementation with vitamin D3 could reduce infectious symptoms and antibiotic consumption among patients with antibody deficiency or frequent RTIs.

Design A double-blind randomised controlled trial.

Setting - Karolinska University Hospital, Huddinge.

Participants - 140 patients with antibody deficiency (selective IgA subclass deficiency, IgG subclass deficiency, common variable immune disorder) and patients with increased susceptibility to RTIs (>4 bacterial RTIs/year) but without immunological diagnosis.

Intervention - Vitamin D3 (4000 IU) or placebo was given daily for 1 year.

Primary and secondary outcome measures - The primary endpoint was an infectious score based on five parameters: symptoms from respiratory tract, ears and sinuses, malaise and antibiotic consumption. Secondary endpoints were serum levels of 25-hydroxyvitamin D3, microbiological findings and levels of antimicrobial peptides (LL-37, HNP1–3) in nasal fluid.

Results - The overall infectious score was significantly reduced for patients allocated to the vitamin D group (202 points) compared with the placebo group (249 points; adjusted relative score 0.771, 95% CI 0.604 to 0.985, p=0.04).

Limitations - A single study centre, small sample size and a selected group of patients. The sample size calculation was performed using p=0.02 as the significance level whereas the primary and secondary endpoints were analysed using the conventional p=0.05 as the significance level.

Conclusions - Supplementation with vitamin D3 may reduce disease burden in patients with frequent RTIs.
 
What kind of D levels in the blood are allowed officially? I heard that 30ng/ml is already too much and dangerous. What's the latest on D blood levels? :confused:

My understanding of current thinking is that 30 isn't too high -- in fact, it's on the low side. I take 6000 IU a day, my levels routinely come in around 60-65ng/ml, and my doctor always nods approvingly. I think the reference range with his lab is 25-80 or thereabouts.
 
[IMO, Too Low]

Brouwer-Brolsma EM, Bischoff-Ferrari HA, Bouillon R, et al. Vitamin D. Do we get enough? Osteoporosis International 2012:1-11. Vitamin D. Do we get enough? - Springer

Summary - On September 29, 2011, acknowledged experts in the field of vitamin D, mainly European, were brought together in order to discuss the recent scientific advances in relation to vitamin D: the current requirements and associations with various health outcomes. In this article, the discussions resulting from the meeting are summarized.

Introduction - Several groups at risk for developing vitamin D insufficiency have been identified. Accordingly, reviews indicate that a significant percentage of the population worldwide have serum 25-hydroxyvitamin D levels below 50 nmol/l. In addition to the role of vitamin D in bone health, recent studies suggest that it may play a pivotal role in other systems, e.g., the cardiovascular system, pancreas, muscle, immune system and brain. Most evidence, however, is obtained from observational studies and yet inconclusive.

Methods - To exchange and broaden knowledge on the requirements for vitamin D and its effect on various health outcomes, a workshop entitled “Vitamin D Expert Meeting: Do we get enough?”, was organized.

Results - Despite low vitamin D levels worldwide, consensus on the definition of deficiency is not yet reached. In order to define cut-off points for vitamin D whilst taking into account extraskeletal health effects, randomized controlled trials in these fields are warranted. The experts do emphasize that there is evidence to suggest an important role for vitamin D in the maintenance of optimal bone health at all ages and that vitamin D supplementation, in most studies co-administered with calcium, reduces fracture risk in the senior population.

Conclusion - To reach a serum 25-hydroxyvitamin D level of 50 nmol/l older adults aged >65 years are therefore recommended to meet a mean daily vitamin D intake of 20 ?g (800 IU), which is best achieved with a supplement.
 
Bergman P, Norlin A-C, Hansen S, et al. Vitamin D3 supplementation in patients with frequent respiratory tract infections: a randomised and double-blind intervention study. BMJ Open 2012;2(6). Vitamin D3 supplementation in patients with frequent respiratory tract infections: a randomised and double-blind intervention study -- Bergman et al. 2 (6) -- BMJ Open

Background - Low serum levels of 25-hydroxyvitamin D3 are associated with an increased risk of respiratory tract infections (RTIs). Clinical trials with vitamin D3 against various infections have been carried out but data are so far not conclusive. Thus, there is a need for additional randomised controlled trials of effects of vitamin D3 on infections.

Objective - To investigate if supplementation with vitamin D3 could reduce infectious symptoms and antibiotic consumption among patients with antibody deficiency or frequent RTIs.

Design - A double-blind randomised controlled trial.

Setting - Karolinska University Hospital, Huddinge.

Participants - 140 patients with antibody deficiency (selective IgA subclass deficiency, IgG subclass deficiency, common variable immune disorder) and patients with increased susceptibility to RTIs (>4 bacterial RTIs/year) but without immunological diagnosis.

Intervention - Vitamin D3 (4000 IU) or placebo was given daily for 1 year.
Primary and secondary outcome measures The primary endpoint was an infectious score based on five parameters: symptoms from respiratory tract, ears and sinuses, malaise and antibiotic consumption. Secondary endpoints were serum levels of 25-hydroxyvitamin D3, microbiological findings and levels of antimicrobial peptides (LL-37, HNP1–3) in nasal fluid.

Results - The overall infectious score was significantly reduced for patients allocated to the vitamin D group (202 points) compared with the placebo group (249 points; adjusted relative score 0.771, 95% CI 0.604 to 0.985, p=0.04).

Limitations - A single study centre, small sample size and a selected group of patients. The sample size calculation was performed using p=0.02 as the significance level whereas the primary and secondary endpoints were analysed using the conventional p=0.05 as the significance level.

Conclusions - Supplementation with vitamin D3 may reduce disease burden in patients with frequent RTIs.
 

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