To Take or Not to Take, That Is The Question: The Vitamin D Connection

By Dr Catherine W Dunne MSc. D., RGN, Reiki Master (RGMT), M.H.I.T: Master Acupressure, Practitioner of Reflexology, Aromatherapy, Deep Tissue/Myo-fascia Massages, Infrared Treatments, Vibrational Sound and Colour Therapist, Tissue Salt Advisor, Pendulum Healing Dowser, Chakra Practitioner , Tao Cosmic Healing Practitioner, Practitioner of Plant and Herb Medicine and Nurse.

Vitamin D – the right intake

Taking vitamin D is an excellent preventive but also therapeutic measure. Regardless of whether it is an increased susceptibility to infections, autoimmune diseases, degenerative complaints or problems such as diabetes, high blood pressure, depression and dementia, a vitamin D deficiency is usually the cause of the action. We explain how you can determine a vitamin D deficiency in the home test, how much vitamin D you need and how you can properly combine vitamin D with calcium, magnesium and vitamin K.

Vitamin D – How to take it correctly?

Vitamin D is particularly known for its bone-strengthening effect. It promotes calcium absorption from the intestine, is involved in calcium incorporation into the bones, inhibits bone loss and also strengthens the immune system.

At the same time, there is hardly a disease that does not develop Vitamin D deficiency would be involved. For example, the vitamin is considered a substance with an anti-inflammatory effect, which alone is reason enough for its positive influence in most chronic complaints – because they all go hand in hand with chronically inflammatory processes.

It is therefore important to pay attention to a healthy vitamin D level. How do you do that? Does the vitamin have to be taken as a dietary supplement? And if so, what is the right income? How to calculate the personally required dose and how to combine the vitamin with calcium, magnesium and Vitamin K?

A deficiency is common

Vitamin D is not a real vitamin. Because real vitamins must be ingested with food. With vitamin D, on the other hand, the body can also supply itself solely through the sun’s rays, since the vitamin is formed in the skin under the influence of UVB radiation.

However, in Central Europe this only works in summer (from around April to September) – and only if you are lightly dressed and do not constantly apply sunscreens with a high sun protection factor. The latter can reduce vitamin D formation in the skin. In Northern Europe you will need to supplement all year round,

The rest of the year, the sun is too low to send enough UVB radiation to Earth. In Central Europe you can only get along well with the help of the sun Vitamin D if you are really in the open air in the warm season to fill up your memories so comprehensively that you can get over the winter well.

However, many people do not succeed in what the modern lifestyle with an hourly stay in closed rooms is not entirely innocent. Therefore, large sections of the population suffer from vitamin D deficiency and should take the vitamin especially in winter.

Vitamin D is a fat-soluble vitamin

The bone vitamin belongs together with vitamin A, Vitamin E. and Vitamin K to the fat-soluble vitamins. That means two things:

  • There is always something for the absorption of vitamin D from the intestine fat required (see below under “Correct intake: Always with a little fat”).
  • The vitamin can be stored in the body (in adipose tissue and in the liver), which is almost never the case with water-soluble vitamins (B, C).

The advantage is that you don’t have to take vitamin D – once the stores are filled – every day. The organism can draw from a filled store for weeks or even months.

The disadvantage is that fat-soluble vitamins can also be overdosed, which you have to pay attention to when taking them. Because while excess water-soluble vitamins are usually simply discharged through the urine, this is not the case with fat-soluble vitamins. Cases of vitamin A overdoses are therefore known from time to time, for example from regions where fish liver is often eaten. This contains a lot of Vitamin A.

What dose leads to overdose?

As far as vitamin D is concerned, there is usually only the risk of an overdose if very high doses in the form of nutritional supplements are taken over a longer period of time.

50 µg or 2,000 IU per day are the recommended maximum dose in Europe and North America. However, clinical studies show that long-term intake of 10,000 IU daily does not pose any risks. An overdose could occur at 50,000 IU per day and at serum values of more than 150 ng / ml. Wa can then form hypercalcemia (too much calcium in the blood) – such an evaluation by Indian researchers from May 2011 in Oman Medical Journal.

Ideally, the blood values of vitamin D should be below 100 ng / ml, since primitive people rarely reach higher values, even though they are not dressed in the sun every day. The toxic range clearly begins at 300 ng / ml.

Overdose: from 50,000 IU per day for several months

Various case reports have also become known from 2011, in which an overdose of vitamin D led to complaints.

In a 70-year-old woman who took 50,000 IU daily, the typical symptoms of hypercalcemia occurred after 3 months of taking it: tiredness, walking difficulties and confusion. After stopping vitamin D, however, it recovered completely over the course of five months. It should be noted here that she also consumed over 3 g of calcium daily.

Another case describes a man in whom accidentally taking 2,000,000 IU of vitamin D a day after 2 months led to confusion, exhaustion, excessive thirst and frequent urination.

And in a third case, after taking 50,000 IU of vitamin D daily for six months, a man also observed the typical symptoms of hypercalcemia:

  • Excessive thirst and frequent urination
  • Stomach discomfort, Nausea, vomiting and constipation
  • Bone pain, muscle weakness
  • Confusion, lethargy and exhaustion

Overdose from food or sun?

Since vitamin D hardly occurs in food, you can hardly eat an overdose (unless you eat a lot of fish liver).

It is also hardly possible to get an overdose from the sun’s rays. Apparently, the body has protective measures that stop vitamin D formation via the skin as soon as a sufficiently high serum value is reached.

On a sunny summer day, the body rarely absorbs more than 10,000 IU of vitamin D in –, and only if you spent the whole day almost undressed (bath pants / bikini) in the sun.

Only in extreme sunlight (for years in hot regions all day on the beach) could there be unfavorable consequences of an overdose of vitamin D, but only here if there is a vitamin K2 deficiency and possibly too well-intentioned calcium supply at the same time.

So it is rather the over-dosed intake of the vitamin in the form of a dietary supplement that could lead to problems.

Make vitamin D preparation from mushrooms and sun yourself

We have described here how you can produce a natural source of vitamins from mushrooms: Pure vegetable vitamin source: mushrooms

Of course, this method cannot be used specifically to achieve a certain value in the blood or to remedy a deficiency, since one does not know the actual vitamin D content of the fungi, but one can prepare them accordingly Edible mushrooms Install regularly in the diet, so that in the long term you only have to take low-dose supplements or at some point no more.

The right intake

Below we describe all the factors you need to know for a correct intake of vitamin D. First, it is about which four vital substances the vitamin needs to work properly, then how you measure your vitamin D level and finally we present two methods with which you can find out or calculate the dose that suits you can.

1. Take vitamin K2

When taking vitamin D, it is always recommended to pay attention to a healthy vitamin K2 supply at the same time. Vitamin K2 is the vitamin that fulfills two major tasks in the body:

  • Vitamin K is involved in regulating blood clotting so that no one has to bleed to the smallest wound.
  • Vitamin K conducts excess calcium in the blood into the bones, thus ensuring that the calcium is not deposited on the blood vessel walls or in the form of kidney stones.

Since vitamin D promotes the absorption of calcium, the amount of calcium absorbed also increases when the vitamin is taken. If vitamin K2 is now missing, the problems mentioned above can arise, i.e. a misdistribution of calcium in the body.

A 2015 study showed in kidney patients that the combined administration of vitamin D and vitamin K reduced the progression of arteriosclerosis (compared to the group that only received sun vitamin).

It is not entirely clear how much vitamin K2 you should take. The recommended doses for vitamin D supplementation vary considerably among experts. Information can be found there, such as B.

  • Taking 100 µg vitamin K2 per 5,000 IU vitamin D
  • Ingestion of 100 µg vitamin K2 per 10,000 IU
  • Ingestion of 100 µg vitamin K2 per 1,000 IU
  • There is also a recommendation depending on body weight: 2 – 3 µg vitamin K2 per kilogram of body weight.

We recommend taking vitamin K2 the following

  • Ingestion of 100 µg vitamin K2 at up to 2,500 IU vitamin D per day
  • Ingestion of 200 µg vitamin K2 in vitamin D doses above 2,500 IU per day

However, also note the vitamin K2 content of your food. If you adapt your diet accordingly and now take in enough vitamin K2 from your diet, you may only have to take vitamin K2 in the first weeks of your vitamin D intake until the stores are replenished and your diet then provides the required vitamin.

Vitamin K2 is available in various forms, we recommend taking Menachinon-7, which is also abbreviated as MK-7. It is vegan and is considered the best resorbable and usable vitamin K2 form.

If you are on a blood thinner or taking other medications that are not so well compatible with vitamin K, the correct intake of vitamin K must be discussed with the doctor as a precaution.

2nd Vitamin A increases the effect

In the presence of vitamin A, vitamin D works better, and the vitamin D level rises higher if vitamin A is taken at the same time – at least one study from August 2020. Read information about this in our article Vitamin D needs vitamin A.. The correct intake of vitamin D therefore also includes vitamin A (about 1 mg per day).

Vitamin A can be ingested via beta-carotene, which is contained in many types of vegetables, because the organism can produce vitamin A from beta-carotene. To do this, however, you should eat vegetables rich in beta-carotene every day, because to produce 1 mg of vitamin A, the organism needs at least 6 times the amount of beta-carotene, i.e. 6 mg. The following vegetables are among the best sources of beta carotene (quantities always per 100 g):

  • Carrots raw 9.8 mg beta-carotene (1.6 mg vitamin A)
  • Spinach raw 4.7 mg beta-carotene (0.8 mg vitamin A)
  • Kale raw 5.1 mg beta-carotene (0.8 mg vitamin A)
  • Corn salad raw 3.9 mg beta-carotene (0.65 mg vitamin A)
  • red peppers raw 2.1 mg beta-carotene (0.35 mg vitamin A)

When cooking, the content does not change noticeably because beta-carotene is not sensitive to heat; bioavailability could even increase due to cooking – see details here: Loss of nutrients when cooking where we explain what you need to look out for when preparing in order to benefit as much as possible from the beta-carotene it contains.

In the study mentioned, the vitamin A level of the participants was originally even normal. Nevertheless, taking vitamin A (together with taking vitamin D) resulted in a higher vitamin D level and also an improved effect of the vitamin.

In particular in the case of acute diseases and at the same time there is a D deficiency or even if the value should not increase satisfactorily despite all efforts, the additional intake of vitamin A or Beta Carotin can be a good help.

3rd Magnesium activates vitamin D.

Since magnesium is required in the body to activate vitamin D and is also consumed in this process, the correct intake of vitamin D also requires an optimized magnesium supply.

The daily requirement for magnesium is about 400 mg for an adult. If you take up this amount of magnesium daily through your diet, you should be well looked after with a vitamin D supplementation of up to 5,000 IU.

However, if you take more vitamin D, you should also take magnesium with this higher dose, between 200 – 300 mg – depending on the magnesium content of the diet. Read details here: Low magnesium levels make Vitamin D ineffective.

  • Magnesium is the fourth most abundant mineral in the human body after calcium, potassium, and sodium. Foods high in magnesium include almonds, bananas, beans, broccoli, brown rice, cashews, egg yolk, fish oil, flaxseed, green vegetables, milk, mushrooms, other nuts, oatmeal, pumpkin seeds, sesame seeds, soybeans, sunflower seeds, sweet corn, tofu, and whole grains.

4th Vitamin D and calcium are only advisable in certain situations

Vitamin D is considered to be THE bone vitamin par excellence, and it is often believed that the correct intake includes calcium in any case. But this only seems to make sense in certain cases:

  • if e.g. B. the risk of osteoporosis should be reduced in the menopause
  • if osteoporosis is already present and the risk of bone fracture is to be reduced
  • when a low-calcium diet is practiced that delivers significantly less than the 1,000 mg calcium recommended daily

However, if you consume sufficient calcium, you should not take any additional calcium when taking vitamin D (especially at very high doses). This could increase the risk of hypercalcemia.

Correct intake: Measure vitamin D levels in advance!

Proper intake of vitamin D can only take place if you know your actual value and can then calculate the dose that suits you individually or get it said by your doctor.

So get your vitamin D level established first. Otherwise, you may take too little and therefore have no effect. Or you take much more than necessary, which in turn would put unnecessary strain on your body.

Your family doctor (GP), or alternative practitioner can take care of the measurement. You can also do a vitamin D home test yourself at home. For safety’s sake, you should also discuss the result with a doctor or Integrated Medical Practitioner/CAM Practitioner.

Your qualified Integrated Medical Practitioner/CAM Practitioner can also perform a simple test.  But do ask your GP/Family Doctor if he/she can request the laboratory test.

However, the blood drawn itself can have influences on the blood that falsify the result. It is therefore safer to have the test done by the doctor or alternative practitioner.

Correct intake: what dose?

The goal should be a blood value of at least 30 ng / ml, better about 40 to 50 ng / ml vitamin D3 (25 (OH) vitamin D3). The dose that suits you is now calculated from your current value and your desired value –, taking into account the body weight.

In the event of a massive deficiency, the procedure described in the article linked above could not lead to a healthy vitamin D level quickly enough. Therefore we provide you with the method according to Dr. med. Raimund von Helden, author of the recommended booklet Healthy in seven days – Success with vitamin D therapy.

Dr. von Helden divides the intake of vitamin D into two therapeutic parts: into the initial therapy and the permanent or Maintenance therapy.

  • After a deficiency, the initial therapy serves to fill up the vitamin D stores, which should happen as quickly as possible so that the mostly existing deficiency symptoms can be remedied as quickly as possible. It is a single dose. The dose of continuous therapy is then switched over.
  • The continuous therapy provides the amount of vitamin D that is required to compensate for the daily losses and to maintain a healthy vitamin D level in the long term.

Calculation of the dose for the initial therapy

In order to raise the vitamin D level by 1 ng / ml, 10,000 IU are required with a body weight of 70 kilograms. If the body weight is different, recalculate the value proportionally. 7,000 IU per kilogram of body weight should not be exceeded.

For example, if you weigh 70 kg, have an instantaneous value of 15 ng / ml and want to reach a value of 35 ng / ml, then choose a single dose of 200,000 IU as the initial therapy. Weigh only 60 kg, then take about 170,000 IU.

The starting dose is very high. We recommend that you discuss this type of intake with the doctor or alternative practitioner in advance.

Calculation of the dose for continuous therapy

With an assumed body weight of 70 kilograms in turn, 3,333 IU of vitamin D per day or 23,000 IU required per week. Here, too, the dose is calculated proportionally with a different body weight. For the average person in Ireland we can say 5000IU vitamin D per day

If you are in the sun a lot in summer, you can pause with vitamin D during this time. But probably no alarmingly high value would develop if you continued to take it despite sunbathing.

Correct intake: Always with a little fat

If you have vitamin D preparations that are available as powder in capsules if taken with black coffee, water or juice, this leads to absorption of the vitamin, but to a rather low absorption. As a fat-soluble vitamin, vitamin D should always be taken with a little fat. Like a glass of milk or Cholesterol lowering milk drinks or joghurt.

Too much fat is not a good idea either. So if you take the vitamin preparation with a thick lard bread or fatty cheese, you cannot take the ideal dose of it either. Because excessive amounts of fat seem to inhibit absorption.

A 2013 study found that taking vitamin D with 11 grams of fat resulted in absorption 16 percent higher than taking with 35 grams of fat and 20 percent higher absorption than taking with 0 grams of fat.

It doesn’t matter whether you get fat out polyunsaturated fatty acids (Hemp oil, Linseed oil, Sunflower oil), one made from monounsaturated fatty acids (olive oil, Avocados, Almonds) or one made of saturated (coconut oil).

Correct intake: Topical via the skin

If you cannot tolerate vitamin D preparations or whose vitamin D level simply does not want to rise despite the correct intake of vitamin D preparations, the vitamin can also be applied to the skin, since it can also be absorbed through the skin.

To do this, choose a liquid preparation without unfavourable additives, e.g. Vitamin D3 drops, which only come from vitamin D3 and MCT fats (medium-chain fats from e.g.  Coconut oil) exist. Apply to the forearm, where the skin is particularly receptive

Important note

Disclaimer: This article was based on (at the time of publication) current studies written and checked by doctors, but may not be used for self-diagnosis or self-treatment, replaced so not to visit your doctor. So, discuss each one Measure (whether from this or another of our articles) always first with your doctor.

Vitamin D – the right intake

Taking vitamin D is an excellent preventive but also therapeutic measure. Regardless of whether it is an increased susceptibility to infections, autoimmune diseases, degenerative complaints or problems such as diabetes, high blood pressure, depression and dementia, a vitamin D deficiency is usually the cause of the action. We explain how you can determine a vitamin D deficiency in the home test, how much vitamin D you need and how you can properly combine vitamin D with calcium, magnesium and vitamin K.

Vitamin D – How to take it correctly?

Vitamin D is particularly known for its bone-strengthening effect. It promotes calcium absorption from the intestine, is involved in calcium incorporation into the bones, inhibits bone loss and also strengthens the immune system.

At the same time, there is hardly a disease that does not develop Vitamin D deficiency would be involved. For example, the vitamin is considered a substance with an anti-inflammatory effect, which alone is reason enough for its positive influence in most chronic complaints – because they all go hand in hand with chronically inflammatory processes.

It is therefore important to pay attention to a healthy vitamin D level. How do you do that? Does the vitamin have to be taken as a dietary supplement? And if so, what is the right income? How to calculate the personally required dose and how to combine the vitamin with calcium, magnesium and Vitamin K?

(If you are for the Vitamin D blood values If you are interested in what value indicates a deficiency and which is just correct, read the link above (under Vitamin D).)

A deficiency is common

Vitamin D is not a real vitamin. Because real vitamins must be ingested with food. With vitamin D, on the other hand, the body can also supply itself solely through the sun’s rays, since the vitamin is formed in the skin under the influence of UVB radiation.

However, in Central Europe this only works in summer (from around April to September) – and only if you are lightly dressed and do not constantly apply sunscreens with a high sun protection factor. The latter can reduce vitamin D formation in the skin.

The rest of the year, the sun is too low to send enough UVB radiation to Earth. In Central Europe you can only get along well with the help of the sun Vitamin D if you are really in the open air in the warm season to fill up your memories so comprehensively that you can get over the winter well.

However, many people do not succeed in what the modern lifestyle with an hourly stay in closed rooms is not entirely innocent. Therefore, large sections of the population suffer from vitamin D deficiency and should take the vitamin especially in winter.

Vitamin D is a fat-soluble vitamin

The bone vitamin belongs together with vitamin A, Vitamin E. and Vitamin K to the fat-soluble vitamins. That means two things:

  • There is always something for the absorption of vitamin D from the intestine fat required (see below under “Correct intake: Always with a little fat”).
  • The vitamin can be stored in the body (in adipose tissue and in the liver), which is almost never the case with water-soluble vitamins (B, C).

The advantage is that you don’t have to take vitamin D – once the stores are filled – every day. The organism can draw from a filled store for weeks or even months.

The disadvantage is that fat-soluble vitamins can also be overdosed, which you have to pay attention to when taking them. Because while excess water-soluble vitamins are usually simply discharged through the urine, this is not the case with fat-soluble vitamins. Cases of vitamin A overdoses are therefore known from time to time, for example from regions where fish liver is often eaten. This contains a lot Vitamin A.

What dose leads to overdose?

As far as vitamin D is concerned, there is usually only the risk of an overdose if very high doses in the form of nutritional supplements are taken over a longer period of time.

50 µg or 2,000 IU per day are the recommended maximum dose in Europe and North America. However, clinical studies show that long-term intake of 10,000 IU daily does not pose any risks. An overdose could occur at 50,000 IU per day and at serum values of more than 150 ng / ml. Wa can then form hypercalcemia (too much calcium in the blood) – such an evaluation by Indian researchers from May 2011 in Oman Medical Journal.

Ideally, the blood values of vitamin D should be below 100 ng / ml, since primitive people rarely reach higher values, even though they are not dressed in the sun every day. The toxic range clearly begins at 300 ng / ml.

Overdose: from 50,000 IU per day for several months

Various case reports have also become known from 2011, in which an overdose of vitamin D led to complaints.

In a 70-year-old woman who took 50,000 IU daily, the typical symptoms of hypercalcemia occurred after 3 months of taking it: tiredness, walking difficulties and confusion. After stopping vitamin D, however, it recovered completely over the course of five months. It should be noted here that she also consumed over 3 g of calcium daily.

Another case describes a man in whom accidentally taking 2,000,000 IU of vitamin D a day after 2 months led to confusion, exhaustion, excessive thirst and frequent urination.

And in a third case, after taking 50,000 IU of vitamin D daily for six months, a man also observed the typical symptoms of hypercalcemia:

  • Excessive thirst and frequent urination
  • Stomach discomfort, Nausea, vomiting and constipation
  • Bone pain, muscle weakness
  • Confusion, lethargy and exhaustion

Overdose from food or sun?

Since vitamin D hardly occurs in food, you can hardly eat an overdose (unless you eat a lot of fish liver).

It is also hardly possible to get an overdose from the sun’s rays. Apparently, the body has protective measures that stop vitamin D formation via the skin as soon as a sufficiently high serum value is reached.

On a sunny summer day, the body rarely absorbs more than 10,000 IU of vitamin D in –, and only if you spent the whole day almost undressed (bath pants / bikini) in the sun.

Only in extreme sunlight (for years in hot regions all day on the beach) could there be unfavorable consequences of an overdose of vitamin D, but only here if there is a vitamin K2 deficiency and possibly too well-intentioned calcium supply at the same time.

So it is rather the over-dosed intake of the vitamin in the form of a dietary supplement that could lead to problems.

Make vitamin D preparation from mushrooms and sun yourself

We have described here how you can produce a natural source of vitamins from mushrooms: Pure vegetable vitamin source: mushrooms

Of course, this method cannot be used specifically to achieve a certain value in the blood or to remedy a deficiency, since one does not know the actual vitamin D content of the fungi, but one can prepare them accordingly Edible mushrooms Install regularly in the diet, so that in the long term you only have to take low-dose supplements or at some point no more.

The right intake

Below we describe all the factors you need to know for a correct intake of vitamin D. First, it is about which four vital substances the vitamin needs to work properly, then how you measure your vitamin D level and finally we present two methods with which you can find out or calculate the dose that suits you can.

1. Take vitamin K2

When taking vitamin D, it is always recommended to pay attention to a healthy vitamin K2 supply at the same time. Vitamin K2 is the vitamin that fulfills two major tasks in the body:

  • Vitamin K is involved in regulating blood clotting so that no one has to bleed to the smallest wound.
  • Vitamin K conducts excess calcium in the blood into the bones, thus ensuring that the calcium is not deposited on the blood vessel walls or in the form of kidney stones.

Since vitamin D promotes the absorption of calcium, the amount of calcium absorbed also increases when the vitamin is taken. If vitamin K2 is now missing, the problems mentioned above can arise, i.e. a misdistribution of calcium in the body.

A 2015 study showed in kidney patients that the combined administration of vitamin D and vitamin K reduced the progression of arteriosclerosis (compared to the group that only received sun vitamin).

It is not entirely clear how much vitamin K2 you should take. The recommended doses for vitamin D supplementation vary considerably among experts. Information can be found there, such as B.

  • Taking 100 µg vitamin K2 per 5,000 IU vitamin D
  • Ingestion of 100 µg vitamin K2 per 10,000 IU
  • Ingestion of 100 µg vitamin K2 per 1,000 IU
  • There is also a recommendation depending on body weight: 2 – 3 µg vitamin K2 per kilogram of body weight.

We recommend taking vitamin K2 the following

  • Ingestion of 100 µg vitamin K2 at up to 2,500 IU vitamin D per day
  • Ingestion of 200 µg vitamin K2 in vitamin D doses above 2,500 IU per day

However, also note the vitamin K2 content of your food. If you adapt your diet accordingly and now take in enough vitamin K2 from your diet, you may only have to take vitamin K2 in the first weeks of your vitamin D intake until the stores are replenished and your diet then provides the required vitamin.

Vitamin K2 is available in various forms, we recommend taking Menachinon-7, which is also abbreviated as MK-7. It is vegan and is considered the best resorbable and usable vitamin K2 form.

If you are on a blood thinner or taking other medications that are not so well compatible with vitamin K, the correct intake of vitamin K must be discussed with the doctor as a precaution.

2nd Vitamin A increases the effect

In the presence of vitamin A, vitamin D works better, and the vitamin D level rises higher if vitamin A is taken at the same time – at least one study from August 2020. Read information about this in our article Vitamin D needs vitamin A.. The correct intake of vitamin D therefore also includes vitamin A (about 1 mg per day).

Vitamin A can be ingested via beta-carotene, which is contained in many types of vegetables, because the organism can produce vitamin A from beta-carotene. To do this, however, you should eat vegetables rich in beta-carotene every day, because to produce 1 mg of vitamin A, the organism needs at least 6 times the amount of beta-carotene, i.e. 6 mg. The following vegetables are among the best sources of beta carotene (quantities always per 100 g):

  • Carrots raw 9.8 mg beta-carotene (1.6 mg vitamin A)
  • Spinach raw 4.7 mg beta-carotene (0.8 mg vitamin A)
  • Kale raw 5.1 mg beta-carotene (0.8 mg vitamin A)
  • Corn salad raw 3.9 mg beta-carotene (0.65 mg vitamin A)
  • red peppers raw 2.1 mg beta-carotene (0.35 mg vitamin A)

When cooking, the content does not change noticeably because beta-carotene is not sensitive to heat; bioavailability could even increase due to cooking – see details here: Loss of nutrients when cooking where we explain what you need to look out for when preparing in order to benefit as much as possible from the beta-carotene it contains.

In the study mentioned, the vitamin A level of the participants was originally even normal. Nevertheless, taking vitamin A (together with taking vitamin D) resulted in a higher vitamin D level and also an improved effect of the vitamin.

In particular in the case of acute diseases and at the same time there is a D deficiency or even if the value should not increase satisfactorily despite all efforts, the additional intake of vitamin A or Beta Carotin can be a good help.

3rd Magnesium activates vitamin D.

Since magnesium is required in the body to activate vitamin D and is also consumed in this process, the correct intake of vitamin D also requires an optimized magnesium supply.

The daily requirement for magnesium is about 400 mg for an adult. If you take up this amount of magnesium daily through your diet, you should be well looked after with a vitamin D supplementation of up to 5,000 IU.

However, if you take more vitamin D, you should also take magnesium with this higher dose, between 200 – 300 mg – depending on the magnesium content of the diet. Read details here: Low magnesium levels make Vitamin D ineffective.

  • Magnesium is the fourth most abundant mineral in the human body after calcium, potassium, and sodium. Foods high in magnesium include almonds, bananas, beans, broccoli, brown rice, cashews, egg yolk, fish oil, flaxseed, green vegetables, milk, mushrooms, other nuts, oatmeal, pumpkin seeds, sesame seeds, soybeans, sunflower seeds, sweet corn, tofu, and whole grains.

4th Vitamin D and calcium are only advisable in certain situations

Vitamin D is considered to be THE bone vitamin par excellence, and it is often believed that the correct intake includes calcium in any case. But this only seems to make sense in certain cases:

  • if e.g. B. the risk of osteoporosis should be reduced in the menopause
  • if osteoporosis is already present and the risk of bone fracture is to be reduced
  • when a low-calcium diet is practiced that delivers significantly less than the 1,000 mg calcium recommended daily

However, if you consume sufficient calcium, you should not take any additional calcium when taking vitamin D (especially at very high doses). This could increase the risk of hypercalcemia.

Correct intake: Measure vitamin D levels in advance!

Proper intake of vitamin D can only take place if you know your actual value and can then calculate the dose that suits you individually or get it said by your doctor.

So get your vitamin D level established first. Otherwise, you may take too little and therefore have no effect. Or you take much more than necessary, which in turn would put unnecessary strain on your body.

Your family doctor (GP), or alternative practitioner can take care of the measurement. You can also do a vitamin D home test yourself at home. For safety’s sake, you should also discuss the result with a doctor or Integrated Medical Practitioner/CAM Practitioner.

Your qualified Integrated Medical Practitioner/CAM Practitioner can also perform a simple test.  But do ask your GP/Family Doctor if he/she can request the laboratory test.

However, the blood drawn itself can have influences on the blood that falsify the result. It is therefore safer to have the test done by the doctor or alternative practitioner.

Correct intake: what dose?

The goal should be a blood value of at least 30 ng / ml, better about 40 to 50 ng / ml vitamin D3 (25 (OH) vitamin D3). The dose that suits you is now calculated from your current value and your desired value –, taking into account the body weight.

In the event of a massive deficiency, the procedure described in the article linked above could not lead to a healthy vitamin D level quickly enough. Therefore we provide you with the method according to Dr. med. Raimund von Helden, author of the recommended booklet Healthy in seven days – Success with vitamin D therapy.

Dr. von Helden divides the intake of vitamin D into two therapeutic parts: into the initial therapy and the permanent or Maintenance therapy.

  • After a deficiency, the initial therapy serves to fill up the vitamin D stores, which should happen as quickly as possible so that the mostly existing deficiency symptoms can be remedied as quickly as possible. It is a single dose. The dose of continuous therapy is then switched over.
  • The continuous therapy provides the amount of vitamin D that is required to compensate for the daily losses and to maintain a healthy vitamin D level in the long term.

Calculation of the dose for the initial therapy

In order to raise the vitamin D level by 1 ng / ml, 10,000 IU are required with a body weight of 70 kilograms. If the body weight is different, recalculate the value proportionally. 7,000 IU per kilogram of body weight should not be exceeded.

For example, if you weigh 70 kg, have an instantaneous value of 15 ng / ml and want to reach a value of 35 ng / ml, then choose a single dose of 200,000 IU as the initial therapy. Weigh only 60 kg, then take about 170,000 IU.

The starting dose is very high. We recommend that you discuss this type of intake with the doctor or alternative practitioner in advance.

Calculation of the dose for continuous therapy

With an assumed body weight of 70 kilograms in turn, 3,333 IU of vitamin D per day or 23,000 IU required per week. Here, too, the dose is calculated proportionally with a different body weight. For the average person in Ireland we can say 5000IU vitamin D per day

If you are in the sun a lot in summer, you can pause with vitamin D during this time. But probably no alarmingly high value would develop if you continued to take it despite sunbathing.

Correct intake: Always with a little fat

If you have vitamin D preparations that are available as powder in capsules if taken with black coffee, water or juice, this leads to absorption of the vitamin, but to a rather low absorption. As a fat-soluble vitamin, vitamin D should always be taken with a little fat. Like a glass of milk or Cholesterol lowering milk drinks or joghurt.

Too much fat is not a good idea either. So if you take the vitamin preparation with a thick lard bread or fatty cheese, you cannot take the ideal dose of it either. Because excessive amounts of fat seem to inhibit absorption.

A 2013 study found that taking vitamin D with 11 grams of fat resulted in absorption 16 percent higher than taking with 35 grams of fat and 20 percent higher absorption than taking with 0 grams of fat.

It doesn’t matter whether you get fat out polyunsaturated fatty acids (Hemp oil, Linseed oil, Sunflower oil), one made from monounsaturated fatty acids (olive oil, Avocados, Almonds) or one made of saturated (coconut oil).

Correct intake: Topical via the skin

If you cannot tolerate vitamin D preparations or whose vitamin D level simply does not want to rise despite the correct intake of vitamin D preparations, the vitamin can also be applied to the skin, since it can also be absorbed through the skin.

To do this, choose a liquid preparation without unfavourable additives, e.g. Vitamin D3 drops, which only come from vitamin D3 and MCT fats (medium-chain fats from e.g.  Coconut oil) exist. Apply to the forearm, where the skin is particularly receptive

Important note

Disclaimer: This article was based on (at the time of publication) current studies written and checked by doctors, but may not be used for self-diagnosis or self-treatment, replaced so not to visit your doctor. So, discuss each one Measure (whether from this or another of our articles) always first with your doctor.

I hope you feel inspired. Look after your body, and it will keep you healthy.

Catherine
CWD 21 December 2024/Ireland

How Good Is Your Heart? Or are your Genes in your way?

By Dr Catherine W Dunne MSc. D., RGN, Reiki Master (RGMT), M.H.I.T: Master Acupressure, Practitioner of Reflexology, Aromatherapy, Deep Tissue/Myo-fascia Massages, Infrared Treatments, Vibrational Sound and Colour Therapist, Tissue Salt Advisor, Pendulum Healing Dowser, Chakra Practitioner , Tao Cosmic Healing Practitioner, Practitioner of Plant and Herb Medicine and Nurse.

Disclaimer: this article I have translated from German to English. In Germany and in USA, they are conducting research regarding best cholesterol lowering treatment, by focusing on Lipoprotein-a. Lipoprotein-a is the cause of fatty livers and the clogging up your coronary arteries. This research is still ongoing with very good outlook. The result is that we may only need a once per annum treatment. Sounds good to me, we’ll see.

Meanwhile, I stumbled across this German article and find it interesting enough to translate for you and share with you.

I hope you will enjoy the read.

Catherine.

Naturally lower Lipoprotein-a

Lipoprotein-a, a relative of cholesterol, is increasingly measured during medical examinations. The lipoprotein-a value is even more important than cholesterol levels when it comes to avoiding cardiovascular disease, they say. We explain how you can lower your lipoprotein-a naturally.

Author: Carina Rehberg

Specialist examination: Gert Dorschner

Current:14 August 2024

Naturally lower lipoprotein

Lipoprotein-A – often abbreviated to Lp(a) – is mainly formed in the liver and consists of 2 proteins, apoliprotein A and apolipoprotein B. It belongs to the blood lipids and is related to LDL cholesterol.

Lp(a) is intended to contribute to the development of Arteriosclerosis and have a prothrombotic effect, which means that it promotes thrombosis (blood clots). Therefore, an Lp(a) value that is as healthy as possible would be ideal. There are hardly any drugs that lower the Lp(a) value. We explain how you can naturally lower your Lp(a) level and thus also reduce your cardiovascular risk.

How lipoprotein-a damages the vessels

Lp(a) damages the vessels and promotes arteriosclerosis as follows ( 1 ):

  • Promotes inflammation
  • Penetrates the arterial wall, thus enlarging the lesions (injuries) of the vessel walls, which aggravates atherosclerosis
  • Attaches more strongly to the blood vessel walls than LDL cholesterol
  • Interferes with the formation of plasmin, an enzyme that would dissolve blood clots

Lipoprotein levels: Which ones are good, which ones are bad?

Lipoprotein-A levels should not exceed 25 – 30 mg/dl (for us in Ireland and UK this translates to 0.06-0.08mmol/L. Another example: if your total cholesterol is 6.4 mmol/L this converts to: 247.5mg/dl). If you have higher values (they can rise to 400 mg/dl (10.3 mmol/L) and more), then you assume a massively increased risk of cardiovascular disease, namely for :

  • coronary artery disease (blocked coronary arteries)
  • Stroke
  • peripheral arterial occlusive disease (intermittent claudication)
  • Aneurysm of the main aorta – An aneurysm is an abnormal bulge or ballooning in the wall of a blood vessel
  • Aortic valve calcification
  • Venous thromboembolism – Venous thromboembolism (VTE) is a condition that occurs when a blood clot forms in a vein. VTE includes deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT occurs when a blood clot forms in a deep vein, usually in the lower leg, thigh, or pelvis.

With values above 120 mg/dl (3.1mmol/L), the risk is said to increase 3.6-fold.

Are high Lp(a) values genetically determined?

The personal Lp(a) value is considered to be genetically determined and can neither ne influenced on in any direction – neither upwards nor downwards. So even if the Lp(a) level is too high, it is said that this is “predisposition”. It can therefore hardly be reduced by a change in diet or other lifestyle changes (sports, stress management, weight loss).

Nevertheless, it is precisely these measures that are important even in the case of an elevated Lp(a) value. This is because the cardiovascular risk is particularly increased if there is at least one other risk factor.

So even if your Lp(a) value cannot be influenced, you should do everything you can to avoid any other risk factors (no smoking, no obesity, no diabetes, no high blood pressure, relatively good cholesterol levels, plenty of exercise, healthy eating, etc.). (1).

What factors can increase the Lp(a) value?

Even though Lp(a) levels are considered to be genetically determined, there are some factors that can increase Lp(a) levels – namely some conditions, such as Hypothyroidism (underactive thyroid), kidney disease and a Diabetes mellitus (Type 2 Diabetes(1).

If the Lp(a) level is now elevated due to such a disease, it can of course also be lowered if the causative disease can be alleviated. In the links above you will find measures that help with hypothyroidism and measures that help with diabetes (you may want to set your search engine to translate those pages for you).

Medications that lower Lp(a) levels

There are hardly any drugs that can lower the Lp(a) level and even if they do, they often do not lower the level low enough to reduce the cardiovascular risk. PCSK9 inhibitors (PCSK9 inhibitors are a type of cholesterol-lowering drug. They reduce your levels of low-density lipoprotein (LDL) cholesterol, or “bad” cholesterol.), for example, are used to lower cholesterol, but can also lower lipoprotein-a somewhat, but only by 30 to 40 percent.

PCSK9 inhibitors include the active ingredients alirocumab (Praluent), evolocumab (Repatha) and inclisiran (Leqvio), which are injected subcutaneously for 14 days or monthly. The drugs are very new (maximum approval in 2015), so that side effects are not yet fully known.

Pain and redness often occur at the injection site. However, it can also cause upper respiratory tract infections, itching (pruritus), headaches, joint pain, nausea, aching arms or legs, and fatigue.

The drug AKCEA-APO(a)-L Rx (pelacarsen), which also has to be injected – and in a placebo-controlled study achieved an 80 percent reduction in lipoprotein when administered 20 mg weekly ( 2 ).

Cardiovascular patients or high-risk patients are often given statins to reduce cholesterol levels. However, there are conflicting results on the effect of statins on lipoprotein levels. In two studies from 2016 and 2017, lipoprotein levels even increased at the beginning of statin therapy (1).

In any case, it is important that you know that lowering Lp(a) levels does not necessarily reduce cardiovascular risk (as there are simply too many risk factors for this).

So, you can’t say that we are now lowering the lipoprotein-a value by all means and are then protected from cardiovascular diseases. Therefore, we always point out a holistic approach and advise against always concentrating only on certain values that you now absolutely want to influence.

Lowering lipoprotein – natural remedies

A 2019 study looked at whether natural remedies or supplements known to lower LDL cholesterol levels could also affect lipoprotein levels (1):

  • L-Carnitine
  • Coenzyme Q10
  • Red Rice Yeast
  • Pectin
  • Ginkgo Biloba
  • Linseed
  • Curcumin
  • Coffee
  • Vitamin D

A number of remedies actually had a correspondingly positive effect. Nevertheless, the reduction was not so great for any of the preparations that – if a really high level was present – harmless values could be achieved. It is possible that a more significant reduction in the values could be achieved by combining several natural remedies, but this has not (yet) been investigated to our knowledge.

In the following studies, it is repeatedly recommended to combine the aforementioned remedies with blood lipid-lowering drugs, which should of course be discussed with the doctor.

L‐Carnitin

 According to a 2016 meta-analysis, L-carnitine as a dietary supplement lowers lipoprotein by 13 to 29.3 percent (by an average of 9 mg/dl (0.2mmol/L)) with an intake of 1 to 4 g per day for 1 to 24 weeks (in people who previously had values above 30 mg/dl (0.8mmol/L)).

L-carnitine is produced in the organism from the amino acids lysine and methionine. The substance is particularly involved in the production of energy from fatty acids (which is important for the adult heart, for example) and is therefore also referred to as a fat burner in some places. It is possible that L-carnitine can inhibit the formation of lipoprotein-a in the liver.

Coenzyme Q10

According to a meta-analysis from 2016, coenzyme Q10 can also reduce lipoprotein somewhat – by 12.5 to over 30 percent (by up to 11 mg/dl (0.3mmol/L)) when taking 120 to 300 mg daily over a period of 4 to 12 weeks. For the analysis, 6 studies with a total of 409 patients were examined. All patients suffered from lipid metabolism disorders.

Q10 doses of less than 150 mg were able to reduce Lp(a) levels more significantly than doses above 150 mg. The higher the original values, the better the patients responded to Q10. Other blood lipid levels, such as LDL cholesterol, HDL cholesterol or triglycerides, were not affected by Q10 intake.

Since Q10 is also used in naturopathic medicine against Side effects of statins if you have to take statins, you can also combine it very well with them and achieve a double goal (fewer side effects and a decreasing Lp(a) level).

  • Here is a link to my article on CoQ10

Red Rice Yeast

In a randomized placebo-controlled trial from 2003, patients (with coronary artery disease) were given 1.2 g of red yeast rice per day for 6 weeks and experienced a 23 percent reduction in lipoprotein.

However, red yeast rice extract is not a blank slate, but basically contains nothing more than a natural statin (lovastatin) – and can therefore also have statin-like side effects. It is only less concentrated, therefore better tolerated, so it has a lower risk of side effects.

Statin-related side effects can be reduced by taking coenzyme Q10 – see the section on coenzyme Q10 – so if you want to try red yeast rice, it is best to take coenzyme Q10 as well.

Blood lipids are reduced by red yeast rice because it suppresses cholesterol formation – by inhibiting the so-called HMG‐CoA reductase. It is precisely through this mechanism of action that statins also act.

Pectin

Pectin is a soluble fiber that is abundant in apples or citrus peels. Because pectin has such good gelling abilities, it is also used to boil down jam.

As a dietary supplement, it has long been known to lower cholesterol – presumably because it promotes the breakdown of cholesterol in the liver, but also because it could inhibit the absorption of cholesterol and bile acids in the intestine. (If bile acid is not absorbed in the intestine, but is drained out with the stool, then the liver produces new bile acid from cholesterol, which then naturally leads to a decrease in cholesterol).

A study from 1999 examined whether pectin could also lower lipoprotein-a. In the placebo-controlled, double-blind study, patients (who suffered from high blood lipid levels) received 15 g of pectin daily (for 4 weeks), after which the level of lipoprotein decreased by up to 27 percent.

Ginkgo Biloba

Extracts from the leaves of Ginkgo biloba are usually used for dizziness, tinnitus or for Alzheimer’s prevention. The main effect of the plant is to promote blood circulation. However, it also has anti-inflammatory, antioxidant and antiatherosclerotic properties. Antiatherosclerotic means counteracting vascular calcification.

In a first clinical study in 2006, for example, the administration of 120 mg of extract twice a day after 2 months was able to reduce lipoprotein by 23.4 percent or an average of 10.4 mg/dl (0.3mmol/L) – presumably due to the inhibitory effect on numerous pro-inflammatory messenger substances (cytokines).

In a 2007 study, ginkgo was even able to reduce atherosclerotic deposits in the blood vessels after 2 months in patients who were to receive a bypass. The same dose was used here as in the 2006 study – in the form of the special ginkgo extract EGb 761®, which is contained in numerous ready-to-use ginkgo preparations ( 4 ).

Linseed

Since fiber is generally considered to lower blood lipids and cholesterol, it should generally be part of a healthy diet for lipid metabolism disorders or an increased cardiovascular risk. Linseed consists of almost a quarter (23 percent) of fiber and is therefore particularly suitable here.

In addition, flaxseed contains certain plant substances with high health potential for the cardiovascular system, such as omega-3 fatty acids (cholesterol-lowering) and Lignans (blood lipid-lowering, antioxidant, anti-cancer in breast cancer and prostate cancer).

In a double-blind crossover study with postmenopausal women from 1998, however, flaxseed showed only a small reduction in lipoprotein levels. After six weeks of taking 38 g of flaxseed daily, the value had fallen by 7.4 percent and by an average of just under 2 mg/dl (0.1mmol/L) (1).

From 2008 comes another study (randomized, controlled, double-blind) in which the subjects were asked to eat 40 g of flaxseed per day for 10 weeks. The lipoprotein value decreased by an average of 14 percent compared to a group of patients who took wheat bran (1).

The reduction in the Lp(a) value is therefore rather small, but combined with the other positive effects of flaxseed on cardiovascular risk, it is quite relevant. For example, the small seeds have been able to slow down the progression of arteriosclerosis in various studies (1).

Curcumin

As curcumin, the active ingredient complex is used in Turmeric denoted. It has a positive effect on triglycerides and cholesterol levels, but also on lipoprotein levels. A 2014 randomized controlled trial found that taking 1g per day (for 8 weeks) increased lipoprotein levels in people with Metabolic Syndrome (Metabolic syndrome is a group of conditions that together raise your risk of coronary heart disease, diabetes, stroke, and other serious health problems.) by almost 10 percent (8 mg/dl (0.2 mmol/L)).

Curcumin has anti-inflammatory and antioxidant properties, among other things, and can also reduce cardiovascular risk and support health through these mechanisms of action.

Coffee

Coffee consumption also influences blood lipid levels – due to at least two active ingredients: kahweol and cafestol. However, the content of these two substances in coffee depends on the method of preparation.

If the coffee is made with a paper filter, the active ingredients are apparently largely removed from the drink, so that it has no influence on cholesterol levels. Coffee prepared without filters, on the other hand, could increase LDL cholesterol levels.

In connection with lipoprotein-a, it seems that short-term coffee consumption reduced plasma lipoprotein levels, while regular coffee consumption is associated with higher levels.

Ginger

In a 2020 study, patients with atherosclerosis took capsules containing 1.6 g of ginger powder daily or capsules containing a placebo. After 8 weeks, two values that are elevated in atherosclerosis had dropped significantly – the value of lipoprotein-a and the hs-CRP value (an inflammatory marker that indicates the condition of the blood vessels and helps to assess the risk of heart attack) ( 5 ). In the 2019 paper (1), it was still said that ginger could not lower lipoprotein-a, which does not seem to be true in every case, so ginger can be very well integrated into an Lp(a)-lowering diet plan.

Vitamin D

In 2017, ( 3 ) was examined  how Lp(a) levels  are related to vitamin D levels (https://www.sciencedirect.com/science/article/abs/pii/S1443950617300252). Participants were 348 patients who underwent coronary angiography (special X-ray examination of the coronary arteries after contrast agent administration). 212 showed coronary heart disease (calcification of the coronary arteries).

  • With Lp(a) ≧ 30mg/dl and vitamin D < 10 ng/ml, the risk  of coronary heart disease increased more than 4-fold
  • The risk was 1.79 times higher for Lp(a) < 30mg/dl and vitamin D < 10 ng/ml
  • The  risk was 1.7 timeshigher with Lp(a) ≧ 30mg/dl and vitamin D ≧ 10 ng/ml

In each case compared with patients who had an Lp(a) of less than 30mg/dl and a vitamin D level of more than 10 ng/ml.

The study thus shows that a higher vitamin D level can significantly reduce the cardiovascular risk with a high Lp(a) value! Read all about the correct dosage and Taking vitamin D.

This is also an example of the fact that naturopathic measures may not always be able to lower the lipoprotein level (or not strongly enough), but the cardiovascular risk associated with an increased lipoprotein level can be reduced.

These substances cannot lower lipoprotein

Some natural substances lower LDL cholesterol levels, but not – according to various studies – lipoprotein (1), e.g.

  • Berberine
  • Brazil nut flour
  • Garlic
  • Olive oil
  • Onions
  • Vitamin C
  • Soy protein and soy isoflavones

Of course, you can still incorporate these foods into your diet or – in the case of vitamin C – take them as a dietary supplement. After all, these are generally very healthy foods that have many beneficial properties and – even if they cannot specifically lower lipoprotein-a – still reduce the cardiovascular risk, and that’s what matters in the end.

Important note

This article was written on the basis of (at the time of publication) of current studies and reviewed by medical professionals, but may not be used for self-diagnosis or self-treatment, so it does not replace a visit to your doctor. Therefore, always discuss any measure (whether from this or another of our articles) with your doctor first.

Warm Wishes as always,

Catherine (CWD)
21 December 2024, Ireland