Vitamin D

Vitamin D

There is much information out recently regarding need for more vitamin D. The importance of vitamin D has been recognized by naturopathic doctors for some time. It is an important vitamin that works like a hormone in the body to direct bone growth, remodeling, and mineralization. It has many other roles in the body including regulating the immune system and inflammation. It plays a role in regulating cell growth, differentiation, and removal of abnormal cells. Vitamin D deficiency has been associated with osteoporosis and various autoimmune diseases as well as prostate, breast, and colon cancer. Very few foods contain vitamin D in high amounts.

Foods containing Vitamin D
iu per serving

Cod liver oil, 1 tablespoon 1,360iu
Salmon, cooked, 3.5 ounces 360iu
Mackerel, cooked, 3.5 ounces 345iu
Tuna fish, canned in oil, 3 ounces 200iu
Sardines, canned in oil, drained, 1.75 ounces 250iu
Milk vitamin D-fortified, 1 cup 98iu
Margarine, fortified, 1 tablespoon 60iu (not recommended)
Ready-to-eat cereal, fortified with 10% of the DV for vitamin D, 0.75-1 cup (more heavily fortified cereals might provide more of the DV) 40iu
Egg, 1 whole (vitamin D is found in yolk) 20iu
Liver, beef, cooked, 3.5 ounces 15iu
Cheese, Swiss, 1 ounce 12iu

Foods do not adequately supply this important vitamin need. Most people meet this need through sunlight exposure. UVB light waves convert a cholesterol molecule in the skin to a pre-vitamin D3 which then gets modified once in the liver and again in the kidney. Sun exposure to skin is limited in our area by many gray days. It is also limited by our northern latitude where we are further from the sun. Other factors that limit sun exposure are use of sunscreen, smog, and skin pigment.

The best way to test for adequate vitamin D levels is through blood work analysis. The form of Vitamin D to test for is 25(OH)D which is the best reflection of total D vitamin from food, sun, and supplements. Optimal levels are 50-55 ng/mL. I frequently include this when I perform lab work. Most frequent levels found are between 15 and 28. This indicates most people here in Seattle need some additional vitamin D.

The body stores the vitamin in fat cells therefore, if supplementing, could potentially achieve toxic levels. However, patients taking fish oil regularly and even those supplementing 400 to 1000iu for several months or years are still far below optimal levels. My recommendation is to get your levels tested and use a quality supplement of Vitamin D3 not the synthetic Vitamin D2. Current recommendations of 200iu to 600iu are generally much too low. New recommendations of 2000iu to 5000iu may be needed according to some studies. Once supplementation has been started for a few months retesting is recommended to assess levels. Toxicity is possible for an adult at levels over 200 ng/mL. Symptoms of toxicity are nonspecific such as nausea, vomiting, loss appetite, constipation, weakness, weight loss, confusion, and heart rhythm abnormalities.

Dr. Mikel would be happy to test your levels and provide safe recommendations and supervision in your use of vitamin D. Many people who are deficient and start supplementation of D3 report improvement in mood, decrease musculoskeletal pain, improved energy and outlook!

Related Articles / Links

Study: Vitamin D Leads to Longer Life

Doctors checking patients more for vitamin D levels

 

Natural Medicine

Natural Medicine

Naturopathic treatments generally vary from allopathic medicine in that we use lesser force to stimulate the body’s ability to overcome disease and pathology. Treatments are directed toward the underlying cause of a condition instead of just trying to get rid of the symptoms. One example is using pharmaceutical drugs to get rid of the symptoms of heartburn instead of strengthening the digestive system or identifying and eliminating an offending food. Without addressing the underlying cause, symptoms will continue to worsen and more drugs will be needed to counter the symptoms.

An article from the Seattle Times reported that, “the number of deaths and serious injuries associated with prescription drug use rose to record levels in the first quarter of 2008 with 4,825 deaths and nearly 21,000 injuries.” Herbal medicine is a gentle but effective way to stimulate the body’s natural healing ability. Using plants as a remedy goes as far back as recorded history (if not farther) and today, as awareness and information about plant medicine grows, there is a thriving industry producing and selling these products. Not all products are created equal, however, and consumers must use caution when choosing which brands to buy. The beneficial properties of plants can be increased by dose or volume but also by quality. For example, many plants only have a medicinal effect if they are harvested at a certain time of the year so products that include those same plants harvested year round will be of inferior quality. Also, many companies increase the potency of their product by only including the “active ingredient” while excluding much of the rest of the plant. Herbalists know, though, that by using the whole plant there is an added synergistic effect which may ally the side effects of one part taken in high doses such as providing minerals that would otherwise be depleted by using the active ingredient alone.

Naturopaths are trained to assess the value of products and I maintain a close relationship with my herbal product vendors to ensure the highest quality and integrity of manufacturing.

Working with plants is not just about physical healing. Achieving balance and peace is just as important a goal as physical health. Consider all the various ways in which we form relationships with plants and how they contribute to peace of body, mind, and spirit: satisfying hours spent working in the garden, a flowering cherry tree in Spring, the lavender fields in Squim, vegetables fresh from the garden to the table, memories of flowers at your wedding or at the funeral of a loved one, the scent of stepping off the plane in Hawaii.

One of my favorite books, Plant Spirit Medicine by Eliot Cowan put such a relationship in this way: “Consciousness, therefore, is not merely thought, much less intellect or reason. It is the feeling of being alive and being related to all life. Consciousness as pure feeling exists already in the plant and is hidden in the rock, even within the atom itself. It is only when we come to look upon all things as human that we are capable of truly humane existence. Such a lesson is taught to us by plants and herbs whose existence is still grounded in the unity of nature, through which we may return to understand ourselves better. Therefore, plants may communicate directly to that essence of feeling which makes a true human being. Plants bring us the love, the nourishing power of the sun, which is the same energy of the stars, of all light. They exist for psychological, as well as physical nourishment.”

 

Local Food Banks Need Your Help During the Holiday Season!

Highline Area Food Bank

White Center Food Bank

Des Moines Food Bank

West Seattle Food Bank

Kent Food Bank & Emergency Services

Rotary First Harvest

Beacon Avenue Food Bank

Cold and Flu Natural Approach

Colds and Flu Natural Approach

Many of my patients are asking my opinion on flu vaccination and prevention. I would like to present a little more information to balance the media’s hype that tends to provoke fear and anxiety.

In an interview with the Cape Coral Daily Breeze, Dr. Erika Schwartz, medical director of Cinergy Health in Miami reminds us that, “More people died from the side effects of the vaccine [in 1976] than the swine flu. If we don’t pay attention to history, then we are bound to repeat it.” She goes on to say that while each year approximately 36,000 people die from influenza, there have only been 555 deaths in the United States from swine flu. She also emphasizes prevention over vaccination, pointing out that even after getting the shot it is still possible to get sick.

At this point, the swine flu vaccinations are still in the trial stage and their efficacy has not yet been determined. In 1976, the swine flu vaccine actually killed more people than it helped and despite this there are recommendations for even children to be vaccinated.

Vaccinations carry risks and I advise people to research those risks to make an informed decision about whether or not to participate in vaccinations. I will support whatever decision my patients make about vaccinations but feel it is my responsibility to provide information that presents the risks of vaccinations such as flu like symptoms, neurological damage, autoimmune diseases, and possible contamination from metals, chemicals, and other viruses.

References:

CDC downplays estimates on flu deaths, infections
How dangerous is the swine flu?
Flu Vaccine
Should you get the flu shot?
Swine flu ‘debacle’ of 1976 recalled
The last great swine flu epidemic
Swine Flu 1976 & Propaganda

Natural Protection

Susceptibility to colds and flu are in direct relationship to the strength of our immune system and internal hygiene. Viruses and bacteria will not thrive or take hold if our internal hygiene is balanced and healthy. For example, diets that are too high in refined carbohydrates, chemicals like pesticides or preservatives, and heavy metals can create too much acidity. Diets too low in enzymes can create environments too alkaline. Stress can weaken our adrenal system impairing our immune anti-inflammatory response.

Each system of the body is intricately connected with the health of the whole organism so when we discuss mechanisms and systems it is very complicated to break them down in isolation. Each of these recommendations has benefits to more than one system in the body but in combination they support that balance and homeostasis that supports health and optimal resistance to infection and disease.

1. Get enough sleep. Your immune system functions much better when you get enough sleep. Most people need about 8 hours per night for optimal health. If your body is tired your immune system cannot mount an adequate immune reaction such as the production of antibodies and numerous immune cells and anti-inflammatory molecules.

2. Exercise regularly. Exercise helps keep your immune system strong. Exercise increases respiration and higher oxygen content in the body deters the proliferation of bacteria, viruses, and cancer cells and boosts the production of macrophages that attack viruses and bacteria as well as increasing circulation to move white blood cells to where they are most needed.

3. Avoid sugar. Even small amounts of sugar can significantly impair your immune function, making you more susceptible to a flu infection. Sugar molecules look similar to vitamin C and compete with the vitamin C needed in macrophage cells that gobble up viruses and bacteria. Think of it this way: when you eat sugar think of your immune system slowing down to a crawl.

4. Drink lots of pure water. Keeping your mucous membranes well-hydrated helps optimize the mucous membranes of the mouth, ears, and nose. This is your first line of defense where immune cells reside to capture and prevent further entry into the body.

5. Wash your hands often.

6. Eat Vegetables. Vegetables contain huge amounts of the array of nutrients the body needs for health. The nutrients to metabolize energy, support detoxification by the liver, and to support a strong adrenal or stress response are loaded in fresh foods. Chicken soup made with fresh vegetables works for a reason!

Each person’s symptoms reflect systems of the body that are usually deficient. Even toxicity is a limitation in the body to maintain optimal balance. Digestion, liver support, adrenal support, and immune support cannot really be separated as their influence on one another is so complex and interrelated. Your best protection comes as we treat the body as a whole and work together to bring the body into optimal balance and health.

Naturopathic Treatments for Cold and Flu Symptoms

The best treatment for colds and flu is prevention! Here are some tips to help you stay healthy this winter:

Eat your vegetables and fruits strengthen your immune system.
Avoid sugar which weakens the immune system.
Avoid dairy which causes an overproduction of mucous and may aggravate the immune system.
Don’t over heat your home as dry air dries out mucous membranes. (Mucous membranes are loaded with enzymes, immune cells, and lymph glands designed to catch viruses/bacteria and are our first line of defense against infection!)
Keep rooms a moderate temperature and consider using a humidifier to keep air moist.
A HEPA filter in bedrooms is a great way to minimize dust and toxins, thereby reducing the burden to your immune system.
Wash hands frequently and avoid putting fingers in mouth, eyes, nose, and ears.
Drink plenty of fluids, get enough rest, and exercise to balance stress.

If you do happen to catch a cold or come down with the flu, consider the use of vitamins, herbs, and homeopathics. They are best used at the onset and can help lessen their severity and prevent secondary infections. Unlike antibiotics, which are not effective against viruses and work by preventing the replication of bacteria through one or two mechanisms, herbal products work by many mechanisms. For example, they may directly kill bacteria, stimulate white blood cells, stimulate circulation, or prove vitamins and minerals that nourish glands involved in the anti-inflammatory response. The more ways an herbal product works, the less likely resistance can develop! Homeopathics work as an energetic catalyst to stimulate the body to overcome symptoms. They can be extremely effective and have no side effects and are usually taken as small pellets under the tongue.

I often recommend the herbal/vitamin combinations Bio Vegetarian and Super Bio Vegetarian from Priority One in big doses the first day or two to beat a cold. A homeopathic remedy I recommended for the flu is Oscillococcinum which can be used safely alone or with other medications. Homeopathics are very safe for children.

Call at the first sign of a cold or flu or for a recommendation specific to you about what products to keep on hand.

Stay well and enjoy the season!

Please contact me if you would like to discuss products to have on hand to enhance immunity and for cold and flu prevention including Standard Process whole food supplements, homeopathic remedies and herbal medicines. I also love to hear about your progress so feel free to email me if you run out of product or if you need a change in your treatment plan. Often such changes can be made without an office visit. Your feedback is needed to keep you in good health and on a progressive program. We are changing health care one person at a time as we take responsibility for educating ourselves about good health. Education empowers us to make the right choices. It’s a process so stay open, keep learning, and congratulations on the changes you’ve already made!