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Fortify Me – With Vitamin D


Lizzy Ratner, The New York Observer
August 25, 2009

“This is the new craze,” declared Vivian Nicholson in a voice that was part awe, part acerbic New York skepticism. “It was vitamin E for a long time, so now they’re going to go backward in the alphabet to D.”

Ms. Nicholson is a Montessori teacher, but she was not talking about the latest schoolyard fad. Rather it was vitamin D—formerly a shabby, stepsister supplement, now suddenly the belle of the nutrition ball—that was the topic of discussion. “Whenever I go to any social occasion, I’ll mention it just in passing … and somebody will invariably say, ‘Oh, my mother was told …’, or, ‘My daughter, my kids …’” she said. “It’s really spreading like wildfire.”

These days, doctors are doing it, socialites are doing it, even doctors who sometimes double as socialites are doing it.

“It just seems like there’s a lot of really great things that it does,” said Dr. Lisa Airan, the Upper East Side fashion plate and dermatologist who, in addition to taking a daily vitamin D supplement herself, has made a practice of testing her patients’ levels. “Everyone I see, I ask them if I can check it.”

‘I met somebody who was like, “I went on vitamin D, and I realized I’ve been a b-tch for two years.”’—Mary Purdy, registered dietician

Vitamin D hasn’t always enjoyed this kind of Chosen One status. Until a few years ago, it was either overlooked as a kind of second-tier nutrient, the helpful Robin to calcium’s Batman, or disparaged as a fat-soluble vita-villain that, when taken as a supplement, could accumulate unhealthily in the system.

But in recent years, research has given vitamin D a new identity. No longer feared, D is now being touted as the latest, greatest nutritional panacea, the cure-all capable of preventing, if not solving, all kinds of ailments, from breast cancer to the common cold to mood disorders.

“I met somebody—this wasn’t a patient of mine—who was like, ‘I went on vitamin D, and I realized I’ve been a bitch for two years,’” said Mary Purdy, a registered dietician and New York transplant to misty Seattle. “She was upset all the time, I mean all the time, just down all the time, and she started taking vitamin D, and it was a complete turnaround.”

Forget toxicity: These days the big fear is D-deficiency.

“Four hundred IU [international units] is out, and 1,000 is in. And now, I have a 5,000 IU that sells quite a bit,” said Jason Bander, general manager and supplement buyer for Lifethyme Natural Market, a West Village health-nut hub that has experienced such a “steep curve” in vitamin D sales that it’s been wiped clean of its stock several times within the past 18 months. “But I have to admit, you’re also working with the New York hyperbole: ‘I need the highest, I need the most, I need the best!’

BUT EVEN OUTSIDE New York’s competitive precincts, vitamin D has become de rigueur. According to Quest Diagnostics, the demand for vitamin D serum testing has soared a hefty 50 percent during the past year; suppliers like Jarrow Formulas have seen sales double in less than two years. And as much as crazed, Suzanne Somers-style vitamin fiends might have helped fuel part of the binge, the story of vitamin D is about something fundamentally more 21st century.

In its best, most basic form, vitamin D comes from the sun. Cheerily known as the sunshine vitamin (even though it’s technically a hormone), it is made by the body when the sun’s UV rays seep into bare, sunscreen-less skin. But in these vampiric times, when sunlight is scorned as a skin-shriveling, cancer-causing demon and most people are too busy ass-bonding with their couch or computer chair to get outside much anyway, Americans just aren’t making as much of it. And some, like Ms. Nicholson, the Montessori teacher, are suffering some serious vitamin D-privation. Just this past spring, she was told that her vitamin D serum levels were a mere 7 nanograms per milliliter—dramatically lower than the 30 nanograms per milliliter that is considered to be the absolute low end for healthy adults.

“It was just really very weird because I went from someone who really just took my health for granted—I really do not take any medication, went through menopause no problem—and here I am at 60 years old being told that I’m danger of getting rickets!” she said with a laugh.

Rickets, of course, is that syndrome of the 19th- and early 20th-century industrial slums that turned young bones into Play-Doh. It was supposed to have been largely eradicated from these parts after the advent of vitamin D–fortified milk in the 1930s, but in recent years, thanks to computers, sunscreen and the decreasing popularity of milk, doctors have started seeing increasing numbers of rickety tots. (The disease is still enormously rare in adults, but some doctors argue that osteoporosis is essentially old-person rickets). The culprit? A “pandemic” of D deficiency, say doctors. The solution? Hefty doses of supplements.

“We now recognize that vitamin D deficiency … is probably the most common medical condition in the world,” said Michael Holick, professor of medicine, physiology and biophysics at Boston University who is one of the leading D-vangelists (his latest manifesto, The Vitamin D Solution, is scheduled for publication by Hudson Street Press in April, 2010.) “Basically, I would guess 80 percent of the patients I see are vitamin D deficient.”

THIS MIGHT SOUND sensationalist, but a spate of recent studies support the contention that Americans might have taken their batlike ways a bit too far. Just a few weeks ago, on Aug. 3, researchers at the Albert Einstein College of Medicine released a study showing that 7 of 10 U.S. children have low vitamin D levels. And only a few months before that, a study published in theArchives of Internal Medicine claimed that as many as 75 percent of Americans don’t get enough vitamin D, a number that hovered around 55 percent less than a decade earlier. Still, perhaps scariest of all is the study published last year, also in the Archives of Internal Medicine, that found a decidedly disconcerting link between vitamin D deficiency and higher mortality rates.

Or, put differently, in our desperate quest to dodge melanoma and wrinkles, we might have actually been increasing our risk of all kinds of other deadly diseases. Like breast cancer. Pancreatic cancer. Colon cancer. Prostate cancer. Heart disease. Multiple sclerosis. Influenza. The list goes on.

To help ward off some of these evils, physicians have begun prescribing ambitious D-dosing regimens: 1,000 IU a day, 2,000 IU a day, 5,000 IU a day, 50,000 IU a week for people who are really deficient.

But there’s a problem: No one really knows exactly how much vitamin D you should take. While the Food and Drug Administration recommends a daily intake of 400 IUs, many doctors consider this insufficient and outmoded. And while the Dr. Holick cited studies suggesting that as much as 10,000 IU of vitamin D a day is safe, other doctors remain skeptical, which is making some patients freak out.

Fortunately for these neurotic nellies, the Institute of Medicine’s Food and Nutrition Board has begun reviewing the reams of recent Vitamin D studies with the intention of releasing a report, and perhaps new dietary guidelines, by the middle of 2010. In the meantime, at least one New Yorker has come up with her own, creative vitamin D solution: good old-fashioned self-exposure.

“Right now I’m out in the sun but I’m not wearing sunscreen. It’s scandalous, I know,” said Julia Allison, the sex columnist-turned-Web starlet, as she walked to an acupuncture appointment on a recent sun-soaked morning. “I’ve taken vitamin D supplements before, and I feel different doing that than getting 20 minutes of sun exposure. I just think there’s some things that pills can’t do.”

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