Stop reading this and ...

... go out right now and buy yourself some Vitamin D3.

Most people in America are seriously vitamin D deficient or insufficient, Patrick Cox writes. The same is true for Canada and Europe, and the implications are staggering. Cox is a columnist for Agora Financial. His conclusions, he says, come from his job as a tech investment adviser, which requires that he survey thousands of the most recent scientific studies.

Simply put, unless you are one of the few people with optimal serum D levels, such as lifeguards and roofers in South Florida, you can cut your risks from most major diseases by 50 to 80 percent. All you have to do is get enough D. It also means we can significantly reduce both health care costs and the staggering national deficit by taking a few simple steps.

Sensible sun exposure and vitamin D3 supplementation would do far more for our national health than the current health care bill. Even better, the benefits to society could be achieved without spending hundreds of billions of dollars. If an “Army of Davids” took it upon itself to spread the word, they could achieve what government is apparently incapable of achieving.

You need to read his whole article, but here are some excerpts:

Optimal vitamin D serum blood levels, attained through sunlight or supplementation, dramatically reduce the risk of many diseases other than bone maladies. Many of the most serious are ameliorated by an astonishing 50 to 85 percent. These diseases include cancers, from breast and colon to deadly melanoma skin cancers. [Read the full article for an explanation of skin cancers.]

This is not the end of the list, though. The big killers and most expensive diseases respond similarly to adequate D. I’m talking about hypertension, cardiovascular disease, and stroke. So do type 1 diabetes, type 2 diabetes (to a lesser extent), rheumatoid arthritis, peripheral vascular disease, multiple sclerosis, dementia, autoimmune diseases, and apparently even viral diseases such as H1N1 and AIDS.

I predict that other diseases will also be linked to vitamin D insufficiencies as more studies are performed. Even conditions such as autism and schizophrenia may be directly related to prenatal or infantile vitamin D deficiency.

I take 2,000 IUs of Vitamin D3 a day, a level I got from a pharmacist. I've had only one test for Vitamin D, and that was ordered by a urologist. Here's what Cox recommends:

The NIH’s current recommended dosage for vitamin D supplementation remains basically unchanged since it was established to prevent rickets. In fact, the maximum safe dosage of vitamin D3, the preferred dietary form, is currently 2000IU. This is extremely unfortunate because it takes about a hundred IU to raise serum blood levels by 1 ng/ml in a healthy adult. To get into the optimal range, 40 to 60 ng/ml, one would therefore have to take 4000 IU daily. It would take even more if you were obese, are taking certain medications, or have one of a number of medical conditions that degrade or prevent the creation of usable D. The evidence, incidentally, is that 10,000IU is entirely safe.

You should talk to your doctor, of course, but most doctors I know don't talk much about vitamins. Vitamins weren't part of their training. Read Cox' article and decide for yourself.

Eat right, think right

Gonna flunk the SAT.

A new study goes deeper in understanding the connection between good nutrition and a healthy brain.

The researchers found some striking connections between nutrition and brain health. People who had higher levels of B family vitamins, as well as vitamins C, D, and E had higher scores on cognitive tests than people with lower levels. The same positive relationship was found for omega-3 fatty acids, which have previously been linked to better brain health. 

On the flipside, people with higher levels of trans fats in their blood had poorer performance in thinking and memory tests. Their MRI scans also revealed more brain shrinkage than people who had lower trans fats levels. Trans fats are found in a variety of junk foods, like fried, packaged, and fast foods.

Eat a lot of green things.

Have a bowl of cereal for dinner

Dinner's ready!

Bill Phillips, the editor of MensHealth.com, likes a bowl of cereal with bananas for dinner. It wouldn't be bad for the rest of us either. Here's why.

Eat a bowl of 100 percent B12-boosted cereal and milk every morning and you'll be covered for B12, he writes, and that vitamin is essential if you don't want to lose brain matter as you age. Acid-blocking drugs may be depriving you of as much B12 as you need.

The banana offers potassium -- without this essential mineral, your heart couldn't beat, your muscles wouldn't contract, and your brain couldn't comprehend this sentence. Why? Potassium helps your cells use glucose for energy. A banana offers 400 mg of the 4,700 mgs a young man needs each day.

The milk offers iodine, and you probably don't get what you need from salt. However, iodine can also be found in a nearly sodium-free source: milk. Animal feed is fortified with the element, meaning it travels from cows to your cereal bowl. Not a milk lover? Eat at least one serving of eggs or yogurt a day; both are good sources of iodine.

Getting enough B12?

It's not a good idea to fixate on one vitamin or supplement, because these things interact with each other. But an article about Vitamin B12 caught my eye.

Apparently a deficiency is rare: about 1 in 1,000 Americans. For the elderly it goes up, however: about 15% of elderly people.

"B12 deficiency is much more common than the textbooks and journal articles say it is," says Alan Pocinki, an internist in Washington D.C.

Here are some things to consider.

Symptoms of low B12 include anemia, depression, dementia, confusion, loss of appetite and balance problems. Long-term deficiency can bring severe anemia, nerve damage and neurological changes that may be irreversible.

The deficiency rate is much higher among people who don't eat meat or dairy products, people with absorption problems, people taking acid-blocking medications and those with Type 2 diabetes who take the drug Metformin.

Several studies have shown that some symptoms of B12 deficiency, particularly early problems with cognitive function, can be apparent even when patients' blood levels are still in the normal range.

A high level of folic acid can mask symptoms of B12 deficiency, and many people are getting more folic acid than they realize. Since 1996, all enriched flour must contain folic acid to reduce the risk of neural-tube defects.

A good thing to discuss with your doctor. More on B12 at Wikipedia, including a list of sources in food. The top five are:

Panfried beef liver
Simmered turkey giblets
Braunschweiger pork liver sausage
Raw pacific oysters
Cooked Alaska king crab
Raw clams

How much of these do you eat?

How much vitamin D is enough?

The very high levels of vitamin D that are often recommended by doctors and testing laboratories — and can be achieved only by taking supplements — are unnecessary and could be harmful, an expert committee says. It also concludes that calcium supplements are not needed.


The group said most people have adequate amounts of vitamin D in their blood supplied by their diets and natural sources like sunshine.

It is not clear how or why the claims for high vitamin D levels started, medical experts say. First there were two studies, which turned out to be incorrect, that said people needed 30 nanograms of vitamin D per milliliter of blood, the upper end of what the committee says is a normal range. They were followed by articles and claims and books saying much higher levels — 40 to 50 nanograms or even higher — were needed.

After reviewing the data, the committee concluded that the evidence for the benefits of high levels of vitamin D was “inconsistent and/or conflicting and did not demonstrate causality.”

I take 2,000 units of vitamin D a day, and get more in other supplements. Several doctors have looked at this and approved. I'll continue until I hear otherwise. 

Another good thing about Vitamin D

Low levels of vitamin D, the essential nutrient obtained from milk, fortified cereals and exposure to sunlight, doubles the risk of stroke in whites, but not in blacks, according to a new report by researchers at Johns Hopkins.

Stroke is the nation's third leading cause of death, killing more than 140,000 Americans annually and temporarily or permanently disabling over half a million when there is a loss of blood flow to the brain.

Nearly 8,000 initially healthy men and women of both races were involved in the latest analysis, part of a larger, ongoing national health survey, in which the researchers compared the risk of death from stroke between those with the lowest blood levels of vitamin D to those with higher amounts. Among them, 6.6 percent of whites and 32.3 percent of blacks had severely low blood levels of vitamin D, which the experts say is less than 15 nanograms per milliliter. 

Besides helping to keep bones healthy, vitamin D plays an essential role in preventing abnormal cell growth, and in bolstering the body's immune system. The hormone-like nutrient also controls blood levels of calcium and phosphorus, essential chemicals in the body. Shortages of vitamin D have also been tied to increased rates of breast cancer and depression in the elderly. 

How to get more vitamin D?

Michos recommends that people maintain good vitamin D levels by eating diets rich in such fish as salmon and tuna, consuming vitamin-D fortified dairy products, and taking vitamin D supplements. She also promotes brief exposure daily to the sun's vitamin D-producing ultraviolet light. And to those concerned about the cancer risks linked to too much time spent in the sun, she says as little as 10 to 15 minutes of daily exposure is enough during the summer months. 

And about supplements.

If vitamin supplements are used, Michos says that daily doses between 1,000 and 2,000 international units are generally safe and beneficial for most people, but that people with the severe vitamin D deficits may need higher doses under close supervision by their physician to avoid possible risk of toxicity.

The U.S. Institute of Medicine (IOM) previously suggested that an adequate daily intake of vitamin D is between 200 and 600 international units. However, Michos argues that this may be woefully inadequate for most people to raise their vitamin D blood levels to a healthy 30 nanograms per milliliter. The IOM has set up an expert panel to review its vitamin D guidelines, with new recommendations expected by the end of the year. Previous results from the same nationwide survey showed that 41 percent of men and 53 percent of women have unhealthy amounts of vitamin D, with nutrient levels below 28 nanograms per milliliter.

How to buy vitamins

You don't always get what you expect in vitamins and supplements, and you have to be careful. So how do you know which brand is best? I've been frustrated in trying to answer that question. I have found one answer at Consumer Reports. Here's what it has to say:

With all the choices, it's no wonder half of multivitamin users in a new, nationally representative Consumer Reports telephone survey expressed some doubt that they were taking the right product for their needs. Our survey, which included 2,002 adults and took place in April 2010, uncovered some other concerns, too: Fifty-six percent of respondents who took a multivitamin worried that it contained harmful ingredients, for example, and 47 percent expressed concern that their multivitamin didn't contain the levels of nutrients listed on the bottle. 

Here's one solution.

USP verified indicates that a product has been verified for purity, strength, safety, dissolvability, and manufacturing quality by the USP, an independent standards-setting authority for the drug and dietary supplement industries. USP claim indicates that the manufacturer claims the product was made to one or more of the USP's quality standards or specifications, but the claim is not vetted by the USP. The verification seal holds more weight than a USP claim on the label, which several of the other products we tested had. 

USP is, no, not the post office, but rather U.S. Pharmacopeia. Here's a database it recommends, and you can check their approved list here. Here's one of its symbols:

I've also read about ConsumerLab, which charges a fee to read its reports. I haven't tried it. And the FDA has information here. And the National Institutes of Health here.

By the way, Consumer Reports checked out 21 multivitamins. All but one of the products we tested met their label claims for key essential vitamins and minerals, and none contained worrisome levels of contaminants such as arsenic or heavy metals. Most of the pills we tested also passed the U.S. Pharmacopeia's dissolution test, which involves immersing them in a simulated stomach-acid solution to determine whether they'll dissolve properly in your body.

Their research shows that the best of the bunch can save you money: Kirkland, the Costco brand, topped the list of multivitamins.