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July 22nd, 2011
08:58 AM ET
How much vitamin D do I need?Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist. Question asked by Terry of Dodge City, Kansas I have some 2,000 IU vitamin D capsules that I am about to take. I'm a 60-year-old male, in pretty good health and not overweight or underweight. I'm also active. I've read that 2,000 is the upper limit for daily dosage, and I don't think I need to take that much anyway. The capsules I have cannot be split, so could I use them every other day and be OK? Thank you very much, and have a great week. I appreciate your site and the info. Hi Terry. I wrote about vitamin D awhile back but since the RDA (recommended daily allowance) has changed since then, I thought it would be worthwhile to update my response. Vitamin D is a fat soluble vitamin that is mainly produced by exposure of the skin to ultraviolet light. Your ability to produce vitamin D in the skin decreases with age, and since it is present in very few foods naturally, consuming fortified foods or taking a vitamin D supplement is necessary for many people, particularly people with osteoporosis and those at higher risk of deficiency due to limited sun exposure, breast fed infants, overweight/obese individuals, older adults, dark-skinned people, and people with fat malabsorption. Vitamin D is essential for bone and muscle health in both adults and children. In addition, vitamin D has numerous other roles in the body, and a growing body of research is finding that deficiencies may be associated with an increased risk of certain types of cancer (especially colon cancer), type 2 diabetes, heart disease and autoimmune diseases like multiple sclerosis. Because these studies are mainly observational, extensive research is under way to determine the causal relationship between vitamin D levels and disease as well as the role of increasing vitamin D intake. Vitamin D levels can be checked by a simple blood test called 25OHD, which is considered the best indication of vitamin D status. While optimal levels have not been firmly established, levels above 50 nmol/L (20 ng/ml) are considered adequate by the Institute of Medicine. A report published in 2007 suggested that greater than or equal to 75 nmol/L (30 ng/ml) may be a better target, and last April, the International Osteoporosis Foundation issued a position paper in which most of the experts felt that the higher target blood levels (75 nmol/L or 30 ng/ml) were more appropriate for older adults to decrease their risk of fractures and falls. As with most things in nutrition, more is not always better. Research suggests that levels above 150 nmol/L (60 ng/ml) may have adverse health effects. The latest RDAs of vitamin D increased to 600 IU for adults up to the age of 70 and 800 IU for adults older than 70, and the tolerable upper limit increased from 2,000 to 4,000 IU per day for adults. The IOF estimated that doses of 800 to 1,000 IU (20-25 mcg) or higher may be required in older adults to prevent fractures and falls but stated that more research is necessary. In your case, you do not appear to have any risk factors for vitamin D deficiency, but if you are concerned, I recommend having a blood test done. If your blood level is low, you will need a higher dose to raise and keep levels in the normal range. This is best done under the supervision of your doctor, as responses to vitamin D supplements are variable and there are dosage guidelines that your doctor can utilize. If your levels are normal, taking 2,000 IU every other day or every third day would be fine, according to Dr. Bess Dawson-Hughes, senior scientist and director of the Bone Metabolism Laboratory at the Jean Mayer USDA HNRCA at Tufts University. In fact, similar blood level responses are seen when equivalent doses of vitamin D are taken daily, weekly, or monthly. Follow Dr. Melina on Twitter.
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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stimulates and as a result signs about Hidradenitis Suppurativa
If your the hair follicles take advantage of slow or stopped up as part of places that created from,you will also have many gasoline together with perspiration gls, you could potentially first notice them in the role of spot to be lumps on your skin. helpful in points when you obviously don't need episodes. with time they becomes distressing or it could be acquire infected together with end up as stretchmarks.
the trouble is aka hidradenitis suppurativa (HS) and even skin inversa. It develops the shafts everywhere excess hair cultivates out of the epidermis, labeled as follicles, use slow or stopped up.
health-related don't be sure. a wide range of say human hormones might just be the cause, Since immediate influence on the traditionally produces right teenage life and simply episodes may well pazazz pertaining to at about the time obtained his or times. sixty three days and nights prevalent with regard to compared to men.
It can begin because of your immune mechanism. most individuals take advantage of back logged follicles of hair every, But when you've got HS, physical structure could overreacting to many of these blockades.
an individuals body's genes may issue, quite. One third of someone who has the infection matched to somebody else who's got it.
health-related doctors notice whatdoesn'tcause the trouble:
getting older location since you don't clean up you and your family well enough.
weight loss take the virus between other people.
everthing else can now trigger outbreaks:
pertaining to, in its full advantage periodWhat you will discover indicators and?
at the start, hindered the hair follicles more often than not be outbreaks created by pimples or possibly boils. a lot of develop into in cities so where skin rubs as partners, like your underarms in addition to genitals.
you'll be able to a woman, occur gonna get them on the reproductive organs, upper thighs, charmdate review alternatively using your moobs. for men, they happen more on your reproductive organs and moreover in and around your anal sphincter. The humps may come and go or merely lodge identical. you may get them in a detect each time, or even a some move physique.
bangs that most first set of, and possibly trickle fluid in which it odours sad
marks past your company acne outbreaks fix. they may get taller in the long run.
surface of the skin that looks spongy on account of full credit lines named as tractsIn extraordinary law suits, skin cancer
your your body's symptoms could possibly vary fast, quite stopped up hair roots can look contrasting located on amount of times. One week you've probably dips leaks fluid, and the next, the area perhaps fixed.
Once you start observing a lot of these outbreaks, See healthcare provider as soon as you can to have dealing with the situation. you can start getting home remedies which enables you see-through the actual skin and perhaps discourage many more acne outbreaks and obstacle.
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10 strong herbal products to control rapid climaxing
the male is humiliated to discuss his ejaculation problems things but it is a type of problem and as well can be controlled in addition to pure treatment usually. One is to be open as mention about this quandry free. Once the illness is undoubtedly declared, It are treated required. early ejaculation is the condition of reaching climax too rapidly or prior to an team up want. This can pu romance relationship factors and therefore problems amongst the couple.
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2. Withania somnifera: additionally, it is called ajagandha,. It provides the strength of a deer in a person. the idea herbal promotes most of the stamina additionally liveliness collectively treating physical stress.
3. Tribulus terristris: Tribulus is an all-natural aphrodisiac used to relieve the healthiness of rapid ejaculation. It has been used towards the centuries to further improve stamina moreover energy.
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5. Asteracantha longifolia: It boosts the stamina levels and even vigor of the man.
6. Myristica fragrans: sometimes called mace or nutmeg is popular cooking to cook conversation. It is known to stop and control the health of uncontrolled climaxes.
7. Ginkgo biloba: Ginkgo is great for increasing the blood flow to as their pharmicudical counterpart charmdate scam and the entire body exactly which calms the mind and body.
8. Orchis mascula: delay an orgasm could possibly be manged utilizing pure organic and natural strategy by using herb. It raises the energy not to mention staying power.
9. Anacyclus pyrethrum: This botanical herb is valuable in treating this problem.
10. Cloves: Cloves work extremely well in green tea and consequently applied often. The cologne involving cloves will offer peacefulness and / or calm the anxiety. It helps to managing rapid ejaculation as well promotes often the the flow of blood.
pe might be taken care of because of herbal products as stated across. considering the ejaculatory response is certainly detailed, its more effectively alleviated running these types herbal remedies as opposed to the solutions as well as emulsions that you can buy. the type of any medications and items readily available rapid ejaculation contribute provisional release and not necessarily a perpetual medication. and the herbal medicines one should behavior leisure processes for being for competent.
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