Dr. Cannell

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Deb
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Dr. Cannell

Post by Deb »

Not sure how many of you get his newsletter on vitamin D but here is his latest. I've been pretty successful taking 2000 IU's of vitamin D and boosting my levels but am wondering how many here take more than that. He recommends 5000 IU's.




Vitamin D Council

Press Release

June 30, 2011

Diabetes

We are all waiting for the 900 or so randomized controlled trials that scientists are conducting using vitamin D. This morning, researchers working at Tufts Medical Center in Boston, under the direction of Professor Anastassios Pittas, published just such a randomized controlled trial in the American Journal of Clinical Nutrition.

Their research group reported that 2,000 IU/day of vitamin D, given for 12 weeks, significantly improved pancreatic function in mildly overweight adults with pre-diabetes. Unfortunately, the lead author, Dr. Joanna Mitri, did not comment on the low dose of vitamin D they used, 2,000 IU/day, which only increased vitamin D levels from 24 to 30 ng/ml. Nor, in spite of it being a randomized controlled trial, did the authors make any new clinical recommendations for the people who paid for their study, the citizens of the United States.

In spite of the low dose and short length of their study, they found their principal outcome, a measurement of pancreatic function, increased by 300 in the vitamin D group but fell by 126 in the placebo group. I cannot link the study to PubMed as it is not yet listed there; it will be in a few days.

Joanna Mitri, Bess Dawson-Hughes, Frank B Hu, and Anastassios G Pittas. Effects of vitamin D and calcium supplementation on pancreatic b cell function, insulin sensitivity, and glycemia in adults at high risk of diabetes: the Calcium and Vitamin D for Diabetes Mellitus (CaDDM) randomized controlled trial. AJCN. First published ahead of print June 29, 2011 as doi: 10.3945/ajcn.111.011684.

In the end, they studied 22 volunteers in the vitamin D group and 22 in the placebo group. However, to give you an idea of what a feat this study was, how difficult it was to get enough subjects, they started with 911 subjects yet ended up randomizing only 44 into the vitamin D study. They did a parallel calcium study with 45 subjects, which found calcium had no benefit on pancreatic function.

The same senior author, Professor Anastassios Pittas, recently announced the results of a much larger epidemiological study that showed for every 5 ng/mL increase in vitamin D levels, the risk of developing diabetes dropped by 8%. However, he was quick to warn that such epidemiological studies should not change clinical recommendations, only randomized controlled trials can do that. Then, when he oversees just such a randomized trial, not a word of clinical advice, only the ever-present request for more research money from the citizens of this country.

http://diabetes.webmd.com/news/20110628 ... f-diabetes

Of course the Food and Nutrition Board will say they never said levels greater than 20 ng/ml had no added benefits, only that no good evidence existed for such a benefit at the time they issued their report. Actually, if you exclude the science of epidemiology, that is still a false statement. The point is that history will record that someone was wrong. Maybe it will be me and the Vitamin D Council’s recommendation, going into its fifth year, that adults should take at least 5,000 IU per day. Or maybe it will be Professor A. Catharine Ross, of Penn­sylvania State University, the chairwoman of the recent FNB that concluded 600 IU/day is the Recommended Daily Allowance, all adults need. Looking at the study published today, it is clear that 600 IU/day would not have resulted in a significant improvement in pancreatic function.

I predict that after most of the randomized controlled trials are out – in another ten years – the FNB will meet again and say “whoops,” it should have been 5,000 IU/day all along. However, by then the premature death count will be in the millions.

John Cannell, MD

Vitamin D Council

1241 Johnson Road, #134

San Luis Obispo, CA 93401
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tex
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Post by tex »

Hi Deb,

I've been a subscriber to his newsletter for more than 2 years. I live in sunny Central Texas, and I spend a lot of time working in the sun, so I only take 2,500 IU's of supplemental vitamin D, (500 IU's in a multivitamin, plus a 2,000 IU vitamin D3 softgel), daily, during the late spring, summer, and early fall period, but I take 4,500 IU's, daily, the rest of the year. If I lived farther north, I would probably take much more - maybe twice as much, if I lived at your latitude.

I would like to keep my 25(OH)D level up in the 80 to 100 ng/mL range, just in case the neurologist who, (incorrectly, I believe), diagnosed me with Parkinson's disease, a couple of years ago, might have been right.

So evidently, vitamin D plays a role in the development of diabetes, based on the research that you cited. Interestingly, it apparently plays a role in the development of Parkinson's disease, also, (according to the article cited below). Of course, this research doesn't prove that vitamin D is the key, but there certainly seems to be a strong correlation. Since Alzheimer's and Parkinson's have a lot in common, I wouldn't be surprised if researchers eventually prove that vitamin D plays a role in the development of Alzheimer's, also. There are already a fair number of authorities who theorize that it does, but so far, I haven't seen any conclusive research to verify it.
More than two-thirds of patients with early-stage Parkinson's disease had levels of 25-hydroxyvitamin D (25[OH]D) below the 30 ng/mL level considered "insufficient," researchers found.
http://www.medpagetoday.com/Neurology/P ... ease/25335

Thanks for posting this,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Deb
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Post by Deb »

Thanks, Tex. I think I'm going to increase my dosage next time I buy it!
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