Vitamin D remains underused and not fully understood by many people. This column will review news and information regarding vitamin D.
Osteoporosis remains a multi-billion dollar health problem. For 15 years calcium and a small dose of vitamin D were recommended, but studies have shown this is insufficient. It is now known that levels of Vitamin D over 32 ng (and preferably over 50 ng)) will prevent most osteoporosis. At the same time, amounts of 400 units of vitamin D have been shown repeatedly to have practically no benefit. 800 Units a day is only slightly better. Obtaining several thousand vitamin D levels from people in the last 7 years have given me the opportunity to compare this experience with the research studies. About 400 levels had osteoporosis or osteopenia on a DEXA scan. Of these 400, only 3 people have had levels less than 32 ng. (less than 1%). So want to prevent osteoporosis? (who doesn’t?). Get your doctor to order a 25-hydroxyvitamin D level (it’s still not done routinely), and get the level up to over 32 ng.-preferably over 40 ng, 50 ng. if even better. With these levels, most of the calcium you eat in your diet will now be absorbed (80% instead of 15%). The few populations that do have levels this high (and don’t take calcium supplements) have a very low level of osteoporosis. How important is this? How many people do you know over 70 that have broken a hip? Mostly it’s not a case of falling and breaking a hip. It’s been shown that often the hip breaks spontaneously and the person falls, and everything happens so quickly the person doesn’t realize the pain came a split second before the fall.
Cedrick and Frank Garland are two scientists/doctors who went to a lecture in the 1980’s as students where they learned that the amount of sunlight is strongly related to the incidence of a number of cancers. They devoted several years to research the subject, and they changed history. They published their data in the 1990’s, and this is the reason you have heard so much about vitamin D in the newspapers the past 7 years; a great deal of further research was stimulated by this. Breast, prostate, and colon cancer have been most studied and the proof is substantial that the incidence of these cancers can be greatly decreased with higher vitamin D levels. A critical “earth shattering” study was just published a few months ago. The only 12 studies on vitamin D levels and breast cancer were combined and it was determined that if a woman maintains a level of over 47 ng. of vitamin D, her chance of breast cancer is reduced by 50%. This is the type of information that we should have read on front pages of newspapers, but unfortunately in medical research, sometimes the most important discoveries get the least publicity. It is estimated that this 50% reduction in breast cancer could occur within 5 years.
Late last year the important sounding Institute of Medicine came out with a report on Vitamin D in which they admitted they were disregarding every major study Vitamin D study done in the past 15 years. They tried to make the case that vitamin D was “no big deal.” Since then this has become the most repudiated document I have seen in my career. Every true vitamin D expert in the country has specifically pointed out why it is invalid. The Harvard School of Public Health proved point by point that the study was a collection of wrong conclusions based on no evidence or incorrect evidence. The Endocrine Society disagrees with the report. Many other prominent organizations have repudiated it. As far as the motivation of the committee members, that’s a very long story, but suffice it to say that most of the members had financial interests in industries who stand to be hurt if the population increases their vitamin D level. For instance, a pharmaceutical company has been working over a decade on new Vitamin D ”look-alike” drugs that can be patented. If they ever succeed, it would only be a financial success if the general population doesn’t take vitamin D on their own. Some people who authored the report had financial interests in this company. (I don’t make this stuff up, I only tell you about it). One person has told me she heard that Vitamin D is “controversial.” There is no honest controversy involved with vitamin D. It should be noted that Vitamin D has absolutely nothing to do with Vitamin E, which has recently again been publicized as having a negative effect on good health. Vitamin E NEVER had any valid studies backing up its use as a supplement.
I’ve written about many other benefits of vitamin D in the previous updates. From the research that’s been published, and reinforced by follow up levels in the people I have on vitamin D, in order to reach a level of 47 ng. of higher, it is often necessary to take 5000 Units of Vitamin D daily. (available for $2 a month over the counter). I often am told that some people are still taking a dose far lower than this. The often talked about dose of 2000 units a day is something that some organizations have recommended for people who never have had a blood test.I recommend blood levels for everyone. I only occasionally see someone who attains an adequate level at the lower 2000 unit dose.
So my final question is this: What are you waiting for?
9/21/11
#24) SUBJECTIVE & OBJECTIVE IMPROVEMENT IN RHEUMATOID ARTHRITIS WITH VITAMIN D
Rheumatoid arthritis is one of the most common autoimmune connective tissue diseases. However it is far less common than osteoarthritis, which commonly occurs with age. (Although several factors are involved in the genesis of osteoarthritis, it is the “wear and tear” arthritis.)
A blood test, the rheumatoid factor, correlates with the severity of the rheumatoid arthritis, and is a measure of the antibody activity.
Precipitating factors are multiple and have been known for decades. Some cases are simply allergies to certain foods – milk and other dairy products have been proven to be the major factor in some cases that have gone away with abstinence from dairy foods. However the precipitating factors have not been embraced by the medical industry, and few sufferers of rheumatoid arthritis have even tried a dairy free diet nor are they told about it.
Because of research that has been done in the past decade, it has been shown that correction of a vitamin D insufficiency lowers the production of abnormal antibodies in autoimmune diseases.
Mrs. X is a 55 year old female who was diagnosed with rheumatoid arthritis in February, 2005. Her rheumatoid factor was 23. In July, 2009, she obtained a vitamin D level for the first time, and it was low at 21 ng. She was treated with 5000 units of vitamin D daily. In April, 2011, she reported that there had been a significant improvement in her joint pain and stiffness, and her repeat vitamin D level was 31 (still low, but much better than 21), and her rheumatoid factor was down to 18, a 22% decrease. No other changes in her medications had been made during that 4 year time span.
Poorly publicized medical studies have shown improvements in rheumatoid arthritis with treatment of vitamin D insufficiency. In this case, the individual had not yet reached anything close to an ideal level of vitamin D, it can be speculated that she may continue to improve with a higher level. The drop in the rheumatoid factor with vitamin D alone indicates a 22% decrease in antibody activity.
A blood test, the rheumatoid factor, correlates with the severity of the rheumatoid arthritis, and is a measure of the antibody activity.
Precipitating factors are multiple and have been known for decades. Some cases are simply allergies to certain foods – milk and other dairy products have been proven to be the major factor in some cases that have gone away with abstinence from dairy foods. However the precipitating factors have not been embraced by the medical industry, and few sufferers of rheumatoid arthritis have even tried a dairy free diet nor are they told about it.
Because of research that has been done in the past decade, it has been shown that correction of a vitamin D insufficiency lowers the production of abnormal antibodies in autoimmune diseases.
Mrs. X is a 55 year old female who was diagnosed with rheumatoid arthritis in February, 2005. Her rheumatoid factor was 23. In July, 2009, she obtained a vitamin D level for the first time, and it was low at 21 ng. She was treated with 5000 units of vitamin D daily. In April, 2011, she reported that there had been a significant improvement in her joint pain and stiffness, and her repeat vitamin D level was 31 (still low, but much better than 21), and her rheumatoid factor was down to 18, a 22% decrease. No other changes in her medications had been made during that 4 year time span.
Poorly publicized medical studies have shown improvements in rheumatoid arthritis with treatment of vitamin D insufficiency. In this case, the individual had not yet reached anything close to an ideal level of vitamin D, it can be speculated that she may continue to improve with a higher level. The drop in the rheumatoid factor with vitamin D alone indicates a 22% decrease in antibody activity.
9/11/11
#23) PREVENTION OF BREAST CANCER WITH VITAMIN D HAS BEEN QUANTIFIED; A LEVEL OF 47 NG REDUCES THE RISK BY 50%.
What are you waiting for?
It has been known for many years that vitamin D prevents hyper-proliferation of cells in the human body. Research has shown that actual breast cancer responds in a test tube to activated vitamin D. But can vitamin D PREVENT breast cancer? A study just published in the September 2011 issue of Anticancer Research answers that question clearly.
There are 11 case-control studies on the risk of breast cancer by 25-hydroxyvitamin D levels that have been published. The authors of this meta-analysis combined the data to relate the risk of breast cancer to 25-hydroxyvitamin D levels.
The study confirmed the connection. This meta-analysis provides proof. A serum level of 47 ng. resulted in a 50% lower risk of breast cancer.
The studies did not determine the maximal beneficial effort of vitamin D on preventing breast cancer. It would be expected that the prevention of breast cancer would keep increasing with a higher level of vitamin D above 47 ng. Vitamin D levels in nature are higher than 47.
The study also did not look at the treatment of established breast cancer with vitamin D.
Do many women have a blood level of 47 ng of vitamin D? I have obtained about 4000 blood levels of 25-hydroxyvitamin D in men and women over the past 7 years, mostly people from Southern New Jersey but also some from California, Florida, Massachusetts, Rhode Island, and Texas were included. Only a very occasional person has that high a level. One woman who gardened all summer had a level of 70 ng. One woman who walked 6 miles a day all year round was quite memorable; she had a level of 110 ng. A fisherman had a level of 60 ng. I’ve seen less than 20 people who had a level of 47 ng or higher without taking a major dose of vitamin D. About 2/3rds of men and women have very low vitamin D levels below 32 ng.
In order to obtain a level of 47 ng, most people need to take at least 5000 units of vitamin D daily. Only occasionally do some people require less. The well publicized dose of 2000 units a day is intended for people who are healthy, and who have never obtained a blood level. In most cases, it will not raise a level below 32 ng to 47 ng. I’ve seen many people who already take 2000 units a day who have levels below 32 ng.
There are several breast cancer fund raising organizations that raise many millions of dollars to cure breast cancer. Much of the money is used for research grants to cancer researchers. I have seen their spokespeople on television, and they have made it clear they are not interesting in devoting their efforts to PREVENTION. They have no plans to publicize studies such as these.
If there was one well publicized “RACE FOR PREVENTION” publicizing the facts in this study, instead of the usual “RACE FOR THE CURE”, more women would be saved from breast cancer over 5 years than have been helped by chemotherapy since 1974, the year that the “War on Cancer” started.
Although this particular study was done on breast cancer, there are extensive somewhat similar studies done on men with prostate cancer. There are also many studies done with various type of cancers including cancer of the uterus and pancreas.
In a perfect world, this medical study should be publicized in newspapers and television news. As so often happens, unfortunately it will most like not be publicized.
It has been known for many years that vitamin D prevents hyper-proliferation of cells in the human body. Research has shown that actual breast cancer responds in a test tube to activated vitamin D. But can vitamin D PREVENT breast cancer? A study just published in the September 2011 issue of Anticancer Research answers that question clearly.
There are 11 case-control studies on the risk of breast cancer by 25-hydroxyvitamin D levels that have been published. The authors of this meta-analysis combined the data to relate the risk of breast cancer to 25-hydroxyvitamin D levels.
The study confirmed the connection. This meta-analysis provides proof. A serum level of 47 ng. resulted in a 50% lower risk of breast cancer.
The studies did not determine the maximal beneficial effort of vitamin D on preventing breast cancer. It would be expected that the prevention of breast cancer would keep increasing with a higher level of vitamin D above 47 ng. Vitamin D levels in nature are higher than 47.
The study also did not look at the treatment of established breast cancer with vitamin D.
Do many women have a blood level of 47 ng of vitamin D? I have obtained about 4000 blood levels of 25-hydroxyvitamin D in men and women over the past 7 years, mostly people from Southern New Jersey but also some from California, Florida, Massachusetts, Rhode Island, and Texas were included. Only a very occasional person has that high a level. One woman who gardened all summer had a level of 70 ng. One woman who walked 6 miles a day all year round was quite memorable; she had a level of 110 ng. A fisherman had a level of 60 ng. I’ve seen less than 20 people who had a level of 47 ng or higher without taking a major dose of vitamin D. About 2/3rds of men and women have very low vitamin D levels below 32 ng.
In order to obtain a level of 47 ng, most people need to take at least 5000 units of vitamin D daily. Only occasionally do some people require less. The well publicized dose of 2000 units a day is intended for people who are healthy, and who have never obtained a blood level. In most cases, it will not raise a level below 32 ng to 47 ng. I’ve seen many people who already take 2000 units a day who have levels below 32 ng.
There are several breast cancer fund raising organizations that raise many millions of dollars to cure breast cancer. Much of the money is used for research grants to cancer researchers. I have seen their spokespeople on television, and they have made it clear they are not interesting in devoting their efforts to PREVENTION. They have no plans to publicize studies such as these.
If there was one well publicized “RACE FOR PREVENTION” publicizing the facts in this study, instead of the usual “RACE FOR THE CURE”, more women would be saved from breast cancer over 5 years than have been helped by chemotherapy since 1974, the year that the “War on Cancer” started.
Although this particular study was done on breast cancer, there are extensive somewhat similar studies done on men with prostate cancer. There are also many studies done with various type of cancers including cancer of the uterus and pancreas.
In a perfect world, this medical study should be publicized in newspapers and television news. As so often happens, unfortunately it will most like not be publicized.
9/2/11
#22) VENUS WILLIAMS HAS SJOGREN'S SYNDROME
Riddle:
Question: What does Venus Williams and Sjogren's have to do with Vitamin D?
Answer: Everything
Sjogren’s syndrome is an autoimmune illness involving dry mouth, dry eyes, joint pain and inflammation, and fatigue. It is considered incurable. It is in the class of rheumatological diseases such as rheumatoid arthritis and systemic lupus. It is a rare disease.
A study was published in the Annals of Rheumatic Diseases in which vitamin D levels were measured in 35 patients with Sjogren’s syndrome and normal controls. This study was done because of other previous studies that suggested that Vitamin D may have a regulatory role in the immune system.
The results were clear cut. Severely diminished blood concentrations of vitamin D was found in patients with Sjogren’s syndrome compared to those without Sjogren’s.
In some cases of Sjogren’s, a harmful antibody called IgM rheumatoid factor is found. In this study,patients who did have an elevated level of IgM rheumatoid factor, there was a significant correlation with vitamin D – the higher the harmful levels of IgM rheumatoid factor, the lower the vitamin D level.
Venus Williams has been diagnosed with Sjogren’s syndrome. It forced her to withdraw from the U.S. tennis open. The media is reporting that she had symptoms for over a year.
The initial studies on vitamin D were the first and second steps. The next step is taking a number of patients with Sjogren’s syndrome, treating half of the subjects with major doses of vitamin D, and half with placebo. When is this study going to be done, now that the preliminary studies have been done.
There are problems. The initial study mentioned above on vitamin D was published in 1983; the one published in the Annals of Rheumatic Diseases was published in 1990. I have reviewed MEDLINE and have found NO studies treating Sjogren’s with vitamin D; not even a case report.
It looks like there is never going to be a proper study to evaluate vitamin D in Sjogren’s. Every person with Sjogren’s should obtain a 25-hydroxyvitamin D level and treat with vitamin D supplements to an ideal level. We know that the vitamin D will have a positive effect on bone density, along with many other beneficial effects. It hasn’t been studied in people with Sjogren’s sufferers. Because it’s over the counter, what’s stopping anyone with Sjogren’s from taking it to evaluate the effect on their Sjogren’s. Vitamin D has been shown to lead to improvements in other autoimmune diseases - rheumatoid arthritis, multiple sclerosis. What would happen if it ended up being a very effective inexpensive treatment for Sjogren's?
Do you hear me, Venus?
Question: What does Venus Williams and Sjogren's have to do with Vitamin D?
Answer: Everything
Sjogren’s syndrome is an autoimmune illness involving dry mouth, dry eyes, joint pain and inflammation, and fatigue. It is considered incurable. It is in the class of rheumatological diseases such as rheumatoid arthritis and systemic lupus. It is a rare disease.
A study was published in the Annals of Rheumatic Diseases in which vitamin D levels were measured in 35 patients with Sjogren’s syndrome and normal controls. This study was done because of other previous studies that suggested that Vitamin D may have a regulatory role in the immune system.
The results were clear cut. Severely diminished blood concentrations of vitamin D was found in patients with Sjogren’s syndrome compared to those without Sjogren’s.
In some cases of Sjogren’s, a harmful antibody called IgM rheumatoid factor is found. In this study,patients who did have an elevated level of IgM rheumatoid factor, there was a significant correlation with vitamin D – the higher the harmful levels of IgM rheumatoid factor, the lower the vitamin D level.
Venus Williams has been diagnosed with Sjogren’s syndrome. It forced her to withdraw from the U.S. tennis open. The media is reporting that she had symptoms for over a year.
The initial studies on vitamin D were the first and second steps. The next step is taking a number of patients with Sjogren’s syndrome, treating half of the subjects with major doses of vitamin D, and half with placebo. When is this study going to be done, now that the preliminary studies have been done.
There are problems. The initial study mentioned above on vitamin D was published in 1983; the one published in the Annals of Rheumatic Diseases was published in 1990. I have reviewed MEDLINE and have found NO studies treating Sjogren’s with vitamin D; not even a case report.
It looks like there is never going to be a proper study to evaluate vitamin D in Sjogren’s. Every person with Sjogren’s should obtain a 25-hydroxyvitamin D level and treat with vitamin D supplements to an ideal level. We know that the vitamin D will have a positive effect on bone density, along with many other beneficial effects. It hasn’t been studied in people with Sjogren’s sufferers. Because it’s over the counter, what’s stopping anyone with Sjogren’s from taking it to evaluate the effect on their Sjogren’s. Vitamin D has been shown to lead to improvements in other autoimmune diseases - rheumatoid arthritis, multiple sclerosis. What would happen if it ended up being a very effective inexpensive treatment for Sjogren's?
Do you hear me, Venus?
8/1/11
#21) A MAJOR ADVANCE IN MULTIPLE SCLEROSIS
Multiple sclerosis is a serious illness. Almost everyone knows someone personally who has multiple sclerosis. Many remember Annette Funicello, the unfortunate case in which Annette has been wheelchair bound for many years.
Multiple sclerosis is an autoimmune disease in which abnormal antibodies are produced that attack the central nervous system. It is believed that many factors contribute to these antibodies being produced – genetics, (although parent-child cases or cases in two siblings are very rare), dietary factors, and other factors have been researched with various degrees of proof.
In 1974 Dr. P. Goldman published a medical article in the International Journal of Environmental Studies which noted a very strong connection between higher rates of MS and distance from the equator. How this could affect the incidence of MS was not understood at the time, and it has taken over 3 decades for scientific discoveries to catch up and explain this connection.
Because of medical research done in the last decades, it is now known that vitamin D in the human can decrease or eliminate the production of abnormal antibodies produced when the human body turns on itself. Vitamin D is produced almost exclusively from the sun’s action on our skin. (Very little vitamin D is added to milk, and it’s present in some other foods such as fish, but there is not enough in food to supply the human body with the amount it needs.) Connecting the dots of this research done over 3 decades explains the sun connection. Distance from the equator is strongly correlated to the amount of vitamin D produced by humans.
There are over 350 studies of vitamin D and multiple sclerosis listed in MEDLINE. They approach the subject in dozens of various ways. Vitamin D levels are in general very low in patients with MS; higher levels in childhood and adulthood lead to a lower incidence of MS; vitamin D is shown to modify the harmful antibodies; and most importantly, giving vitamin D to MS sufferers shows improvements in the symptoms and objective positive changes in a high percentage of cases. One article summarizes the studies: “Vitamin D: a natural inhibitor of multiple sclerosis.” Another article asks: “Managing MS – are we forgetting something?” Another article finds evidence that vitamin D should be given prenatally to expectant mothers, and to infants, to prevent a variety of illnesses. One research study shows an improvement in 80% in MS patients with vitamin D. And finally a well respected neurological journal in 2010 has recommended that every MS patient get a 25-hydroxyvitamin D level, and deficiencies should be treated. Vitamin D is now mainstream medical treatment for MS.
There are a number of powerful medications used to treat MS with varying results, varying side effects, and they tend to be extremely expensive. Neurologists are the experts on these drugs. Vitamin D should be used as an additional treatment with virtually everyone with MS. It costs a few dollars a month, and at the doses involved, is free of side effects. All the treatments of MS strive to prevent further antibody damage; unfortunately nothing has been found that regenerates the nerve cells that have already been irreversibly damaged. So no one is claiming that wheelchair bound people could walk again, but further damage may be prevented.
I started off by saying that almost everyone knows someone with MS – a friend, or relative. If that is the case with you, tell them about these findings. I still come across people who suffer from MS, and in one case, die from it, without ever having had a vitamin D level drawn or without receiving vitamin D. This has got to stop!
Multiple sclerosis is an autoimmune disease in which abnormal antibodies are produced that attack the central nervous system. It is believed that many factors contribute to these antibodies being produced – genetics, (although parent-child cases or cases in two siblings are very rare), dietary factors, and other factors have been researched with various degrees of proof.
In 1974 Dr. P. Goldman published a medical article in the International Journal of Environmental Studies which noted a very strong connection between higher rates of MS and distance from the equator. How this could affect the incidence of MS was not understood at the time, and it has taken over 3 decades for scientific discoveries to catch up and explain this connection.
Because of medical research done in the last decades, it is now known that vitamin D in the human can decrease or eliminate the production of abnormal antibodies produced when the human body turns on itself. Vitamin D is produced almost exclusively from the sun’s action on our skin. (Very little vitamin D is added to milk, and it’s present in some other foods such as fish, but there is not enough in food to supply the human body with the amount it needs.) Connecting the dots of this research done over 3 decades explains the sun connection. Distance from the equator is strongly correlated to the amount of vitamin D produced by humans.
There are over 350 studies of vitamin D and multiple sclerosis listed in MEDLINE. They approach the subject in dozens of various ways. Vitamin D levels are in general very low in patients with MS; higher levels in childhood and adulthood lead to a lower incidence of MS; vitamin D is shown to modify the harmful antibodies; and most importantly, giving vitamin D to MS sufferers shows improvements in the symptoms and objective positive changes in a high percentage of cases. One article summarizes the studies: “Vitamin D: a natural inhibitor of multiple sclerosis.” Another article asks: “Managing MS – are we forgetting something?” Another article finds evidence that vitamin D should be given prenatally to expectant mothers, and to infants, to prevent a variety of illnesses. One research study shows an improvement in 80% in MS patients with vitamin D. And finally a well respected neurological journal in 2010 has recommended that every MS patient get a 25-hydroxyvitamin D level, and deficiencies should be treated. Vitamin D is now mainstream medical treatment for MS.
There are a number of powerful medications used to treat MS with varying results, varying side effects, and they tend to be extremely expensive. Neurologists are the experts on these drugs. Vitamin D should be used as an additional treatment with virtually everyone with MS. It costs a few dollars a month, and at the doses involved, is free of side effects. All the treatments of MS strive to prevent further antibody damage; unfortunately nothing has been found that regenerates the nerve cells that have already been irreversibly damaged. So no one is claiming that wheelchair bound people could walk again, but further damage may be prevented.
I started off by saying that almost everyone knows someone with MS – a friend, or relative. If that is the case with you, tell them about these findings. I still come across people who suffer from MS, and in one case, die from it, without ever having had a vitamin D level drawn or without receiving vitamin D. This has got to stop!
5/17/11
#20) INDEX FOR VITAMIN D ARTICLES
Welcome to the members of Cherry Hill Chamber of Commerce, who on May 19th were interested in asking about vitamin D especially with it's connection with multiple sclerosis.
#2) UPDATE ON VITAMIN D 2009 - 5/1/09
#7) UPDATE ON VITAMIN D 2010 - 6/1/10
#9) CASE HISTORY-COMPLETE REMISSION OF 16 YEARS
OF PROGRESSIVE MS WITH VITAMIN D - 7/1/10
#11) VITAMIN D, TELEMERES, LONGEVITY - 7/7/10
#12) UPDATE ON MULTIPLE SCLEROSIS AND VITAMIN D - 7/24/10
#13) GENES AND VITAMIN D, HOW VITAMIN D HAS SUCH A
WIDESPREAD EFFECT ON HUMANS - 9/1/10
#14) PREVENTION OF INFLUENZA WITH VITAMIN D - 9/12/10
#15) BREAST CANCER AND VITAMIN D - 9/20/10
#17) MARKED IMPROVEMENT OF OSTEOPENIA AND OSTEOPOSIS ON DEXA SCANS WITH VITAMIN D ALONE OVER 5 YEARS,4 MONTHS - 4/5/11
#18) UPDATE ON VITAMIN D 2011 - 5/1/11
#19) CASE HISTORY – SUBJECTIVE AND OBJECTIVE
IMPROVEMENT IN MYESTHENIA GRAVIS - 5/11/11
#21) A MAJOR ADVANCE IN MULTIPLE SCLEROSIS - 8/1/11
#22) VENUS WILLIAMS HAS SJOGREN'S SYNDROME - 9/2/11
#23) PREVENTION OF BREAST CANCER WITH VITAMIN D HAS BEEN QUANTIFIED; A LEVEL OF 47 NG
#24) SUBJECTIVE 7 OBJECTIVE IMPROVEMENT IN RHEUMATOID ARTHRITIS WITH VITAMIN D REDUCES THE RISK BY 50%
#2) UPDATE ON VITAMIN D 2009 - 5/1/09
#7) UPDATE ON VITAMIN D 2010 - 6/1/10
#9) CASE HISTORY-COMPLETE REMISSION OF 16 YEARS
OF PROGRESSIVE MS WITH VITAMIN D - 7/1/10
#11) VITAMIN D, TELEMERES, LONGEVITY - 7/7/10
#12) UPDATE ON MULTIPLE SCLEROSIS AND VITAMIN D - 7/24/10
#13) GENES AND VITAMIN D, HOW VITAMIN D HAS SUCH A
WIDESPREAD EFFECT ON HUMANS - 9/1/10
#14) PREVENTION OF INFLUENZA WITH VITAMIN D - 9/12/10
#15) BREAST CANCER AND VITAMIN D - 9/20/10
#17) MARKED IMPROVEMENT OF OSTEOPENIA AND OSTEOPOSIS ON DEXA SCANS WITH VITAMIN D ALONE OVER 5 YEARS,4 MONTHS - 4/5/11
#18) UPDATE ON VITAMIN D 2011 - 5/1/11
#19) CASE HISTORY – SUBJECTIVE AND OBJECTIVE
IMPROVEMENT IN MYESTHENIA GRAVIS - 5/11/11
#21) A MAJOR ADVANCE IN MULTIPLE SCLEROSIS - 8/1/11
#22) VENUS WILLIAMS HAS SJOGREN'S SYNDROME - 9/2/11
#23) PREVENTION OF BREAST CANCER WITH VITAMIN D HAS BEEN QUANTIFIED; A LEVEL OF 47 NG
#24) SUBJECTIVE 7 OBJECTIVE IMPROVEMENT IN RHEUMATOID ARTHRITIS WITH VITAMIN D REDUCES THE RISK BY 50%
5/14/11
#19) CASE HISTORY:SUBJECTIVE AND OBJECTIVE IMPROVEMENT IN MYASTHENIA GRAVIS FOLLOWING AGRESSIVE TREATMENT OF VITAMIN D INSUFFICIENCY
Myasthenia gravis (MG) is a rare autoimmune disease in which the body produces antibodies against the receptor that transmits chemicals from the nerves to the muscle. It is believed that these antibodies are produced by the thymus gland, and often excessive lymphoid tissue (similar to that found in lymph nodes) are found in the thymus glands of myasthenia patients. (Lymphoid tissue consists of cells that produce antibodies). Celebrities sometime define rare disease to the public. In this case, Aristotle Onasis (Jackie Kennedy’s second husband) suffered from it and in fact eventually died from it's complications.
Debbie is a patient who was diagnosed with MG in 2001 at the age of 41. She has kindly given me permission to use her first name. She was getting frequent infections and suffered from increasing weakness. Her primary doctor referred her to a neurologist, who did a series of tests including the tensilon test; and myasthenia gravis was diagnosed. She was treated at various times with prednisone, immuran, and mestinon, with some positive results.
From early on she suffered from intermittent double vision, common in MG. She wasn’t able to drive because of her fear of suddenly getting the vision problem. This greatly affected the quality of her life.
She was first seen by me in November, 2008. I told her at that time there is no medical research on MG and vitamin D, but many other autoimmune diseases are benefited by vitamin D, and the positive effects of vitamin D on the immune system in other autoimmune diseases have been studied.
Debbie’s vitamin D level then was 22 ng/ml. I convinced her to take a significant dose of vitamin D and her level increased to 64 ng/ml on July 15, 2009. She noticed improvement in her symptoms within a few months of starting the vitamin D. In a stunning development, the double vision that had plagued her for 7 years was gone and has not returned; she has been able to resume driving. She noticed a decrease in her frequent infections and increase in muscle strength. In general she felt much better. Her dose of prednisone was cut significantly because of the improvement. However she then decreased her vitamin D dose, her level dropped in a few months to 57, and she noticed the beginning of the return of many of her symptoms. In January, 2011, I saw her again and encouraged her to increase the dose of her vitamin D to maintain a level that approaches what I call the “lifeguard level.” (Full time male lifeguards in August frequently have levels of 60 to 80 ng. or even higher.)
I have reviewed MEDLINE and done internet searches and cannot find any research that has been done on vitamin D and myasthenia gravis. If anyone who is reading this knows of any, please let me know. I have gone to patient support web sites and have found many patients blogging that their vitamin D level was extremely low (10 to 20 ng./ml seems to be common), but most of them take small doses of 1000 to 2000 units a day in an attempt to correct it, and many have a hard time raising their level significantly. One lone woman noted on the blog that since taking vitamin D, her double vision stopped and hasn’t returned over many months.
It is felt that myasthenia involves an ongoing antibody reaction and the damage to the muscles could be reversible if the antibody production can be stopped. The evidence indicates that vitamin D affects the immune system in a beneficial way, and can prevent the body from producing cells that attack itself.
A study of treating MG patients with significant doses of vitamin D and measuring their muscle strength with objective tests needs to be done. Whether this will be done in 1 year, or 20 years, I don’t know. MG patients shouldn’t wait. In the mean time, Debbie’s quality of life has increased and her need for some medications that cause significant side effects has decreased. I cannot find any report in medical literature that a person with MG took vitamin D not only to prevent osteoporosis but to see if there was a positive effect on the MG.
I will be posting this link on various patient support web sites for myasthenia gravis. I thank Debbie for allowing me to post her story in order to help other myasthenia gravis patients.
Debbie is a patient who was diagnosed with MG in 2001 at the age of 41. She has kindly given me permission to use her first name. She was getting frequent infections and suffered from increasing weakness. Her primary doctor referred her to a neurologist, who did a series of tests including the tensilon test; and myasthenia gravis was diagnosed. She was treated at various times with prednisone, immuran, and mestinon, with some positive results.
From early on she suffered from intermittent double vision, common in MG. She wasn’t able to drive because of her fear of suddenly getting the vision problem. This greatly affected the quality of her life.
She was first seen by me in November, 2008. I told her at that time there is no medical research on MG and vitamin D, but many other autoimmune diseases are benefited by vitamin D, and the positive effects of vitamin D on the immune system in other autoimmune diseases have been studied.
Debbie’s vitamin D level then was 22 ng/ml. I convinced her to take a significant dose of vitamin D and her level increased to 64 ng/ml on July 15, 2009. She noticed improvement in her symptoms within a few months of starting the vitamin D. In a stunning development, the double vision that had plagued her for 7 years was gone and has not returned; she has been able to resume driving. She noticed a decrease in her frequent infections and increase in muscle strength. In general she felt much better. Her dose of prednisone was cut significantly because of the improvement. However she then decreased her vitamin D dose, her level dropped in a few months to 57, and she noticed the beginning of the return of many of her symptoms. In January, 2011, I saw her again and encouraged her to increase the dose of her vitamin D to maintain a level that approaches what I call the “lifeguard level.” (Full time male lifeguards in August frequently have levels of 60 to 80 ng. or even higher.)
I have reviewed MEDLINE and done internet searches and cannot find any research that has been done on vitamin D and myasthenia gravis. If anyone who is reading this knows of any, please let me know. I have gone to patient support web sites and have found many patients blogging that their vitamin D level was extremely low (10 to 20 ng./ml seems to be common), but most of them take small doses of 1000 to 2000 units a day in an attempt to correct it, and many have a hard time raising their level significantly. One lone woman noted on the blog that since taking vitamin D, her double vision stopped and hasn’t returned over many months.
It is felt that myasthenia involves an ongoing antibody reaction and the damage to the muscles could be reversible if the antibody production can be stopped. The evidence indicates that vitamin D affects the immune system in a beneficial way, and can prevent the body from producing cells that attack itself.
A study of treating MG patients with significant doses of vitamin D and measuring their muscle strength with objective tests needs to be done. Whether this will be done in 1 year, or 20 years, I don’t know. MG patients shouldn’t wait. In the mean time, Debbie’s quality of life has increased and her need for some medications that cause significant side effects has decreased. I cannot find any report in medical literature that a person with MG took vitamin D not only to prevent osteoporosis but to see if there was a positive effect on the MG.
I will be posting this link on various patient support web sites for myasthenia gravis. I thank Debbie for allowing me to post her story in order to help other myasthenia gravis patients.
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