Vitamin D recommendations should reduce Rickets (but not much else) - March 2016

European Food Safety Authority March 2016 posted draft for comment:
Scientific Opinion on Dietary Reference Values for vitamin D

 Download the PDF from VitaminDWiki

EFSA, proposes:
20 ng level and 600 IU intake (with ZERO for age 0 to 6 months)

20 nanograms is enough to deal with Rickets
   but 40+ nanograms is needed for other BONE and BODY health

Is 50 ng of vitamin D too high, just right, or not enough has the following summary chart

• Virtually all studes define 30 ng as sufficient
• Many experts say 40 ng is good
• Some experts say 50 ng is much better for disease prevention
• Some experts say 50 ng is too much
  But some experts feel 50 ng is not enough to TREAT diseases

EFSA summarizes some current recomendations

ADULT

CHILD

PREGNANT/LACTATING

SACN	UK	Scientific Advisory Committee on Nutrition
D-A-CH	Germany	Deutschland- Austria- Confoederatio Helvetica
NCM	Nordic Countries	Nordic Council of Ministers
NL	Netherlands
IOM	U.S.	Institute of Medicine of the National Academy of Sciences
WHO	Globe	World Health Organization
Afssa	France	Agence française de sécurité sanitaire des aliments
SCF	Europe	Scientific Committee for Food
DH	UK	UK Department of Health

Virtually all recommendations fail to notice

• Some groups of people need substantially need more vitamin D
  Obese/overweight
  Poor health - especially poor gut, poor liver, poor kidney
     other forms of vitamin D oten work well
  Live far from equator
  Pregnant (need to eat for more than one)
  Seniors    German seniors 10 pct less than 7ng, 92 pct less than 30 ng vitamin D – Jan 2012
• More vitamin D is needed for body health than for bone health
• Higher percentage of people are Vitamin D deficient every year
  Yet most recomendations give equal weight to studies from the past 50 years
     3X more kids were vitamin D deficient when entering UK hospitals than 4 years before – Oct 2014
     Why are so many Victorian killer illnesses making a comeback - Nov 2012

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Falls in VitaminDWiki

• EFSA failed to notice that they recommended 800 IUs in 2014
  Reduce chance of falling with 800 IU of vitamin D - European Food Safety Authority - Nov 2014
• Overview Fractures and Falls and Vitamin D 800 IU is the very bare minimum amount
• Yet again, 800 IU of vitamin D was found to be barely enough to help bones – Lancet Oct 2013
• Bone fractures reduced by a minimum of 800 IU vitamin D and Calcium – meta-meta-analysis March 2014
• Half of seniors got NO response at all from 1600 IU of vitamin D

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Europe in VitaminDWiki

• Vitamin D in Europe – status, policy, etc. – Jan 2015
• Vitamin D levels in Europe – Sept 2014
• Why the UK government ignores evidence for the benefits of Vitamin D - Nov 2013

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Death due to low vitamin D in VitaminDWiki

• Let 1000 die from vitamin D deficiency rather than incur 1 lawsuit
  Conclusions from looking at A look at inner workings of committee looking at vitamin D for UK - Dec 2012
  
     click on chart for details
• Should people at high risk for vitamin D deficiency wait 5 years -Feb 2013
  They may be trying for a risk/reward ratio of about 1 in 1,000
  Note: The word Death occurs only twice in EFSA document
• Dr. Grant on vitamin D and mortality in VitaminDWiki

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Pregnancy and Vitamin D in VitaminDWiki

Healthy pregnancies need lots of vitamin D has the following summary
Most were taking 2,000 to 7,000 IU daily for >50% of pregnancy
   Click on hyperlinks for details

Problem	Vit. D Reduces	Evidence
0. Chance of not conceiving	3.4 times	Observe
1. Miscarriage	2.5 times	Observe
2. Pre-eclampsia	3.6 times	RCT
3. Gestational Diabetes	3 times	RCT
4. Good 2nd trimester sleep quality	3.5 times	Observe
5. Premature birth	2 times	RCT
6. C-section - unplanned	1.6 times	Observe
Stillbirth - OMEGA-3	4 times	RCT - Omega-3
7. Depression AFTER pregnancy	1.4 times	RCT
8. Small for Gestational Age	1.6 times	meta-analysis
9. Infant height, weight, head size      within normal limits		RCT
10. Childhood Wheezing	1.3 times	RCT
11. Additional child is Autistic	4 times	Intervention
12.Young adult Multiple Sclerosis	1.9 times	Observe
13. Preeclampsia in young adult	3.5 times	RCT
14. Good motor skills @ age 3	1.4 times	Observe
15. Childhood Mite allergy	5 times	RCT
16. Childhood Respiratory Tract visits	2.5 times	RCT

RCT = Randomized Controlled Trial

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Bones problems in VitaminDWiki

• Turkey gave 400 IU vitamin D to all infants and reduced Rickets by 60X - 2011
  yes, 400 IU does reduce rickets, but not much else
• Rickets can be suspected below 36 ng of vitamin D – Oct 2012 - not just 20 nanograms
• More calcium in bones in those teenage girls getting 2,000 IUs daily – RCT Jan 2016

See also VitaminDWiki

• Proof that Vitamin D Works 68 health problems PROVEN to be helped (Feb 2016)
• More than half of the top richest US lobbys are Health related all lobbyists are opposed to size reductions
  American Medical Association, American Hospital Association, Big Pharma are 3 of the 6 biggest spending lobbiests in the US
• 17 reasons why are doctors reluctant to accept vitamin D
• 1600 IU vitamin D was enough to get all (white, non-obese) elderly to 20 ng – RCT Dec 2012
• Huge decrease in many health problems with more than 20 ng of vitamin D - click on chart for details
  
• Recommendations around the world - click on chart for details
  
  Note this is EFSA as of 2010. EFSA is proposing in 2016 to reduce the upper limit from 4,000 IU to 2000 IU
• Less sun ==> Less Vitamin D ==> Less Health - click on chart for details
  

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