"Will You Live Longer if You Take Vitamin D Supplements and How Much Vitamin D Should You Take?"
In 1822, a Polish physician was the first to publish
that sunlight could cure the vitamin D deficiency disease: rickets.
His work was ignored by mainstream medicine for a century,
not coming into widespread use until the 20th century, when wire cages were
affixed to tenement buildings so babies could benefit from the sun.
Are we in a similar situation now,
where the medical profession has just not caught up with the science?
Researchers have documented correlations
between all sorts of good things to higher vitamin D levels,
even to the point of seeing whether vitamin D supplementation
might reduce the adverse effects of earthquakes.
Seems to help with everything else, so why not?
It's actually not as silly as it sounds.
Traumatic events like natural disasters can have a significant psychological impact,
which may be affected by vitamin D status.
But when researchers put supplements to the test,
the purported links often didn't pan out.
This lack of effect may exist in part because low vitamin D levels
may just be a marker for things like aging, obesity, smoking, and inactivity.
Or maybe low vitamin D didn't lead to disease, but maybe disease
led to low vitamin D --- inflammation can drop D levels within the body.
So just because low D levels and disease seem to be correlated
doesn't mean that vitamin D deficiency is the cause.
While the majority of observational studies may show a link,
where you just measure D levels and disease rates, in only a handful
of conditions have interventional studies proven vitamin D to be effective,
where you give people D supplements or placebos and see what happens.
But one of those conditions for which vitamin D supplements
appear to genuinely work is helping to prevent mortality.
56 randomized clinical trials, involving nearly 100,000 people
between the ages of 18 and 107, mostly women,
randomized to four years of vitamin D supplements or sugar pills.
Put all the studies together and those given vitamin D supplements lived longer,
also specifically lowering the risk of dying from cancer.
Note this effect appeared limited to vitamin D3 though,
the type derived from plants and animals,
not vitamin D2, the type derived from yeast and mushrooms.
How large an effect was it?
It would take 150 people taking vitamin D supplements for 5 years to save one life,
and so if we were talking about a drug,
you'd have to weigh that against the cost and
side effects of dosing so many people.
But when we're talking about something as safe and cheap
as vitamin D supplements it seems like a bargain to me.
A similar analysis pegged the benefit at 11% in terms of
reduction of total mortality, which is pretty substantial,
potentially offering a life extension benefit on par with exercise.
Though no, it does not seem to reduce the adverse effects of earthquakes.
The only concern that was raised is that it may give people license
to like order an extra doughnut or something.
We still have to eat healthy.
Any longevity benefit from vitamin D would just be a small adjunct to a healthy lifestyle.
But for those of us who want all the help they can get,
the question then becomes OK, how much should we take?
Randomized, controlled, clinical trials have found that
vitamin D supplements extend one's lifespan.
What is the optimal dose?
What blood level is associated with living longest?
In my nine-part video series on vitamin D back in 2011, I noted that the relationship
between vitamin D levels and mortality appeared to be a U-shaped curve,
meaning low D levels were associated with increased mortality,
but so were levels that were too high, with the apparent sweet spot
around 75 or 80 nmol/l, based on individual studies like this one.
Why might higher D levels be associated with higher risk?
Well, this was population study, so you can't be sure which came first.
Maybe the higher vitamin D led to higher risk,
or maybe higher risk led to the vitamin D,
meaning maybe those who weren't doing as well were prescribed vitamin D.
Maybe it's because these were Scandinavian studies,
where they tend to take a lot of cod liver oil as the vitamin D supplement,
one spoonful of which could exceed the tolerable upper daily limit of intake
for vitamin A, which could have negative consequences
even if you don't inject it into your penis.
I was surprised to see cod liver oil listed among the long list of things
men have tried to inject into themselves because they felt
they were coming up short,
though may have ended up even shorter after all the reconstructive surgery.
Anyways, the U-shaped curve is old data.
An updated meta-analysis has shown that as population vitamin D levels go up,
mortality appears to go down and stay down, which is good because
then we don't have to test to see if we're hitting just the right level.
Routine testing of vitamin D levels is not recommended.
Why?
Well, it costs money, and in most people levels come right up
to where you want them with sufficient sun or supplementation,
so they figure what's the point?
But also because the test is not very good —
results can be all over the place.
What happens when you send a single sample
to a thousand different labs around the world?
You'd maybe expect a little variation, but not this.
Results from the same sample ranged anywhere from less than 20 to over 100.
So depending on what lab your doctor sent your blood sample to, the results
could have placed you here, or here, so not necessarily very helpful.
So what's a safe dose that will likely get us to the purported optimal level?
A thousand units a day should get most people up to the target 75 nmol/l (which is 30 ng/ml),
but by 'most people' they mean 50%.
To get around 85% of the population up to 75 would require 2,000 a day.
2,000 international units a day would shift the curve from here to here.
That way we can take the average person into the desired range
without fear of toxicity.
You can take too much vitamin D,
but you don't tend to see problems until blood levels get up around 250
which would take consistent daily doses in excess of 10,000.
Note that if you're overweight you may want to take 3,000,
or if obese, even more than that.
If you're over age 70 and not getting enough sun, it may take
3,500 units to get that same 85% chance of bumping your levels past the target.
Again, no need for the average person to test and retest since a few thousand a day
should bring almost everyone up without risking toxicity.
OK, but then why did the Institute of Medicine
set the Recommended Daily Allowance at 600 to 800 units?
In fact, official recommendations are all over the map,
ranging from just 200 a day, all the way up to 10,000 a day.
I'll try to cut through the confusion next.