There is some research suggesting that D3 levels above 40 ng/ml may raise the risk of pancreatic cancer. Levels above 32 ng/ml might raise the risk of prostate cancer. And levels above 30 ng/ml might increase the risk of cardiovascular disease.

Posted 16 October 2012 - 03:03 PM
Posted 16 October 2012 - 08:01 PM
Posted 20 October 2012 - 08:22 PM
There is some research suggesting that D3 levels above 40 ng/ml may raise the risk of pancreatic cancer. Levels above 32 ng/ml might raise the risk of prostate cancer. And levels above 30 ng/ml might increase the risk of cardiovascular disease.
Posted 20 October 2012 - 08:32 PM
There is some research suggesting that D3 levels above 40 ng/ml may raise the risk of pancreatic cancer. Levels above 32 ng/ml might raise the risk of prostate cancer. And levels above 30 ng/ml might increase the risk of cardiovascular disease.
Can you please cite those studies? That all seems opposite of what is commonly thought.
Thanks!
Posted 21 October 2012 - 12:04 AM
There is some research suggesting that D3 levels above 40 ng/ml may raise the risk of pancreatic cancer. Levels above 32 ng/ml might raise the risk of prostate cancer. And levels above 30 ng/ml might increase the risk of cardiovascular disease.
Can you please cite those studies? That all seems opposite of what is commonly thought.
Thanks!
Posted 21 October 2012 - 01:54 AM
Posted 21 October 2012 - 05:46 AM
There is some research suggesting that D3 levels above 40 ng/ml may raise the risk of pancreatic cancer. Levels above 32 ng/ml might raise the risk of prostate cancer. And levels above 30 ng/ml might increase the risk of cardiovascular disease.
Can you please cite those studies? That all seems opposite of what is commonly thought.
Thanks!
See the appropriate section of this Institute of Medicine report, currently the best quality meta-study on vitamin D available:
http://www.iom.edu/R...-Vitamin-D.aspx
Posted 21 October 2012 - 04:04 PM
Edited by viveutvivas, 21 October 2012 - 04:04 PM.
Posted 21 October 2012 - 09:33 PM
There will always be conspiracy theorists. The "Vitamin D Council" is a self-appointed interest group that exists for one purpose only - to promote vitamin D as the cure-all to everything, and of course they are going to be furious at being contradicted by something as inconvenient as reality. The IoM panel didn't just suck their recommendations out of their thumbs. Everything they say is based on research studies (more than 1000 if I remember correctly) that are prodigiously cited in their report.
Posted 21 October 2012 - 10:03 PM
Posted 22 October 2012 - 01:58 AM
Edited by JohnD60, 22 October 2012 - 01:59 AM.
Posted 22 October 2012 - 12:30 PM
Posted 22 October 2012 - 12:31 PM
Higher D levels associated with increased risk of aggressive pCa (newer paper)
A total of 29,133 male smokers 50 to 69 years of age from southwestern Finland were randomly assigned to one of four regimens: alpha-tocopherol (50 mg per day) alone, beta carotene (20 mg per day) alone, both alpha-tocopherol and beta carotene, or placebo.
Posted 22 October 2012 - 12:38 PM
I think most of the vitamin D promotion relies on misidentifying association as causation. Higher vitamin D levels are probably in most cases simply an accidental by-product of a healthy (physically active, outside) lifestyle, not a cause. It is the (outside) physical activity that causes improved health, not the vitamin D, and also the better health that allows outside physical activity, causing higher vitamin D levels as a by-product.
Posted 22 October 2012 - 12:51 PM
The last paper you quoted seems to have issues. From its abstract, "The 25-hydroxy vitamin D [25(OH)D]-prostate cancer relation was examined in a nested case-control study within the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study of 50- to 69-year-old Finnish men."
When I went to this second study, it said:A total of 29,133 male smokers 50 to 69 years of age from southwestern Finland were randomly assigned to one of four regimens: alpha-tocopherol (50 mg per day) alone, beta carotene (20 mg per day) alone, both alpha-tocopherol and beta carotene, or placebo.
This is a study consisting entirely of older male smokers depleting their gamma tocopherol by taking only alpha tocopherol. I'm not sure it's very applicable generally.
Posted 22 October 2012 - 12:58 PM
Unconditional logistic regression models that adjusted for the matching factors were used for subgroups of the following factors: age, BMI, number of cigarettes per day and years smoked, vitamin D, calcium, and selenium intake, alcohol consumption, and serum α-tocopherol, β-carotene, retinol, and total and high-density lipoprotein (HDL) cholesterol (stratified by medians); leisure physical activity (low vs. high), season of blood collection, disease aggressiveness, time to case diagnosis, history of diabetes, family history of prostate cancer, and α-tocopherol and β-carotene intervention groups.
Posted 22 October 2012 - 01:04 PM
Edited by stephen_b, 22 October 2012 - 01:07 PM.
Posted 23 October 2012 - 09:53 PM
From http://www.medscape....warticle/773030 (requires registration)
Vitamin D Consensus Remains Elusive Despite Recommendations
Nancy A. Melville
Oct 22, 2012
MINNEAPOLIS, Minnesota — The report by the Institute of Medicine on the dietary intake of vitamin D was designed to help clear up confusion, but it hasn't.
The report, which was discussed here at the American Society for Bone and Mineral Research (ASBMR) 2012 Annual Meeting, states that supplementation levels of 600 to 800 IU/day will meet the needs of 97% of the population. However, there is little consensus on this; other guidelines recommend up to 1500 IU/day.
As clinicians continue to grapple with conflicting guidelines, bone expert Neil Binkley, MD, associate director of the Institute on Aging and codirector of the Osteoporosis Clinical Center and Research Program at the University of Wisconsin, Madison, offered a few unofficial guidelines of his own to in keep in mind when advising patients.
He urged clinicians to remember that the IOM report represents a "big picture" perspective, which might have little to do with the patient sitting across from you.
"The IOM report even stated that a margin of safety for public recommendations is prudent. I think most clinicians would agree with that." The recommendations, therefore, should not be regarded as being etched in stone, he asserted.
"Diagnostic end points are simply lines in the sand, and soft diagnostic cut-points are necessary to practice medicine in all fields," he explained.
Interpreting 25(OH)D Levels
Consider, for instance, the fine line between osteoporosis and osteopenia, Dr. Binkley said.
"A 65-year-old woman with a T-score of –2.4 has osteopenia, but her 10-year fracture probability is 13%. The same woman with a T-score of –2.6 has crossed the line in the sand to osteoporosis, but her fracture risk over 10 years is 14%."
"Similarly, our patients with 25-hydroxyvitamin D (25[OH]D) levels of 29 ng/mL are not different from those with 31 ng/mL."
Although serum 25(OH)D levels are currently recognized as the gold standard for defining vitamin D levels, the physiologic effect of different levels on different people is not well understood.
"We can titrate thyroid-stimulating hormone levels to optimal levels of thyroid replacement, but this is not the case with 25(OH)D. This is simply a blood level," Dr. Binkley emphasized.
Assay Variability
In addition, he noted, assays should be approached with a healthy dose of skepticism.
For one thing, assays have substantial variability. "The tests are administered by a person with an instrument; neither is perfect, and there will be much variability," he said.
He described a study in which he and his colleagues sent serum samples to 8 laboratories that used various 25(OH)D assay methods (Clin Chim Acta. 2010;411:1976-1982). They found significant interlaboratory variability.
The Vitamin D External Quality Assessment Scheme (DEQAS) is currently working to standardize lab assessments and reduce that variability. This is difficult because the matrix effect introduces many confounders to throw off assay readings, Dr. Binkley explained. Among the confounders are 24,25(OH)D (present in 10% of the 25[OH]D serum levels), 25(OH)D3-sulfate, and the metabolites of both ergocalciferol and cholecalciferol.
Clinical Application
Although standardization efforts should help address many of the issues related to the assessment of 25(OH)D, Dr. Binkley likened the current situation to the very early stage of lipid analysis. "I would suggest we are, today, in 25(OH)D measurement where we were 50 or 60 years ago with lipid measurement," he said.
"We need to link outcomes to blood levels that are achieved and we need to understand what analytes to measure. Until we do that, meta-analyzing data isn't going to answer the question of how much is enough for your patient or mine," he noted.
There is little disagreement about the risks posed by levels of vitamin D that are too low (e.g., rickets, osteomalacia, and fractures) or too high (e.g., hypercalcemia, hypercalciuria, and fractures).
"Too little is bad and too much is bad, so it's important to let moderation and clinical judgment be your guide," he said.
It is also important to factor in the known variability and potential confounders when assessing the vitamin D status of a patient. "If you get a measurement for a patient that is, for instance, 20 ng/mL, recognize that the real value is likely somewhere between 10 and 35 ng/mL," Dr. Binkley said.
"For many patients, 1000 to 2000 IU of vitamin D daily is required to maintain a 25(OH)D level at 30 ng/mL or above," Dr. Binkley said. "In my opinion, vitamin D inadequacy is common, but I think fixing this is cheap and virtually side-effect free."
Bone specialist Ian Reid, MD, professor of medicine and endocrinology at Auckland Medical School in New Zealand, warned against pushing levels too high. He cited a study in which women who received a single annual dose of 500,000 IU of cholecalciferol were at a significantly increased risk for fracture (JAMA. 2010;303:1815-1822). The significance of this study is that if you take a group of people who are at about 20 ng/mL and you put them up to 40 ng/mL, you increase fractures and falls by about 20%," Dr. Reid said.
Dr. Binkley countered that "there is a difference between the administration of 500,000 IU/year of vitamin D and daily administration." "I don't think we understand the mechanisms by which a blast of vitamin D leads to an increased risk of falls and fractures immediately following that," he said.
Nevertheless, Dr. Reid said he supports a more conservative approach. "I think the evidence is that we should be happy if people are around 15 to 20 ng/mL," he said. "Those who are lower should be supplemented with 400 to 800 IU/day. This approach is safe and does not make assumptions about the benefit of higher levels of vitamin D that have not yet been demonstrated in clinical trials."
Dr. Binkley and Dr. Reid have disclosed no relevant financial relationships.
American Society for Bone and Mineral Research (ASBMR) 2012 Annual Meeting. Presented October 14, 2012.
Posted 24 October 2012 - 12:49 AM
Posted 24 October 2012 - 02:12 AM
Posted 24 October 2012 - 11:30 AM
I think that it is inadequate to look at vitamin D levels solely when looking at fracture risk and osteoporosis . There are so many cofactors relating to bone growth and density beyond vitamin D, including K, magnesium, calcium, boron etc.
Most experts ( the vitamin D council ) believe that 25ohd levels should be 50-80Ng to maximize D's immune function benefits.
Posted 24 October 2012 - 11:56 AM
Are you sure? AFAIK their nutrient recommendations are highly reliable but notoriously out of date even once released. Why would we prefer the IOM and their analysis of a handful observational studies (that were available back then) over the current literature, including the most important nutrition journals like the Am J Clin Nutr?See the appropriate section of this Institute of Medicine report, currently the best quality meta-study on vitamin D available:
http://www.iom.edu/R...-Vitamin-D.aspx
Posted 24 October 2012 - 12:50 PM
Are you sure? AFAIK their nutrient recommendations are highly reliable but notoriously out of date even once released. Why would we prefer the IOM and their analysis of a handful observational studies (that were available back then) over the current literature,...See the appropriate section of this Institute of Medicine report, currently the best quality meta-study on vitamin D available:
http://www.iom.edu/R...-Vitamin-D.aspx
Posted 24 October 2012 - 06:07 PM
Posted 24 October 2012 - 07:55 PM
Posted 24 October 2012 - 08:57 PM
I think most of the vitamin D promotion relies on misidentifying association as causation. Higher vitamin D levels are probably in most cases simply an accidental by-product of a healthy (physically active, outside) lifestyle, not a cause. It is the (outside) physical activity that causes improved health, not the vitamin D, and also the better health that allows outside physical activity, causing higher vitamin D levels as a by-product.
Posted 25 October 2012 - 03:21 AM
The above story is reprinted from materials provided by Loyola University Health System, via Newswise.
Note: Materials may be edited for content and length. For further information, please contact the source cited above.
Posted 25 October 2012 - 09:13 PM
I think most of the vitamin D promotion relies on misidentifying association as causation. Higher vitamin D levels are probably in most cases simply an accidental by-product of a healthy (physically active, outside) lifestyle, not a cause. It is the (outside) physical activity that causes improved health, not the vitamin D, and also the better health that allows outside physical activity, causing higher vitamin D levels as a by-product.
Edited by Mind, 25 October 2012 - 09:13 PM.
Posted 25 October 2012 - 09:48 PM
I think most of the vitamin D promotion relies on misidentifying association as causation. Higher vitamin D levels are probably in most cases simply an accidental by-product of a healthy (physically active, outside) lifestyle, not a cause. It is the (outside) physical activity that causes improved health, not the vitamin D, and also the better health that allows outside physical activity, causing higher vitamin D levels as a by-product.
This is a good quote because it applies to almost every substance life-extensionists take in order to stay healthy. It should be pretty obvious to everyone who reads the forums here and is vaguely familiar with aging theories, that levels of hormones (like vitamin D) and other markers for youth and vigor decline with age. There is nothing we can do about it. Supplementing is like a bandaid approach, but it is the best we got. From what I have read, exogenous supplementation, while not being anything remotely close to real rejuvenation, probably helps slow aging a little.
Posted 25 October 2012 - 11:10 PM
I think most of the vitamin D promotion relies on misidentifying association as causation. Higher vitamin D levels are probably in most cases simply an accidental by-product of a healthy (physically active, outside) lifestyle, not a cause. It is the (outside) physical activity that causes improved health, not the vitamin D, and also the better health that allows outside physical activity, causing higher vitamin D levels as a by-product.
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