Dr. said that vitamin D deficiency is a common condition. Hülya Yüksel said, “Vitamin D is a fat-soluble vitamin that is important for bone and dental health. It is also a pro hormone with a steroid structure. Vitamin D is an important vitamin in bone mineralization, increasing muscle mass and ensuring mental and psychological health. Vitamin D deficiency is a condition we see frequently. With vitamin D deficiency, we can see an increase in people getting tired easily, muscle-joint diseases, mental disorders, depression, an increase in heart diseases and some types of cancer.
People with vitamin D deficiency often apply to us with complaints of fatigue, weakness, hair loss, and muscle and joint pain. Vitamin D deficiency can result in falls in the elderly due to loss of muscle mass. Therefore, it is appropriate to measure the vitamin D level and give treatment accordingly. Vitamin D is a condition that requires regular measurements and treatment for its deficiency. We can measure the level of vitamin D in the blood as 25 hydroxy vitamin D. We calculate in nanograms per millilitre. “When we look at the 50 to 70 nanogram division in nanograms per liter, the optimal level of vitamin D is considered to be 50 to 70,” he said.
“HIGH VITAMIN D MAY CAUSE POISONING”
Yüksel said that vitamin D at the level of 100 – 150 ng/mL may cause poisoning and said, “100 – 150 ng/mL vitamin D is the level that causes vitamin D poisoning, which we call hypervitamin essence.” Therefore, it is recommended to use vitamin D under the supervision of a doctor. We see vitamin D deficiency more frequently in people with low sun exposure, in individuals with dark skin with high skin melanin levels, in the elderly, in people with health problems, chronic diseases, and in people with kidney disease and liver disease.
Daily maintenance vitamin D treatment varies from person to person. While this rate is higher in children, with age we need 600-800 international units (IU) per day. We also recommend that you get the treatment of vitamin D deficiency under the supervision of a specialist. If vitamin D is below 20 nanograms per liter, we consider vitamin D deficiency. If it is below 12 and a half milligrams, we diagnose severe vitamin D deficiency. We provide weekly 50 thousand international (IU) units of vitamin D loading treatment to individuals with vitamin D deficiency for 8 weeks. 50 thousand units per week. “Then we switch to the maintenance dose,” he said.
Stating that 90 percent of vitamin D is synthesized in the skin through ultraviolet rays, Yüksel said, “One of the frequently asked questions about vitamin D is when should I take vitamin D? It is recommended to take vitamin D after breakfast. It is recommended on a full stomach. Another frequently asked question is which foods can consume vitamin D. As you know, 90 percent of vitamin D is synthesized in the skin through ultraviolet rays. It can also be taken with food at a rate of 10 percent. Due to the decrease in the time we spend in the sun in winter and the decrease in vitamin D synthesis due to sun exposure, taking 10 percent of it with food can lead to vitamin D deficiency. 15-20 minutes of sunbathing is sufficient for sufficient vitamin D synthesis. Sunscreen should not be used.
In foods, 10 percent is found in salmon and mackerel. Egg yolks, green vegetables and greens are also products rich in vitamin D. Dairy products are also rich in vitamin D. These are taken at a rate of 10 percent. “In the winter season, we usually supplement vitamin D externally according to the vitamin D control level in people who cannot synthesize 90 percent from the sun,” he said.
“VITAMIN D DEFICIENCY CAUSES SOME DISEASES”
Dr. Hülya Yüksel said that vitamin D deficiency must be compensated and said, “Vitamin D is also beneficial in increasing bone mass by increasing the absorption of calcium and phosphorus. Vitamin D deficiency causes rickets in children and osteomalacia and osteoporosis in adults. Simultaneously, in vitamin D deficiency, the occurrence of diseases such as flu and cold increases due to the weakening of the immune system. We can also see the active course of autoimmune diseases due to vitamin D deficiency. Again, it can cause irregularities in Type-1 and Type-2 diabetes because it disrupts glucose tolerance. Therefore, in case of vitamin D deficiency, it is recommended to replace this deficiency.”
(UAV)