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Vitamin D Absorption Problems

Madhura Panse
Usually, vitamin D absorption problems are not a problem in itself but a symptom of other underlying problems, such as nutritional deficiencies or disease. All nutrients in our body are interconnected and interdependent, so for one nutritional deficiency to exist on its own in isolation is rather rare.
The sun is the orchestra leader for the dance of life. Every living thing on earth vibrates to the energy of the sun, including people. For a long time people have been victims of a huge scam that made them think they were supposed to hide indoors or under a blanket of sunscreen while the rest of life basked in the glory of the sun.
Now they are catching on that they too need the sun's life-giving force. - Barbara Minton, natural health editor.
Vitamin D is a hormone as well as a vitamin. It is quite rightfully called the 'sunshine vitamin' as the sun contributes significantly to the vitamin D content.
Vitamin D is a basic with regards to bone health, regulation of muscle health (including skeletal and heart muscle), regulation of immune response, blood sugar levels as well as the regulating metabolism of calcium and phosphorus. On an average, we need about 600 IU (international units) of vitamin D a day, after the age of one.

Production of Vitamin D in Skin and Body

The ultraviolet rays from sunlight touching the skin trigger vitamin D synthesis. Our skin has two primary layers:
  1. the outer layer - epidermis
  2. the inner layer - dermis
In the epidermis of the thick skin of the soles and palms, there are 5 strata; from the outer to the inner they are: the stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale. It is in the two innermost strata, stratum basale and stratum spinosum, that vitamin D is produced. Vitamin D is activated by the liver and kidneys.

Who has Problems with Vitamin D Absorption and Why?

The people who are more vulnerable to vitamin D problems are the elderly, obese individuals, and breastfed babies
  • Colored people: People with colored skin need 20 to 30 times more exposure to sunlight than caucasians. People living closer to the equator require less amount of time to create vitamin D than people living further away, where they require longer time of exposure to create the same amount.
  • Obese people: Obesity is another factor hindering proper production and utilization of vitamin D, making obese people need twice as much vitamin D than healthy individuals.
  • People who work indoors constantly: People who fall ill are the ones who live and work indoors constantly. If there is lack of vitamin D in the body, our immune system becomes defenseless against seasonal flu.
The causes of vitamin D absorption problems are -
  • Hindered vitamin D metabolism from anticonvulsant drug therapy
  • Celiac disease
  • Crohn's disease
  • Cushing's disease
  • Decreased intake of vitamin D
  • Hypothyroidism
  • Intestinal surgery
  • Lowered levels of essential fatty acids (especially in the intestinal walls)
  • Kidney or liver disease
  • Multiple renal tubular defects
  • Poor exposure to sun
  • Ulcerative colitis
  • Magnesium deficiency

Factors Affecting UV Radiation Exposure and Vitamin D Synthesis

  • Melanin content in skin
  • Cloud cover
  • Smog
  • Time of the day
  • Sunscreen
  • Season
  • Geographic latitude

Other Nutrients and their Connection to Vitamin D

Vitamin D, like all other nutrients, needs several other nutrients and minerals such as magnesium to get converted to an active form in the blood for your body to use it. Vitamin D, a fat-soluble vitamin, is available in a very few foods.
However, there are some rich dietary sources of vitamin D like seafood such as catfish, salmon, mackerel, sardines, tuna, eel, whole egg, cooked beef liver and cod liver oil.
Essential Fatty Acids: Adequate amount of essential fatty acids, especially omega 3, are necessary for absorbing vitamin D. The vitamin D from food is absorbed through the intestinal walls.
Magnesium: Some of the symptoms associated with magnesium deficiency linked to vitamin D are -
  • Headache
  • Insomnia
  • Muscle cramps
  • Anxiety
  • Heart Palpitations
  • Constipation
Very high doses of vitamin D can worsen magnesium deficiency. A lot of people may take large doses of vitamin D without bearing in mind the body's need of magnesium.

Other Causes

It is best to expose to the sun as much skin on the body as possible, apart from just your arms and legs. Twenty minutes of exposing bare skin to sunlight, twice a week is enough for maintaining the right levels of vitamin D in the body
  • Wearing suncream is another reason why you may be having problems with absorption of vitamin D.
  • An ordinary window glass cuts down 95% of ultraviolet-B (UVB) rays. So, if you have sunshine peeping through the window and you're hoping it will help, it won't quite.
  • Rickets, a bone-wasting disease, causes vitamin D deficiency, which can aggravate type 2 diabetes by hindering insulin production in the pancreas.

Don't Wash It Away Too Soon

After your skin is exposed to UVB rays, it is best to take a shower some hours later. The reason for this being that after your skin has been exposed to UV, it produces a powdery substance that is absorbed in the skin and is then converted to vitamin D in the body.
Having a bath or a shower washes this off, leaving not much scope for your body benefiting from vitamin D, as its production is hampered.

Vitamin D Supplements

When it comes to vitamin D supplementation, the UVB exposure is the best way to synthesize vitamin D, and without forgetting that vitamin D supplements also work best when the capsules are oil based as vitamin D is a fat-soluble vitamin. The oil base makes it easier for your body to absorb vitamin D.
Why do we need vitamin D? Vitamin D deficiency leads to a condition where your bones are rendered very weak and so are the muscles in the body. This condition is called osteomalacia. Vitamin D is capable of preventing mental illnesses such as depression and schizophrenia, various types of cancers such as those of the breast, ovaries and prostate.
It also prevents degenerative diseases such as arthritis, diabetes, multiple sclerosis, osteoporosis and Parkinson's disease.
People who have undergone radiotherapy must avoid exposing skin of the sensitive areas to the sun and people undergoing chemotherapy must consult their doctors about exposure to the sun.
Babies should never be exposed to the sun, even with sunscreen, though they can be taken without suncream into mild sunlight, which means avoiding the hours between 11 am and 3.30 pm.
Chronic vitamin D deficiency would take months of sunlight exposure and supplementation to come back to the idyllic levels of vitamin D your body needs to make bones and muscles strong.
A lot of people may be eating a balanced diet but may be missing sun-kissed hours, so it's best to make sure you get your sunny vitamin, without baking yourself. I hope this story may have shed some light upon problems with absorbing vitamin D and what you can do to achieve that innate immunity straight from the sun.