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	<title>Health Products Guru &#187; Cancer Risk</title>
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		<title>Diabetes Drug Flaged for Cancer Risk by FDA Reviewers</title>
		<link>http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/</link>
		<comments>http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/#comments</comments>
		<pubDate>Fri, 15 Jul 2011 23:14:52 +0000</pubDate>
		<dc:creator>Bill Mullins</dc:creator>
				<category><![CDATA[Health News]]></category>
		<category><![CDATA[American Diabetes Association]]></category>
		<category><![CDATA[Bladder Cancer]]></category>
		<category><![CDATA[Bladder Cancers]]></category>
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		<category><![CDATA[Breast Cancers]]></category>
		<category><![CDATA[Cancer Risk]]></category>
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		<category><![CDATA[Dapagliflozin]]></category>
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		<category><![CDATA[Type 2 Diabetes]]></category>
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		<description><![CDATA[By Emily P. Walker, Washington Correspondent, MedPage Today Published: July 15, 2011 WASHINGTON &#8212; FDA reviewers said the novel diabetes drug dapagliflozin appears effective at treating diabetes, but may pose breast and bladder cancer risks as well as liver toxicity. The &#8230; <a class="more-link" href="http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
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<td align="left">By Emily P. Walker, Washington Correspondent, MedPage Today<br />
Published: July 15, 2011</td>
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<p>WASHINGTON &#8212; FDA reviewers said the novel diabetes drug dapagliflozin appears effective at treating diabetes, but may pose breast and bladder cancer risks as well as liver toxicity.</p>
<p>The FDA&#8217;s Endocrinologic and Metabolic Advisory Committee will meet Tuesday vote whether the drug &#8212; which is the first of its kind to go before an FDA panel &#8212; should be approved as adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.</p>
<p>Dapagliflozin is an inhibitor of the sodium glucose cotransporter-2 (SGLT2) which works by increasing renal glucose elimination, allowing more sugar to be excreted with urine rather than being absorbed into the bloodstream.</p>
<p>In briefing documents released Friday, FDA reviewers didn&#8217;t question the efficacy of the drug, but pointed to several safety signals.</p>
<p>Clinical trial data filed with the FDA revealed one case of bladder cancer among patients treated with 5-mg of the drug and one case of breast cancer among patients who received 10 mg. No excess cancers were observed among patients taking other doses.</p>
<p>Researchers at the <a href="http://www.medpagetoday.com/MeetingCoverage/ADA/27345" target="_blank">American Diabetes Association </a>meeting, held in late June in San Diego, reviewed the entire experience with dapagliflozin thus far and found nine bladder cancers in 5,478 patients on the drug compared with one case in 3,156 controls.They also saw nine breast cancers in 2,223 women on the drug compared with just one in 1,053 female controls.</p>
<p>The FDA reviewers pointed out that the clinical trials filed with it were not powered to detect the differences in cancer risks between dapagliflozin and the metformin/placebo group.</p>
<p>Nonetheless, the FDA scientists said their analysis of database and literature reviews suggested that the number of breast and bladder cancers in the dapagliflozin-treated group is higher than one would expect in the general type 2 diabetes population.</p>
<p>However, they stopped short of reaching any conclusions.</p>
<p>&#8220;It is uncertain whether dapagliflozin treatment is associated with an increased risk of breast cancer with the current available data,&#8221; the reviewers wrote, adding that all patients in the dapagliflozin trials should be followed to further analyze the potential breast cancer risk.</p>
<p>Tuesday&#8217;s panel will evaluate clinical trials from drugmakers Bristol-Myers Squibb and AstraZeneca that found dapagliflozin plus metformin-treated patients achieved superior glycemic control compared with patients treated with metformin plus placebo.</p>
<p>A total of 546 patients were randomized to metformin plus either placebo or one of three doses of dapagliflozin &#8212; 2.5 mg, 5 mg, or 10 mg &#8212; for 102 weeks. All dapagliflozin groups had a greater mean reduction in HbA1c and fasting plasma glucose compared with placebo. In addition, more patients achieved an HbA1c of 7% or less on the drug than on placebo (20.7% to 31.5% versus 15.4%).</p>
<p>Patients on the drug also lost a mean of 2.4 lbs., 3.8 lbs., and 3.7 lbs. &#8212; lowest to highest dose &#8212; versus an average gain of 3 lbs. for controls.</p>
<p>The efficacy of dapagliflozin is related to glucose clearance in the kidneys, so in patients with renal impairment, the drug works less well. The company is recommending that dapagliflozin should not be used in patients with moderate to severe renal impairment.</p>
<p>Because the drug causes patients to excrete more sugar, genital and bladder infections are a side effect. There were more genital infections in the drug group than in the placebo group (11.7%, 14.6%, 12.6% versus 5.1%), but urinary tract infections were similar in all groups except among those on the highest dose of dapagliflozin (about 8% versus 13%).</p>
<p>Five patients treated with dapagliflozin developed liver damage, but just one case was probably linked to the drug itself, FDA reviewers determined. The panelists will be asked about the significance of that one case and whether the drug has been evaluated enough to determined whether dapagliflozin is linked to an increased risk of hepatotoxicity</p>
<p>Tuesday&#8217;s panel will vote whether the dapagliflozin is safe and effective. The FDA is not required to follow the advice of its advisory panels, but it often does.</p>
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<h4>Incoming search terms for the article:</h4><ul><li><a href="http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/" title="diabetes mellitus type 2 health products">diabetes mellitus type 2 health products</a> (1)</li><li><a href="http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/" title="metformin/placebo breast cancer">metformin/placebo breast cancer</a> (1)</li><li><a href="http://www.healthproductsguru.com/diabetes-drug-flaged-for-cancer-risk-by-fda-reviewers/" title="SGLT2 cancer risk gene">SGLT2 cancer risk gene</a> (1)</li></ul>  <a STYLE="border:none;text-decoration:none;outline:none;" href="http://www.blogform.co.cc"><img border="0" alt="HOW TO MAKE MONEY ONLINE" src="http://www.healthproductsguru.com/wp-content/plugins/related-sites-post/24x24.png"></a> <a href="http://www.blogform.co.cc/related-sites/"><strong>Related Websites</strong></a> <ul>  <li style="clear: both;"> <img src="http://www.regenocyte.com/images/Stem-Cell-Cath-DeliveryTN.jpg" class="imgbte" hspace="5" align="left" width="100" alt="stem cells injection" title="stem cells injection" border=0><a onClick="window.location='http://bte.tc/CrY'; return false;" href="http://www.stem-cells-news.com/1/2009/02/usa-successful-treatment-of-cardiomyopathy-with-stem-cells/">USA - Successful Treatment of Cardiomyopathy with Stem Cells </a> <small>An international team of physicians and scientists in Florida have discovered a way to treat cardiomyopathy (heart disease) with adult stem cells, including a rare metabolic condition otherwise requiring heart transplant. Regenocyte Therapeutic is using stem cells extracted from patients’ blood to repair damaged heart muscle, regenerate tissue, and......</small> </li> <li style="clear: both;"> <img  class="imgbte" hspace="5" align="left" width="100" alt="BLOGFORM" title="BLOGFORM" border=0  src="http://www.healthproductsguru.com/wp-content/plugins/related-sites-post/BTE_125x125_2.jpg"/><a onClick="window.location='http://bte.tc/egR'; return false;" href="http://www.weightladder.com/sunday-roundup-loss-that-weight/">Sunday Roundup - Lose that Weight!</a> <small>In this edition of the Sunday roundup I've pulled several posts from blogs on a myriad of subjects but mostly I found posts on the subject of losing weight. Hopefully they will help you on your way to a healthier and better life. Have a happy and healthy weekend! The......</small> </li> <li style="clear: both;"> <img src="http://www.mmaacupuncture.com/acupuncture_mma/wp-content/uploads/2011/12/antidepressants_side_effects-300x222-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="Antidepressants and Adverse Drug Effects" title="Antidepressants and Adverse Drug Effects" border=0><a onClick="window.location='http://bte.tc/yJBS'; return false;" href="http://www.mmaacupuncture.com/acupuncture_mma/2011/12/antidepressants-worse-yoga-for-depression/">Antidepressants May Make Depression Worse But Yoga Helps</a> <small>Antidepressants in Depression Treatment Found in Yahoo Health News. According to research done at Yale School of Medicine combining several studies, up to a fifth patients on depression medication were shown to actually do worse than patients on a placebo. Patients were given the drug cymbalta (duloxetine) or some other......</small> </li> <li style="clear: both;"> <img src="http://cdn1.vitamin-health-online.co.uk/wp-content/uploads/wpsc/cache/product_img_137_96x96.jpg" class="imgbte" hspace="5" align="left" width="100" alt="Triphala" title="Triphala" border=0><a onClick="window.location='http://bte.tc/p3rD'; return false;" href="http://vitamin-health-online.co.uk/health-benefits-triphala/">The Amazing Health Benefits of Triphala</a> <small>Triphala, an Ayurvedic herb, has many major health benefits for preventing aging, cancer, weight loss, digestive problems and more. Triphala is actually made up of three fruits - Amalaki, Haritaki and Bibhitaki, which correspond to the three doshas (Vata, Pitta and Kapha), and are equally effective for treating all three.......</small> </li> <li style="clear: both;"> <img src="http://nutritionfitnesslife.com/wp-content/uploads/2009/10/breast-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="breast" title="breast" border=0><a onClick="window.location='http://bte.tc/sZQ'; return false;" href="http://nutritionfitnesslife.com/early-breast-cancer-detection/">Early Breast Cancer Detection</a> <small>Breast cancer detection can be difficult because the symptoms associated with breast cancer are capable of varying quite widely. Some people experience lumps while others experience swelling, and other people experience changes in their skin. Many people that have breast cancer do not experience any obvious symptoms at all, and......</small> </li> </ul>]]></content:encoded>
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		<title>B Vitamins in Mother&#8217;s Diet Reduce Colorectal Cancer Risk in Offspring, Animal Study Suggests</title>
		<link>http://www.healthproductsguru.com/b-vitamins-in-mothers-diet-reduce-colorectal-cancer-risk-in-offspring-animal-study-suggests/</link>
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		<pubDate>Thu, 23 Jun 2011 06:56:32 +0000</pubDate>
		<dc:creator>Bill Mullins</dc:creator>
				<category><![CDATA[Cancer]]></category>
		<category><![CDATA[Adequate Diet]]></category>
		<category><![CDATA[Animal Study]]></category>
		<category><![CDATA[B Vitamins]]></category>
		<category><![CDATA[Cancer Risk]]></category>
		<category><![CDATA[Colorectal Cancer]]></category>
		<category><![CDATA[Crott]]></category>
		<category><![CDATA[Human Nutrition Research]]></category>
		<category><![CDATA[Human Nutrition Research Center]]></category>
		<category><![CDATA[Intestinal Tumors]]></category>
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		<category><![CDATA[Tumor Suppression]]></category>
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		<description><![CDATA[ScienceDaily (June 10, 2011) — Mice born to mothers who are fed a diet supplemented with B vitamins are less likely to develop intestinal tumors, report scientists at the Jean Mayer USDA Human Nutrition Research Center on Aging (USDA HNRCA) &#8230; <a class="more-link" href="http://www.healthproductsguru.com/b-vitamins-in-mothers-diet-reduce-colorectal-cancer-risk-in-offspring-animal-study-suggests/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p>ScienceDaily (June 10, 2011) — Mice born to  mothers who are fed a diet supplemented with B vitamins are less likely  to develop intestinal tumors, report scientists at the Jean Mayer USDA  Human Nutrition Research Center on Aging (USDA HNRCA) at Tufts  University.</p>
<p>Previous research in humans and mice suggests that B vitamins,  particularly folate, play a role in the prevention of colorectal cancer.  Using a mouse model of naturally occurring colorectal cancer, the USDA  HNRCA scientists examined whether a mothers&#8217; B vitamin intake impacts  her offspring&#8217;s cancer risk. Mothers were fed diets containing  supplemental, adequate or mildly deficient quantities of vitamins B<sub>2</sub>, B<sub>6</sub>, B<sub>12</sub> and folate prior to conception through weaning after which all of the offspring received the same adequate diet.</p>
<p>&#8220;We saw, by far, the fewest intestinal tumors in the offspring of  mothers consuming the supplemented diet,&#8221; says Jimmy Crott, PhD, senior  author and a scientist in the Vitamins and Carcinogenesis Laboratory at  the USDA HNRCA. &#8220;Although the tumor incidence was similar between  offspring of deficient and adequate mothers, 54% of tumors in the  deficient offspring were advanced and had invaded surrounding tissue  while only 18% of tumors in the offspring of adequate mothers displayed  these aggressive properties.&#8221;</p>
<p>The results were published online June 9 in the journal <em>Gut.</em></p>
<p>Crott and colleagues associated the tumor suppression seen in the  offspring of supplemented mothers with a protection against disruptions  to the Wnt signaling pathway, a network of genes commonly altered in  colorectal cancer.</p>
<p>&#8220;The strongest expression of tumor-suppressing genes in the Wnt  pathway was in the offspring of supplemented mothers and the weakest was  in the offspring of the mildly deficient mothers,&#8221; says first author  Eric Ciappio, a PhD candidate at the Friedman School of Nutrition  Science and Policy at Tufts.</p>
<p>&#8220;We attribute these differences in gene expression to epigenetics,  modifications of DNA which are sensitive to environmental factors such  as diet,&#8221; Ciappio continues. &#8220;In this case, changing maternal B vitamin  intake had lasting epigenetic effects in offspring and may explain the  differences in tumor incidence and aggressiveness we observed.&#8221;</p>
<p>It remains unclear whether maternal consumption of the four B  vitamins could impact tumor development in humans. &#8220;&#8221;While evidence is  beginning to accumulate to suggest that maternal consumption of  supplements containing folate may afford some protection against  childhood cancers in offspring, we don&#8217;t yet have the ability to  determine whether the same holds true for cancers that normally present  in the mid to late decades of life,&#8221; explains Crott, who is also an  assistant professor at the Friedman School.</p>
<p>Crott adds, &#8220;Aside from the known protective effect of maternal  folate against neural tube defects such as spina bifida, our results  suggest that mothers consuming supplemental quantities of these B  vitamins may also be protecting her children against colorectal cancer.&#8221;</p>
<p>This study was funded by a cooperative agreement with the  Agricultural Research Service (ARS) of the United States Department of  Agriculture (USDA).</p>
<p><span style="color: #ffffff;">-</span></p>
<p>Journal Reference:</p>
<ol>
<li>Eric D Ciappio, Zhenhua Liu, Ryan S Brooks, Joel B Mason, Roderick T Bronson, Jimmy W Crott. Maternal  B vitamin supplementation from preconception through weaning suppresses  intestinal tumorigenesis in Apc1638N mouse offspring. <em>Gut</em>, 9 June 2011 DOI: <a rel="nofollow" href="http://dx.doi.org/10.1136/gut.2011.240291" target="_blank">10.1136/gut.2011.240291</a></li>
</ol>
  <a STYLE="border:none;text-decoration:none;outline:none;" href="http://www.blogform.co.cc"><img border="0" alt="HOW TO MAKE MONEY ONLINE" src="http://www.healthproductsguru.com/wp-content/plugins/related-sites-post/24x24.png"></a> <a href="http://www.blogform.co.cc/related-sites/"><strong>Related Websites</strong></a> <ul>  <li style="clear: both;"> <img src="http://nutritionfitnesslife.com/wp-content/uploads/2009/10/pregnanteating-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="pregnanteating" title="pregnanteating" border=0><a onClick="window.location='http://bte.tc/kNK'; return false;" href="http://nutritionfitnesslife.com/good-health-with-a-healthy-pregnancy-diet/">Good Health with a Healthy Pregnancy Diet</a> <small>If you are not striving to consume a healthy pregnancy diet during your pregnancy, then you may be missing some vital ingredients that are necessary for pregnancy health. Imagine leaving an important ingredient out of a complicated recipe. This is what it is like to leave the wrong nutrients or......</small> </li> <li style="clear: both;"> <img src="http://vitamin-health-online.co.uk/wp-content/uploads/2011/09/vitamin_b6_lung_cancer-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="Vitamin B6 For Lung Cancer" title="Vitamin B6 For Lung Cancer" border=0><a onClick="window.location='http://bte.tc/txfE'; return false;" href="http://vitamin-health-online.co.uk/vitamin-b6-lung-cancer/">Vitamin B6 Slash Lung Cancer Risk by Half</a> <small>Cancer of the lung posseses an huge influence on nationwide mortality and currently is the reason 6% coming from all deaths as well as 22% of all deaths coming from most cancers in the UK. An individual passes away regarding lung cancer just about every quarter-hour in Great Britan. Cancer......</small> </li> <li style="clear: both;"> <img src="http://vitamin-health-online.co.uk/wp-content/uploads/2011/05/4.-health_vit_b-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="4.-health_vit_b" title="4.-health_vit_b" border=0><a onClick="window.location='http://bte.tc/qckH'; return false;" href="http://vitamin-health-online.co.uk/vitamin-b12-cobalamin-the-blood-maker/">Vitamin B12: Cobalamin, The Blood Maker</a> <small>Vitamin B12 is unusual for a vitamin in that it contains cobalt. The name, cobalamin, derives from “cobal” from the word cobalt plus “amin” from the word vitamin (cobal-amin). During the 1930s, researchers were trying to identify an “antipernicious anemia factor.” Vitamin B12 was discovered simultaneously by two research teams,......</small> </li> <li style="clear: both;"> <img src="http://www.weightladder.com/wp-content/uploads/2008/05/vitaminc-150x150.jpg" class="imgbte" hspace="5" align="left" width="100" alt="vitamins" title="vitamins" border=0><a onClick="window.location='http://bte.tc/n-3'; return false;" href="http://www.weightladder.com/5-supplements-you-need-while-youre-dieting/">5 Supplements You Need While You're Dieting</a> <small>Whenever you start a diet you're going to need to make sure that you are taking the right supplements for your body. Most "diets" lack one or more of these supplements.  Without the proper balance of nutrients and vitamins, your body can easily feel deprived and your cravings can skyrocket......</small> </li> <li style="clear: both;"> <img  class="imgbte" hspace="5" align="left" width="100" alt="BLOGFORM" title="BLOGFORM" border=0  src="http://www.healthproductsguru.com/wp-content/plugins/related-sites-post/BTE_125x125_2.jpg"/><a onClick="window.location='http://bte.tc/qcxx'; return false;" href="http://vitamin-health-online.co.uk/vitamins-b-complex-vitamin-b1/">Vitamins B Complex- Vitamin B1</a> <small>Vitamin B1 or Thiamine assistances the nervous system and is necessary for the performance of significant enzymes. These enzymes have crucial parts in the processes that make energy attainable in the body. Thiamine is essential for the transmission of specific types of nerve signal among the brain and the spinal......</small> </li> </ul>]]></content:encoded>
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		<title>Is Vitamin D supplementation necessary?</title>
		<link>http://www.healthproductsguru.com/is-vitamin-d-supplementation-necessary/</link>
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		<pubDate>Fri, 24 Jul 2009 17:07:05 +0000</pubDate>
		<dc:creator>Bill Mullins</dc:creator>
				<category><![CDATA[Editorial]]></category>
		<category><![CDATA[Elements of Health]]></category>
		<category><![CDATA[Natural Remedies]]></category>
		<category><![CDATA[Nutrition]]></category>
		<category><![CDATA[American Journal Of Clinical Nutrition]]></category>
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		<category><![CDATA[Hypertension]]></category>
		<category><![CDATA[Immune System]]></category>
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		<category><![CDATA[Michael Holick]]></category>
		<category><![CDATA[Mineralization]]></category>
		<category><![CDATA[Murdoch University School]]></category>
		<category><![CDATA[Nutrition Experts]]></category>
		<category><![CDATA[Phosphorus]]></category>
		<category><![CDATA[Radiation Exposure]]></category>
		<category><![CDATA[Source Of Vitamin D]]></category>
		<category><![CDATA[Sun Exposure]]></category>
		<category><![CDATA[Trevor Marshall]]></category>
		<category><![CDATA[Type 2 Diabetes]]></category>
		<category><![CDATA[Ultraviolet Rays]]></category>
		<category><![CDATA[Uv Radiation]]></category>

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		<description><![CDATA[We all know that the presence of vitamin D in our bodies is important for a variety of reasons notably for the absorption and utilization of calcium &#38; phosphorus by the intestinal tract, to enable normal mineralization of the bone, &#8230; <a class="more-link" href="http://www.healthproductsguru.com/is-vitamin-d-supplementation-necessary/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<p><img class="alignnone size-full wp-image-150" title="Vitamin-D_Sun" src="http://www.healthproductsguru.com/wp-content/uploads/2009/07/Vitamin-D_Sun.jpg" alt="Vitamin-D_Sun" width="244" height="244" /></p>
<p>We all know that the presence of vitamin D in our bodies is important for a variety of reasons notably for the absorption and utilization of calcium &amp; phosphorus by the intestinal tract, to enable normal mineralization of the bone, reduce cancer risk and may play a role in the prevention or treatment of type 1 and type 2 diabetes, hypertension and multiple sclerosis.</p>
<p>The question here is what is the best source of vitamin D?</p>
<p>Science seems to be divided on the answer to this question especially in the area of supplementation.  There are some scientists who believe that our diets are deficient in vitamin D and that supplementation is necessary.  Others say that the recommended dosages for adequate vitamin D supplementation are inadequate (Michael Holick, M.D., and a group of other nutrition experts writing in the American Journal of Clinical Nutrition (March, 2007, 85(3);649-650.)  Still others claim that vitamin D supplementation suppresses the immune system (Trevor Marshall, Ph.D., professor at Australia’s Murdoch University School of Biological Medicine and Biotechnology).</p>
<p>In the absence of a clear scientific conclusion where should we turn for the answer to the question at hand?   Personally, when I am conflicted, having no clear choice I always chose to err on the side of safety and turn to the body&#8217;s built in mechanisms.  The body produces vitamin D naturally when the skin is exposed to ultraviolet rays.  In my opinion this is the most natural method of assuring that vitamin D is present in the body.  Many studies show that most people meet their vitamin D needs through exposure to sunlight.  The factors that affect UV radiation exposure and research to date on the amount of sun exposure needed to maintain adequate vitamin D levels make it difficult to provide general guidelines. It has been suggested by some vitamin D researchers, for example, that approximately 5-30 minutes of sun exposure between 10 AM and 3 PM at least twice a week to the face, arms, legs, or back without sunscreen usually lead to sufficient vitamin D synthesis and that the moderate use of commercial tanning beds that emit 2-6% UVB radiation is also effective.  Individuals with limited sun exposure need to include good sources of vitamin D in their diet (milk or fish) or take a supplement.</p>
<p>It is important to note that vitamin D obtained from sun exposure, food, and supplements is biologically inert and must undergo two hydroxylations in the body for activation. The first occurs in the liver and converts vitamin D to 25-hydroxyvitamin D [25(OH)D], also known as calcidiol. The second occurs primarily in the kidney and forms the physiologically active 1,25-dihydroxyvitamin D [1,25(OH)2D], also known as clairol.  For people who suffer from some kind of dysfunction of the liver or kidney further supplementation may be necessary for the body to hydroxylate the vitimin.  If you do suffer from inadequate liver or kidney function and desire to optimize the way your body uses vitamin D you should consult your physician.</p>
<p>Conclusion:  Until there is a clear consensus on weather vitamin D supplementation is beneficial or harmful I suggest letting your body  produce it’s own vitamin D from sunlight as it was designed to do.</p>
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