epithelial barrier, stimulating epithelial repair and tapering down the increased coagulability.”
James W. Osborne, MS, LPC Counseling Services
2. GC : Vitamin D binding protein in the albumin gene family. This protein is found in plasma, cerebrospinal fluid, ascitic fluid and on the surface of many cell types. It binds to Vitamin D and transports it to target tissues. Having a C allele SNP in the GC gene is associated with 49% of increased risk for Vitamin D insufficiency.
3. CYP2R1: This is a member of the cyto- chrome P450 family. It influences con- version of 25OH-D3 to its active form. Having the G-allele SNP in this gene is associated with lower Vitamin D levels because the formation of the active form of D3 is being impacted. CYP21 has been found to be compromised in patients with COPD and asthma.
EMDR, ACT Psychotherapy
..............................
JWOsborne.MS.LPC@
gmail.com 860.384.4971
363 New Britain Rd. Laurel Plaza Kensington, CT 06037
Checking Your Vitamin D Levels
Concentration of 25OH-D in the serum is the common test for Vitamin D levels. This can be run through a lab or an in-office dried blood spot test. I prefer to use the in-office dried blood spot test as most insurance does not cover Vitamin D testing unless you have a specific diagnosis such as osteoporosis. I like to see Vitamin D levels above 50 ng/ml unless there is autoimmunity in which case I prefer to see Vitamin D between 80-100 ng/ml.
If there is a medical history of osteopo- rosis, autoimmunity, eczema, being prone to multiple infections, or asthma, I like to look at the Vitamin D genetic pathways. If D3 is not being converted to the active me- tabolite, or if the Vitamin D related genes have certain alleles that result in reduced binding, the Vitamin D in the blood might not be utilized properly. Also, be aware that there are multiple medications that re- duce vitamin D absorption including Cho- lestyramine, Cimetidine/Tagamet, Colesti- pol, Corticosteroids (including Prednisone), Heparin, Phenobarbital and Phenytoin.
Ways to Increase Vitamin D Levels
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1. Sunshine: Vitamin D is known as the sunshine drug! The absolute best way to raise Vitamin D levels is through sun exposure. 30 minutes in the sun around noon time with face, arms and legs exposed to the sun (no sunscreen!) can provide around 8,000IU / day.
2. Nutrition: Eating Vitamin D rich foods such as cold water fish (salmon, mack- erel, herring), sardines, tuna, halibut, butter, egg yolks, lamb, beef, pork and cod liver oil. Many foods are also forti- fied with Vitamin D such as milk. Sun- exposed mushrooms have high levels of D2 (ergocalciferol) which can be used to raise Vitamin D levels in the body.
3. Supplements: Vitamin D is fat soluble, so taking your Vitamin D supplement with a little bit of fat will increase its absorption.
If you have compromised fat digestion
such as gallbladder or pancreatic disease, celiac or IBD, Vitamin D will not be well absorbed in the gut. To bypass that first step of metabolism, I prefer to give Vitamin D supplement in an oil-based, emulsified form. It absorbs directly in the mouth and travels in the blood to the liver to undergo its first hydroxylation.
I recommend 2000-5000 IU/day depending on the individual’s vitamin D levels, symptoms, medical history, genetic profile, medication use, diet, time spent outdoors and time of year. If the patient is severely deficient, I will go up to 10,000 IU/day for several months. I recommend 400-800IU/ day for children. As a natu- ropathic doctor, I treat the individual and each case is unique. In some cases, it is best to administer Vitamin D together with Vitamin A, Vitamin K and Magnesium.
Please note that because Vitamin D is fat soluble it gets stored in our fat. As a result, toxicity can occur. Special care should be taken by pregnant and lactating women. Please do not self-treat yourself with Vitamin D. Get tested and work with a knowledgeable doctor.
Dr. Tara Tranguch is a naturo- pathic doctor in Woodbury, CT offering personalized medicine for men, women and children that is natural, effective and transformative.
She focuses on preventive health care, digestive issues, environmental medicine, and autoimmunity. Specialized treatments include nutrigenomics, homeopathy and hydrotherapy. Learn more about naturo- pathic services at
www.drtaratranguch.com and follow her at
www.facebook.com/ drtranguch and
https://www.linkedin.com/ in/taratranguch/. See ad on page 23.
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