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A blueprint for choosing the right fish oil supplement — filled with specific recommendations, guidelines for interpreting testing data, and dosage protocols.
The convergence of factors that increase the risk for COVID-19 severity also increases the risk for vitamin D deficiency, as seen in the surprising degree of overlap between COVID-19 positivity and groups most affected by vitamin D deficiency. In a study of over 190,000 people tested for SARS-CoV-2, lower 25-hydroxyvitamin D levels were strongly associated with higher SARS-CoV-2 test positivity rates, despite race/ethnicity, age, sex, and latitude. In this clip, Dr. Roger Seheult describes the interesting similarity between COVID-19 risk factors and vitamin D deficiency risk factors.
Dr. Seheult: And then we get to COVID. And we start to see some really interesting studies coming out, showing an association. Now that's an association, not necessarily causation between a lot of the same things that we see in COVID we see in vitamin D deficiency. So what do we see?
The older you are, the more apt you are to get vitamin D deficiencies because your skin is not as effective at making vitamin D. And we saw there was an age predilection in COVID-19. What about race? We saw that race, particularly darker-skinned people were affected more in COVID-19. And you could say, well, there's some confounders there, right? Because people who are ethnically darker may not have access to health care. Well, this cared even in those countries where there were socialized medicine, where everybody had access to health care, which doesn't erase that completely. But it was still a very strong association. We also saw it not only in gender but also big-time in BMI. So the more obese you were, the less the vitamin D, also, there was more morbidity in terms of COVID-19.
But all of that got fleshed out in I think in a beautiful study that was done here in the United States that looked at 191,000 people. And it was published in "PLoS ONE," the journal, an article titled SARS-CoV-2 positivity rates associated with circulating 25-hydroxyvitamin D levels.
So let's back up right there and talk a little bit about metabolism. You've got these cholesterol derivatives that get converted into vitamin D in the skin. Well, then that has to go to the liver for a 25-hydroxy group to be put on one of the carbons. Now you've got 25-hydroxy vitamin D. This is what we measure in your blood. And then it gets converted into 1,25-dihydroxyvitamin D in the kidneys for metabolism, or in the white blood cells where they're needed there. So we're looking at 25-hydroxyvitamin D. That's the storage form of vitamin D.
And what they found was as your levels started to drop below 50 nanograms per milliliter, we started to see an increase in SARS-CoV-2 positivity rate. And it didn't matter based on race, gender, geography, or age, all groups saw an increase in SARS COVID 2 infections associated with a lower level of 25-hydroxyvitamin D. The lower these levels went, the higher the positivity rate.
And that was just the beginning. I mean, this went on and on and on. No matter how you slice it or dice it, there was this very strong association of vitamin D deficiency with higher rates of COVID. Higher SARS-CoV-2 positivity rates and higher admissions. We see people being admitted to the hospital who had lower rates than those that had similar symptoms but we're not SARS-CoV-2 positive.
A lot of these levels that we've come up with are based on the endocrinological function of vitamin D with bone metabolism. We don't know if that's the value that we need for immunological functioning or COVID. But we do have some associative studies that seem to show at least in those studies that we talked about earlier where looked at 191,000 people that SARS-CoV-2 rates started to go up once levels dropped below 50. So that's an interesting number.
A waxy lipid produced primarily in the liver and intestines. Cholesterol can be synthesized endogenously and is present in all the body's cells, where it participates in many physiological functions, including fat metabolism, hormone production, vitamin D synthesis, and cell membrane integrity. Dietary sources of cholesterol include egg yolks, meat, and cheese.
An infectious disease caused by the novel coronavirus SARS-CoV-2. COVID-19, or coronavirus disease 2019, was first identified in Wuhan, China, in late 2019. The disease manifests primarily as a lower respiratory illness, but it can affect multiple organ systems, including the cardiovascular, neurological, gastrointestinal, and renal systems. Symptoms include fever, cough, fatigue, shortness of breath, and loss of smell and taste. Some infected persons, especially children, are asymptomatic. Severe complications of COVID-19 include pneumonia, sepsis, acute respiratory distress syndrome, kidney failure, multiple organ dysfunction syndrome, and cytokine storm. Treatments currently involve symptom management and supportive care. Mortality varies by country and region, but approximately 6 percent of people living in the United States who are diagnosed with COVID-19 expire.[1] 1
An essential mineral present in many foods. Iron participates in many physiological functions and is a critical component of hemoglobin. Iron deficiency can cause anemia, fatigue, shortness of breath, and heart arrhythmias.
The thousands of biochemical processes that run all of the various cellular processes that produce energy. Since energy generation is so fundamental to all other processes, in some cases the word metabolism may refer more broadly to the sum of all chemical reactions in the cell.
A chemical that causes Parkinson's disease-like symptoms. MPTP undergoes enzymatic modification in the brain to form MPP+, a neurotoxic compound that interrupts the electron transport system of dopaminergic neurons. MPTP is chemically related to rotenone and paraquat, pesticides that can produce parkinsonian features in animals.
The virus that causes severe acute respiratory syndrome, or SARS. First identified in China in 2002, SARS-CoV-2 is a type of coronavirus. It was responsible for an epidemic that killed nearly 800 people worldwide.
The virus that causes COVID-19. SARS-CoV-2 is one of seven coronaviruses known to infect humans. Others include SARS-CoV-1 (which causes severe acute respiratory syndrome, or SARS) and MERS-CoV (which causes Middle East respiratory syndrome, or MERS). SARS-CoV2 exploits the angiotensin-converting enzyme 2, or ACE2, receptor to gain entry into cells. The ACE2 receptor is widely distributed among the body's tissues but is particularly abundant in lung alveolar epithelial cells and small intestine enterocytes. SARS-CoV-2 binds to a cell's ACE2 receptor and injects its genetic material (RNA) into the cytosol. Once inside, the viral RNA molecules are translated to produce RNA-dependent RNA polymerase, also known as replicase, the enzyme critical for the reproduction of RNA viruses. The viral RNA is then packaged into infective virion particles and released from the cell to infect neighboring cells.
The highest level of intake of a given nutrient likely to pose no adverse health effects for nearly all healthy people. As intake increases above the upper intake level, the risk of adverse effects increases.
A fat-soluble vitamin stored in the liver and fatty tissues. Vitamin D plays key roles in several physiological processes, such as the regulation of blood pressure, calcium homeostasis, immune function, and the regulation of cell growth. In the skin, vitamin D decreases proliferation and enhances differentiation. Vitamin D synthesis begins when 7-dehydrocholesterol, which is found primarily in the skin’s epidermal layer, reacts to ultraviolet light and converts to vitamin D. Subsequent processes convert D to calcitriol, the active form of the vitamin. Vitamin D can be obtained from dietary sources, too, such as salmon, mushrooms, and many fortified foods.
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