Video

Transcript

so in this video i want to touch on vitamin d testing

challenges okay the big the big problem with vitamin d is that there’s no agreed

upon value of what you should have in your

blood i mean they have an idea or estimation and we can range

all the way from this value right here to this value right here depending on

what units you use could range from this value to this

value i guess you can take an average of these numbers depending on

what units you’re measuring vitamin d from

also the institute of medicine will tell you that you need between 600 to 800 IUS

of vitamin d every day yet the endocrinology society will say

you need a thousand to 200 IUS every day

so again there’s this there’s not a lot of agreement on how much you need

or how much should be in your blood a couple things i want to talk about that

are very very important though there’s two forms of vitamin d one is an

inactive form 25 hydroxy vitamin d so it’s like the precursor to the active

form which is 125 dihydroxy vitamin d

so this is the active form this is the inactive form

the way this works and by the way most of the vitamin d in your blood is

the pre-inactive version and many times what they’re testing is

they’re testing 25 hydroxy vitamin d they’re testing the

precursor or the inactive vitamin d okay put that to the side we’ll come

back to it so what happens is you have the

pre-vitamin d that goes through the body and goes

through the liver and from the liver it then goes to the

kidney the kidney is the primary site for

conversion of the inactive to the active version of

vitamin d what if there is damage to the kidney

you’re going to lose your conversion capacity and how many

people have damage to the kidney well what damage is a kidney

diabetes is a is a big thing but also insulin resistance

what percentage of the population has insulin resistance i would say between

65 to 75 of the entire population that is going to alter the ability for

the kidney to convert the inactive to the active

when you get your test back from the lab that says your 5-hydroxy vitamin d is

within normal levels well what about the active form

are you getting a 100 conversion by the kidney

is there any problem with the kidney that’s one variable

it’s very common to have people with a defect

in the vitamin d receptors called polymorphism

and even though you may have normal vitamin d in your blood it’s not

being activated because at the receptor level it’s not working

also if there’s not enough bile in the body

you won’t get the conversion and if there’s liver damage

you won’t be able to produce the bile to make the conversion

if there’s no gallbladder there you could be bile deficient so you’re not

going to have enough bile to make the conversion

we already mentioned about insulin resistance if there’s

inflammation in the body that can lower your ability to convert vitamin d

if there’s malabsorption gut problems let’s say you had a series of

antibiotics as a child and that created scarring of your in your

colon that can create a decreased capacity for conversion if

you had a gastric bypass that could also alter your ability to

convert vitamin d so as you can see there are many different variables

so you have to look at the big picture what i tell people is to err on the side

of taking more vitamin d than less and make sure

you have enough bile so you can actually get the absorption

all right i hope i didn’t add more confusion but i wanted to clear

up some of these variables and the point of this video was just to

mention that just because this right here is normal

doesn’t necessarily mean it’s being fully converted

to the active form hey we’re back with another amazing

recipe no grains no sugar totally keto there’s no

suffering in keto absolutely not karen and it’s an immune system builder

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hope you enjoy making it as much as we are enjoying

eating it