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Need more than 2,000 IU daily to get obese people to 30 ng level of vitamin D (not a surprise) – review Jan 2022


Optimal dosage of vitamin D supplementation in obese patients with low serum levels of 25-Hydroxyvitamin D. A systematic review

Obesity Medicine, Volume 29, January 2022, 100381, https://doi.org/10.1016/j.obmed.2021.100381
Claudia A.Pered aa M. BetinaNishishiny ab

Aims
The purpose of this study was to assess the evidence for an appropriate dose-response of vitamin D supplementation in patients with obesity with inadequate vitamin D serum levels.

Methods
We performed a systematic review consulting Medline, Embase and Cochrane Library up to September 2020 to identify studies that included (1) adult obese individuals with vitamin D serum levels below 75 nmol/l, (2) receiving cholecalciferol or calcidiol therapy (3) vitamin D serum levels assessment.

Results
The electronic search identified 705 potentially eligible studies, 11 of which were included and analysed. The heterogeneity of the studies did not permit a meta-analysis. Five studies (45.5%) were of high quality. Oral daily cholecalciferol resulted the route of administration that prevailed in most studies. We found that a minimum dose of =>2000UI/day might be needed to normalize 25OHD serum levels. Conversely, oral calcidiol <300IU/day failed to achieve 25OHD sufficiency.

Conclusions
Exposed evidence suggests that vitamin D requirements remain higher in patients with obesity compared to lean patients. In order to normalize 25OHD serum levels, patients taking cholecalciferol might need to triple the actual recommended vitamin D doses. In contrast, calcidiol doses are still to be clarified.


Vitamin D Life - Overview Obesity and Vitamin D contains the following summary

Obese need more Vitamin D
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  • Normal weight     Obese     (50 ng = 125 nanomole)

Click here for 2014 study
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  • Normal weight     Obese     (50 ng = 125 nanomole)

Vitamin D Life - Obesity is associated with low Vitamin D (and treated by D as well) – Aug 2019 has

Fast weight loss by Obese Adults: Summary of the data as of Sept 2019
1) 50,000 IU Vitamin D weekly for at least 6 months
   If gut problems, should use a gut-friendly form of vitamin D
2) Add calorie restriction diet and light exercise after ~2 months*
   * Vitamin D levels must be above 30ng/ml to help with weight loss
   * Start losing weight 2 months sooner if take a 50,000 IU daily for a week
3) More weight loss if also add Magnesium or cofactors
   30% Improved Vitamin D response with Magnesium - a Vitamin D Cofactor
   Note: Magnesium reduces weight loss by itself as well
   20% improved vitamin D response if also add Omega-3 a Vitamin D Cofactor
  Note: Omega-3 reduces weight loss by itself as well
4) More weight loss if also improve activation of Vitamin D Receptor
   Vitamin D Receptor activator: 0-30% improved Vitamin D response
   Obesity 1.5 X more likely if poor Vitamin D Receptor – meta-analysis Nov 2019
Update Dec 2019 - Dr. Greger plant-based eating (not diet) for both weight loss and health.
  His book does not mention Vitamin D nor Adenovirus


Vitamin D Intervention AND Obesity



Created by admin. Last Modification: Tuesday December 7, 2021 00:37:03 GMT-0000 by admin. (Version 2)