[HN Gopher] Vitamin D reduces incidence and duration of colds in...
       ___________________________________________________________________
        
       Vitamin D reduces incidence and duration of colds in those with low
       levels
        
       Author : cachecrab
       Score  : 286 points
       Date   : 2025-10-28 13:31 UTC (9 hours ago)
        
 (HTM) web link (ijmpr.in)
 (TXT) w3m dump (ijmpr.in)
        
       | AbstractH24 wrote:
       | Newsflash: When you are sick, addressing comorbid conditions
       | helps you get better faster.
        
         | InsideOutSanta wrote:
         | Yeah, this is a crucial point. This is studying "adults with
         | suboptimal baseline." If you have a vitamin deficiency and get
         | sick, I would expect supplementation with that vitamin to
         | provide some relief, regardless of which vitamin it is.
         | 
         | This does not mean that the same will happen for people who did
         | not have a deficiency.
         | 
         | Having said that, there is good evidence that Vitamin D
         | deficiency is widespread, and supplementation of Vitamin D is
         | relatively safe unless you take excessive amounts.
        
       | kacesensitive wrote:
       | Anecdotal but when I'm sick I double my vit C and D intake which
       | typically helps me.
        
         | pif wrote:
         | > which typically helps me.
         | 
         | Uhm, how can you get to that conclusion? I mean: how can you
         | compare the evolution of a cold with and without the vitamin
         | surplus?
        
           | kacesensitive wrote:
           | Very well could be a placebo
        
             | btilly wrote:
             | Reminds me of the old, with treatment, most colds will be
             | cured in just 7 days! Without treatment they generally last
             | about a week.
             | 
             | That said, do not underestimate the health benefits of the
             | placebo effect. It can help a lot. Particularly with
             | anything to do with stress.
        
             | IAmBroom wrote:
             | So your statement should have been, "it seems to help."
        
         | garciasn wrote:
         | IANAMD.
         | 
         | It is my general understanding that unless you are severely
         | deficient, Vitamin D supplementation generally takes weeks to
         | bring levels up. It's unlikely that taking it for a few days is
         | going to have any measurable impact on your recovery from
         | illness unless you are severely deficient and/or taking MASSIVE
         | doses, which may or may not be recommended depending on your
         | prior levels and BMI.
         | 
         | See more here: https://www.ccjm.org/content/89/3/154
         | 
         | e: fixed broken URL
        
           | kacesensitive wrote:
           | Very interesting thanks for sharing!
        
         | supportengineer wrote:
         | Same... In our family we start taking Emergen-C a few days
         | before we travel also.
        
           | driverdan wrote:
           | Which is very overpriced and doesn't do anything unless
           | you're deficient. Excess vitamin C does nothing, it goes
           | right through you.
        
       | thrusong wrote:
       | I live in Winnipeg, Manitoba where it is quite cold for a big
       | majority of the year. I have dabbled with supplements because I
       | get a couple of major colds every year.
       | 
       | I've heard things like you only need 15 minutes of sunshine per
       | day to get your recommended dose of Vitamin D, but I've also
       | heard it can be quite bad for you if you have too much in your
       | system (and it's hard for your body to flush excess amounts).
       | 
       | If there a safe level of Vitamin D supplements where you won't
       | run this risk? I don't drink milk either because I'm lactose
       | intolerant.
        
         | mwigdahl wrote:
         | I take 5000 IU per day year round and have not had any issues.
         | Research suggests you can dose 10x that without major problems,
         | although personally I wouldn't go higher than I am already.
         | 
         | https://pubmed.ncbi.nlm.nih.gov/30611908/
        
           | toomuchtodo wrote:
           | Vitamin D toxicity is a legitimate concern, so those dosing
           | should be mindful of it, depending on dosage and existing
           | serum levels. Don't action on medical advice from strangers
           | on the internet alone, talk to you doctor or other
           | credentialed medical practitioner you work with if needed.
           | 
           | https://hn.algolia.com/?dateRange=all&page=0&prefix=false&qu.
           | ..
        
           | ErikCorry wrote:
           | That sounds like a lot:
           | 
           |  _To help prevent vitamin D toxicity, don 't take more than
           | 4,000 international units (IU) a day of vitamin D unless your
           | healthcare professional tells you to. Most adults need only
           | 600 IU of vitamin D a day_
           | https://www.mayoclinic.org/healthy-lifestyle/nutrition-
           | and-h...
        
             | scythe wrote:
             | Part of the issue with vitamin supplements is that the
             | bioavailability can be unpredictable. The actual amount
             | absorbed can vary between 10% and 100% depending on the
             | time of day, supplement formulation, what foods if any are
             | taken together, as well as the particular characteristics
             | of the individual's intestines, which are difficult to
             | assess. Because supplements are not regulated as
             | pharmaceuticals in the United States, this variability can
             | be severe; in the worst cases, supplements do not even
             | contain the active principle.
             | 
             | So, I am not surprised that someone needs to take 5000 IU
             | to get 600 IU worth of effect. Institutional medical
             | authorities are (rationally) quite defensive when
             | cautioning readers about supplement consumption; they must
             | consider the worst case (100% bioavailability) when
             | assessing the risk of overdose.
             | 
             | As an alternative to vitamin supplements, exposing common
             | dietary mushrooms to ultraviolet light converts (by an
             | uncatalysed photochemical reaction) the ergosterol therein
             | to calciferol. How best to achieve this in a home setting
             | is unclear.
        
             | morley wrote:
             | One number is not going to work for everyone. The only way
             | to be sure is to get a blood test for Vitamin D levels. I
             | get tested with my yearly physical, but if someone really
             | cares they can get more frequent blood tests.
        
             | mwigdahl wrote:
             | The advice on this is all over the map and that's a big
             | problem in the space. Reputable medical sources have
             | recommendations almost two orders of magnitude off from
             | each other at times.
             | 
             | This article, for example:
             | 
             | https://www.ccjm.org/content/89/3/154
             | 
             | ...cites several cases where daily supplementation of 50K
             | IU was required to restore normal D levels, although also a
             | case where that same dose caused toxicity. As one of the
             | other commenters in the thread noted, working with your
             | doctor to establish the right level is probably the right
             | move. If nothing else, they have the capability to test
             | your serum levels to see where you're at.
        
             | shmel wrote:
             | You can't possibly have the same recommendation for all
             | geographies. Florida and Scotland have somewhat different
             | level of UVB especially throughout the winter, come on.
        
             | cgh wrote:
             | I experimented with taking 10,000 IU a day for about a
             | year. I had my D levels checked with my normal yearly blood
             | test (lipids, etc) and it put me into the high normal
             | range. I still take 5000 IU daily and have for years with
             | no ill effects.
             | 
             | I should note that I live in a place that sees little sun
             | for five or so months a year.
        
             | LocalPCGuy wrote:
             | As has been commented elsewhere, everyone absorbs vitamin D
             | differently, this really is a matter where someone should
             | just get tested, if they (and their doctor) decide
             | supplementation is needed, do so, test again, and adjust
             | dosage accordingly until desired levels are attained.
             | 
             | Not medical advice here, but harmful effects from vitamin D
             | exposure/toxicity generally only happen at very high
             | levels, or if high doses are taken over long periods of
             | time (as excess can be stored in fatty tissue/liver).
             | Doctors often prescribe a very high dose (like 50,000 IUs)
             | for individuals who are very deficient (often taken once a
             | week, not daily) for a short period before going on a more
             | standard (400-2,000, maybe 5,000) IU dose for maintenance.
        
           | lisbbb wrote:
           | It's bad for your kidneys
        
         | BurningFrog wrote:
         | It's _possible_ to overdose on Vitamin D, but you have to eat
         | absurd amounts.
         | 
         | Unless you eat the pills like candy, you're safe.
        
           | hollerith wrote:
           | Untrue. Source: painful personal experience.
        
             | amanaplanacanal wrote:
             | How much were you taking?
        
               | hollerith wrote:
               | I don't remember because it was 25 years ago. Not a huge
               | amount.
        
               | pelzatessa wrote:
               | I take 8000 D3 (+200ug K2 MK7) daily and I'm fine. since
               | covid I go like this for entirety of winter and then back
               | down when summer comes. Perhaps you live in a climate
               | where you get a lot of sun exposure and somehow overdosed
               | on that. A guy from vitadmindwiki.com even says that
               | you'd have to take 14000IU daily for a year until
               | reaching toxicity limit (although this guy tends to
               | sometimes say different things on the same topic, so I'd
               | be cautious on whether this is the exact amount)
               | https://vitamindwiki.com/Overview+Toxicity+of+vitamin+D
               | 
               | Although it'd be great if you explained what exactly
               | happened, perhaps it wasn't a result of taking vitamin D
               | itself but rather some external thing. Judging by
               | "painful experience" I assume kidney stones, which could
               | be caused by too much calcium or genetic preference. not
               | a doctor or an expert on the topic though, just open for
               | a discussion :)
        
               | hollerith wrote:
               | The symptoms are hard to describe (but did not include
               | kidney stones), but it was obvious that something was
               | drastically wrong and the drastic wrongness went away in
               | response to my completely avoiding all sunlight and
               | dietary sources of vitamin D and my doing a few other
               | things described below.
               | 
               | Most people could probably take as much supplemental
               | vitamin D as I did without incurring this adverse effect,
               | but there is no straightforward way for a person to know
               | whether they are in the minority of people who will incur
               | the effect. (I do remember that having Northern European
               | ancestry makes the effect more likely.)
               | 
               | The drastic wrongness started showing up after only a few
               | months of whatever high dose of D I was taking (and I
               | regret that I cannot provide this information: I did
               | search for it briefly; but it was definitely not an
               | "absurd amount") so if you've been taking the 8000 D3 for
               | years, then the drastic wrongness is unlikely to suddenly
               | show up in your case -- and if it does show up it would
               | probably be because you contracted some sort of chronic
               | infection.
               | 
               | The presence of certain kinds of chronic infections and
               | genetics are the main causative factors according to the
               | information I relied on 25 years ago. Actually, here is
               | the basic information. I followed most aspects of the
               | protocol including my obtaining a prescription for
               | olmesartan, but then I lost interest when the drastic
               | wrongness went away (after not much longer than 4 months
               | IIRC). I was also probably on an antibiotic during this
               | recovery.
               | 
               | https://mpkb.org/home/patients/protocol_overview
               | 
               | P.S., I take as much MK7 as you do (i.e., twice as much
               | as the "suggested usage" on the label) and have for many
               | years, just without supplemental vitamin D.
        
               | pelzatessa wrote:
               | Most interesting, will bear that in mind. To this date I
               | haven't encountered any "drastically wrong" symptoms with
               | my d3 usage and frankly haven't heard that much about any
               | adverse events linked to vitamin d3. If you feel
               | comfortable with that then you could disclose what
               | exactly is that adverse effect you've been experiencing,
               | but I see that you try to avoid this topic so no pressure
               | :)
        
               | hollerith wrote:
               | It's not that I'm unwilling to publish the information:
               | it is just that I despair of putting into words how I
               | knew something was drastically wrong with my physiology
               | -- especially now that 25 years have gone by.
        
           | LocalPCGuy wrote:
           | Generally agree, but unlike water-soluable vitamins, vitamin
           | D can store excess in fatty tissue and the liver, and so if a
           | person takes a large dose (generally 10,000 IU daily or
           | more), they could develop toxicity over time due to the
           | build-up. That's why it's important to test and adjust
           | dosages according to the data.
        
         | efsavage wrote:
         | You probably have to really try to take too much Vitamin D with
         | any over the counter supplement (<=5,000 IU), especially if you
         | live that far north. For reference, a prescription dose for
         | someone who is low is usually 50,000 daily.
         | 
         | It should be part of your standard blood tests so you should
         | know if you're running high or low and your doctor can
         | recommend or prescribe a good dose.
        
           | colechristensen wrote:
           | With 5,000 IU sometimes taking several at a time I had blood
           | levels of Vitamin D at the top of the range which wasn't
           | _dangerous_ it was just informative,  "hey you're having
           | enough, tone it down".
        
           | gilfoy wrote:
           | I've had a prescription twice and it was 50,000IU of D2 once
           | weekly. Usually the OTC one people buy is D3.
        
             | more_corn wrote:
             | If you dry your mushroom the sun they generate a crap-ton
             | of d2. There was a study earlier this year.
        
           | BeetleB wrote:
           | It's 50,000 weekly.
        
         | bluGill wrote:
         | I've heard the 15 minutes is all you need. I've also heard that
         | in winter the sun is so weak that no amount of sunshine gives
         | you any. (even if you were naked outside in winter - risking
         | frostbite).
         | 
         | I'm not a medical doctor. I cannot evaluate any of the above
         | claims. I wish I could find a source I could trust.
        
           | thewebguyd wrote:
           | Depends on where you are. Latitudes above roughly 35 degrees
           | N, the sun is too low in the sky roughly between October and
           | March to allow for UV-B rays to penetrate, which is what your
           | skin needs to synthesize vitamin D.
           | 
           | So yes, if you live in the northern regions, you don't
           | produce any at all from sun exposure, even on a bright sunny
           | day, during most of the year.
           | 
           | Up here in the PNW, even in the summer, you only have a
           | window of roughly 4 to 5 hours where the sun is high enough,
           | in July.
        
         | snozolli wrote:
         | _I 've heard things like you only need 15 minutes of sunshine
         | per day to get your recommended dose of Vitamin D_
         | 
         | The figure I read years ago was that it takes 15 minutes _in
         | short sleeves_ to get the necessary light exposure at the 45th
         | parallel in winter. I 'm right at the 45th parallel and I don't
         | go out in short sleeves in the winter, so I imagine it's
         | significantly worse for you!
        
         | jerf wrote:
         | "Winnipeg, Manitoba" ... "only need 15 minutes of sunshine per
         | day to get your recommended dose of Vitamin D"
         | 
         | That doesn't apply to you most of the time, unfortunately.
         | Vitamin D is the result of UVB exposure. For significant
         | portions of the year, you don't get very much [1], compare
         | with, say, [2] Orlando Florida in the US. 10-15 minutes is for
         | a UV index of 7 [3], so that's only 4-6 months out of the year
         | for you. And just based on my couple minutes with Google here,
         | that number may also include the assumption that you're not
         | just "out in the sun" for 15 minutes, but basically sunbathing.
         | Lesser exposure may take longer: [4] Winter times can be
         | effectively impossible because you can't sunbathe at 10 below
         | (regardless of which scale I'm talking about) and you're not
         | going to spend the requisite hours in the sun for what little
         | skin is exposed. Or they can be outright impossible if your
         | skin is dark enough.
         | 
         | [1]: https://winnipeg.weatherstats.ca/charts/forecast_uv-
         | monthly....
         | 
         | [2]: https://nomadseason.com/uv-index/united-
         | states/florida/orlan...
         | 
         | [3]: https://overcomingms.org/program/sunlight-vitamin-d/uv-
         | index...
         | 
         | [4]: https://vitamindwiki.com/dl2105?display
        
           | soperj wrote:
           | I grew up on the Canadian praries. -10C is basically shorts
           | weather.
           | 
           | edit: seriously though, anything warmer than -10C you'll
           | definitely see kids in shorts. I go skiing in shorts every
           | year.
        
             | zdragnar wrote:
             | I'm not sure that people downvoting you have been around
             | northerners much. Down here in the upper midwest US, we
             | tend to consider 4 or 5C to be shorts weather in the
             | spring. I've a friend who would wear flip flops / sandals
             | outside down to roughly -10C.
             | 
             | Then again, most people aren't getting the equivalent of 15
             | minutes of index 7 UVB exposure at those temperatures, so
             | it's not quite the same thing, but still.
        
               | ikamm wrote:
               | People are downvoting because it has nothing to do with
               | the comment they're replying to or the original post.
               | Most people are well aware temperature is relative too, I
               | live in the American South and there are certainly people
               | here who will wear shorts in cold or freezing weather
               | too.
        
               | soperj wrote:
               | > Winter times can be effectively impossible because you
               | can't sunbathe at 10 below
        
             | IAmBroom wrote:
             | Wear a g-string if you want. It doesn't make the sunlight
             | any brighter in winter.
        
               | pavel_lishin wrote:
               | But it does expose more skin, which [3] recommends!
               | 
               | Sadly, it doesn't say how long you should exposure
               | yourself with a UV index of 1, which is what Winnipeg has
               | _today_ , and it's not even proper winter yet.
        
         | milesvp wrote:
         | First know that the body will stop making vitamin D before you
         | reach overdose quantities. This means you should take vitamin D
         | in the morning.m rather than the evening. Second know that
         | vitamin D is fat soluble. So if you are losing weight, you can
         | more easily overdose if you have high levels stored in your
         | fat. Also know the body won't absorb as much vitamin D if you
         | don't take it with fat.
         | 
         | This can make dosing tricky. You can be taking an amount that
         | is safe right now, but then is too much later.
         | 
         | You can max out your body's vitamin D production even on a
         | cloudy day, though the sun's angle of incidence effects
         | production.
         | 
         | The body typically maxes production at something like 20k iu
         | (pleae verify this number it has been a while since I learned
         | it), so staying below this number should mostly safe.
         | 
         | The USDA has set its recommended daily allowance mostly to
         | avoid rickets. It is largely considered too low a number for
         | general well being.
         | 
         | I live in north western Washington, and previously used to
         | combat seasonal affective disorder, with some pretty dark
         | thoughts come february. Since I started taking 1k D3 some 20
         | years ago much of the seasonal mental health has gone away. I
         | take 2k D3 consistently currently, and if I run out for more
         | than a week my mood starts to deteriorate quickly. I still
         | haven't proved causation since there are likely reasons I've
         | let myself run out of the supplement that long, but it is so
         | consistent that I treat it as causal at this point. YMMV
         | 
         | Please do research above just asking a forum for dosing advice
         | though. This is a well educated place, and I would very much
         | trust it as a starting point, but there is a lot of good
         | published content on the topic. Though, I admit google is so
         | bad today, I might fail to find any of the content I referenced
         | years ago... if you use chatgpt make sure to require
         | references, and check them. I find that using multiple
         | instances to review research references separately prevents
         | some context based poisoning as well. And pointing out
         | inconsistencies can be a good way to find nuance in a topic.
         | Though sometimes LLM will just waffle, and the context may be
         | done
        
         | dooglius wrote:
         | You can get blood tests pretty cheaply. The safe level is the
         | level that, after you take it consistently, has you in the
         | desired range on the test.
        
         | slow_typist wrote:
         | EU considers 600 I.U. per day as safe. Probably not enough if
         | the level is low. Blood sampling is cheap, why don't you have
         | it checked.
        
         | Etheryte wrote:
         | You don't need to guess, go to your GP and get yourself tested.
         | It's not expensive, depending on where you're from it might
         | even be free, and usually you get the results back already the
         | next day.
        
         | humanfromearth9 wrote:
         | 25000 IU weekly during winter is OK, for an adult
        
           | a3w wrote:
           | An adult with 60 kg or 160 kg of mass?
        
       | zemvpferreira wrote:
       | Heliotherapy is well-due for a resurgence. One of my favourite
       | youtubers (conquer aging or die trying) has a great interview
       | with a medical doctor about sunlight as a medical intervention.
       | Well worth the watch:
       | 
       | https://m.youtube.com/watch?v=UF8UE6cJaWQ
        
         | dlcarrier wrote:
         | That's Doctor Roger Seheult, MD, who hosts videos for
         | continuing education provider MedCram
         | (https://www.medcram.com/). They post lots of free videos on
         | their YouTUbe channel (https://www.youtube.com/channel/UCG-
         | iSMVtWbbwDDXgXXypARQ) and several of them cover the research
         | behind heliotherapy.
        
       | ErikCorry wrote:
       | Most vitamins are a waste of time and money, some are even
       | harmful[1], but there are a lot of people with D deficiency,
       | especially in winter[2].
       | 
       | 1 https://www.mdpi.com/2072-6643/17/17/2744#:~:text=highest%20...
       | 
       | 2 https://www.abs.gov.au/articles/vitamin-d#edit-group-image--...
        
         | layer8 wrote:
         | Vitamin D isn't technically a vitamin in the strict sense,
         | because unlike the other vitamins the human body can produce it
         | itself (by exposure to sunlight).
        
           | slow_typist wrote:
           | Dogs can synthesise vitamin C...
        
             | delecti wrote:
             | And humans aren't dogs.
        
               | wongarsu wrote:
               | Most definitions of the word vitamin are not specific to
               | humans. Wikipedia talks about "organisms", Britannica
               | about "higher animal life", Webster about "most animals
               | and some plants"
        
               | lxgr wrote:
               | What is and isn't a vitamin by definition varies from
               | species to species.
        
             | Aldipower wrote:
             | Wow, that is interesting. They can synthesise it in their
             | liver?
        
               | bluGill wrote:
               | Many animals can. There are a gene for it, humans don't
               | have it. There is a lot of speculation as to why, but
               | nothing really stands out (possibly just random chance -
               | if you eat enough there is no advantage to keeping the
               | gene and in turn no loss from losing it. However I'm
               | unable to rule out other possibilities)
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC3145266/ is a
               | really interesting survey of the issue across many
               | different species.
        
               | schuyler2d wrote:
               | From the article: > Another argument supporting the
               | suggestion that species which have lost their GLO gene
               | were under no selective pressure to keep it, is that all
               | species which have lost their GLO gene have very
               | different diets but all of them have diets rich in
               | vitamin C
               | 
               | What would a diet poor in vitamin C be considering that
               | "everything else" makes it? I guess root vegetables? It
               | feels like, if anything, this would imply a GLO gene
               | decay more often than has happened, no?
        
               | bluGill wrote:
               | That is probably a question for a nutritionist not me. My
               | understanding is Grains, root vegetables, and meat are
               | all low in vitamin C. Likely other things as well. But
               | I'm not a nutritionist (I've read enough that I think I'm
               | right here, but not enough to state it with confidence),
               | so take the above with plenty of salt.
        
             | lxgr wrote:
             | Sure, many things are vitamins for one species but not
             | another. (In fact, every vitamin must be able to be
             | produced by at least one species - where else would it come
             | from?)
        
           | rhdunn wrote:
           | The body can also synthesize vitamin A from beta-carotene
           | which is effectively two vitamin A molecules joined together
           | (one rotated 180deg relative to the other).
        
         | jghn wrote:
         | The issue I've found with these discussions is it appears
         | there's mixed evidence on if vitamin D *supplementation*
         | actually has a positive impact, regardless of vitamin D
         | deficiency. In other words, is the deficiency causal or
         | correlative.
         | 
         | I have no opinion on the matter, and am inclined to think there
         | is at least some positive benefit. But YMMV
        
           | theshrike79 wrote:
           | The problem is that vitamin D doesn't absorb the same way for
           | everyone.
           | 
           | If a 100 people take 50IU of Vitamin D, you get 100 different
           | results.
           | 
           | Some get enough from minor sun exposure and maybe eating a
           | fish now and then. Others need massive doses to get any
           | results.
        
             | LocalPCGuy wrote:
             | Echo this with a PSA: it's a simple test to get your
             | levels, and I'm a proponent of ensuring it's included when
             | you have other regular blood tests (may have to ask for
             | it). That can allow a person to see patterns, how effective
             | any supplementation (and different amounts) are, etc.
        
             | johnisgood wrote:
             | 50 IU is nothing. 3000 IU is something. I have MS, so I
             | need to supplement at least 10k IU.
             | 
             | And yeah, it does not absorb well unless you eat some fat.
        
               | cj wrote:
               | I took 10k iu via a multivitamin for a few months, and
               | ended up with Vitamin D levels 5x higher than the maximum
               | on the labcorp reference range. "Vitamin D toxicity"
               | 
               | It took many months to get the levels back to normal.
               | Vitamin D is one of those things that once you overdose,
               | it takes many months for the levels to slowly come down
               | after you stop supplementing.
               | 
               | Be careful with Vitamin D!
               | 
               | The downside to having high levels is plaque/calcium
               | deposits in arteries, if I'm not mistaken. Which can be
               | mitigated by taking K2.
        
               | johnisgood wrote:
               | Yeah, you should take vitamin D with K2 at the very
               | least.
               | 
               | Thanks for the tip though. I do not take it regularly so
               | I think I'm fine. :D
        
               | zahlman wrote:
               | > An excess of vitamin D causes abnormally high blood
               | concentrations of calcium, which can cause
               | overcalcification of soft tissues, including arteries and
               | kidneys. Symptoms appear several months after excessive
               | doses of vitamin D are administered. A mutation of the
               | CYP24A1 gene can lead to a reduction in the degradation
               | of vitamin D and thus to vitamin toxicity without high
               | oral intake (see Vitamin D SS Excess).
               | 
               | > Treatment
               | 
               | > In almost every case, ceasing vitamin D intake,
               | combined with a low-calcium diet and corticosteroid
               | drugs, will allow for a full recovery within a month.
               | Bisphosphonate drugs (which inhibit bone resorption) can
               | also be administered.[2]
               | 
               | Regardless, blood levels need to be checked for this sort
               | of thing and doses are not one-size-fits-all. I also once
               | was taking 10k daily, for several months, and ended up
               | just barely in excess territory with no noticeable
               | symptoms. (I settled on taking 4k daily in the long
               | term.)
        
               | johnisgood wrote:
               | > An excess of vitamin D causes abnormally high blood
               | concentrations of calcium
               | 
               | That is what supplementing K2 with D3 is for, too.
        
               | cj wrote:
               | > In almost every case, ceasing vitamin D intake,
               | combined with a low-calcium diet and corticosteroid
               | drugs, will allow for a full recovery within a month.
               | 
               | Surprised to see just 4 weeks for a recovery. I got
               | retested after 8 weeks (only minor improvement) and
               | wasn't until 16 weeks until the test finally came back in
               | range.
               | 
               | 100% no dose is one-size-fits-all. I overdosed from
               | taking a specialty multivitamin (it has a discord channel
               | and everything). So was chatting with people taking the
               | same vitamin, same dosages, also getting tested, but
               | others had no issues at the same doses.
               | 
               | I guess I just absorb vitamin D with great efficiency,
               | who knows.
        
               | 0xbadcafebee wrote:
               | Are you aware of the history of setting acceptable levels
               | of Vitamin D? Basically, 100 years ago, people
               | experimented with cures for TB by giving patients one to
               | two orders of magnitude higher dosage than the "vitamin D
               | toxicity" levels reported today. Like insanely high
               | numbers. Strangely enough, most people did recover from
               | the TB, but they kept getting the treatments anyway, and
               | that in a few instances led to bone issues. So for some
               | reason that doesn't seem to be documented, they set the
               | "safe level" of vitamin D to be something like two orders
               | of magnitude lower than the level that actually caused
               | issues. And that level has never been changed.
               | 
               | All of the studies I've seen around Vitamin D
               | supplementation has shown that the "safe level" reported
               | today is way, way lower than it should be. People appear
               | to be just fine taking 10k IUs for months on end, even 7
               | years in one study. I think what we're learning is that
               | the "safe level" is a very wide spectrum; some people
               | could possibly be harmed from a low level, whereas some
               | people are perfectly fine at a very high level.
        
               | johnisgood wrote:
               | Yes, and many people are fine with 10k IU for months
               | because their body just does not absorb it well.
               | 
               | And some people, like those with MS (such as I) need to
               | take more than usual. Someone I know has MS and takes 20k
               | IU and gets regularly tested.
        
             | Etheryte wrote:
             | 50IU is a minuscule dose though, no? If people are
             | recommended to supplement, they generally take a dose in
             | the range of a few thousand.
        
               | swalsh wrote:
               | i'm guessing he meant 50k not 50. 50k is quite a large
               | dose.
        
               | Etheryte wrote:
               | There is no way that's what they meant. 50k is an
               | absurdly large dose that's way outside the safe intake
               | range. 10k is used sometimes under medical supervision
               | and even then it's a very short term measure. For long
               | term intake, 4000IU is a widely accepted safe upper
               | limit. 50k is an order of magnitude more than that.
        
             | hinkley wrote:
             | If your doctor is not seeing results they'll keep upping
             | the dose and I've heard of some that sound like an attempt
             | at assisted suicide. Most of us would get toxicity from
             | some of the ones I've heard.
        
               | jaggederest wrote:
               | My family is in this group. We are poor absorbers of
               | vitamin D, some of my elder relatives need 5 times the
               | "safe upper limit" to have healthy blood levels. As long
               | as you're checking your blood values routinely (and for
               | both D2 and D3, not just one or the other), it's
               | reasonably safe. Sort of like other prescriptions in
               | general.
        
               | hinkley wrote:
               | I heard about a guy who ordered a bottle and ended up
               | with vitamin D poisoning, on one of those Ira Glass style
               | podcasts. Turns out they forgot to compound it before
               | sending it out so he was getting "cask strength" vitamin
               | D. Sounded very unpleasant.
        
             | detinho wrote:
             | I can use myself as an example: I have crohn's disease and
             | I can take doses of 50000UI for some weeks, then 4000UI
             | daily and after a year have my Vitamin D results as low as
             | 20ng/ml.
        
           | LocalPCGuy wrote:
           | Just my results (n=1) and I don't think this is exactly what
           | you were saying, but just in case other read it the same way
           | I did at first: having had (lab tested) vitamin D
           | deficiencies, vitamin D supplementation can help to restore
           | levels back into the desired range. So supplementation can
           | have the desired effect of improving vitamin D levels (more
           | below). It is a simple test that most doctors don't quibble
           | about adding on to other blood tests (i.e. during annual
           | checkup, for instance), but isn't generally checked by
           | default. (note: insurers may want it to be "diagnostic"
           | rather than "preventative" in order to cover the test.)
           | 
           | Whether it has a "positive impact" on overall health (which I
           | believe to be your point), that would be even more anecdotal
           | and also impossible for me to narrow down whether that one
           | factor had any significant effect, so I won't posit that. And
           | I agree that from different studies I've read, the actual
           | science on it is pretty varied and I haven't seen anything
           | conclusive. Even this study notes their conclusion was "...
           | among adults with suboptimal baseline vitamin D levels".
        
           | nradov wrote:
           | Most of the vitamin D supplement studies have been very low
           | quality in that they give all subjects in each group a fixed
           | amount (or placebo). Ideally they should periodically test
           | blood levels and titrate the dose to hit a target range. This
           | would get us closer to establishing causality (or lack
           | thereof) including a response curve. The amount needed to hit
           | a given target will be wildly different for many individuals
           | based on factors that are still not well understood.
        
           | mwigdahl wrote:
           | This is solely my own anecdote, but I used to get bad
           | seasonal depression every winter. I tried a number of
           | interventions short of medication; none moved the needle very
           | much. I started supplementing with vitamin D probably 8 years
           | ago and haven't had any issues with seasonal depression
           | since.
           | 
           | I'm pretty personally convinced that it was the supplements
           | that helped here.
        
             | MisterPea wrote:
             | I tried a 1000 IU vitamin D pills to no avail. Bumped it up
             | to 5000 IU and still saw very marginal bumps in my blood
             | tests
             | 
             | I think I might try daily 10000IU after showing my doctor
             | how little it's moving the needle for me
        
               | benregenspan wrote:
               | It's expensive in the US because one company has
               | exclusive sales here (patent protection?), but you could
               | try calcefidiol, weekly dose and is supposed to get
               | levels up rapidly. Apparently it's the common form to
               | take in Spain, and it's further down the metabolic
               | pathway vs cholecalciferol. (I take but still have to get
               | levels checked)
        
               | MisterPea wrote:
               | thank you, will have to check this out
        
               | leetrout wrote:
               | I was put on prescription vitamin D2 50000 IU and it
               | caused a bunch of side effects for me including heart
               | palpitations for over a week and then a paradoxical
               | reaction to magnesium causing them to be even more
               | intense.
               | 
               | Proceed with caution and listen to your body. Doctors
               | were accusing every other thing than accepting whatever
               | it did to my calcium / other electrolytes bothered my
               | heart.
        
               | MisterPea wrote:
               | Interesting, my levels have always been chronically low
               | and I feel no effects from daily 5000IU
        
               | leetrout wrote:
               | That's still 15000 IU under my weekly dose so maybe you
               | just haven't hit the threshold I hit.
        
           | swalsh wrote:
           | I can tell you supplementation works 100%.
           | 
           | I took a blood test several weeks ago, my Vitamin D level was
           | 14 ng/ml. I was so fatigued there were times I had to lay on
           | my office floor because I didn't even have the energy to sit
           | in my chair. I started taking 50k IU's weekly and then 10k
           | IU's daily, and the results were dramatic. I went from having
           | 0 energy to nearly normal. I also had soreness in my legs
           | which went away.
        
         | bluSCALE4 wrote:
         | I don't agree. As with everything, it requires care. Taking a
         | multivitamin and thinking you're good to go is delusional.
        
           | bluGill wrote:
           | For most people just eating a good balanced diet and they are
           | good to go. There are a few with genetic/biological issues
           | and they need more - ask your doctor. Vitamin D is one that
           | modern lifestyles likely don't get enough of and so probably
           | worth it - again talk to your doctor.
        
             | bluSCALE4 wrote:
             | If eating a "good balanced diet" were easy/normal, we'd
             | have close to zero disease. Supplements are definitely a
             | way to get as close as possible to balance when day to day
             | food intake is chaotic.
        
               | bluGill wrote:
               | there is no reason to think a good diet will prevent
               | disease, nor that supplements will help in most cases.
               | Good diet will prevent some disease, but disease is
               | natural in the environment and good diet is mostly your
               | immune system has what it needs to fight it off after you
               | get it.
        
         | OutOfHere wrote:
         | People like ErikCorry will get you to suffer greatly and then
         | get you killed with their extremely harmful disinformation.
         | Most doctors are no better in this way, although some are.
        
         | supportengineer wrote:
         | How do you feel about vaccines and Tylenol?
        
           | IAmBroom wrote:
           | Uncalled for. GP is pointing out that the fact the human body
           | _can_ produce Vitamin D means it is _not_ a vitamin.
           | 
           | vi*ta*min /'vid@m@n/ noun any of a group of organic compounds
           | which are essential for normal growth and nutrition and are
           | required in small quantities in the diet _because they cannot
           | be synthesized by the body_.
        
       | derbOac wrote:
       | Glad to see this study, seems decent, but for a different
       | perspective there was a relatively recent meta-analysis on the
       | effectiveness of Vitamin D for RIs that suggested no effect:
       | 
       | https://www.thelancet.com/journals/landia/article/PIIS2213-8...
        
         | pavon wrote:
         | One significant difference in this study is that it focused on
         | people with low baseline vitamin D (10-30 ng/mL 25(OH)D), and
         | moderate intervention (2000 IU daily).
         | 
         | The meta-analysis you posted did perform subgroup analysis on
         | people with low baseline vitamin D (<25 ng/mL), but this
         | included a wide range of intervention levels, 90% of which were
         | <2000 IU daily equivalent. They also performed subgroup
         | analysis on high intervention levels, but this included a wide
         | range of baseline vitamin D, 90% of which were >25 ng/mL.
        
           | colechristensen wrote:
           | And also there's a difference between infection incidence,
           | intensity, and duration, the evidence I've seen has been
           | strongest in reducing intensity and duration. Also dosage
           | might just be too low.
           | 
           | I've been feeling a little off lately with some respiratory
           | symptoms and took 25,000 IU of Vitamin D, in people who are
           | deficient (probably me lately) 400-1000 daily dose might not
           | actually do enough to have an effect.
           | 
           | It's about time for a meta-meta analysis comparing the traits
           | of the different sets of papers (N, dosage, deficiency
           | status, time of year, duration/incidence/intensity, etc)
        
       | unionjack22 wrote:
       | Vitamin D, red light therapy, insulin attenuating response of a
       | walk, immunological benefit of allergen exposure, cognitive noise
       | reduction and rest response of walks in forests.
       | 
       | Man keeps trying to bring the outdoors inside.
        
         | nickff wrote:
         | While I find your comment enjoyably pithy, in the case of
         | vitamin D, many humans are currently living at latitudes which
         | they are not suited to (skin being too dark to generate enough
         | vitamin D given the insolation), and eating diets which do not
         | provide them with sufficient amounts of it (the carnivore diets
         | of Inuits and similar groups being a good contrast).
        
           | djtango wrote:
           | Amusing how thanks to the war on cholesterol the UK
           | unravelled a lot of egg eating habits - a natural source of
           | vitamin D.
           | 
           | The UK also consumed a lot more liver than it does today I
           | imagine...
        
             | lawlessone wrote:
             | Are they that unpopular? Seem like a staple of an English
             | Breakfast.
        
             | Theodores wrote:
             | Vitamin D supplementation in the UK - now there is a
             | fascinating topic.
             | 
             | With the industrial revolution there was a problem of kids
             | in cities getting rickets. This was due to a lack of
             | vitamin C and that was due to a lack of daylight due to the
             | smog.
             | 
             | The solution was to take the kids out of the city so they
             | could spend time in the countryside.
             | 
             | However, along with the industrial revolution came steam
             | trains, and, with steam trains, it became a lot easier to
             | get fresh food from the farm to the city table.
             | 
             | Milk became an early commodity for this railway trade, in
             | the days before refrigeration. Bottling had to be invented
             | too, along with pasteurisation to get the modern milk
             | product. They fortified it with vitamin D and, in time,
             | made it mandatory in schools for kids to have dinky bottles
             | of milk for their morning break. All kids hated the stuff
             | but it was 'good for them' and good for keeping farmers
             | gainfully employed.
             | 
             | Then the clean air acts came along, with the first street
             | to ban fires in fireplaces being opposite the smoke free
             | coal factory, the factory being anything but smoke free.
             | Deindustrialisation happened too, so there were no cities
             | with smokestack industries at their heart.
             | 
             | With clean air there was no longer any need to fortify the
             | milk with vitamin D, so that stopped. From now on, kids
             | would get their vitamin D doing things such as playing in
             | the school playground.
             | 
             | But then we became seriously car dependent and the age of
             | the free-range child was over. With 'stranger danger' and
             | screens (initially just TV) taking over, we entered a new
             | era of people not getting enough daylight again.
             | 
             | Along the way vitamin D has been downgraded, much like
             | Pluto, from being a 'vitamin' to being a hormone. A lot of
             | people want to point this out and explain the science to
             | you. From hearing how some talk about vitamin D, it sounds
             | like the recommended supplements are all over the place.
             | 
             | Clearly there are millions, if not billions that seem to be
             | living just fine with not much sunlight in their lives and
             | on no vitamin D supplements. Where's the rickets? Good
             | question, but then, in Antarctica, where there are months
             | of darkness to endure, they are on something like 20,000
             | units a day, and they probably know what they are doing.
             | 
             | Maybe following their example for this winter could be my
             | next 'nutrition experiment'. Sometimes, when there is so
             | much conflicting information, it is best to do an n=1
             | experiment with one's own body.
        
               | thewebguyd wrote:
               | > Maybe following their example for this winter could be
               | my next 'nutrition experiment'
               | 
               | Anecdotal and a sample size of 1, but I tried
               | supplementing Vitamin D last year in the winter months. I
               | live in the PNW, which between October and March, the sun
               | is too low to trigger vitamin D synthesis in the skin to
               | see if it had any effect on my energy levels and mood, I
               | suffer from seasonal affective disorder pretty severely.
               | 
               | Taking 5,000 IU daily had no noticeable effect for me. A
               | slight increase in energy levels but not significant
               | enough that I'd be confident in attributing it to
               | supplementation. I was hesitant to supplement more
               | without medical advice and a blood test.
               | 
               | That's not to say Vitamin D isn't important (it is), and
               | the scientists in Antartica definitely know what they're
               | doing, but it's more to say YMMV.
               | 
               | For me, just making an effort to do more physical
               | activity outdoors during the dark months had more of an
               | impact
        
               | LtdJorge wrote:
               | > This was due to a lack of vitamin C and that was due to
               | a lack of daylight
               | 
               | I think you also meant Vitamin D there
        
           | hinkley wrote:
           | It's criminal that the US sent Somalian refuges to live in
           | Minnesota. Those are some seriously brown people in the land
           | of no vitamin D. Pretty big population in Seattle as well,
           | which is worse due to cloud cover.
        
             | sedivy94 wrote:
             | Minnesota, not Wisconsin. Same latitude and a fair point.
        
               | hinkley wrote:
               | I knew it was Minnesota, not sure why I wrote WI.
        
             | mwambua wrote:
             | It's only criminal if they aren't provided with the
             | education/information they need to live healthy lives
             | (which is possible with the right diet/supplements).
        
               | hinkley wrote:
               | Dark skinned people do not produce enough vitamin D in
               | northern latitudes because of melanin. If you're black
               | and in Minnesota you probably need supplementation.
        
               | mwambua wrote:
               | I'm painfully aware of that being dark skinned myself.
               | That doesn't mean that Minnesota is inhospitable though
               | (or that it would be criminal to send me there). It just
               | means that they'd need to know that they need vitamin D
               | supplements and perhaps regular blood screens. Idk if
               | that happens though.
        
               | lisbbb wrote:
               | They have all already disappeared form public and it's
               | only in the 40s right now. By winter you would swear no
               | Somalis live in MN.
        
             | anvuong wrote:
             | I'm an Asian who was born and raised in a tropical weather
             | region of my country. I'm now living in the PNW region of
             | the US and it's always miserable from November-April.
             | Vitamin D helps but it's not the same.
        
             | lisbbb wrote:
             | It was never about doing right for people, it was about
             | making unbelievable gobs of money using them as pawns.
        
               | hinkley wrote:
               | I mean I guess they could have dumped them in West
               | Virginia or Kentucky and that would have been much much
               | worse.
        
             | thewebguyd wrote:
             | > which is worse due to cloud cover.
             | 
             | Not just cloud cover. Most areas in the PNW, the sun is so
             | low in the sky between October and March that you can't
             | synthesize vitamin D through the skin at all during those
             | months, even on a bright sunny day.
             | 
             | Even during the summer up here, you really only get a
             | window of roughly 10am to 3pm where enough UV-B rays can
             | penetrate the atmosphere, in July. It's estimated that >80%
             | of the PNW population are deficient (compared with 40%
             | nationwide in the US).
        
         | loverofhumanz wrote:
         | Man suffered outdoors very much, for a million years.
         | 
         | Man want both good of indoors and good of out outdoors.
        
           | barbazoo wrote:
           | Man agree
        
             | supportengineer wrote:
             | Few words good
        
               | IAmBroom wrote:
               | fewer gooder
        
           | SketchySeaBeast wrote:
           | Indoors best invention since fire.
        
             | hinkley wrote:
             | Chimney next best invention.
        
               | SketchySeaBeast wrote:
               | Man love synergy.
        
               | formerly_proven wrote:
               | Fire indoors but smoke outdoors.
        
               | hinkley wrote:
               | <grunt>
        
             | SAI_Peregrinus wrote:
             | Doors are such an important invention that multiple
             | unrelated animals have evolved modified body parts to serve
             | as doors to burrows1. Being able to store food is
             | critically important for surviving low-food periods like
             | winter without migrating. "Indoors" lets you store food
             | without insects or other animals getting to it & stealing
             | it. Fire allows for hardening clay, which lets you make a
             | special tiny "indoors" called a "pot" for storing food.
             | Also bricks so "indoors" can be made anywhere. With a roof
             | the rain stays out & you can stay dry & warm, and not
             | freeze at night. A significant portion of why fire is so
             | important is it enables creating various sorts of
             | "indoors".
             | 
             | 1https://en.wikipedia.org/wiki/Phragmosis
        
               | thaumasiotes wrote:
               | > "Indoors" lets you store food without insects or other
               | animals getting to it & stealing it.
               | 
               | This isn't true of human doors; insects are very small.
               | 
               | We've had the technology to keep things in wax-sealed
               | clay jars for quite a while, but I'm not aware that this
               | was done with grain, where preventing spoilage would have
               | been most valuable. Granaries are open to the air. (And
               | devote quite a lot of effort to slowing the spoilage of
               | the grain.)
               | 
               | If you wanted food that wouldn't rot, instead of keeping
               | it in an airtight environment, you dried it.
        
               | IAmBroom wrote:
               | Dried food requires indoor storage.
        
               | bluGill wrote:
               | Every different food idem needs to be stored differently.
               | There sometimes more than one option that will work, but
               | you cannot treat everything the same.
        
             | IAmBroom wrote:
             | Maybe better.
             | 
             | If I have to survive the night, overhead protection and
             | thermal insulation is more important than a fire. Source:
             | I've tried using both without the other.
        
               | SketchySeaBeast wrote:
               | There's definitely a reason we use tents while camping
               | and don't just huddle around the fire.
        
         | al_borland wrote:
         | While I'd love to just go for a walk outside, the allergen
         | exposure of the outdoors is too high most of the time. This
         | elements any mental health benefits a walk in a forest might
         | otherwise give.
        
           | yadaeno wrote:
           | Allergy shots work very well.
        
             | IAmBroom wrote:
             | Privileged comment. Walks in a controlled greenhouse
             | without allergenic pollinators also work, but the poor
             | can't easily access either in the US.
        
               | pavel_lishin wrote:
               | > _Privileged comment._
               | 
               | Shall we stop discussing any possible solution which
               | might be out of reach for someone?
        
               | switchbak wrote:
               | Privileged commenter. Not everyone has access to a cell
               | phone or the internet, so they can't respond to your
               | statement. Not to mention some people have bad dyslexia
               | or eyesight issues. We could play this game forever, and
               | we'd all be dumber for it.
               | 
               | Walking in a forest is something that much of humanity
               | can do, and it's not a particular privilege (in the
               | pejorative modern sense) - even if there are a small
               | number of people that have issues that would prevent
               | this.
        
             | al_borland wrote:
             | I'm currently getting allergy shots. This is my 3rd
             | attempt. Throughout my life I've gotten shots for about 12
             | years now. The last guy said they were better than I was
             | kid and basically a cure now. 6 years later, and on the
             | strongest dosage they'd give, getting 3 shots with each
             | appointment... and I was never able to spend time outside
             | without worry of what would follow.
             | 
             | There has been minor improvement in controlled testing, but
             | no noticeable benefit when actually trying to live life. I
             | go outside near nature once each year as a test to see if
             | there was any progress. I can't tolerate much more than
             | that.
             | 
             | Shots work well for some. They worked decently well when I
             | was a kid, but these days, not so much. I still hope the
             | current ones will work, as I don't have other options, but
             | I'm beginning to lose hope.
        
         | keybored wrote:
         | How do I bring outdoors to the wage slave office? And how do I
         | bring light to the pre-work and afterwork when there is _no
         | sun_ at those times?
         | 
         | The practical man uses technology to offset the prison built
         | for him. The hapless enabler farms "pithy" HN points in his
         | LED-lit room.
        
       | canadiantim wrote:
       | I wonder why we didn't recommend vitamin D during Covid?
        
         | dlcarrier wrote:
         | One of the best treatments is interferon. It's something you
         | will also produce yourself, with therapeutic effect, if
         | exposited to sunlight or the infrared light used in red light
         | therapy. Here's a video about it, from a continuing education
         | provider: https://www.youtube.com/watch?v=oRkxH56LqCo
         | 
         | Vitamin D therapy doesn't have such an effect.
        
         | Supermancho wrote:
         | There were a few soft recommendations. Specifically I remember
         | an ER doctor in 2019 saying vitamin D seemed to be a
         | differentiator in the sample of cases he was seeing in the ER
         | (everyone was starting to panic) and the CDC walking it back as
         | unsubstantiated. I mentioned it at work, then 10 days later my
         | boss's boss asked me where I had heard it, because he had heard
         | the same thing.
         | 
         | There have been a number of people on HN who have attributed
         | any measurable COVID benefit of Vitamin D, to a confounding
         | variable, as recently as 3 months ago -
         | https://news.ycombinator.com/item?id=44705486 The Big Vitamin D
         | Mistake
        
         | stronglikedan wrote:
         | Because the right people couldn't make money off of it - same
         | reason that a lot of beneficial treatments were not recommended
         | or flat out defamed.
        
       | mda wrote:
       | Unfortunately Vitamin D deficiency tests (probably it is not
       | covered by your insurance), high dose supplements are currently
       | pushed so much by Doctors I started to think this is almost a
       | scam. Most of the research about the subject are very noisy and
       | conflicting.
        
         | mwigdahl wrote:
         | If it's a scam, who's profiting? The pills are dirt cheap,
         | generic, and over the counter.
        
           | dlcarrier wrote:
           | Dr. Michael Holick: https://www.nbcnews.com/health/health-
           | news/selling-america-v...
        
             | mwigdahl wrote:
             | Interesting article, thanks!
        
           | mda wrote:
           | Tests are very expensive
        
             | MandieD wrote:
             | How much are they where you are? They're 20-30 EUR on their
             | own in Germany (doctor's office, pharmacies)
        
         | LocalPCGuy wrote:
         | If there is any reason for the test, it would be diagnostic and
         | not preventative, and that is generally covered. Just checking
         | cause you want to know your levels generally wouldn't be, but
         | there are any number of symptoms that could be related to that.
         | 
         | As for it being a "scam" - there are enough valid studies that
         | show what this one did, that folks who are deficient that are
         | able to raise their levels tend to be slightly healthier.
         | 
         | There isn't necessarily evidence for supplementation beyond
         | "normal" range, and I do agree that no one should just take
         | high-dose vitamin D supplements without data (tests) that it is
         | necessary.
        
       | biscuits1 wrote:
       | "Exercise" not found in the shared text.
       | 
       | I'm sure people who supplement or have good D levels also take
       | care of themselves, generally - because they know D is one of the
       | supplements that make a difference both somatic and
       | psychological.
       | 
       | And thus do better with flu/cold.
        
         | allisdust wrote:
         | It is a double blind study. what else do you want for
         | confirmation ?
        
       | ktktkgkhkke wrote:
       | Just turn on an uv light for a few hours. Problem solved.
        
       | Mistletoe wrote:
       | https://www.economist.com/science-and-technology/2025/09/17/...
        
       | xwowsersx wrote:
       | Supplementing with vitamin D is honestly one of the easiest
       | things you can do... it's cheap, available everywhere, and makes
       | a real difference. Just make sure you're also taking magnesium
       | citrate (or another good form of magnesium) with it, since your
       | body needs magnesium to properly use vit D
        
         | johnisgood wrote:
         | And K2.
         | 
         | As for magnesium, I would go with magnesium glycinate or
         | magnesium threonate.
        
           | xwowsersx wrote:
           | Absolutely. And you're totally right about magnesium
           | glycinate. That's what I take. I don't know why I said
           | citrate.
        
         | Etheryte wrote:
         | An even better option is to go to your GP and have them run
         | your bloodwork. It's cheap, depending on where you're from it
         | might even be free, and you don't have to guess or randomly
         | pick supplements you read about online. Most people on HN will
         | live to a very high age, there's no reason to take random
         | gambles on what you do to your body.
        
           | xwowsersx wrote:
           | For sure, you're essentially flying blind without bloodwork.
           | I get a full panel at least 3x/year.
        
       | Aldipower wrote:
       | 3-4 years ago this submission would be flagged in seconds just
       | because of the word Vitamin D.
        
       | CGMthrowaway wrote:
       | Reminder that the Recommended Daily Allowance of Vitamin D found
       | on all the labels (800 IU) is mistakenly too low, by a factor of
       | 10x, due to a maths error (should be 8000 IU). It has not been
       | corrected yet. Source:
       | https://pmc.ncbi.nlm.nih.gov/articles/PMC5541280/
        
       | lostdog wrote:
       | I take 10k IU of vitamin D if I feel a cold coming on. I used to
       | get extremely bad colds very frequently, and every time I get
       | frustrated and read whatever research might be helpful. A year
       | ago I came across some info about LL-37, and found that vitamin D
       | might help, and that's when I started taking it.
       | https://pmc.ncbi.nlm.nih.gov/articles/PMC9134243/
       | 
       | The big dose of D seems to help. I'm certain I'm deficient, since
       | I already take 2-4k daily, which noticeably helpsy winter blues.
       | It's the first time I can "arrest" a cold, and even if I get sick
       | the symptoms aren't nearly as bad.
       | 
       | My full protocol for if I start feeling a cold is this:
       | 
       | 1. 10k vitamin D 2. Stay extremely warm when I sleep.
       | Uncomfortably warm. 3. Butyrate (probably a placebo) 4. Curcumin
       | (almost certainly a placebo).
        
         | turtlebro wrote:
         | Take like 2g of Vitamin C. It's a lot stronger. Vitamin D is
         | good too, but if anything you want to take C.
        
       | elil17 wrote:
       | I personally found that taking vitamin D regularly dramatically
       | reduced how many colds I got (10 in 2024 vs. 1 in 2025).
       | 
       | I take 2,000 IU per day, typically without a meal.
        
         | Liquix wrote:
         | > typically without a meal
         | 
         | any reason why? it's fat soluble and absorbs much better if
         | taken with a meal.
        
           | Etheryte wrote:
           | Unfortunately this is a common error people make, many
           | vitamins and other supplements are absorbed better when taken
           | with food, even if that seems counterintuitive at first.
        
             | mrmuagi wrote:
             | Another thing I am curious about is time of day too -- I
             | was told vitamin D/Multivitamins were better taken in the
             | morning with food.
        
             | cj wrote:
             | It really depends. Other things like iron is best taken
             | fasted (and paired with Vitamin C). Coffee also blocks iron
             | absorption, so many people supplement at nighttime. Also
             | things like Zinc and Copper both compete with each other
             | for absorption, so best to avoid taking them at the same
             | time.
             | 
             | If you're optimizing your supplement stack, really gotta
             | research each one individually (and how each impact the
             | absorption of the others)
        
           | elil17 wrote:
           | Because I always forget lol. My point is that I still had a
           | good effect even though I'm doing an extremely sub-optimal
           | job of taking it/probably getting a dose-equivalence of way
           | less than 2k IU/day.
        
       | mberning wrote:
       | In the US it is very easy to test your vitamin D levels. I
       | recently had mine done and was just below normal range. Started
       | supplementing and will test again in 6 months.
        
       | kraig911 wrote:
       | I wonder if adding zinc on top of this would do.
        
         | IAmBroom wrote:
         | Would do...? Zinc taken the first day of symptoms _may_ reduce
         | the duration of a cold by a day on average. It 's probably
         | useful, but not certain.
         | 
         | Be sure to take zinc with meals, or your stomach may hate you.
        
       | pewpewp wrote:
       | Interesting how your government did not mention Vitamin D during
       | the COVID scare.
        
       | boilerupnc wrote:
       | A few other interesting links with Vitamin D absorption.
       | Surprised nobody has brought up gut dysbiosis and the role
       | microbiome plays in Vitamin absorption. I'm finding it
       | increasingly difficult to discern whether the things we consume
       | are for the direct benefit of our cells and metabolic needs or
       | via a more indirect path if the things we consume directly affect
       | the microbiome within us which then translates into either
       | nourishment or inflammation within us. Since microbiomes can
       | change rapidly in composition, this feels like a game of
       | nurturing over the long-haul with some minor blips along the way.
       | 
       | [1] "connection between vitamin D and the immune system through
       | gut bacteria and may have applications for improving cancer
       | therapies"
       | 
       | [2] "How the Gut Microbiome Affects Vitamin D Absorption"
       | 
       | [3] "vitamin D may affect the host-microbiota relationship."
       | 
       | [1]: https://www.science.org/doi/10.1126/science.adh7954
       | 
       | [2]: https://www.gutnow.com/medical-treatments/how-your-gut-
       | micro...
       | 
       | [3]: https://journals.asm.org/doi/10.1128/spectrum.00083-24
        
       | gwerbret wrote:
       | Heh...this is a shady study if I ever saw one.
       | 
       | -- Exactly 400 study participants recruited.
       | 
       | -- Exactly 193 of 200 participants completing the study in each
       | group (which, for a study administered in a community setting, is
       | an essentially impossibly-high completion rate).
       | 
       | -- No author disclosures -- in fact, no information about the
       | authors whatsoever, other than their names.
       | 
       | -- No information on exposures, lifestyles, or other factors
       | which invariably influence infection rates.
       | 
       | -- Inappropriate statistical methods, which focus very heavily on
       | p values.
       | 
       | -- Only 3 authors, which for a randomized controlled trial
       | involving hundreds of people in different settings with regular
       | follow-up, seems rather unlikely.
        
         | roflmaostc wrote:
         | In the PDF they are all titled as
         | 
         | "Assistant Professor, Department of General Medicine, Arundathi
         | Institute of Medical Sciences, Dundigal, Medchal Malkajgiri,
         | Telangana, India"
         | 
         | The 2nd author is listed here: https://aims.ac.in/general-
         | medicine/ I did not find any trace for the other two authors
         | (do they exist?).
         | 
         | Also, look at the timings: Received: 16-09-2025 Accepted:
         | 29-09-2025 Available online: 14-10-2025
         | 
         | That's relatively fast but also the paper is not super in-
         | depth.
         | 
         | And in general it seems like that the "International Journal of
         | Medical and Pharmaceutical Research" is not quite well known.
         | See the Editors, not even pictures there:
         | https://ijmpr.in/editorial-board/
        
           | roflmaostc wrote:
           | The first author is probably him: Dr. G Naresh (Asst. Prof.)
           | 
           | https://aims.ac.in/general-medicine/
        
         | roncesvalles wrote:
         | My bullshit meter redlined as well.
         | 
         | > Incidence of ARIs was documented through monthly follow-up
         | visits and self-reported symptom diaries validated by physician
         | assessment.
         | 
         | This is basically impossible to accomplish for 386 participants
         | who aren't in some form of captivity (e.g. incarcerated,
         | institutionalized, in the military, or a boarding school).
         | Nobody cares enough to maintain a "self-reported symptoms
         | diary" and make monthly visits for some study. If they actually
         | ran the study as designed, they would've have zero usable
         | participants even starting from 400.
         | 
         | Saying nothing of the ethics of giving half the Vitamin D
         | deficient patients presenting at your clinic with a placebo.
        
           | givemeethekeys wrote:
           | > (e.g. incarcerated, institutionalized, in the military, or
           | a boarding school).
           | 
           | That's a pretty big list. Add Retirement communities and your
           | pool increases even more. Add to that the fact that this is
           | India where the population is at least 5x bigger and much
           | more concentrated..
        
             | bluGill wrote:
             | Most retirement communities don't have that much
             | supervision.
             | 
             | Regardless, you can get a lot of data, but of it is from
             | people who have other significant differences in lifestyle
             | from the average person and so it is questionable how it
             | applies. Military gets more physical fitness (we already
             | know most of us need more). Boarding school implies young -
             | children or just older, and so while not useful there are
             | differences related to that to control for (military as
             | well, unless you can get officers who are older thus
             | allowing controlling for age).
        
               | JumpCrisscross wrote:
               | > _Most retirement communities don 't have that much
               | supervision_
               | 
               | Retirement communities in India are relatively new. Most
               | older folks get taken care of at home by domestic staff,
               | which, given India's demographics, are incredibly cheap
               | and thus plentiful.
        
               | bluGill wrote:
               | I forgot this was India, my mistake. Though that means
               | there are essentially no retirement communities to work
               | with there.
        
               | givemeethekeys wrote:
               | There are retirement communities in India and end-of-life
               | care centers as well. Societies change, and thanks to the
               | internet, societies change faster than ever.
        
       | hinkley wrote:
       | I was pretty sure we already knew vitamin D deficits dampen the
       | immune system.
        
       | croes wrote:
       | So a vitamin deficit is bad for your health.
       | 
       | Shocker.
        
       | alphazard wrote:
       | A lot of people are critiquing the statistical methods and
       | quality of the study, which is fine. But it's worth pointing out
       | that you--the individual--should not be concerned with someone
       | else's p-value. You should be concerned with maximizing your own
       | utility. A safe, possibly effective, and cheap intervention is
       | probably worth trying. If it was more expensive or less safe, it
       | would require more evidence to try.
        
         | saretup wrote:
         | There can be hundreds of safe, _possibly_ effective, and cheap
         | interventions. Can't try them all. Higher quality of evidence
         | helps narrow it down.
        
       | oldestofsports wrote:
       | Breaking news! Water proven to clench thirst among those who are
       | thirsty!
        
       | lr4444lr wrote:
       | Do we really know what "optimal" vitamin D levels are? I've heard
       | a wide range of answers on this, and it's not even clear to me
       | that we know whether there is natural human variability in the
       | amount needed.
        
       | dynm wrote:
       | This paper states:
       | 
       | > The study protocol was approved by the Institutional Ethics
       | Committee and registered with the Clinical Trials Registry of
       | India
       | 
       | As far as I can tell, that registry is here:
       | https://www.ctri.nic.in/Clinicaltrials/pubview.php
       | 
       | Doing a keyword search for the first author's last name reveals
       | zero hits. (It's possible I'm missing--that search does not
       | inspire confidence.)
        
       | patel011393 wrote:
       | Take it from an academic like me that peer review in just over a
       | month is rare and a sign of low-quality editorial work at the
       | journal (the exceptions would be the most open, progressive
       | journals like PCI and similar).
       | 
       | The formatting/style and peer review history alone are enough for
       | me to doubt this. Of course, the other users' points about study
       | design and lack of transparency make it even harder to trust the
       | claims.
        
       | lisbbb wrote:
       | What about the article that that talks about Vitamin D being the
       | same chemical as rat poison and that the positive effects it has
       | on our bodies may be due to the fact that we are low-level
       | poisoning ourselves with it?
       | 
       | "Vitamin D3, also known as cholecalciferol, is used as a
       | rodenticide because it is highly toxic to rodents when ingested
       | in sufficient quantities. It functions by causing a life-
       | threatening elevation in blood calcium and phosphorus levels,
       | leading to severe acute kidney failure"
       | 
       | "Despite its use in rodenticides, vitamin D3 is safe for humans
       | and pets when consumed in normal dietary or supplement doses.
       | However, extremely high doses of vitamin D3 can be toxic to
       | humans as well, potentially leading to hypercalcemia, kidney
       | stones, and renal failure. The difference in susceptibility
       | between rodents and humans is significant; rodents are much more
       | sensitive to the effects of cholecalciferol, which is why it is
       | effective as a rodenticide."
       | 
       | The theory is that we are just poisoning ourselves by taking it
       | and that our bodies react to being poisoned with the positive
       | effects that are well documented and observed.
        
       | astrostl wrote:
       | I haven't seen convincing evidence that vitamin D supplementation
       | is materially useful for anything but rickets. I get the
       | impression that naturally high serum levels are an effect rather
       | than a cause of other positive things, and that supplementation
       | mostly increases serum levels without effecting positive things.
       | It doesn't seem harmful either, so can't hurt might help?
        
       ___________________________________________________________________
       (page generated 2025-10-28 23:01 UTC)