For the sake of convenience: Commercial sources of prebiotic fibers

Our efforts to obtain prebiotic fibers/resistant starches, as discussed in the Cureality Digestive Health Track, to cultivate healthy bowel flora means recreating the eating behavior of primitive humans who dug in the dirt with sticks and bone fragments for underground roots and tubers, behaviors you can still observe in extant hunter-gatherer groups, such as the Hadza and Yanomamo. But, because this practice is inconvenient for us modern folk accustomed to sleek grocery stores, because many of us live in climates where the ground is frozen much of the year, and because we lack the wisdom passed from generation to generation that helps identify which roots and tubers are safe to eat and which are not, we rely on modern equivalents of primitive sources. Thus, green, unripe bananas, raw potatoes and other such fiber sources in the Cureality lifestyle.

There is therefore no need to purchase prebiotic fibers outside of your daily effort at including an unripe green banana, say, or inulin and fructooligosaccharides (FOS), or small servings of legumes as a means of cultivating healthy bowel flora. These are powerful strategies that change the number and species of bowel flora over time, thereby leading to beneficial health effects that include reduced blood sugar and blood pressure, reduction in triglycerides, reduced anxiety and improved sleep, and reduced colon cancer risk.

HOWEVER, convenience can be a struggle. Traveling by plane, for example, makes lugging around green bananas or raw potatoes inconvenient. Inulin and FOS already come as powders or capsules and they are among the options for a convenient, portable prebiotic fiber strategy. But there are others that can be purchased. This is a more costly way to get your prebiotic fibers and you do not need to purchase these products in order to succeed in your bowel flora management program. These products are therefore listed strictly as a strategy for convenience.

Most perspectives on the quality of human bowel flora composition suggest that diversity is an important feature, i.e., the greater the number of species, the better the health of the host. There may therefore be advantage in varying your prebiotic routine, e.g., green banana on Monday, inulin on Tuesday, PGX (below) on Wednesday, etc. Beyond providing convenience, these products may introduce an added level of diversity, as well.

Among the preparations available to us that can be used as prebiotic fibers:

PGX

While it is billed as a weight management and blood sugar-reducing product, the naturally occurring fiber--α-D-glucurono-α-D-manno-β-D-manno- β-D-gluco, α-L-gulurono-β-D mannurono, β-D-gluco-β- D-mannan--in PGX also exerts prebiotic effects (evidenced by increased fecal butyrate, the beneficial end-product of bacterial metabolism). PGX is available as capsules or granules. It also seems to exert prebiotic effects at lower doses than other prebiotic fibers. While I usually advise reaching 20 grams per day of fiber, PGX appears to exert substantial effects at a daily dose of half that quantity. As with all prebiotic fibers, it is best to build up slowly over weeks, e.g., start at 1.5 grams twice per day. It is also best taken in two or three divided doses. (Avoid the PGX bars, as they are too carb-rich for those of us trying to achieve ideal metaobolic health.)

Prebiotin

A combination of inulin and FOS available as powders and in portable Stick Pacs (2 gram and 4 gram packs). This preparation is quite costly, however, given the generally low cost of purchasing chicory inulin and FOS separately.

Acacia

Acacia fiber is another form of prebiotic fiber.  RenewLife and NOW are two reputable brands.

Isomalto-oligosaccharides

This fiber is used in Quest bars and in Paleo Protein Bars. With Quest bars, choose the flavors without sucralose, since it has been associated with undesirable changes in bowel flora.

There you go. It means that there are fewer and fewer reasons to not purposefully cultivate healthy bowel flora and obtain all the wonderful health benefits of doing so, from reduced blood pressure, to reduced triglycerides, to deeper sleep.

Disclaimer: I am not compensated in any way by discussing these products.

How Not To Have An Autoimmune Condition


Autoimmune conditions are becoming increasingly common. Estimates vary, but it appears that at least 8-9% of the population in North America and Western Europe have one of these conditions, with The American Autoimmune Related Diseases Association estimating that it’s even higher at 14% of the population.

The 200 or so autoimmune diseases that afflict modern people are conditions that involve an abnormal immune response directed against one or more organs of the body. If the misguided attack is against the thyroid gland, it can result in Hashimoto’s thyroiditis. If it is directed against pancreatic beta cells that produce insulin, it can result in type 1 diabetes or latent autoimmune diabetes of adults (LADA). If it involves tissue encasing joints (synovium) like the fingers or wrists, it can result in rheumatoid arthritis. It if involves the liver, it can result in autoimmune hepatitis, and so on. Nearly every organ of the body can be the target of such a misguided immune response.

While it requires a genetic predisposition towards autoimmunity that we have no control over (e.g., the HLA-B27 gene for ankylosing spondylitis), there are numerous environmental triggers of these diseases that we can do something about. Identifying and correcting these factors stacks the odds in your favor of reducing autoimmune inflammation, swelling, pain, organ dysfunction, and can even reverse an autoimmune condition altogether.

Among the most important factors to correct in order to minimize or reverse autoimmunity are:


Wheat and grain elimination

If you are reading this, you likely already know that the gliadin protein of wheat and related proteins in other grains (especially the secalin of rye, the hordein of barley, zein of corn, perhaps the avenin of oats) initiate the intestinal “leakiness” that begins the autoimmune process, an effect that occurs in over 90% of people who consume wheat and grains. The flood of foreign peptides/proteins, bacterial lipopolysaccharide, and grain proteins themselves cause immune responses to be launched against these foreign factors. If, for instance, an autoimmune response is triggered against wheat gliadin, the same antibodies can be aimed at the synapsin protein of the central nervous system/brain, resulting in dementia or cerebellar ataxia (destruction of the cerebellum resulting in incoordination and loss of bladder and bowel control). Wheat and grain elimination is by far the most important item on this list to reverse autoimmunity.

Correct vitamin D deficiency

It is clear that, across a spectrum of autoimmune diseases, vitamin D deficiency serves a permissive, not necessarily causative, role in allowing an autoimmune process to proceed. It is clear, for instance, that autoimmune conditions such as type 1 diabetes in children, rheumatoid arthritis, and Hashimoto’s thyroiditis are more common in those with low vitamin D status, much less common in those with higher vitamin D levels. For this and other reasons, I aim to achieve a blood level of 25-hydroxy vitamin D level of 60-70 ng/ml, a level that usually requires around 4000-8000 units per day of D3 (cholecalciferol) in gelcap or liquid form (never tablet due to poor or erratic absorption). In view of the serious nature of autoimmune diseases, it is well worth tracking occasional blood levels.

Supplement omega-3 fatty acids

While omega-3 fatty acids, EPA and DHA, from fish oil have proven only modestly helpful by themselves, when cast onto the background of wheat/grain elimination and vitamin D, omega-3 fatty acids compound anti-inflammatory benefits, such as those exerted via cyclooxygenase-2. This requires a daily EPA + DHA dose of around 3600 mg per day, divided in two. Don’t confuse EPA and DHA omega-3s with linolenic acid, another form of omega-3 obtained from meats, flaxseed, chia, and walnuts that does not not yield the same benefits. Nor can you use krill oil with its relatively trivial content of omega-3s.

Eliminate dairy

This is true in North America and most of Western Europe, less true in New Zealand and Australia. Autoimmunity can be triggered by the casein beta A1 form of casein widely expressed in dairy products, but not by casein beta A2 and other forms. Because it is so prevalent in North America and Western Europe, the most confident way to avoid this immunogenic form of casein is to avoid dairy altogether. You might be able to consume cheese, given the fermentation process that alters proteins and sugar, but that has not been fully explored.

Cultivate healthy bowel flora

People with autoimmune conditions have massively screwed up bowel flora with reduced species diversity and dominance of unhealthy species. We restore a healthier anti-inflammatory panel of bacterial species by “seeding” the colon with high-potency probiotics, then nourishing them with prebiotic fibers/resistant starches, a collection of strategies summarized in the Cureality Digestive Health discussions. People sometimes view bowel flora management as optional, just “fluff”–it is anything but. Properly managing bowel flora can be a make-it-or-break-it advantage; don’t neglect it.

There you go: a basic list to get started on if your interest is to begin a process of unraveling the processes of autoimmunity. In some conditions, such as rheumatoid arthritis and polymyalgia rheumatica, full recovery is possible. In other conditions, such as Hashimoto’s thyroiditis and the pancreatic beta cell destruction leading to type 1 diabetes, reversing the autoimmune inflammation does not restore organ function: hypothyroidism results after thyroiditis quiets down and type 1 diabetes and need for insulin persists after pancreatic beta cell damage. But note that the most powerful risk factor for an autoimmune disease is another autoimmune disease–this is why so many people have more than one autoimmune condition. People with Hashimoto’s, for instance, can develop rheumatoid arthritis or psoriasis. So the above menu is still worth following even if you cannot hope for full organ recovery

Five Powerful Ways to Reduce Blood Sugar

Left to conventional advice on diet and you will, more than likely, succumb to type 2 diabetes sooner or later. Follow your doctor’s advice to cut fat and eat more “healthy whole grains” and oral diabetes medication and insulin are almost certainly in your future. Despite this, had this scenario played out, you would be accused of laziness and gluttony, a weak specimen of human being who just gave into excess.

If you turn elsewhere for advice, however, and ignore the awful advice from “official” sources with cozy relationships with Big Pharma, you can reduce blood sugars sufficient to never become diabetic or to reverse an established diagnosis, and you can create a powerful collection of strategies that handily trump the worthless advice being passed off by the USDA, American Diabetes Association, the American Heart Association, or the Academy of Nutrition and Dietetics.

Among the most powerful and effective strategies to reduce blood sugar:

1) Eat no wheat nor grains

Recall that amylopectin A, the complex carbohydrate of grains, is highly digestible, unlike most of the other components of the seeds of grasses AKA “grains,” subject to digestion by the enzyme, amylase, in saliva and stomach. This explains why, ounce for ounce, grains raise blood sugar higher than table sugar. Eat no grains = remove the exceptional glycemic potential of amylopectin A.

2) Add no sugars, avoid high-fructose corn syrup

This should be pretty obvious, but note that the majority of processed foods contain sweeteners such as sucrose or high-fructose corn syrup, tailored to please the increased desire for sweetness among grain-consuming people. While fructose does not raise blood sugar acutely, it does so in delayed fashion, along with triggering other metabolic distortions such as increased triglycerides and fatty liver.

3) Vitamin D

Because vitamin D restores the body’s normal responsiveness to insulin, getting vitamin D right helps reduce blood sugar naturally while providing a range of other health benefits.

4) Restore bowel flora

As cultivation of several Lactobacillus and Bifidobacteria species in bowel flora yields fatty acids that restore insulin responsiveness, this leads to reductions in blood sugar over time. Minus the bowel flora-disrupting effects of grains and sugars, a purposeful program of bowel flora restoration is required (discussed at length in the Cureality Digestive Health section.)

5) Exercise

Blood sugar is reduced during and immediately following exercise, with the effect continuing for many hours afterwards, even into the next day.

Note that, aside from exercise, none of these powerful strategies are advocated by the American Diabetes Association or any other “official” agency purporting to provide dietary advice. As is happening more and more often as the tide of health information rises and is accessible to all, the best advice on health does not come from such agencies nor from your doctor but from your efforts to better understand the truths in health. This is our core mission in Cureality. A nice side benefit: information from Cureality is not accompanied by advertisements from Merck, Pfizer, Kelloggs, Kraft, or Cadbury Schweppes.

Cureality App Review: Breathe Sync



Biofeedback is a wonderful, natural way to gain control over multiple physiological phenomena, a means of tapping into your body’s internal resources. You can, for instance, use biofeedback to reduce anxiety, heart rate, and blood pressure, and achieve a sense of well-being that does not involve drugs, side-effects, or even much cost.

Biofeedback simply means that you are tracking some observable physiologic phenomenon—heart rate, skin temperature, blood pressure—and trying to consciously access control over it. One very successful method is that of bringing the beat-to-beat variation in heart rate into synchrony with the respiratory cycle. In day-to-day life, the heart beat is usually completely out of sync with respiration. Bring it into synchrony and interesting things happen: you experience a feeling of peace and calm, while many healthy phenomena develop.

A company called HeartMath has applied this principle through their personal computer-driven device that plugs into the USB port of your computer and monitors your heart rate with a device clipped on your earlobe. You then regulate breathing and follow the instructions provided and feedback is obtained on whether you are achieving synchrony, or what they call “coherence.” As the user becomes more effective in achieving coherence over time, positive physiological and emotional effects develop. HeartMath has been shown, for instance, to reduce systolic and diastolic blood pressure, morning cortisol levels (a stress hormone), and helps people deal with chronic pain. Downside of the HeartMath process: a $249 price tag for the earlobe-USB device.

But this is the age of emerging smartphone apps, including those applied to health. Smartphone apps are perfect for health monitoring. They are especially changing how we engage in biofeedback. An app called Breathe Sync is available that tracks heart rate using the camera’s flash on the phone. By tracking heart rate and providing visual instruction on breathing pattern, the program generates a Wellness Quotient, WQ, similar to HeartMath’s coherence scoring system. Difference: Breathe Sync is portable and a heck of a lot less costly. I paid $9.99, more than I’ve paid for any other mainstream smartphone application, but a bargain compared to the HeartMath device cost.

One glitch is that you need to not be running any other programs in the background, such as your GPS, else you will have pauses in the Breathe Sync program, negating the value of your WQ. Beyond this, the app functions reliably and can help you achieve the health goals of biofeedback with so much less hassle and greater effectiveness than the older methods.

If you are looking for a biofeedback system that provides advantage in gaining control over metabolic health, while also providing a wonderful method of relaxation, Breathe Sync, I believe, is the go-to app right now.

Amber’s Top 35 Health and Fitness Tips

This year I joined the 35 club!  And in honor of being fabulous and 35, I want to share 35 health and fitness tips with you! 

1.  Foam rolling is for everyone and should be done daily. 
2.  Cold showers are the best way to wake up and burn more body fat. 
3.  Stop locking your knees.  This will lead to lower back pain. 
4.  Avoid eating gluten at all costs. 
5.  Breath deep so that you can feel the sides or your lower back expand. 
6.  Swing a kettlebell for a stronger and great looking backside. 
7.  Fat is where it’s at!  Enjoy butter, ghee, coconut oil, palm oil, duck fat and many other fabulous saturated fats. 
8.  Don’t let your grip strength fade with age.  Farmer carries, kettlebells and hanging from a bar will help with that. 
9.  Runners, keep your long runs slow and easy and keep your interval runs hard.  Don’t fall in the chronic cardio range. 
10.  Drink high quality spring or reverse osmosis water. 
11.  Use high quality sea salt season food and as a mineral supplement. 
12.  Work your squat so that your butt can get down to the ground.  Can you sit in this position? How long?
13.  Lift heavy weights!  We were made for manual work,.   Simulate heavy labor in the weight room. 
14.  Meditate daily.  If you don’t go within, you will go with out.  We need quiet restorative time to balance the stress in our life. 
15.  Stand up and move for 10 minutes for every hour your sit at your computer. 
16. Eat a variety of whole, real foods. 
17.  Sleep 7 to 9 hours every night. 
18.  Pull ups are my favorite exercise.  Get a home pull up bar to practice. 
19.  Get out and spend a few minutes in nature.  Appreciate the world around you while taking in fresh air and natural beauty. 
20.  We all need to pull more in our workouts.  Add more pulling movements horizontally and vertically. 
21. Surround yourself with health minded people. 
22. Keep your room dark for deep sound sleep.  A sleep mask is great for that! 
23. Use chemical free cosmetics.  Your skin is the largest organ of your body and all chemicals will absorb into your blood stream. 
24. Unilateral movements will help improve symmetrical strength. 
25. Become more playful.  We take life too seriously, becoming stress and overwhelmed.  How can you play, smile and laugh more often?
26.  Choose foods that have one ingredient.  Keep your diet simple and clean. 
27.  Keep your joints mobile as you age.  Do exercises that take joints through a full range of motion. 
28. Go to sleep no later than 10:30pm.  This allows your body and brain to repair through the night. 
29. Take care of your health and needs before others.  This allows you to be the best spouse, parent, coworker, and person on the planet. 
30.  Always start your daily with a high fat, high protein meal.  This will encourage less sugar cravings later in the day. 
31. Approach the day with positive thinking!  Stinkin’ thinkin’ only leads to more stress and frustration. 
32. You are never “too old” to do something.  Stay young at heart and keep fitness a priority as the years go by. 
33. Dream big and go for it. 
34.  Lift weights 2 to 4 times every week.  Strong is the new sexy. 
35.  Love.  Love yourself unconditionally.  Love your life and live it to the fullest.  Love others compassionately. 

Amber B.
Cureality Exercise and Fitness Coach

To Change, You Need to Get Uncomfortable

Sitting on the couch is comfortable.  Going through the drive thru to pick up dinner is comfortable.  But when you notice that you’re out-of-shape, tired, sick and your clothes no longer fit, you realize that what makes you comfortable is not in align with what would make you happy.   

You want to see something different when you look in the mirror.  You want to fit into a certain size of jeans or just experience your day with more energy and excitement.  The current condition of your life causes you pain, be it physical, mental or emotional.  To escape the pain you are feeling, you know that you need to make changes to your habits that keep you stuck in your current state.  But why is it so hard to make the changes you know that will help you achieve what you want?  

I want to lose weight but….

I want a six pack but…

I want more energy but….

The statement that follows the “but” is often a situation or habit you are comfortable with.  You want to lose weight but don’t have time to cook healthy meals.  So it’s much more comfortable to go through the drive thru instead of trying some new recipes.   New habits often require a learning curve and a bit of extra time in the beginning.  It also takes courage and energy to establish new routines or seek out help.  

Setting out to achieve your goals requires change.  Making changes to establish new habits that support your goals and dreams can be uncomfortable.  Life, as you know it, will be different.  Knowing that fact can be scary, but so can staying in your current condition.  So I’m asking you to take a risk and get uncomfortable so that you can achieve your goals.  

Realize that it takes 21 days to develop a new habit.  I believe it takes triple that amount of time to really make a new habit stick for the long haul.  So for 21 days, you’ll experience some discomfort while you make changes to your old routine and habits.  Depending on what you are changing, discomfort could mean feeling tired, moody, or even withdrawal symptoms.  However, the longer you stick to your new habits the less uncomfortable you start to feel.  The first week is always the worst, but then it gets easier.

Making it through the uncomfortable times requires staying focused on your goals and not caving to your immediate feelings or desires.  I encourage clients to focus on why their goals important to them.  This reason or burning desire to change will help when old habits, cravings, or situations call you back to your old ways.
Use a tracking and a reward system to stay on track.  Grab a calendar, journal or index card to check off or note your daily successes.  Shoot for consistency and not perfection when trying to make changes.  I encourage my clients to use the 90/10 principle of change and apply that to their goal tracking system.  New clothes, a massage, or a day me-retreat are just a few examples of rewards you can use to sticking to your tracking system.  Pick something that really gets you excited.  

Getting support system in place can help you feel more comfortable with being uncomfortable.  Hiring a coach, joining an online support group, or recruiting family and friends can be very helpful when making big changes.  With a support system in place you are not alone in your discomfort.  You’re network is there for you to reach out for help, knowledge, accountability or camaraderie when you feel frustrated and isolated.  

I’ve helped hundreds of people change their bodies, health and lives of the eleven years I’ve worked as a trainer and coach.  I know it’s hard, but I also know that if they can do it, so can you.  You just need to step outside of your comfort zone and take a risk. Don’t let fear create uncomfortable feelings that keep you stuck in your old ways.  Take that first step and enjoy the journey of reaching your goals and dreams.  

Amber Budahn, B.S., CSCS, ACE PT, USATF 1, CHEK HLC 1, REIKI 1
Cureality Exercise Specialist

The 3 Best Grain Free Food Swaps to Boost Fat Burning

You can join others enjoying substantial improvements in their health, energy and pant size by making a few key, delicious substitutions to your eating habits.  This is possible with the Cureality nutrition approach, which rejects the idea that grains should form the cornerstone of the human diet.  

Grain products, which are seeds of grasses, are incompatible with human digestion.  Contrary to what we have been told for years, eating healthy whole grain is not the answer to whittle away our waists.  Consumption of all grain-based carbohydrates results in increased production of the fat storage hormone insulin.  Increased insulin levels create the perfect recipe for weight gain. By swapping out high carbohydrate grain foods that cause spikes in insulin with much lower carbohydrate foods, insulin release is subdued and allows the body to release fat.

1. Swap wheat-based flour with almond flour/meal

  • One of the most dubious grain offenders is modern wheat. Replace wheat flour with naturally wheat-free, lower carbohydrate almond flour.  
  • Almond flour contains a mere 12 net carbs per cup (carbohydrate minus the fiber) with 50% more filling protein than all-purpose flour.
  • Almond flour and almond meal also offer vitamin E, an important antioxidant to support immune function.

2. Swap potatoes and rice for cauliflower

  • Replace high carb potatoes and pasta with vitamin C packed cauliflower, which has an inconsequential 3 carbs per cup.  
  • Try this food swap: blend raw cauliflower in food processor to make “rice”. (A hand held grater can also be used).  Sautee the “riced” cauliflower in olive or coconut oil for 5 minutes with seasoning to taste.
  • Another food swap: enjoy mashed cauliflower in place of potatoes.  Cook cauliflower. Place in food processor with ½ a stick organic, grass-fed butter, ½ a package full-fat cream cheese and blend until smooth. Add optional minced garlic, chives or other herbs such as rosemary.
3. Swap pasta for shirataki noodles and zucchini

  • Swap out carb-rich white pasta containing 43 carbs per cup with Shirataki noodles that contain a few carbs per package. Shirataki noodles are made from konjac or yam root and are found in refrigerated section of supermarkets.
  • Another swap: zucchini contains about 4 carbs per cup. Make your own grain free, low-carb noodles from zucchini using a julienne peeler, mandolin or one of the various noodle tools on the market.  

Lisa Grudzielanek, MS,RDN,CD,CDE
Cureality Nutrition Specialist

Not so fast. Don’t make this mistake when going gluten free!

Beginning last month, the Food and Drug Administration began implementing its definition of “gluten-free” on packaged food labels.  The FDA determined that packaged food labeled gluten free (or similar claims such as "free of gluten") cannot contain more than 20 parts per million of gluten.

It has been years in the making for the FDA to define what “gluten free” means and hold food manufactures accountable, with respect to food labeling.  However, the story does not end there.

Yes, finding gluten-free food, that is now properly labeled, has become easier. So much so the market for gluten-free foods tops $6 billion last year.   However, finding truly healthy, commercially prepared, grain-free foods is still challenging.

A very common mistake made when jumping into the gluten-free lifestyle is piling everything labeled gluten-free in the shopping cart.  We don’t want to replace a problem: wheat, with another problem: gluten free products.

Typically gluten free products are made with rice flour (and brown rice flour), tapioca starch, cornstarch, and potato flour.  Of the few foods that raise blood sugar higher than wheat, these dried, powdered starches top the list.

 They provide a large surface area for digestion, thereby leading to sky-high blood sugar and all the consequences such as diabetes, hypertension, cataracts, arthritis, and heart disease. These products should be consumed very rarely consumed, if at all.  As Dr. Davis has stated, “100% gluten-free usually means 100% awful!”

There is an ugly side to the gluten-free boom taking place.  The Cureality approach to wellness recommends selecting gluten-free products wisely.  Do not making this misguided mistake and instead aim for elimination of ALL grains, as all seeds of grasses are related to wheat and therefore overlap in many effects.

Lisa Grudzielanek MS, RDN, CD, CDE
Cureality Health & Nutrition Coach

3 Foods to Add to Your Next Grocery List

Looking for some new foods to add to your diet? Look no further. Reach for these three mealtime superstars to encourage a leaner, healthier body.

Microgreens

Microgreens are simply the shoots of salad greens and herbs that are harvested just after the first leaves have developed, or in about 2 weeks.  Microgreen are not sprouts. Sprouts are germinated, in other words, sprouted seeds produced entirely in water. Microgreens are grown in soil, thereby absorbing the nutrients from the soil.

The nutritional profile of each microgreen depends greatly on the type of microgreen you are eating. Researchers found red cabbage microgreens had 40 times more vitamin E and six times more vitamin C than mature red cabbage. Cilantro microgreens had three times more beta-carotene than mature cilantro.

A few popular varieties of microgreens are arugula, kale, radish, pea, and watercress. Flavor can vary from mild to a more intense or spicy mix depending on the microgreens.  They can be added to salads, soup, omelets, stir fry and in place of lettuce.  

Cacao Powder

Cocoa and cacao are close enough in flavor not to make any difference. However, raw cacao powder has 3.6 times the antioxidant activity of roasted cocoa powder.  In short, raw cacao powder is definitely the healthiest, most beneficial of the powders, followed by 100% unsweetened cocoa.

Cacao has more antioxidant flavonoids than blueberries, red wine and black and green teas.  Cacao is one of the highest sources of magnesium, a great source of iron and vitamin C, as well as a good source of fiber for healthy bowel function.
Add cacao powder to milk for chocolate milk or real hot chocolate.  Consider adding to coffee for a little mocha magic or sprinkle on berries and yogurt.




Shallots


Shallots have a better nutrition profile than onions. On a weight per weight basis, they have more anti-oxidants, minerals, and vitamins than onions. Shallots have a milder, less pungent taste than onions, so people who do not care for onions may enjoy shallots.

Like onions, sulfur compounds in shallot are necessary for liver detoxification pathways.  The sulfur compound, allicin has been shown to be beneficial in reducing cholesterol.  Allicin is also noted to have anti-bacterial, anti-viral, and anti-fungal activities.

Diced then up and add to salads, on top of a bun less hamburger, soups, stews, or sauces.  Toss in an omelet or sauté to enhance a piece of chicken or steak, really the possibilities are endless.  

Lisa Grudzielanek,MS,RDN,CD,CDE
Cureality Nutrition & Health Coach

3 Band Exercises for Great Glutes

Bands and buns are a great combination.  (When I talk about glutes or a butt, I use the word buns)  When it comes to sculpting better buns, grab a band.   Bands are great for home workouts, at gym or when you travel.  Check out these 3 amazing exercises that will have your buns burning. 

Band Step Out

Grab a band and place it under the arch of each foot.  Then cross the band and rest your hands in your hip sockets.  The exercise starts with your feet hip width apart and weight in the heels.  Slightly bend the knees and step your right foot out to the side.  Step back in so that your foot is back in the starting position.  With each step, make sure your toes point straight ahead.  The tighter you pull the band, the more resistance you will have.    You will feel this exercise on the outside of your hips. 

Start with one set of 15 repetitions with each foot.  Work on increasing to 25 repetitions on each side and doing two to three sets.



Band Kick Back

This exercise is performed in the quadruped position with your knees under hips and hands under your shoulders.    Take the loop end of the band and put it around your right foot and place the two handles or ends of the band under your hands.  Without moving your body, kick your right leg straight back.  Return to the starting quadruped position.  Adjust the tension of the band to increase or decrease the difficulty of this exercise. 

Start with one set of 10 repetitions with each foot.  Work on increasing to 20 repetitions on each side and doing two to three sets. 



Band Resisted Hip Bridge

Start lying on your back with feet hip distance apart and knees bent at about a 45-degree angle.  Adjust your hips to a neutral position to alleviate any arching in your lower back.  Place the band across your hipbones.  Hold the band down with hands along the sides of your body.  Contract your abs and squeeze your glutes to lift your hips up off the ground.  Stop when your thighs, hips and stomach are in a straight line.  Lower you hips back down to the ground. 

Start with one set of 15 repetitions.  Work on increasing to 25 repetitions and doing two to three.  Another variation of this exercise is to hold the hip bridge position.  Start with a 30 second hold and work up to holding for 60 seconds.

Is it or isn't it vitamin D?

Is it or isn't it vitamin D?

Jackie takes 10,000 units of vitamin D(3) per day as a gelcap.

Her starting 25-hydroxy vitamin D blood level was 18.1 ng/ml. Severe deficiency, no surprise.

On her 10,000 units per day, Vitamin Shoppe brand, her 25-hydroxy vitamin D level was 76.2 ng/ml--perfect. It stayed in this range for about two years.

She then changed to the Nature Made brand gelcaps she picked up at Walgreen's. Repeat 25-hydroxy vitamin D level: 23 ng/ml.

This has now happened with five different people, all taking the Nature Made brand.

If you are taking this brand of vitamin D, please be on the alert. You might consider a 25-hydroxy vitamin D blood level to be sure it actually has the vitamin D it's supposed to have.

Or, change brands.

Comments (63) -

  • Lou

    4/6/2010 6:47:14 PM |

    I often wondered about the one from Wal-Mart. i'm not sure if it's same as the one from Wal-green. The name brand rung a bell. My wife ended up with a little cold while on it. Needless to say, we went back to the old one. I also got a little cold but was over it quickly. I'll have to go there and see which brand. It was very cheap too. hmm...

  • Anonymous

    4/6/2010 7:20:50 PM |

    Wow, goodbye Nature Made!  Has anyone tried and had luck with the Trader Joe's brand?

  • sdkidsbooks

    4/6/2010 8:08:47 PM |

    Just called NatureMade Co and they told me their D3-2000 softgels are also sold under the Kirkland brand by Costco.  I have been taking those for 6 mos. and will now get my level checked. I'll be switching if it's not where it's been for the past year.

    Thanks.

    Jan

  • tom

    4/6/2010 9:43:32 PM |

    Dr. Davis:
    This is excellent and important  information; thank you for reporting it.

    Question:  has Nature Made been made aware of this?  I'm not defending them by any strtch, but is it possible that something they're not aware of has occurred?  They've always seemed to be a reputable company.
    Also, I've never seen them offer a 10,000 unit single dose.

  • Thomas

    4/6/2010 11:31:24 PM |

    Just want to make sure you mean Nature Made and not Nature's Bounty, both of which are sold by Walgreens.

  • pmpctek

    4/7/2010 12:36:24 AM |

    I have been taking 6,000 IU NOW Foods (brand) vitamin D3 gelcaps/day for the last three years.

    My 25-hydroxy vitamin D blood level has been ~60 ng/ml after two tests in those three years.  So far, so good.

  • Rick

    4/7/2010 1:37:19 AM |

    Does anyone have experience with the Country Life brand gelcaps?

    By the way, Dr Davis, when you say "You might consider a 25-hydroxy vitamin D blood level", do you mean that we might consider having our 25-hydroxy vitamin D blood level measured?

  • Anonymous

    4/7/2010 1:59:02 AM |

    can you comment the same on niacin

  • Sharan Virk

    4/7/2010 2:46:13 AM |

    Thanks Dr. Davis, I have personally learned so much from reading your blog..... I wanted to know how much I appreciate you taking time from your schedule to give us such valuable advice. My father is a open heart surgery patient and the food in hospital up to his surgery was appalling and his cardiologists standard low fat recommendations is stupendous. However my parents are of the age where doctor is = GOD. I am the nutcase for advocating D3, and salmon oil, & coconut oil.... THANKS AGAIN!!!! Sharan from Ontario, Canada

  • Helena

    4/7/2010 3:50:18 AM |

    Wow, that is worrying news but I am not surprised either.. there is a lot of scams out there.. but you would have thought they would be more unfamiliar brands than something we can pick up everywhere, or maybe that is just why. No one is questioning them because the brand is so known! I wonder if this goes for their other supplements too? I will for sure send this information along.

  • Eloise

    4/7/2010 11:05:14 AM |

    Last september 25-0H-lab 20. I started with 10000/d dried pills. March lab 140!Really surprised that the resorption of ordinary pills can be that high. Luckily no toxic "side effects". Sure I´ll pause now till next winter.

  • Adolfo David

    4/7/2010 1:47:36 PM |

    I have developed hypervitaminosis of vitamin D only taking 3000 IU daily of D3 during 5 months. I have removed all vitamin D3 of my supplements until I have levels under 50-60 ng/ml or even below.

    My experience has told me that some doctors/scientists are prescribing megadoses of vitamin D to population. Probably no more than 1000 IU daily of D3 to general population is a good dose.

  • Dr. William Davis

    4/7/2010 2:28:39 PM |

    The comments from several people highlight the absolute need to monitor 25-hydroxy vitamin D blood levels. We have our patients' levels checked every 6 months. Only then can you truly know what your status is.

  • Dr. William Davis

    4/7/2010 2:34:18 PM |

    My email to Nature Made:

    "I am a practicing cardiologist who monitors vitamin D blood levels in all my patients every 6 months.

    The Nature Made vitamin D is yielding no increase in 25-hydroxy vitamin D blood levels, despite prior full restoration with other brands.

    This suggests that there is either little or no vitamin D in the capsule.

    I'd appreciate your response."

    We'll see what happens. Don't expect them to say much. The chain of communication in these companies is often not open to our scrutiny, nor will they say anthing that makes them legally liable in any way.

  • Lou

    4/7/2010 2:58:16 PM |

    Adolfo David,

    your statement doesn't even make sense. Did you spend a lot of time outside during warm season?

    1,000 IU a day is very low for most people during the winter. That being said, I'd stick with 2,000 IU a day at the most during the summer and 5,000 IU during the winter. We easily make 20,000 IU of vitamin D in the skin just being outside at midday in the summer with the body mostly exposed after 20-30 minutes so I don't see how doctors are giving megadose when they say to take only 400 IU a day. We do not routinely get tested for it unless we request for it.

  • Larry

    4/7/2010 3:47:34 PM |

    If you can't get to a reputable vitamin/supplement store, head over on the Internet to Vitacost.com.
    I've been buying from them for years now.
    They sell hundreds of name brands at discounted prices.
    I've been using Carlson's VitD3 during the winter months here in Fla.
    I then get a blood test going back into the winter months.

  • Anonymous

    4/7/2010 3:51:55 PM |

    Anyone have any experience with Sam's Club's Member's Mark brand?

    http://www.samsclub.com/shopping/na

    vigate.do?dest=5&item=412704&pCatg=

    11017

  • Adolfo David

    4/7/2010 4:07:20 PM |

    Huhu, it would be interesting to see if they answer and what answer. It is so important to choose brands of high quality when you buy supplements like Life Extension, NOW, Nordic Naturals, New Chapter..to name only a few I think are in the top quality.

    Eloise, its strange that you have not felt any side effect with 140 ng/ml of vitamin D, it is almost a toxic level!

  • Lou

    4/7/2010 4:49:45 PM |

    Adolfo,

    I see that you're from Spain. I wonder if the testing lab is doing it right or the dosing is way off the mark.

    1,000 IU isn't very much when it comes to keeping vitamin D level in the optimal range during the winter. During the summer, we (except for elderly people) can produce as much as 20,000 IU in the skin at midday with most of the body exposed to the sun after 20-30 minutes (for light skin). Much longer for dark skin. That's why your statement doesn't make sense.

  • Elizabeth Miller

    4/7/2010 4:56:53 PM |

    My husband and I have been using the Costco Kirkland D3 (2000 IU per gel cap) and have had wonderful results. Recently I measured in at 81 ng/mL and my husband's measured level was 53 ng/mL -- note, I am more religious about taking my vitamins everyday than he is.

  • Anonymous

    4/7/2010 6:16:00 PM |

    Dr D.

    I had been taking the NOW brand of Niacin.  I also tried the "pharma" Niaspan.  The impact on my trigs was the same (35% reduction).  recently there was a package change here in Canada. Unfortunately the contents lable indicated niacinamide.  NOW said it was a lable error and the contents were niacin.  We have not seen a new packet yet.

    I have tired rexall and wallmart brands, niether produce a flush that gives me the comforting feeling there is niacin at the strength I need for trigs reduction.

    If you have a resource recommendation to find quality suppliments for D3,K2 and Niacin, it would be much appreciated

  • DrStrange

    4/7/2010 7:43:16 PM |

    One other "D" issue is that quite a high number of people do not absorb the dry form (even of D3) well if at all.  Many, like Eloise, obviously do but many can take fairly high doses of it for some time w/ no change in blood level, switch to the oil base and bring it right up.

  • Anonymous

    4/7/2010 8:35:05 PM |

    Dr Davis:

    The subject of Vitamin D supplementation is a confusing one for me. I have been following the various postings on this blog and other news articles pointing out all the benefits of Vitamin D3. However, there seems to be vast disagreement on what constitutes a deficiency across ethnic/racial groups.To quote from wikipedia's page:

    "Recommendations stemming for a single standard for optimal serum 25(OH)D concentrations ignores the differing genetically mediated determinates of serum 25(OH)D and may result in ethnic minorities in Western countries having the results of studies done with subjects not representative of ethnic diversity applied to them. Vitamin D levels vary for genetically mediated reasons as well as environmental ones.[30][31][32][33]  Among descent groups with heavy sun exposure during their evolution, taking supplemental vitamin D to attain the 25(OH)D level associated with optimal health in studies done with mainly European populations may have deleterious outcomes.[11]

    I'm of South Asian(Indian) descent and my 25(OH)D levels on a recent test were 31.3 ng/ml.

    What level would you say is safe for someone like me ? I take a 1000 IU supplement a day now but am more than a little concerned as what is safe.

  • Tom

    4/7/2010 9:03:41 PM |

    Thank you Dr. Davis for following up with Nature Made.  While they may not want to make any comments that might be self-incriminating, the evidence is in the gel caps themselves; they either contain the amount of D3 claimed, or they don't.  I think  the salient issue is the amount of D3 in the gelcap.  An argument can be made that the company is not responsible for guaranteeing patient D3 levels because of individual biology.
      If the users of the NM product have any of the original capsules remaining, they might want to hold onto them, and even purchase an unopened bottle for possible future action.

  • Anonymous

    4/7/2010 9:08:25 PM |

    Thank You Dr Davis for your excellent blog and your easy, straight-to-the-point posts!

    After discovering you back in the Fall, I joined the Grassroots program and tested for Vit D at a low level of 12.

    I took 5000-10000iu of Vit D3 daily since Nov 20th and recently retested (with ZRT again).

    Although the searing, scorching pain in my joints has nearly all faded (thyroid/fibro?), and I was hoping for an optimal level, my lab results were only 19 last week Frown


    Curious after reading this though - I was taking Natures Bounty from Walgreens (5000iu max strength soft gel with soybean oil).

    Does anyone know if Natures Bounty is the same as Nature Made?

    As always, I appreciate the time you take to relate your stories and experience with us.

  • Daniel

    4/7/2010 10:09:31 PM |

    Somebody asked about Country Life.  I use their 2500 IU non-fish oil gelcap and my levels are 45ng/ml, which seems about right.  Thus, I think that company is indeed selling D3.

  • DataPro

    4/8/2010 12:37:50 AM |

    Your advertising Glucosan? A supplement that's banned in countries like Australia? Thats stuff put me in the emergency room last year. It absorbs moisture and swells in your gut. I am very surprised to see you advertising this.

  • DataPro

    4/8/2010 12:43:38 AM |

    OK might have spoke too soon. I've written the company and asked them if their product contains any glucosan and if not, why they would name their product after it.

    Thanks

  • Anonymous

    4/8/2010 2:43:49 AM |

    I would expect you'll hear from them.  It's probably the most damaging publicity their brand will receive this year.

  • Mat

    4/8/2010 7:21:59 AM |

    Dr. Davis

    Thanks for the information.  8000iu of Walgreen's "Finest Natural" D3 gelcaps had raised my HDL's from 23 to 60.  I will test my HDL's ASAP.

    William Faloon at Lef.org likes Metformin to keep appetite under control,  potential disease prevention, anti-aging benefits,  correcting "metabolic syndrome" and anti-cancer effects.
    I am having problems getting under 18% body fat and am wondering if you have had good results?

  • moblogs

    4/8/2010 9:34:28 AM |

    This is interesting. I've been taking high dose Bio-Tech capsules which get to me 56.4ng/ml at 10,000IU, so maybe gel caps of a different brand require a smaller amount (or more)? I guess if 10,000IU of Bio-Tech works for me I'll just stick with that - just hope they don't stop selling vitamin D.
    That said I think Bio-Tech's value is probably fine (and I consume it with yogurt) as my first attempt at supplementation a few years ago was 400IU D2 in gelcap which didn't do much for raising levels at all, albeit also being D2.

  • Dr. William Davis

    4/8/2010 12:10:25 PM |

    Here are some brands that have yielded predictable and consistent increases in vitamin D blood levels:

    Vitamin Shoppe brand
    NOW
    Sam's Club Members Mark
    Nature's Life

    There are surely more, but insufficient numbers of people in my population have been repeatedly tested. Also, all of the above have been GELCAPS. Tablets are not worth it, since they are so inconsistently absorbed. Oddly, the capsules filled with powder are better absorbed, perhaps equivalent to gelcaps.

  • Dr. William Davis

    4/8/2010 12:15:06 PM |

    I forgot to mention Carlson.

    While, in general, I've had good experiences with Carlson preparations, we've seen some inconsistent blood results with their vitamin D. This has applied to about 3 people, so it may be premature to raise a stink. However, if you are taking Carlson, it may be wise to check a blood level.

    I believe the brands at Walmart also seem to work fine, though the high-dose 5000 unit capsule has not been around long enough to allow repeated testing.

  • Adolfo David

    4/8/2010 12:49:53 PM |

    Lou, I take care a lot of my skin, I use everyday all year a UVA-UVB sun protector in all my skin exposed to sun, at least SPF 15-20 in the winter and SPF 30-40 in the spring-summer. I tend to avoid sun rays directly over my skin.

    Taking 3000-4000 IU everyday during 5 months has produced to me 110 ng/ml of vitamin D. It has perfect sense in people like me who are probably vitamin D3 senstive. Also I am young, so I absorb so well vitamin D3.

    If you dont get a blood test I never recommend more than 2000 IU of vitamin D3 daily.

    Lou, I have read a lot about Vitamin D, I am health journalist very concerned about Vitamin D deficiency and I have read many articles and papers of John Cannell and Michael Holick.

    About sun and vitamin D: you produce 10.000 UI of vitamin D with sun exposure if your body needs this amount. If not, sun does not produce more vitamin D. For this reason, you cannot reach a hypervitaminosis level with sun exposure.

    My diet is mainly organic, much of this also paleo, with eggs, fish and some wild fish, some organic cheese... All these have vitamin D3.

  • Kelly A.

    4/8/2010 1:30:29 PM |

    I had great results with the Bio-Tech D3 powdered capsules, 50,000 IU once per week. My D3 last month was at 79.  

    For the previous year and a half I'd been taking D3 emulsion drops with my numbers in the 40s-50s at 4000 IU/day. I think the drop size was too inconsistent.

  • Anonymous

    4/8/2010 2:49:07 PM |

    Thank you for posting this information.  I recently had my levels tested after taking 5000 IU of the Healthy Origins brand D3 gelcaps for 6 months.  Levels had only gone from 37 to 39.  I'll be switching to Vitamin Shoppe or Now brands!

  • Ned Kock

    4/8/2010 3:47:49 PM |

    Or, you can increase your pre-sunburn exposure to sunlight, which yields about 10,000 IU. With no risk of overdosing, due to down-regulatory mechanisms with the "battery is full".

    Dr. Davis, I recall seeing a post in this blog about people over 40 not producing vitamin D from sunlight exposure. Do you still believe that to be the case?

    I ask because empirical research with elderly patients (65 and older) suggests that people in this category (i.e., the elderly) produce only a little less (80 percent or so) than 20 and 30-year olds:

    http://healthcorrelator.blogspot.com/2010/02/vitamin-d-levels-sunlight-age-and.html

  • Tom

    4/8/2010 4:46:20 PM |

    Dr Davis --

    Are there any simple tests for crudely estimating one's level of arterial plaque which can be performed at home?

    Thank you,

    -- Tom Robinson

  • Helena

    4/8/2010 5:09:18 PM |

    Adolfo,
    I am also a little confused about what you are saying, but this might help you since we often measure Vitamin D as micro gram (mcg) in Europe.
    5000IU of Vitamin D is (from what I understand) 125 mcg. (1 mcg = 40IU)

    At the moment I am taking 2 different kinds of Vitamin D, Nature's Bounty gelcaps and one in a liquid form with arginine. I am unsure of the result from each. But last time I checked I was at 76ng/ml.

    I wish there was an easy way to test this at home like the sugar levels in your blood! I hate going to the doc to do this cause they always gives me the lecture that I am eating too much vitamins, and even questions why I do it - they say I should get enough from a normal diet. And when that happens I just want ask 'what the heck is a normal diet' I am pretty sure his and mine idea of a normal diet is different.

    Dr Davis - you should have a test right here on your blog for different Vitamin D products!! I would do it! Tell us what brand we should eat and for how long... test our levels, and then let us switch to another - do another test, and so forth... Each person could probably test 3 different brands in a year, or?? Just a thought.

  • tom

    4/8/2010 6:43:34 PM |

    For those asking about experience with different brands, here are my results:

    Niacin - Neutraceutical Brand (Vitacost online) - 1,000 mg. capsules, 1 daily:  noticable flush, even after 1 year.  Trigs went from 178 to 87.

    Vit. D3 - NOW Brand, 5000 IU gelcap, 1 daily.  Measured D3 in February was 74.

    I'm now going to try the Neutraceutical 10,000 iu capsule, every other day and see what happens with test results.

  • Anonymous

    4/8/2010 9:16:15 PM |

    I am glad to hear that the capsules filled with powder are absorbed effectively.  I mistakenly ordered Vitamin Shoppe Source Naturals D-3 Bioactive Form 2000 IU capsules thinking I was ordering gelcaps.  It turned out to be capsules filled with power.

  • TedHutchinson

    4/9/2010 3:41:48 PM |

    My partner and I have had our Grassrootshealth results back today, We take Country Life 5000iu softgels in MCT oil and use UVB from sunbed in winter and sun, when available, in summer.
    Mine was 64ng/ml and she is 74ng/ml.
    She is weighs less than me.

  • Amy Alkon

    4/9/2010 4:13:20 PM |

    Eades (who led me to your blog through a tweet of this and past tweets) recommended Biotech to me. I tested at 64 taking 5,000 iu and living like a bat (if I leave the house during daylight hours I wear the finest French sunblock, Anthelios #50/60, pour la visage - for the face). Many thanks for your post. Very important, knowing this. Retweeted.

  • Amy Alkon

    4/9/2010 4:13:20 PM |

    Eades (who led me to your blog through a tweet of this and past tweets) recommended Biotech to me. I tested at 64 taking 5,000 iu and living like a bat (if I leave the house during daylight hours I wear the finest French sunblock, Anthelios #50/60, pour la visage - for the face). Many thanks for your post. Very important, knowing this. Retweeted.

  • Dr. William Davis

    4/9/2010 5:06:47 PM |

    Several people commented on sun and vitamin D.

    Despite the media's repeated claim that 10 minutes of sun will provide 10,000 units of vitamin D, this does NOT apply to the majority of us.

    This tends to apply only to young people, generally younger than 30 years old. Over 40, and most (but not all) have lost much of the ability to activate vitamin D in the skin with sun exposure.

    Ignore the "talking heads" who tell you that 10 minutes of sun provides sufficient vitamin D. They probably read about it in a website last evening, then speak as "authorities."

  • Anne

    4/9/2010 6:29:14 PM |

    I am like Adolfo I think. When I took 4,000 IU D3 per day for just four months over the winter a couple of years ago my 25(OH)D level reached 154 ng/ml. I am not young, I am in my mid 50s but I am slim. I cut down to 2,000 IUs per day and my levels have stabilized between 60 and 80 ng/ml. I get tested every four months or so. I do not go in the sun, but I did when I was in France last year and my 25(OH)D level actually fell ! I too eat a Paleo diet with lots of oily fish which contains D and I think this helps keep my 25(OH)D level up despite only taking 2,000 IU D3. I take Carlsons.

  • Ned Kock

    4/10/2010 1:35:41 AM |

    Dr. Davis, I was not referring to anything said by "talking heads", but to research done or reviewed by Reinhold Vieth.

  • dextery

    4/10/2010 3:26:35 AM |

    For the Anonymous person that asked about Niacin...I take the brand name Slo-Niacin I get at Walmart or Sam's Club...2000mg
    per day to raise my HDL.  If I spread the 4 tablets out over a couple of hours I get no flushing.

    HDL went from 42 to 85mg/dL in a matter of 3 months.

    Other "no flush" products for me
    severe flushing.

    TYP uses Slo-Nicain brand.

  • Anonymous

    4/10/2010 4:17:16 AM |

    Anyone have any experience with Sam's Club's Member's Mark brand?

    That's what I take. One 5,000 units capsule every other day (plus there supposed to be 600 IU in the multi I take daily).

    Definitely a good stuff. It is so ridiculously cheap, it's hard to believe it's good. How do I know? First, a test a year ago. Second, I get two weird side effects of taking vitamin D: 1) a low grade acne that I used to get once in a while disappears completely, 2) two small wart-like tumors on my wrist shrink and become very flat, barely visible.
    How do I know it's vitamin D that does it? - Just for kicks, I once stopped taking it for 3 months and both effects reverted.

  • Dr. William Davis

    4/10/2010 12:24:21 PM |

    Here's the response from Nature Made. It's the usual corporate-speak nonsense that says nothing.

    Unfortunately, because the experiences I have are from patients, not my own vitamin D, I do not have the bottles nor lot numbers to supply them. In past, when I have gone to the trouble of getting them, it never came to anything. You provide it, the information goes into the company, you never hear anything more.

    So, given the difficulties, I would suggest that we all avoid Nature Made vitamin D. By the way, their fish oil is not a very good product, either. Nature Made is one of the brands we consistently see stomach upset with.



    Date:     April  9,  2010
    From:     Marissa Reyes, Consumer Affairs Department
    Subject:  Reference #346236

    Dear William Davis, MD:

    We recently received your e-mail regarding Nature Made products.  We regret to hear that the quality standards of our company. [?]

    Our company is called Pharmavite, and we manufacture Nature Made nutritional supplements.  We have been in business since 1971.  We are committed to quality control, and have very high quality standards.  Our Quality Control personnel sample and test all raw materials as they enter our plant, and again assay the finished product, before final packaging.  

    Dietary Supplements are regulated under the FDA through DSHEA (Dietary Supplement Health & Education Act of 1994). The United States Pharmacopoeia (USP) establishes standards for the composition of drugs and nutritional supplements.  This voluntary non governmental organization was set up in 1820 and has officially been recognized by federal law since 1906.  Standards established by USP for products are legally enforceable by the FDA.  At Pharmavite we participate in the USP Dietary Supplement Verification Program (DSVP).  Many of our products have earned the DSVP seal and additional products are currently being evaluated.  Our DSVP certified products will have the DSVP seal on the product label.

    Our Nature Made Vitamin D 400 IU tablets have been reviewed by the USP and bears the DSVP symbol on the label. Although the USP has not reviewed all of the Nature Made Vitamin D supplements, all of our products go through the same rigorous quality testing at Pharmavite. The products which have earned the seal help us to demonstrate the high quality of our products.

    We would like to look into the product(s) your patients have been using. If you could provide the UPC and lot numbers of the product(s), we will be happy to review our records. In addition, if you would like us to test the product(s) that you currently have, we will be pleased to send a prepaid postage mailer so you may return the product(s) to us so that our Quality Control Department can
    examine it. Please let us know if you would like us to send you the prepaid postage mailer.

    We thank you for contacting us and hope that you will continue to use and enjoy Nature Made products with complete confidence.

    Sincerely,
    Marissa Reyes
    Consumer Affairs Coordinator
    Pharmavite, LLC
    MR:346236-10

  • mongander

    4/11/2010 1:10:16 AM |

    I use 5,000 iu/day from WalMart and Sam's Club and my last test result was 79 ng/ml.  I use their fish oil also.

  • GHG

    4/12/2010 7:06:49 PM |

    I have taken the Biotech D3-50, 50,000 IU powder caps for about 3-4 years now.  Have not found a good source of oil caps that strong. I have not been sick in 8 years, first 4 from colloidal silver, and last 4 from D3. My 25-OH-vitaminD has been around 62-64 ng/ml.. take two 50,000 IU per week.  Now, after reading Dr Davis on powder D3 "may have erratic absorbtion", I started chewing up a gelcap with a teaspoon of coconut oil.  6 weeks later, my D3 level went from 62 to 80! on the same dose. Six weeks is probably not enough time to stabilize. I bet I may go to 90-100 when I retest next month.

    Dr Cannell (www.vitamindcouncil.org) reccommends 25 IU per pound of body weight per day long term for starts and then test.  My dose works out to be 14,286 IU/day and my weight is around 300lbs.. pretty close.  No wonder skinny people build up too much D3 in their blood, no fat to store/buffer it.  Also had a couple of warts/moles, and they went away after high dose D3. I think they are caused by viruses and D3 builds up the immune system enough to fight off most viruses
    --ghg

  • H. Ghr

    4/21/2010 6:08:35 PM |

    I had been taking the NOW brand of Niacin. I also tried the "pharma" Niaspan. The impact on my trigs was the same (35% reduction). recently there was a package change here in Canada. Unfortunately the contents lable indicated niacinamide. NOW said it was a lable error and the contents were niacin. We have not seen a new packet yet.

  • kristen

    5/13/2010 9:25:03 PM |

    I began supplementing a total of 4,000 iu of vit d at the beginning of January. (2,000 from my multivitamin and 2,000 from Sam's Club gelcaps).  My vit d level on Feb 1 was 32.

    Upon receiving these results in the middle of February, I began taking 2 drops (4000 iu) of vitacost's brand of vit d (in addition to the 2000 in my multi).  So a total of 6,000 iu per day.  

    I received the results yesterday of my vit d level taken 2 weeks ago-- 94.8!

    My hdl went from 38 in February to 31 two weeks ago.  
    I have also been following a higher fat, lower carb (30-75g/day) diet for the past 2 months.
    My triglycerides, overall cholesterol, and LDL levels have all dropped by 30-40 points.
    I've cut back to 4,000 iu of vit d.

    I can't seem to lose weight, however, even with the low carbs.  I am a T2 diabetic.  (AIC of 6.7 in February).

  • Anonymous

    7/27/2010 12:31:24 PM |

    hello,i live in islamabad,pakistan.last year i ws diagnosed having osteopenia then my dr also asked me for d3 n calcium tests both came very low.since last nov i hav been taking 500IU d3 alongwith osteocare syrup.but after 7,8mnths my result was  still  the same vit d3 being 16 (here in our labs normal range is considered above 30)and calcium came 8.4,(normal range starts from 8.8)please do suggest me something really useful and effective.i want to concieve too but i think might be being so defiecient i am suffering from hormonal imbalance too.my age is 32,i have  a son 4yrs old,am quite slim 5.3height with 110pounds.thnx

  • josephmoss

    8/2/2010 12:23:55 PM |

    Vitamin D3 2000 Iu:

    NOW Vitamin D softgels supply this key vitamin in a highly-absorbable liquid softgel form. Vitamin D is normally obtained from the diet or produced by the skin from the ultraviolet energy of the sun. However, it is not abundant in food. As more people avoid sun exposure, Vitamin D supplementation becomes even more necessary to ensure that your body receives an adequate supply. Vitamin D3 2000 Iu on discount at NutroVita.com.

    For more details please visit:
    http://www.nutrovita.com/32760/now-foods/vitamin-d-3-2-000-iu.htm

  • Trem papers

    8/16/2010 10:23:55 AM |

    You have done a marvelous job by exploring this subject with such an honesty and depth. Thanks for sharing it with us!
    termpapers99@gmail.com

  • Piper

    8/24/2010 7:06:48 AM |

    Dr. Davis, I agree that consumers should be cautious of their medicine intake. I've heard of various over the counter vitamins and food supplements being sold even in stores like Wal-Mart and elsewhere. Although, they have the same content like vitamin D, there can be some problems with the percentage in each capsule. That's why they need to be guarded of the brands that they would patronize.

    Aside from vitamin D, a lot of people today wanted to buy resveratrol too. They consult online resources and friends on where to buy resveratrol. Like in most drugs, experts advise to check the label, before purchasing any product to be sure of its content and effectiveness.

    Thanks for sharing.

  • mavicity

    9/2/2010 12:11:26 PM |

    Gee, makes me want to check my medicine cabinet and the brands I have in there.
    Not because it's well known means it works well.
    Mavic
    vitamin supplement industry

  • Anonymous

    10/21/2010 6:14:07 AM |

    I've been taking Source Naturals 2000 IU vitamin D3.

    My vitamin d is 85 ng/mL.

    Is that too high? when to stop supplementing? I highly recommend this brand for increasing your vitamin D level, and it's pretty easy to get.

    The costco brand was also fine - increased the level as well.

  • TedHutchinson

    10/21/2010 8:21:14 AM |

    25(0H)D levels decline from Sept though to March above latitude 30N. So continuing to take 2000iu/daily will (for you as you appear to be a high responder) maintain your status above the 60~70ng/ml that provides a good reserve of D3.
    Adverse events may be expected above 200ng/ml and you nowhere near that level.
    Most readers require 6000iu/d to attain and maintain 60~70ng/ml through the winter.
    Depending on the amount of time you spend outdoors next year it may be worth considering supplementing  alternate days or with perhaps 3 x 2000iu a week during midsummer if being above 80ng/ml bothers you. Personally I'd only reduce intake if I was repeatedly above 100ng/ml. Some test methods are slightly more variable than others and so your current level may be simply a

  • Anonymous

    2/10/2011 5:19:47 AM |

    i'm taking 2 gms of prescription niaspan but flush very bad.  any tips on limiting this effect?

  • Karamjeet

    6/9/2011 8:38:05 PM |

    I have been taking 2000 IU daily dosage of vitamin D3 for several months with marginal improvement in level - went from 10 to 15.  Visiting this blog-post revelaed thwe reason - I have been using the NatureMade brand.

    Kaiser's doctors recommended 50,000 iu weekly which initially had side effects - but I learnt it was perhaps because I was not taking it with heavy meals.

    I have now been recommemded 5000 iu daily, and I thingk I will go with Carlson or Now brand. But a quick question; Isn't the 50,000 IU prescription dosage prepared by the Kaiser Lab more reliable than any leading brands? I mean - can't we trust the in-the-lab prepared prescription more than the over-the-counter branded pills?

    Would appreciate if someone throes some light on this.

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