Where do Track Your Plaque membership revenues go?

People pay about $90 per year to become Members on the Track Your Plaque website. This provide access to our in-depth Special Reports, guides, webinars, and our proprietary software data tracking tools. Members can also participate in online discussions, such as those in the Track Your Plaque Forum and chats.

Why is there a charge for membership in the program and where does the money go?

Money raised from membership fees goes towards:

1) The costs of doing business, e.g., server fees, software purchases, legal fees. Hosting webinars, for instance, costs us about $99 per month for the GoToWebinar software service.

2) Software development--Our most recent round of software data tracking tools, for instance, cost us nearly $30,000. That may not be a lot from big business standards, but it is onerous enough that obtaining membership dues really helps.

3) Graphics development--A website without graphics would be awfully dull, regardless of the quality of the textual content. Some of the newest tools on the Track Your Plaque website require photography and graphics work, which can add up very quickly.


Where membership fees do NOT go:

1) In our pockets--In fact, except for the various contractors who are paid for their services (e.g., software developers), NOBODY on the Track Your Plaque staff are paid: not me, nor any of the behind-the-scenes staff. Some of the staff overlap with my office staff, but they are paid purely out of the office revenues, not out of Track Your Plaque membership dues.

2) Towards overhead costs beyond those listed above--For example, membership fees do not pay for office lease, utilities, phones, etc.


We rely on membership fees because we have chosen to remain as free of commercial bias as possible. We host no advertising, we have no behind-the-scenes corporate or institutional agendas, we show no favoritism to any business or commercial operation. We believe this permits editorial freedom that few other health websites can enjoy. (In fact, I know of no other that is so free of commercial bias, outside of small blogs or narrow-interest websites.)

If you want to see what damage commercial bias can create, just go to a health website like WebMD. I challenge you to find information that is not flagrantly biased by commercial influence, namely that of the drug industry. (According to the WebMD SEC filings, in fact, the great majority--approximately 80%--of their $331 million revenues (2007) were derived directly or indirectly from the drug industry.) This commercial bias reaches into all of WebMD's related businesses, including MedicineNet.com, RxList.com, Medscape.com, and several others.

Preventing heart disease is not a money maker, sad to say. It is, from the perspective of conventional heart care, a big money loser. Undergo a heart catheterization, hospitalization, stent or bypass for anywhere from $14,000 to well over $100,000---or pay $90 for in-depth health information that dramatically reduces the potential need for the hospital and its procedures, minimizes need for prescription medication (statins alone, of course, are a $27 billion annual revenue phenomenon), and achieves all this by maximizing nutrition, self-purchased nutritional supplements, and inexpensive heart scans. Nobody is going to make a bundle off of this approach.

So that is why we charge a membership fee. I often get a laugh from some of the comments of people on this blog or even in my office who believe that we are rolling in money from the website from membership dues. The opposite is true: We don't pay ourselves. Virtually every penny is reinvested back into the website to better serve the Members.

Comments (9) -

  • steve

    12/26/2008 6:29:00 PM |

    aren't you coming out with a new edition of your book?  Clearly it will be cheaper than a yearly membership, and hopefully will contain all the info. shown on TYP membership site; otherwise it would be in some respects short changing the reader. Why not just buy the updated book to get current info at less expensive price?

  • virginia

    12/27/2008 5:01:00 AM |

    thanks. i have linked you via my blog...found you at fanaticcook.

  • Bob Parks

    12/27/2008 6:20:00 PM |

    you wrote:

    "approximately 80%--of their $331 revenues (2007)"

    That has to be a typo, $331 million maybe?

    Bob

  • Anonymous

    12/27/2008 6:23:00 PM |

    The dues I've paid to be a TYP member, and the wealth of unbiased and cutting edge information I've derived there from, are  some of the BEST preventive healthcare dollars I could have spent.

    My co-pays for a stay in the hospital or trip to the cath lab could pay for many years of membership in TYP.  My bet is that the information I've derived from Track Your Plaque will keep me away from those scary places... or give me my best shot if I should ever have to go there.

    To my knowledge, there is no other website that provides such a wealth of information, and the tools to use it, for such a low subscription fee.

    Dr. Davis you do an extraordinary job with the TYP website, thank you for all you do!  Your work is sincerely appreciated.

    Happy New Year to you, and to Track Your Plaque website staff and members.

    madcook
    Houston, TX

  • Richard Nikoley

    12/27/2008 8:25:00 PM |

    For what it's worth, Doc Davis, I never had a doubt.

    Not that it would have mattered anyway. Would that the financial rewards went to those most and not least deserving and that such would be welcomed with open arms by the beneficiaries of your revolutionary, life-saving approach.

    I salute you, sir.

  • Dr. William Davis

    12/29/2008 1:39:00 AM |

    Thanks for catching that, Bob.

  • Anonymous

    12/29/2008 4:34:00 AM |

    Please keep the fee high enough to keep the information unbiased and to keep out those who do not understand the power of the information and would dilute the message.

  • Anonymous

    12/29/2008 5:30:00 AM |

    Steve, the Track Your Plaque book and the Track Your Plaque website are two quite different things.

    I have the first edition of the TYP book (and have given away copies to friends who discovered they have coronary artery disease). I have been a TYP member for some time. I also intend to buy the new edition of the book when it is out (and I will continue to give out copies to people I know who discover they have CAD).

    The new Track Your Plaque book will have Dr. Davis' updated observations, the latest (evolved) version of the program, and more, and should be current, at least as of the date of publication.

    The Track Your Plaque website is both comprehensive and interactive:  The latest aspects of the program are there, as well as extensive information and articles about each aspect of TYP strategies, AND it will be updated over time as new strategies evolve.  In addition there are new interactive tools to track your blood work and tell you how well you are doing with your program and your heart scan scores.  There are also wonderful forums where TYP members can post questions, and receive information and advice from other members, as well as Dr. Davis and some of his staff, in a very supportive atmosphere.

    There is nothing like the TYP membership website, not even a brand new updated edition of the TYP book, and it is, for my money, a bargain.

    Hope this helps!

    madcook

  • pamojja

    11/15/2009 3:57:47 PM |

    are there other options to join TrackYourPlaque other than with credit cards?

    I don't want to get one for just this purpose, especially not in times of the big credit crunch.

    Thanks for any suggestions.

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Fat Head: Tom Naughton's manifesto for low-carb eating

Fat Head: Tom Naughton's manifesto for low-carb eating

I just got back from Jimmy Moore's low-carb cruise to the Bahamas.

Among the many interesting people I met on the cruise was the creator of the documentary film, Fat Head, Tom Naughton.

Tom brings both creative insights into low-carbohydrate eating as well as humor. Low-carb eating can be a pretty contentious issue, but Tom made it fun. He will make you laugh about many of the odd notions we have about diet.

Among the best parts of Fat Head is Tom's portrayal of the effects of carbohydrates on insulin and fat metabolism:






Fat Head joins the ranks of films like Food, Inc, that make nutrition information entertaining. For anyone interested in a unvarnished look at diet, weight loss, along with a few laughs along the way, Tom Naughton's Fat Head is worth viewing.

Comments (16) -

  • Jimmy

    3/12/2010 6:28:59 PM |

    Dr. Davis, I agree Tom has hit on something HUGE with his film FAT HEAD which is why I asked him to join us on the cruise to show his film.  THANK YOU for your incredible contributions during the conference and I am grateful to you for your generous donation of time to join us. Smile

  • Kevin

    3/12/2010 6:39:52 PM |

    The low-carb manifesto tries to convince you that fat doesn't matter and therefore calories don't matter.  LC books pander to the people who can't or won't control their appetites, telling them, 'It's not your fault, have some brie instead of a cookie'.

    But ingested fat being twice the calorie density of carb or protein does eventually add to the fat stores.  Those LC dieters who lose weight and maintain have CCK's effect on satiety to thank.  

    kevin

  • Dr. Isaac Eliaz

    3/12/2010 9:03:23 PM |

    This is great! Check out my blog post on blood sugar and metabolic syndrome...http://tinyurl.com/y9tr8va

  • Anne

    3/13/2010 1:53:51 AM |

    It is a good film and the animation of how fats get into cells made it easier to understand. Tom's blog is always an entertaining and educational read. http://www.fathead-movie.com/

    I so wish I could have been on the cruise - maybe next time.

  • freyal

    3/13/2010 2:32:02 AM |

    Hi Dr. Davis,
    this is a comment for your fish oil article.  I have a curious case: one has very high triglycerides (above 1000 mg/dL) and recurrent acute pancreatitis since 20s, have been taking 9grams of omega-3 in combination with 145mg tricor, 40mg simvastatin and niacin (1g) per day for 1 year and haven't successfully lowered the triglycerides.  His LDL and cholesterol are both normal with very low HDL (<20). No liver, kidney, pancreas or thyroid disease.  Underweight, not drinking, follow a strict low fat, complex carb, good protein, high veggie diet.  What do you recommend?

  • Anonymous

    3/13/2010 9:14:19 PM |

    freyal, just wondering what your goals are with your patient?  If you are trying to kill him, you are doing a good job.  

    A low-fat, high "complex" carb diet will keep the triglycerides high and the HDL low, as you have proven.  It doesn't matter how much fish oil, statins, or niacin you add, until you re-align your thinking with regard to diet, you are never going to help this guy.

    Have you actually read this blog?  Because your question is ridiculous if you have.

  • freyal

    3/14/2010 2:53:32 AM |

    Thanks for your response!  I actually just started reading this blog more extensively after posting my comment above.  I see Dr. Davis's point on limiting carb.  So do you recommend low-fat low carb diet?  He actually tried low-carb high protein diet sometime ago but without much success.  Because it is hard to just eat protein (will be very high protein here for 2000-cal daily intake) without fat and carbs.  Maybe the failure was because he couldn't limit fat as strictly as in the low-fat, carb+protein diet.  His TG is very sensitive to dietary fat too.  But now we will try low fat, low carb and high protein diet and see if there is a reduction.


    Another problem is, what do you recommend for the "gas" problem associated with high protein diet?  Thanks for your help!!

  • Anna Delin

    3/14/2010 6:07:00 PM |

    Freyal, so you are saying his chylomicrons don't get cleared from the blood within reasonable time?

  • Anonymous

    3/14/2010 8:58:48 PM |

    freyal, no, high-protein/low-fat is not good either (look up "rabbit starvation").  Use a very low-carb/ moderate-protein/high-fat diet.  The best fats to raise HDL and lower triglycerides are saturated fats like butter, tallow and coconut oil.  Stay away from vegetable and most nut oils, especially because they are high in inflammatory omega 6 oils.

    Gas (usually caused by fermentable carbohydrates, including lactose if he is eating dairy) may not be much of a problem when you correct the diet but if it is, try digestive enzymes and betaine HCL.  

    Check out some other blogs on Primal or Paleo diets.  http://www.paleonu.com/ is one of the best, click on "Get Started" to see the diet then check out the rest of the blog!

  • freyal

    3/15/2010 1:06:48 AM |

    Hi Anna,
    yes.  His TG remains above 1000 with healthy diet and TG lowering medications.  His TG would only come down to normal level after several days of fasting during hospitalization due to acute pancreatitis.

  • freyal

    3/15/2010 1:10:15 AM |

    Hi Anonymous,
    thanks for the rabbit starvation info.  I thought high protein-low fat-low carb would be lacking a lot of essential nutrients.  

    But about your point that "The best fats to raise HDL and lower triglycerides are saturated fats like butter, tallow and coconut oil.", I have never heard about this and could not find any source.  Could you please point me to some studies that support this claim?  Thanks!

  • Anonymous

    3/15/2010 2:00:17 AM |

    freyal - is the patient gluten free instead of just wheat free?

  • freyal

    3/15/2010 6:53:27 PM |

    Hi,
    he is not gluten free or wheat free.  He tried moderate-fat, low carb, high protein diet, and also low-fat, moderate complex carb + moderate protein diet.  Both did not work to lower his TG.  He is not allergic to gluten I believe.

    Someone above mentioned high saturated fat (butter palm oil etc) works better to lower TG.  I'm not sure about this approach.  Even if there are studies supporting this (I only found one so far),they were all done with normal people.  He is not normal in terms of TG, he has genetically very high TG and is very sensitive to dietary fat (be it saturated or unsaturated) and would get acute pancreatitis every time following a large heavy greasy meal.  
    I appreciate all your comments, please leave more if you have thoughts about this patient, thank you!

  • Anonymous

    3/15/2010 8:36:03 PM |

    freyal - start with the PaNu blog and then look at the following blogs http://high-fat-nutrition.blogspot.com/, http://drbganimalpharm.blogspot.com/. http://www.nephropal.blogspot.com/ - you will see hundreds of studies analyzed.

  • Anonymous

    3/17/2010 8:25:07 AM |

    the niacin is too low.  it should be 3gms/day.  ensure it is niacinic acid.

    http://www.lipidsonline.org/slides/slide01.cfm?q=niacin

    and

    McKenney JM, McCormick LS, Schaefer EJ, et al. Effects of niacin and atorvastatin on lipoprotein subclasses in patients with atherogenic dyslipidemia. Am J Cardiol 2001;88:270-274.

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Our friends at Liposcience

Our friends at Liposcience

A number of Track Your Plaque Members are still outraged at LabCorp's failure to convey the results of page 2 of the NMR Lipoprofile, as provided by Liposcience, Inc., the testing laboratory that actually performs the test. We've gotten an audience at both Liposcience and LabCorp, though no real progress in obtaining this information has yet been made.

Anyway, that's not what I'd like to focus on. Despite the tremendous aggravation created by this incomprehensible glitch, NMR Lipoprofile remains, in my view, the best way to discover hidden sources of risk for heart disease and the most powerful way to develop a coronary plaque/heart scan score control program.

We could do without NMR, but I think that we'd pay a price in effectiveness. We'd be, in effect, driving blindly when it comes to certain lipoprotein patterns. Some abnormalities, like intermediate-density lipoprotein (IDL) and LDL particle number, are superior to similar measures (like apoprotein B and direct LDL) and yield priceless information that is simply not obtainable as reliably by any other method.

I've had my share of negative experiences with the marketing director and the staff at Liposcience, but it's the vision of company founder and inventor of the technology, biochemist Dr. James Otvos, that should continue to shine. Dr. Otvos' ingenious technology to fractionate plasma proteins has provided an advantage for coronary plaque reversal and reduction of CT heart scan scores that no other method can provide as well.

For a useful discussion on basic lipoprotein science, listen to the discussion provided by Dr. William Cromwell of Liposcience by clicking on the graphic below:

Comments (6) -

  • Ross

    10/26/2007 9:53:00 PM |

    What's on page 2 of the report that's being concealed from patients?

  • Dr. Davis

    10/27/2007 1:27:00 AM |

    The graphic display of data and IDL are the most notable omissions.

  • Anonymous

    10/27/2007 10:53:00 PM |

    Off topic:

    Hi Dr. Davis. I was wondering if you were considering writing a book?

    Sounds to me like a good way to help spread the word - both to average people and MDs - about your heart disease prevention findings.

  • Dr. Davis

    10/27/2007 11:10:00 PM |

    Track Your Plaque, the book detailing these concepts, is available through Amazon.

    Because I wrote it in 2003-2004, there is updated information that is better accessed via the website accompanying this blog, www.trackyourplaque.com.

  • Anonymous

    10/27/2007 11:57:00 PM |

    Hi Dr Davis,

    The lipoprofile teleconference was very informative, but I was not able to access it by clicking on the graphic.  Instead I used:

    http://www.lipoprofile.com/teleconference/slide.asp?Slide=0&auto=1

    Thanks!  kat1

  • Anonymous

    10/28/2007 6:00:00 PM |

    re: book

    Thank you, I didn't know it existed. I'll check it out.

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The healthiest people are the most iodine deficient

The healthiest people are the most iodine deficient

Here's an informal observation.

The healthiest people are the most iodine deficient.

The healthier you are, the more likely you are to:

--Avoid junk foods--30% of which have some iodine from salt
--Avoid overuse of iodized salt
--Exercise--Sweating causes large losses of iodine.

So the healthy-eating, exercising person is the one most likely to show iodine deficiency: gradually enlarged thyroid gland (in the neck), declining thyroid function. Over time, if iodine deficiency persists, excessive sensitivity to iodine develops, as well as abnormal thyroid conditions like overactive nodules.

Even subtle levels of thyroid dysfunction act as a potent coronary risk factor.

Comments (19) -

  • Makoss

    11/16/2009 2:29:19 PM |

    So should a healthy person like me, who isn't big on salt, doesn't eat junk food and exercises regularly, be concerned about a potential thyroid problem? Seems paradoxal.

    Thanks

    Mario

  • trix

    11/16/2009 2:50:44 PM |

    I believe I am one of those 'healthy' people....Last year I started doing what Dr. Guy Abraham suggests...I built up to 50mg of iodine by taking drops of Lugol's Iodine for 3 months. Then slowly reduced the dose to a maintenance dose of 2 drops/12.5 mg. per day.  I also follow a protocol of taking magnesium, B complex, selenium, Vit C, and make sure I get enough Vit D3 mostly from sun (Florida).  In your opinion do you think that 12.5 mgs iodine is a safe dose to take indefinitely.  (I also use some other supplements: fish oil and bio-indentical Progesterone...)  I am a 56 yrs old female.

  • Anonymous

    11/16/2009 3:18:08 PM |

    ummm, the salt used in junk food in non-iodized.

  • Materialguy

    11/16/2009 3:59:22 PM |

    On May 20, 2009 you wrote "My sense is that the Recommended Daily Allowance of 150 mcg per day for adults is low and that many benefit from greater quantities, e.g., 500 mcg. What is is the ideal dose? To my knowledge, nobody has yet generated that data."

    In looking for a convenient way to confront my Iodine situation, I realized that I might have on in my backpacking equipment. I use Polar Pure iodine based water disinfectant, which produces a 4 to 5 ppm solution of iodine in water.  This is effectively 1 mg of iodine in an 8 ounce glass. So, taking a glass every day or so would put me in the ballpark of the 150mcg and 500mcg that you mentioned.

    It is free, because I already have it, and I am skilled in the use from many backpacking trips.

  • Kassidy

    11/16/2009 4:15:54 PM |

    Is there a test to see if you're iodine deficient?  Do you recommend taking an iodine supplement?

  • Anonymous

    11/16/2009 5:21:10 PM |

    im confused you say the most healthy are deficient, but then their thyriod is messed up?

    so is iodine good or bad?

  • Anonymous

    11/16/2009 7:40:02 PM |

    If that's the case, what do you recommend as the best way to test and determine if and how deficient you are, and the best way to ensure you're getting enough?  Thanks!

  • Brian

    11/16/2009 8:25:54 PM |

    I exercise, and avoid iodized salt and junk food.

    But I also eat lots of eggs (pastured).

    Problem solved.

  • Dr. William Davis

    11/17/2009 12:40:51 AM |

    There are cumbersome urinary tests to assess for iodine deficiency, but they are rarely used and are fairly unreliable, since they tend to reflect short-term intake, not overall adequacy.

    You've left with a situation much like vitamin C: You'll know you're deficient when your teeth fall out. For iodine, it will be thyroid dysfunction.

    It's NOT worth waiting to find out. Everyone should supplement iodine in some form unless, like MaterialGuy, you get it somehow already.

  • Anonymous

    11/17/2009 1:41:37 AM |

    http://www.optimox.com/pics/Iodine/opt_Research_I.shtml
    Best iodine research without pharma influence or deceptions.
    bruce P

  • Nameless

    11/17/2009 1:45:33 AM |

    If interested in supplementing iodine, it would seem prudent to get a baseline thyroid level, supplement, and see if it changes for the better. I plan to do this next month, starting at a smallish dose (250-500mcg).

    I was a bit skeptical as to dosing iodine, until I read Dr. Davis' recent article for LEF (nice article, by the way) where he recommends 500mcg up to 1 gram, if I remember right. That seems like much more reasonable dose to me as compared to Lugols, etc.

    I was also under the false impression than an iodine urine test would be accurate, but it doesn't seem like it would be. A loading test might be a bit more accurate, but that also sounds like a pain to get.... and no insurance would probably pay for it either.

    Only other thing to consider is form. Kelp could have some impurities (especially arsenic), so potassium iodide the preferred form to take?

  • trix

    11/17/2009 2:06:12 PM |

    I've read that Lugol's drops or Idoral tablets are good forms to take because they are Potassium Iodide and Iodine. One can make their own Lugol's with ingredients from science companies or off ebay:
    5 gm iodine
    10 gm potassium iodide
    100 ml of distilled water
    yields 6.3 mg Iodine per drop

  • Anonymous

    11/17/2009 4:25:40 PM |

    I am currently reading a book called "CLEAN" by Dr. Alejandro Junger.

    In it he says many of the same things you say, and ties in many problems we suffer, like thyroid issues, etc. to the condition of our bowels and inflammation.

    I would like to read your opinion of this book if you ever get time to review it.

    Thanks!

  • Alfredo E.

    11/18/2009 3:10:30 AM |

    Hi All: I believe I am a perfect example of the case. Since very early age, 16 y o, I was diagnosed with hypertension.
    In my early 20s I started to read about salt restriction, exercise and heart disease. By age 35 I started to act "different" though I continue to exercise 4 hours a week, low fat-low salt diet.
    I started to have "panic attacks" when in certain situations. Then in the early 90s I was diagnosed with goiter and started taking hypothyroid drugs. The "attacks" went away.
    I believe all this was a low iodine diet that affected my life for many decades. Today, I still have hypertension and hypothyroidism but all under control. I also take Iodine.
    supplements.

  • Anonymous

    1/25/2010 3:09:50 PM |

    The information here is great. I will invite my friends here.

    Thanks

  • Andrew and Amy

    10/20/2010 1:47:20 AM |

    Be careful!  People the American diet is soooo full of iodine!  I have Thyroid Cancer and am currently on a Low Iodine Diet - can't really eat much because there is so much iodine in our foods, not sure I would add iodine or take it without a Dr. recommendation, most other countries don't have it in their foods.  Check out Low Iodine Diets to get a better picture.

  • buy jeans

    11/3/2010 6:40:28 PM |

    So the healthy-eating, exercising person is the one most likely to show iodine deficiency: gradually enlarged thyroid gland (in the neck), declining thyroid function. Over time, if iodine deficiency persists, excessive sensitivity to iodine develops, as well as abnormal thyroid conditions like overactive nodules.

  • Lakodine

    3/23/2011 6:47:26 PM |

    Not all iodine is created equal.  For more information, go to www.Lakodine.com

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Increased blood calcium and vitamin D

Increased blood calcium and vitamin D

Conventional advice tells us to supplement calcium, 1200 mg per day, to preserve bone health and reduce blood pressure.

Here's a curious observation I've now witnessed a number of times: Some people who supplement this dose of calcium while also supplementing vitamin D sufficient to increase 25-hydroxy vitamin D blood levels to 60-70 ng/ml develop abnormally high levels of blood calcium, hypercalcemia.

This makes sense when you realize that intestinal absorption of calcium doubles or quadruples when vitamin D approaches desirable levels. Full restoration of vitamin D therefore causes a large quantity of calcium to be absorbed, more than you may need. In addition, two studies from New Zealand suggest that 1200-1300 mg calcium with vitamin D per day doubles heart attack risk.

We have 20 years of clinical studies demonstrating the very small benefits of supplementing calcium to stop or slow the deterioration of bone density (osteopenia, osteoporosis). These studies were performed with no vitamin D or with trivial doses, too small to make a difference. I believe those data have been made irrelevant in the modern age in which we "normalize" vitamin D.

Should hypercalcemia develop, it is not good for you. Over long periods of time, abnormal calcium deposition can occur, leading to kidney stones, atherosclerosis, and arthritis.

Until we have clarification on this issue, I have been advising patients to take no more than 600 mg calcium supplements per day. I suspect, however, that the vast majority of us require no calcium at all, provided an overall healthy diet is followed, especially one that does not leach out bone calcium. This means no foods like those made with wheat or containing powerful acids, such as those in carbonated drinks.

Comments (50) -

  • renegadediabetic

    6/21/2010 1:18:12 PM |

    Sometimes I think that the RDAs only apply to the current high refined carb, nutrient depleting diet most americans eat.  

    This is just more proof that the current calcium "requirements" are overstated and probably intended to market dairy products or calcium fortified processed foods.

  • Katie

    6/21/2010 1:42:19 PM |

    I always thought the recommendations for supplementing with calcium were probably wrong.  I've heard that Americans eat more calcium-rich foods and supplement with more calcium than other Western countries, but yet suffer from the highest amount of osteoporosis/osteopenia.  

    This wouldn't surprise me, given the importance of having the right amounts of calcium, Vitamin D, and Vitamin K2.  I've seen other doctors/researchers recommend that Vitamin D always be taken in connection with sufficient intake of Vitamin K2 to help prevent hypercalcemia.  I do not supplement with calcium, but I do supplement with D3 and K2 and have had no problems

  • Anonymous

    6/21/2010 1:45:19 PM |

    Dr. Davis is wheat a bad idea because of the phosphates which demineralize bones ? If so then lentils and peas and beans would be quite high in phosphates too? would the recommendation be to lower their consumption as well?

    Thanks.!

  • PJNOIR

    6/21/2010 2:56:32 PM |

    Calcium as a supplement is one of the toughest to assimilate in the body- I can't see how an accurate number can be assessed as too much (or too little)

  • scott

    6/21/2010 3:28:53 PM |

    I wonder how much calcium is in Gerolsteiner Water.  Dr. Davis has recommended this in the past, but probably for the magnesium content.

  • Anonymous

    6/21/2010 3:37:16 PM |

    1) It would seem that anyone speaking of vitamin D, is being a little misleading as we should most likely be talking about D-2 or D-3. Or never talking about D-2 and always about D-3 as it is the more bio-active.
    2) Increase K-2 to take care of the D-3 / calcium problem.
    3) Blood tests to keep track of all three of them.

  • miannotta

    6/21/2010 4:51:37 PM |

    Would supplementing with vitamin K2 help alleviate the problem of too much calcium in the blood? It's function is to redirect blood calcium to the bones. Or is the jury still out on this?

  • Anonymous

    6/21/2010 5:20:33 PM |

    This is a point also made in the current posting of "Diabetes Update"

  • Steve

    6/21/2010 6:11:04 PM |

    Apparently alot of people are reporting issues with vitamin d supplementation. You may have hit the nail on the head, Dr Davis. Here is a website that has over 200 comments from people experiencing issues.
    http://ctheblog.cforyourself.com/2008/12/overdosing-on-vitamin-d-side-effects.html

    Steve

  • Jenny

    6/21/2010 6:55:53 PM |

    Since I ran into just this problem (and blogged about it elsewhere) I want to add this:  You don't have to be supplementing with pills to run into this problem.

    If you are eating a classic low carb diet and eating cheese rather than meat for much of your protein your calcium intake can get high pretty fast.

  • Bobber

    6/21/2010 7:19:02 PM |

    Are you familiar with Dr. Cordain's work on Acid/Base balance?
    http://thepaleodiet.com/nutritional_tools/acid.shtml

  • Anonymous

    6/21/2010 10:17:14 PM |

    http://www.ncbi.nlm.nih.gov/pubmed/19113911

    Men don't need more than 626 mg/day calcium, and women with D > 20 ng/ml don't need more than 566 mg/day.

  • Jessica

    6/22/2010 12:43:32 AM |

    We usually recommend that individuals stop taking a calcium supplement once they've reached the target D level (70-90 ng/mL).

    We always draw a serum calcium with a 25(OH) level.

    Detected several cancers in our patients this way (hypercalcemic prior to starting D supplementation).

    Also, I'm about 8 months pregnant with our first child and you think cardiology is behind the times with Vitamin D, try OB! They're living in the dark ages.

    Fortunately my OB is more versed than most and the fact that I take 10,000 IU daily doesn't make him too uncomfortable (obviously not since he didn't offer to check my D level...I had to ask for it).

    I'm also taking 500 mg QD of elemental magnesium (no preeclampsia for me) and (when I remember), 12.5 mg of Iodoral/week (I worry about taking it everyday due to potential for "heavy metal dumping" since I wasn't routinely taking it prior to pregnancy).

    I still take a pre-natal, but I worry more about not taking the other supplements more than i worry about missing a dose of the pre-natal.

    Thanks for all you continue to do in healthcare!

  • cardiology emr

    6/22/2010 1:08:33 AM |

    Thank you so much for the advice I will try having an supplement calcium, to preserve bone health and reduce blood pressure for my own good.

    mjd

  • Anonymous

    6/22/2010 2:09:39 AM |

    interesting. So does this mean that those areas where the calcium levels in drinking water are high : "hard" or "temporary hard", are areas where high vitamin D could work against residents trying to maintain healthy arteries?

    Trevor

  • Anonymous

    6/22/2010 5:02:05 AM |

    I'm 37 and have been taking 6,000 i.u. of vitamin D per day for the last several months.  I started urinating blood last night and have a CT scan in a few days to see the likely cause of it all - kidney stones.

    My Dad also had them. I think the vitamin D may have contributed in bringing this about.

    Coincidently, I'd started taking Tums (rich in calcium) every now and then for heartburn about a month or two ago.  

    Timely post doc!

  • Anne

    6/22/2010 7:17:17 AM |

    Dear Dr Davis,

    Please can you quote the links to the studies you mention in this blog. I have both osteoporosis and a heart valve defect (bicuspid aortic valve) and calcification is being deposited on the aortic valve. My levels of 25(OH)D range from 60 to 100 ng/ml. I have my bone profile tested every time I have my 25(OH)D tested and so far my serum calcium levels have been in the normal range but your post worries me considerably.

    Anne

  • moblogs

    6/22/2010 9:03:29 AM |

    I would agree that we probably need no dairy based calcium at all, since it is only necessary at birth through mother's milk.
    Even so, I do like my dairy products in moderation so that's all I take - no additional calcium supplements; and my blood calcium level and bone density has benefited from just D on top.

  • steve

    6/22/2010 3:31:52 PM |

    while current blood levels of D3 may appear to be inadequate, there is no science to demonstrate what the higher levels shuld be.  While a blood level of 60 coming from the sun may be wonderful, there are no studies, let alone ones of any duration, that show that supplementing with large doses of D3 to get to a 60 level do not pose any negative health consequences.  As we have learned with other vitamin supplementation, more is not always better; adverse consequences can arise, and there is not always a way to detect them such as blood calcium levels.  Caution should be the watchword.

  • Steve

    6/22/2010 3:50:56 PM |

    Dr Davis, what is your opinion of the supplement MSM? Does vitamin D have an effect on this also?

    Steve

  • Anonymous

    6/22/2010 4:24:11 PM |

    Dr. Davis,

    Magnesium competes with calcium absorption, and therefore is crucial to keeping calcium levels at bay.

  • Peter

    6/22/2010 8:11:05 PM |

    I noticed that a study this week found a correlation between very high vitamin D levels and increased risk of pancreatic cancer.
    http://media-newswire.com/release_1121308.html

  • nightrite

    6/22/2010 9:53:05 PM |

    I too had trouble with kidney stones untill I began supplementing with magnesium.  I take 600mg of various forms of mag and no longer have any problems with kidney stones.  I also take 6000 units of D3 and 180 of K2.  I have not had my serum calcium checked but don't eat too much dairy.

  • Anonymous

    6/22/2010 10:19:44 PM |

    What about high phytic acid foods like the raw almonds and cocoa advocated here?  Don't those contain as much or more calcium binding phytic acid as wheat?  I eat very low carb and no dairy products whatsoever.  My indulgences have been raw hazelnuts and cocoa -- now I'm wondering if this has been damaging in some way.  My understanding is that serum calcium represents only 1% of body's calcium and that an ionized calcium test is more accurate.  My doc drew blood today to re-check my vitamin d status but would not check mineral status.

  • Anonymous

    6/22/2010 10:26:31 PM |

    Different take on the calcium for me.  When I develop a faint, "fluttery", tachycardia (up to about 142 for a 63-year-old, and I feel absolutely horrible) I take about 500 mg of calcium citrate with about 1000 mg of vitamin C (for absorption of the calcium) and the heart beat gets stronger and the rate comes down.  Sometimes I have to repeat.  I found only one internet reference to this phenomenon below:

    http://www.ithyroid.com/ca_and_mg.htm

    I do not have access to health care as I am one of the working poor.  Perhaps you can comment, Dr. Davis.  Thanks, Catherine

  • Dr. William Davis

    6/22/2010 10:30:07 PM |

    Hi, Jessica--

    I think that you and your group are managing the calcium/vit D issue the right way.

    Unfortunately, some people are wrongly interpreting this to mean that vitamin D causes hypercalcemia. It simply means that calcium is unnecessary when D is restored.

  • Dr. William Davis

    6/22/2010 10:31:32 PM |

    Jenny--

    Thanks for the clarification.

    Thankfully, your situation is the exception. Most people maintain normal calcium levels even while consuming dairy and other calcium-rich foods.

    Several responders here make the point about magnesium, which I agree with. Have you addressed magnesium? Magnesium deficiency is exceptionally common, since it has been taken out of most drinking water.

  • Anonymous

    6/23/2010 2:29:29 AM |

    I noticed that a study this week found a correlation between very high vitamin D levels and increased risk of pancreatic cancer.

    Cited are NOT very high levels! The claim is higher rates of pancreatic cancers with >100 nmol/ml - which translates into 40 ng/ml, a level considerably lower than the one recommended here by Dr. Davis (~60-70 ng/ml if I remember correctly). Another claim is NO difference in rates of several other cancers across a large range of 25(OH)D concentrations.

  • LeonRover

    6/23/2010 9:11:25 AM |

    Peter's comment above led me to read the newswire report referred to.

    This study was trying to establish any epidemiological association of increased levels of Vit D with reduced incidences of various cancers. No such associations were observed. Rather in the case of pancreatic cancer only, it was observed that when the  level of Vitamin D was GREATER than 100 nmol per litre, there was higher incidence of this disease. Another way of looking at this observation is that at levels below 100 nmol per litre there was no association of pancreatic cancer with levels of Vit D LOWER than 100 nmol per litre.

    As far as cancers are concerned there is no point in considering Vit D status as long as it below 100 nmol per litre.

  • Mike

    6/23/2010 10:07:09 PM |

    This is timely. I just had blood work done recently and my Dr.'s staff ordered the wrong test. Instead of measuring D3, they measured D2 calcitriol. I don't know what to make of the result: 120.8 pg/mL on a scale of 10.0-75.0. It's extremely high.  The last time I had my vitamin D3 tested, it was 59.2 ng/mL on a scale of 32-100.
    FWIW, I follow a low carbohydrate Paleo diet and consume very little dairy. I do take a multivitamin 3-5 days per week, but it only provides 300 mg of calcium (along with 210 mg of magnesium). I also take 500 mg of magnesium citrate every evening.
    I'd sure like to know what to make of this.

  • TedHutchinson

    6/24/2010 7:54:39 AM |

    @ LeonRover
    The information on pancreatic cancer & vitamin D status comes from Finland

    The further from the equator the greater the swing from high to low status. To have a good shower requires tight regulation of both hot and cold water supplies and a reserve store of both hot and cold supply so neither ever runs out.

    Vieth explains in this paper.
    How to Optimize Vitamin D Supplementation to Prevent Cancer

    In the same way fluctuating concentrations of 25(OH)D may also be a problem, Regions at high latitude or with low environmental
    ultraviolet light can be associated with the greater risks reported for prostate and pancreatic cancers. At temperate latitudes, higher summertime 25(OH)D levels are followed by sharper declines in 25(OH)D, causing inappropriately low 1-hydroxylase and high 24-hydroxylase, resulting in tissue 1,25(OH)2D below its ideal set-point.

    The answer is to keep levels BOTH HIGH and STABLE.
    Humans only build a stored reserve of D3 in tissue above 40ng/ml = 100nmol/l. Only around 60ng/ml are there sufficient D3 reserves for lactating mothers to pass to babies in breast milk. At latitude 32 it takes modern women 6400iu/daily/D3 to provide naturally replete vitamin D breast milk.

  • Mike

    6/24/2010 8:30:44 PM |

    Thanks Ted. That clarifies the role of calcitriol, but I am still wondering why my level measured so high, if even transiently.

  • Anonymous

    6/24/2010 8:37:38 PM |

    I'm anonymous from above who talked about kidney stones and blood in my urine.

    I had the CT scan done yesterday. I have stones, one of them a whopping 1.4 cm.  

    Be careful people.

  • Catherine

    6/25/2010 10:07:09 PM |

    (I am a different Catherine than the one above with tachycardia)

    For years because I had osteopenia, I was advised to take loads of calcium.  Later they told us to add vitamin D with it.  I am now FULL of calcium deposits all over my body.

    A year ago, Dr. Davis advised me to try magnesium for a bad arrhythmia problem, and it not only quickly cured my arrhythmia, insomnia, and RLS, but I have much less grinding sounds and arthritis pain. I was the poster girl for magnesium deficiency and no one except Dr. Davis even mentioned trying it.

    I think along with K2, magnesium is of upmost importance to balance the D and calcium. I only take 500 mg a day now since I don't consume dairy, but after this article, I may totally stop supplementing any calcium and let the K2 and magnesium perhaps reduce some of the deposits..

  • Anonymous

    6/27/2010 12:24:40 AM |

    @Mike -- I have the same issue/question.  My 25 OH was 62 but the 125 test was sky high.  My serium calcium was normal.  I wonder if Holick's new book gives detailed info on how to interpret lab tests.  His first book just said that the correcxt test is the 25 OH but didn't explain if there is any danger is a sky high 125.

  • Crystal

    7/4/2010 6:44:07 AM |

    This is an awesome post. Great post. Thanks for sharing this. Looking forward to read more from you.
    Green Tea

  • josephmoss

    7/29/2010 5:35:01 AM |

    Vitamin D3:

    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 on discount at NutroVita.com.

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

  • TedHutchinson

    7/29/2010 9:09:26 AM |

    UK readers need to be aware that estimated shipping cost to UK from Nutrovita = $26.50
    whereas
    Item cost IHERB= $4.96 + International Airmail = $4.00
    If you haven't used IHERB before code WAB666 saves $5.
    Remember UK customs apply VAT on orders £18 and above + UK PO charge £8 handling fee so I make orders up to around £17.50 before shipping to avoid that happening.
    To use GOOGLE toolbar to convert currency enter
    4.96 USD in GBP

  • Anonymous

    12/27/2010 7:27:18 PM |

    Dr. Davis,
    Since increasing my Vitamin D, Magesium and Melatonin I suddenly have very brittle, splitting fingernails.  Any idea which if any of these caused this?  Any suggestions?
    Thanks

    Love your blog!!!!!

  • Jack

    3/4/2011 4:13:40 PM |

    Chances are the calcium supplement you are taking now is a rock source of calcium. The label will say "calcium carbonate", which is nothing more than limestone. AlgaeCal Plus contains an organic, plant-sourced calcium form derived from a unique South American marine algae called Algas Calcareasâ„¢.

  • Emr reviews

    4/2/2011 12:01:36 AM |

    think one of the greatest hurdles is overcoming misconceptions in the minds of regulators, doctors and patients alike. I just returned from a trip to Germany and colleagues there are amused about America's 3rd World-like medical records situation

  • Anonymous

    4/2/2011 8:43:46 PM |

    I have celiac disease and osteopenia in my spine and no bone loss in my hips. I have a strong family history of osteoporosis as well.

    Because my calcium intake is less than or equal to 500 mg I take:

    600 mg calcium citrate at two seperate meals

    1200 IU's D3

    500 mg magnesium citrate

    I track using fitday. I'm grain, legume, dairy, sugar and processed food free and follow a paleo type dietary plan.

    Is this okay?

  • Anonymous

    4/2/2011 11:04:23 PM |

    I meant:

    600 mg calcium citrate in total but dosage is split between two seperate meals.

  • Dave

    5/2/2011 11:25:59 PM |

    I've seen research that shows the body produces more MGP and other calcium handling proteins with higher doses of Vitamin D.  You would expect this effect as a evolutionary collaboration with Vitamin D activity.  Higher doses of Vitamin K2 are needed to carboxylate these proteins and make them active.  These proteins are active in various places in the body like the arteries and the kidneys.  I have a theory that taking Vitamin K2 helps prevent kidney stones and maybe gallbladder stones of the calcium type.

    Uncarboxylated MGP is actually worse than the fully carboxylated MGP.  Guinea pigs are given cholesterol and high levels of Vitamin D in research to give them artery disease by exceeding their Vitamin K2 levels thus creating low carboxylation levels.

    More Vitamin K2 may well be good for those kidney stones.

  • Dave

    5/3/2011 12:14:43 AM |

    There is recent and startling Dutch research to the point that Vitamin K2 is specifically used to carboxylate calcium handling proteins that remove calcium from the arteries and promote heart health.  If you are taking extra Vitamin D, the body also generates more of these calcium handling proteins so the need for Vitamin K2 also increases.

    I had good experience over six months with taking Vitamin K2 and found my running speed increased by 8% and the itching or other mild, variable sensations in my chest have decreased 98%.  I suspect this is connected to reduction of calcification.  I noticed a reduction in my symptoms after six weeks.

    My Vitamin K2 has:
      1300 mcg Vitamin K2, Mk-4
       100 mcg Vitamin K2, MK-7
      1000 mcg Vitamin K (the ordinary stuff)

  • Reikime

    9/22/2011 2:02:34 AM |

    Reading all these posts I used to think of vitamin D and magnesium and K2 the same a most posters. Intuitively never took calcium, was up to 6000 mg of D3/ day to achieve a level of 43- up from 26.

    That said, my serum calcium has trended upward to 10.3. I am now having a few blood tests to check  for hyperparathyroidism!  The foremost parathyroid doc in the USA is Dr. James Norman from Tampa, and his website is very informative and puts a different spin on what I thought I knew of these matters. Parathyroids is ALL he and his 2 colleagues do all day every day. Please give this a look to be fully informed on the matter of Vitamin D supplementation.       www.parathyroid.com
    I have no connection, but if I find out I have an adenoma on one of my parathyroids, this is where I will have it removed!
    Jeanne ( RN,BSN)

  • Reikime

    9/22/2011 2:05:44 AM |

    Oops,  meant to add I have also supplemented with 400-800mg of magnesium and 1 Life Extension K2 in addition to the Vitamin D for several years.

    Reikime

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