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Posted by surprisetalk 3 days ago

The worthlessness of Vitamin D is mildly exaggerated(dynomight.net)
383 points | 291 commentspage 2
nullbio 2 days ago|
Vitamin D is a biomarker of a process that happens in the body that is beneficial for longevity. This biomarker is created in response to receiving sunlight. The synthetic vitamin itself, does little, if anything, for your health. The process of receiving the sunlight is what benefits your health. This applies to a lot of other vitamin supplements as well.

So whilst you may be able to take a supplement to boost your vitamin D levels, the negative health effects of lack of sunlight are still going to occur.

redrove 2 days ago|
Do you have any sources for this? Genuinely interested in reading more.
xolox 2 days ago|||
I've recently run into and explored research explaining that natural sunlight stimulates energy production in mitochondria, resulting in an energizing and healing effect completely separate from vitamin D production.

I feel bad for posting this without references so here's one reference I could find right now:

> This study shows that longer wavelengths in sunlight are transmitted through the body. When these are presented via NIR LEDs in a laboratory-controlled environment at much lower energies, they again have the ability to be transmitted through the body and also are associated with improved visual function independent of ocular exposure. Hence, body penetration by longer wavelengths impacts systemically. Longer wavelengths improve mitochondrial membrane potential and ATP production and improve function in a species conserved pattern that can impact on mobility, visual function and cognition, particularly in ageing. In short lived animals they can extend average life span.

> Taken together, these data provide evidence of the importance of the full spectrum of sunlight for human health. They also highlight the potential dangers of the restricted spectra found in white LED lighting in the modern built environment that lacks longer wavelengths and whose output is generally restricted to around 400–650 nm. The absence of longer wavelengths from LED light sources may have implications for public health that should be addressed.

Source: https://www.nature.com/articles/s41598-025-09785-3#Sec5

trevorkoob 2 days ago|||
One interesting aspect of Vitamin D that is not regularly discussed is the photo-isomerization of Vitamin D into inactive isomers in the skin.

I think of it similarly to Beta-Carotene, in that consuming the "natural source" has no known toxic amount, while consuming processed vitamin A can be toxic in large doses.

Increasing sun exposure will not raise blood vitamin D metabolite concentration indefinitely, and we don't have good studies that accurately measure the amounts of Vitamin D and its photo-isomers and their concentration in relation to large doses of UV exposure.

Therefore, through sun exposure, people may be storing large doses of Vitamin D isomers in their skin, keeping their levels much higher than typically prescribed oral supplementation levels.

khurs 3 days ago||
I think Vitamin D deficiency hype is driven by supplement sellers.

As someone who grew up in a European country where we don't get long summers, I suffered no demonstrable issues from the lack of sun nor did the many around me.

My family wasn't rich so food was reasonably nutritious but not perfectly balanced either.

Vitamin D supplements are sold widely, including in smaller supermarkets like Lidl and Aldi. And one imagines it all comes out of the same few factories.

There will be some who do need it, but not as many as are led to believe they do.

2000UltraDeluxe 3 days ago||
As many other things, it depends on diet and lifestyle. I also live in the cold north, and generally, if you're fair-skinned, spend enough time in the sun and consume at least some products with natural or added vitamin D, you're usually good.

Having a balanced diet and enough time to spend in the sun isn't a given, though, and many struggle getting enough vitamin D without suppments.

red-iron-pine 2 days ago|||
a years supply of Vit D is like ~$30

you're telling me Big Vitamin is hustling the rubes that much?

the reason it is commonly hyped is because it is in fact reasonably common, and because the fix is cheap and has no real side effects unless you take comically massive doses

nerbert 3 days ago||
tell that to the 90% of belgians with deficiency
lonelyrock42 3 days ago||
I have HIV and am under treatment using medication, I have found D3 and K2 helps alleviate some of the side effects of the medication; largely my mood. Which makes a lot of sense because my immunity system is in constant daily activity.

However, I need to get more sunlight; I just don't think supplementation is the same as being in the sun. When I was homeless I never had these mood issues, but that's complicated, living day-to-day & meal-by-meal puts you survival mode so nothing is really past the hour.

All anecdotal, duh.

kazinator 3 days ago||
I experimented with D3 supplementation up to almost a decade ago. I made some HN comments about it [2018]:

https://news.ycombinator.com/item?id=17638508

I ultimately stopped it because it seemed to cause lower back aches. (Pretty sure, bone/muscle not kidney!) Every time I went on the D3, my back would start to hurt. That repeated several times, enough to suspect a pattern.

The cause may be similar to the itchy, tingling teeth.

According to this fascinating paper, Vitamin D can actually trigger the leaching of calcium out of bones, into circulation:

https://pmc.ncbi.nlm.nih.gov/articles/PMC8147670/

After the abstract, find the section heading "Vitamin D mobilizes calcium from calcified bone".

But that is in very high, pharmacological doses. Not your 5000 UI per day.

dashmeet 3 days ago|
Not medical advice.

You probably need to take vitamin d3 with k2 to avoid the calcium issues.

Edited to add link https://pmc.ncbi.nlm.nih.gov/articles/PMC5613455/

brandonb 3 days ago||
Another more recent trial (TARGET-D) is showing a 52% reduction in heart attack risk: https://www.empirical.health/blog/vitamin-d-heart/

That trial used a dynamically-adjusted dosage of a vitamin D3 supplement, where dosing was set as to keep blood levels within a target range of 40–80 ng/mL. IMO part of the reason this trial is showing better results than the previous clinical trials of vitamin D supplementation quoted in the above article is that vitamin D has bad effects if too low and too high. Adjusting the dose dynamically to achieve an optimal range gets you the benefits without some of the negative effects.

adrian_b 3 days ago|
That blood level matches what the parent article cites as typical for Africans who were still eating their traditional food, and which is higher than typical for the industrialized countries.
legitster 3 days ago||
Your body needs vitamins in order to form complex aminos to operate. But your body only needs to make so many of them - especially if you are an adult, not pregnant, or not suffering from a disease of some sort.

The very premise that loading up your body with "excess" vitamins beyond what you need is already pretty fraught. Building a house without enough lumber can lead to long term deficiency - but loading up a construction site with more materials than are needed shouldn't automatically be assumed to be good.

The reality is that the modern diet has already solved so many common nutrient deficiency diseases (pellagra and goiters were a shockingly common diseases 100 years ago) that maxing out on vitamin intake has become more of something like a speculative hobby than anything else.

torstenvl 3 days ago||
> loading up a construction site with more materials than are needed shouldn't automatically be assumed to be good

It is almost universally recognized as good to do exactly that. It's better to have one planned extra trip to return excess materials (if they can't be used on the next job) than to have multiple unplanned trips when you unexpectedly run out of this or that.

quickthrowman 3 days ago|||
Definitely. I ordered material to replace the balusters on our shared family cabin with horizontal stainless steel cable deck rails and ordered 5-10% extra for all of the various fittings, cable, as well as a backup swage tool.

One of my uncles asked why I’m budgeting for an extra $150 of material we won’t need. I asked him how much it would cost to get us all up here for another weekend to finish if we needed extra parts. The answer was “more than $150” and he understood.

It’s even more crucial to keep enough material on the jobsite when you’re running a project and paying $140 an hour for an electrician.

systemsweird 3 days ago|||
You mean my DIY projects that result in a dozen trips to Home Depot aren’t optimal :)
torstenvl 2 days ago||
Ha. Yeah. Plumbing is the worst for this. I'll buy like twice what I think I need, including some coupling to one size larger and smaller and some larger and smaller pipe. I learned after fixing a well took SIX TRIPS.

(Turns out the line to the gauge was borked, so it never turned off the pump, so the pressure built until it busted my pipes.)

PaulHoule 3 days ago|||
Most vitamins are a cofactor for enzymes like

https://en.wikipedia.org/wiki/Thiamine#Biological_functions

Vitamin D is not but rather it regulates calcium and phosphorous metabolism.

adrian_b 3 days ago|||
While there is no doubt that excess vitamin intakes are useless or even harmful, the problem is that for most vitamins there is a great uncertainty about which are the optimum daily doses, because the controlled experiments that would be needed to determine those doses would be rightly deemed as unethical.

Therefore, since we only have some weak circumstantial evidence, debates about how much vitamin D is good, and the same about other vitamins, will continue. As long as the uncertainty persists, it is safer to ingest somewhat higher doses of vitamins than those recommended, but not many times higher.

The conclusions of the article were that high amounts of vitamin D have been shown to be correlated with good health outcomes, but the supplementation studies could not reproduce the same outcomes, so it remains mysterious what factor was associated with vitamin D in the studies with positive effects and whether vitamin D itself had any role or its presence was just a coincidence.

asdff 3 days ago|||
There would still be a ton of goiters if not for iodized salt, basically an obligatory vitamin intake. People had no good iodine source living inland where most anything they catch or grow is not going to have sufficient iodine no matter what it is they were eating.

I'm not sure what the ancestral iodine source might have been. Fishing villages perhaps along the coast? Hard to say how much coast was relatively populated given challenges of shifting shorelines and archaeological efforts. You can still reproduce laden with a goiter however, and that is enough to keep chucking malnourished humans somewhere on earth.

OkayPhysicist 3 days ago||
It takes a pretty extreme iodine deficiency to end up with goiters. In most environments, there's enough in the soil that eating local plants / animals that eat those plants supplies enough.

The iodine deficiency issues that haunted the Swiss (and Appalachia) arose from people settling down from nomadic lifestyles, in mountainous regions that easily were leeched of iodine by rainfall, and then farming that already leeched soil until there wasn't any iodine left at all.

gblargg 3 days ago|||
Depends on which vitamin as well. Some like vitamin B and C aren't retained, so excess is shed quickly.
cute_boi 3 days ago|||
These days it is same with protein... Too much protein fads.
legitster 3 days ago|||
I think the difference is that increasing protein intake does offset other worse eating habits. So it's not that you need the protein, but there's a small probability that it replaces calories from refined carbohydrates.
HerbManic 3 days ago||||
Yeah, you do need daily protein but for most people nowhere near as much as they are taking in.

You see these protein bars and some of them basically have a full days worth of the stuff and that is before your other meals come in.

There is the YouTube channel 'Subway takes' where people have about a minute to argue a point of view, usually very funny takes as well. There was one that was 'The Protein fad is basically an eating disorder for men', they aren't far off the mark with that.

legitster 3 days ago|||
>'The Protein fad is basically an eating disorder for men'

This is such a bad take.

The current protein fad isn't being driven by men. Bros have been hyping protein and keto for over a decade.

The current "put protein in everything" fad was driven by women's social media, especially mom influencers. You're seeing the explosion in products women are more likely to shop for.

My wife started buying protein products after getting a flood of Reels talking up its benefits for children and women's health.

l23k4 3 days ago|||
>Yeah, you do need daily protein but for most people nowhere near as much as they are taking in.

I don't know, USADA is about as conservative as it gets and they certainly recommend a shitload of protein for for individuals trying to maximize muscle protein synthesis https://www.usada.org/spirit-of-sport/when-consume-protein-m...

>You see these protein bars and some of them basically have a full days worth of the stuff and that is before your other meals come in.

For a 100kg man that would be like 220 grams of protein, must be one big protein bar.

OTOH, at least your username fits ;)

throwaway2037 3 days ago|||

    > Too much protein
Is there really a scientific consensus about "too much protein"? As I understand, the bit about "stresses your kidneys" has been disproven.
adrian_b 3 days ago||
Too much protein can definitely kill you, or at least make you ill, as discovered by the Europeans who explored the northern parts of America and who had initially tried to live from the meat of hunted animals, until they learned from the natives that they must eat enough fat besides the lean meat, in order to survive (most wild animals have little fat, except the bone marrow, which must be extracted).

However, too much protein is a lot, much more than most people will try to eat in normal conditions, because an important advantage of protein is that it is satiating, i.e. when you eat enough protein it is easy to eat less food and more seldom, without feeling hunger.

For example, I eat 2 meals per day, in the morning and in the evening, of about 800 to 1000 kcal each. If I ate more, I would gain weight rapidly.

When I was eating any kind of industrially-processed food, I could not eat so little, because I became hungry quickly. Now I eat only food that I prepare myself, from raw ingredients. In order to avoid hunger, the content of protein and fat is very important. Typically, each of my 2 meals includes 40 to 60 g of protein and 20 to 30 g of vegetable oil. This ensures that I will not be hungry all day.

monadgonad 2 days ago||
> Too much protein can definitely kill you, or at least make you ill, as discovered by the Europeans who explored the northern parts of America and who had initially tried to live from the meat of hunted animals, until they learned from the natives that they must eat enough fat besides the lean meat, in order to survive (most wild animals have little fat, except the bone marrow, which must be extracted).

That's an issue of too little fat, not too much protein. The question is whether, when your other nutritional needs are being met, an excess of protein is an issue.

adrian_b 2 days ago||
No, it was too much protein, not too little fat, because they had to eat a lot of meat from hunting to provide enough calories, as they did not carry with them enough food containing starch and/or fat that could provide calories from other sources than protein.

It does not matter if most of the calories (i.e. more than two thirds) are provided by carbohydrates or by fat, as long as they are not provided by protein.

Fat was the solution for living far in the north because they did not have plant cultures that could provide carbohydrates.

Both the amount of fat and the amount of carbohydrates eaten in a day can vary in a very wide range without causing health problems, while the protein intake must be in a relatively narrow range to avoid problems. When eating fat with the right composition, i.e. from sources rich in essential fatty acids and in fat-soluble vitamins, something like at most 40 grams per day should be enough, so it is unlikely for someone to suffer from eating too little fat.

Remnant44 2 days ago||
Do you have any sources for this? I have also heard of rabbit starvation many times over the years, and it has always been in the context of too taking in too little fat -- essential fatty acids -- as well, due to the extreme leanness of the meat.
UpsideDownRide 3 days ago||
Vitamin D deficiency entered the chat. It's a relatively common issue in many countries.
im3w1l 3 days ago|||
Two things to consider: The recommended levels are established based on "good enough for 95% of people". That means that quite a lot of people can get by with less than the recommendation. Furthermore, being deficient is not a binary. If you are just a little bit deficient you may have very mild symptoms.
legitster 3 days ago|||
That's fair, but it also exactly explains why there are weak positive effects of extra Vitamin D.

There's a lot of unknowingly deficient people out there who get benefits from supplements. But the benefits are limited by the upper bound of the deficiency.

zhivota 3 days ago||
Thousands of words and no mention of the obvious thing - testing whether sun exposure is beneficial or harmful.

The article opens with the observation that southern states had lower cancer rates due to solar irradiance. But then we intervene by taking pills. Why not try to absorb through the skin, even if it means something like a tanning bed?

chr15m 3 days ago||
Yep, it's sunlight.

Nobody will run that trial though because we've spent decades telling people the sun is dangerous and gives you cancer (both things can be true of course). Putting people in the sun every day would not pass ethics tests.

Also you cannot sell sunlight.

waysa 3 days ago||
> Also you cannot sell sunlight.

Don't give them ideas.

jerlam 3 days ago||
There are many nuances and people seem bad at understanding those. Too many are getting their information from "health influencers" and 30 second videos, which is why we seem to bounce between the two extremes of "everyone should take Vitamin D!" and "Vitamin D is overrated!".

Australia has tried to explain sun safety here, taking into account that Vitamin D is best obtained from sunlight:

https://www.cancer.org.au/cancer-information/causes-and-prev...

zhivota 1 day ago||
Yeah not bad, though UV index of 3 is pretty comically low. Here in Manila it's basically full cloud conditions.

I'd be interested to know a curve, i.e. at UV index 8, 3 minutes exposure, at index 6, 10 minutes exposure, etc. Maybe with a scaling for skin tone. It seems like either this kind of study has never been done (perhaps for ethical reasons) or else the information is not being disseminated. The latter seems to happen often in the medical space for paternalistic reasons, which honestly make sense for the broad public but it should be available for people to find who are motivated and have a deeper interest anyway.

jmhammond 3 days ago||
In case the author is here, you can find the Garland & Garland (1980) article on sci-hub.

And if link is allowed https://sci-hub.ru/https://doi.org/10.1093/ije/9.3.227

gwern 3 days ago||
I expect the author is aware of that: where do you think he got the graph from if there's only 'gated copies'? But Sci-Hub links are unstable even if you don't mind linking them.
elzbardico 3 days ago||
Linking to sci-hub for a known blogger may lead to undesired legal consequences in case the journal copyright mafia decides to make an legal example of you.
deepsun 3 days ago||
I don't understand why literally everyone I know are diagnosed with Vitamin D Deficiency. Even living in sunny California. Wasn't human biology adapted for it in the last 40k years? I understand we spend more time indoors, but literally everyone?
Gareth321 3 days ago|
We evolved to be in the sun for much of the day. We no longer do that. Many of us barely go outside at all anymore. Light skin is an evolutionary adaptation to mitigate the issues related to this in higher latitudes, but it's not match for modern indoor lifestyles.
skyberrys 3 days ago|
The charts showing vitamin D not helping, but also slightly hurting make the topic more relevant. The title is almost too flippant of the conclusions which is don't just take more than necessary,because it's likely to actively cause harm not just slightly increase your vitamin D.
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