Ingredients A-Z

Vitamin D

Overview

Vitamin D is an oil-soluble vitamin essential to maintain bone health and immune system. It is also known as sunshine vitamin that can be produced by our body through direct skin exposure to sunlight. In general, sun exposure time of 5-30 minutes twice a week is often adequate but varies depending on skin pigmentation, season, and time of day¹⁰. In foods and dietary supplements, vitamin D exists in two main forms, D₂ (ergocalciferol) and D₃ (cholecalciferol). In fact, vitamin D₃ is more effective in raising serum 25-hydroxyvitamin D [25(OH)D] levels compared to vitamin D₂. Dietary sources of vitamin D included salmon, tuna, mackerel, egg yolks and fortified milk.

 

Vitamin D plays an important role to promote calcium absorption and maintain bone mineral density. The deficiency of vitamin D may increase the risk of rickets, cognitive decline, sarcopenia, cardiovascular disease, impaired glucose-mediated insulin secretion and viral infection.

Key indications

Bone health

Numerous research showed that adequate intake of vitamin D helps to ease the risk of rickets and osteomalacia. A daily intake of 5,000 -10,000IU of vitamin D is recommended for children age 1 year or older who suffer from vitamin D deficiency rickets and the dose can be reduced to 400IU daily when there is radiographic evidence of healing³. The mechanism of vitamin D promotes bone mineralisation included
improving intestinal absorption of calcium and phosphorus as well as facilitating osteoclast function¹¹.

Immnuity

Vitamin D receptors are found in immune system agents such as B cells, T cells and antigen-presenting
cells⁴. It enhances the differentiation of macrophages which helps to boost immunity toward bacterial and
viral agents. Furthermore, vitamin D helps to prevent respiratory tract infections via the induction of
antimicrobial peptides that build protection against respiratory pathogens¹³. Research indicates that a
therapeutic dose of vitamin D (200IU/day) resulted in a significant decrease (42%) in the incidence of
influenza infection among school children⁵.

Cognitive function

A meta-analysis reported that the elderly with vitamin D insufficiency may increase the risk of incident
cognitive impairment, semantic memory and executive function decline which correlated with an increased risk of Alzheimer’s disease. Indeed, vitamin D helps to prevent cognitive decline by decreasing β-amyloid synthesis and thereby protecting neurodegeneration induced by inflammation¹².

Cardiovascular protection

Vitamin D plays a role in regulating the renin-angiotensin-aldosterone system thereby maintaining blood
pressure level⁶. It also affects the calcium cellular influx which inhibits vascular smooth muscle proliferation and vascular calcification. Research showed that body plasma 25(OH) D levels ≥1.2IU/mL associated with a lower in risk of acute myocardial infraction⁷.

Blood sugar management

Vitamin D possesses antidiabetic properties due to its ability to increase insulin secretion on pancreatic
beta cells. Besides, insulin sensitivity in muscle and liver improved with adequate consumption of vitamin
D⁸. Research shows that the risk develops type-2 diabetes was reduced with consumption of vitamin D
exceeding 800IU per day⁹.

Adverse effects

  • Licorice is generally well tolerated
  •  

  • No adverse event was reported
  •  

    Dosage range

    Licorice extract has been tested in several studies over the years with typical dosages from 100mg up to 1000mg in 1-3 divided dosages for 2-24 weeks. DGL (GutGard®) 150mg either in a separate dose or a single dose for 30 days up to 60 days²,⁴.

     

    Contraindications/cautions

    • Licorice extract might have some interactions with some medications. Ace inhibitors & diuretics could affect the effectiveness

    Adverse effects

  • Licorice is generally well tolerated
  •  

  • No adverse event was reported
  •  

    Dosage range

    Licorice extract has been tested in several studies over the years with typical dosages from 100mg up to 1000mg in 1-3 divided dosages for 2-24 weeks. DGL (GutGard®) 150mg either in a separate dose or a single dose for 30 days up to 60 days²,⁴.

     

    Contraindications/cautions

    • Licorice extract might have some interactions with some medications. Ace inhibitors & diuretics could affect the effectiveness

    References :

    1. Wittschier, N., Faller, G., & Hensel, A. (2009). Aqueous extracts and polysaccharides from liquorice roots (Glycyrrhiza glabra L.) inhibit adhesion of Helicobacter pylori to human gastric mucosa. Journal of ethnopharmacology, 125(2), 218–223. https://doi.org/10.1016/j.jep.2009.07.009
    2. Raveendra, K. R., Jayachandra, Srinivasa, V., Sushma, K. R., Allan, J. J., Goudar, K. S., Shivaprasad, H. N., Venkateshwarlu, K., Geetharani, P., Sushma, G., & Agarwal, A. (2012). An Extract of Glycyrrhiza glabra (GutGard) Alleviates Symptoms of Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study. Evidence-based complementary and alternative medicine : eCAM, 2012, 216970. https://doi.org/10.1155/2012/216970
    3. Schulz, C., Koch, N., Schütte, K., Pieper, D. H., & Malfertheiner, P. (2015). H. pylori and its modulation of gastrointestinal microbiota. Journal of digestive diseases, 16(3), 109–117. https://doi.org/10.1111/1751-2980.12233
    4. Puram, S., Suh, H. C., Kim, S. U., Bethapudi, B., Joseph, J. A., Agarwal, A., & Kudiganti, V. (2013). Effect of GutGard in the Management of Helicobacter pylori: A Randomized Double Blind Placebo Controlled Study. Evidence-based complementary and alternative medicine : eCAM, 2013, 263805. https://doi.org/10.1155/2013/263805

    References :

    1. Wittschier, N., Faller, G., & Hensel, A. (2009). Aqueous extracts and polysaccharides from liquorice roots (Glycyrrhiza glabra L.) inhibit adhesion of Helicobacter pylori to human gastric mucosa. Journal of ethnopharmacology, 125(2), 218–223. https://doi.org/10.1016/j.jep.2009.07.009
    2. Raveendra, K. R., Jayachandra, Srinivasa, V., Sushma, K. R., Allan, J. J., Goudar, K. S., Shivaprasad, H. N., Venkateshwarlu, K., Geetharani, P., Sushma, G., & Agarwal, A. (2012). An Extract of Glycyrrhiza glabra (GutGard) Alleviates Symptoms of Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Study. Evidence-based complementary and alternative medicine : eCAM, 2012, 216970. https://doi.org/10.1155/2012/216970
    3. Schulz, C., Koch, N., Schütte, K., Pieper, D. H., & Malfertheiner, P. (2015). H. pylori and its modulation of gastrointestinal microbiota. Journal of digestive diseases, 16(3), 109–117. https://doi.org/10.1111/1751-2980.12233
    4. Puram, S., Suh, H. C., Kim, S. U., Bethapudi, B., Joseph, J. A., Agarwal, A., & Kudiganti, V. (2013). Effect of GutGard in the Management of Helicobacter pylori: A Randomized Double Blind Placebo Controlled Study. Evidence-based complementary and alternative medicine : eCAM, 2013, 263805. https://doi.org/10.1155/2013/263805

    The material is prepared for informational purposes only and should not be construed as a piece of personal medical advice. Owing to each person’s varying health needs, a physician should be consulted before acting on any information provided in this material. Although every effort is made to ensure that this material is accurate, it is compiled for internal use only and should not be considered definitive. Neither VitaHealth nor its employees, or information providers shall be responsible or liable for any errors, inaccuracies, or other defects in the information contained in this publication.

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