IMMUNITY

Vitamin D: COVID-19 and BAME | DR JUHEE

Vitamin D is a fat soluble vitamin that regulates amount of calcium and phosphate in the body – necessary to maintain normal calcification of skeleton and bone mineralisation. ๐Ÿฆด โฃ
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๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ: ๐’๐ฎ๐ง๐ฅ๐ข๐ ๐ก๐ญ โ˜€๏ธ ๐ƒ๐ข๐ž๐ญ ๐Ÿ„ โฃ
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โ˜€๏ธ Difficult to quantify exactly how much time you need to spend in the sun as different factors affect effective absorption: ๐—ด๐—ฒ๐—ป๐—ฒ๐˜๐—ถ๐—ฐ ๐—ณ๐—ฎ๐—ฐ๐˜๐—ผ๐—ฟ๐˜€, ๐—ฎ๐—ฑ๐—ถ๐—ฝ๐—ผ๐˜€๐—ถ๐˜๐˜†, ๐˜€๐—ธ๐—ถ๐—ป ๐—ฝ๐—ถ๐—ด๐—บ๐—ฒ๐—ป๐˜๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ฎ๐—ป๐—ฑ ๐—ฒ๐˜๐—ต๐—ป๐—ถ๐—ฐ๐—ถ๐˜๐˜†, ๐—ฎ๐—ด๐—ฒ, ๐˜€๐—ฒ๐—ฎ๐˜€๐—ผ๐—ป, ๐—บ๐—ฒ๐—น๐—ฎ๐—ป๐—ถ๐—ป ๐—ฐ๐—ผ๐—ป๐—ฐ๐—ฒ๐—ป๐˜๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป, ๐—ฎ๐˜๐—บ๐—ผ๐˜€๐—ฝ๐—ต๐—ฒ๐—ฟ๐—ถ๐—ฐ ๐—ฝ๐—ผ๐—น๐—น๐˜‚๐˜๐—ถ๐—ผ๐—ป, ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ฎ๐—น ๐—ฐ๐—ผ๐—ป๐—ฑ๐—ถ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐˜€๐˜‚๐—ฐ๐—ต ๐—ฎ๐˜€ ๐—บ๐—ฎ๐—น๐—ฎ๐—ฏ๐˜€๐—ผ๐—ฟ๐—ฝ๐˜๐—ถ๐—ผ๐—ป, ๐—ฐ๐—ต๐—ผ๐—น๐—ฒ๐˜€๐˜๐—ฎ๐˜๐—ถ๐—ฐ ๐—น๐—ถ๐˜ƒ๐—ฒ๐—ฟ ๐—ฑ๐—ถ๐˜€๐—ฒ๐—ฎ๐˜€๐—ฒ, ๐—–๐—ž๐——, ๐—บ๐—ฒ๐—ฑ๐—ถ๐—ฐ๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€: ๐—ฎ๐—ป๐˜๐—ถ๐—ฐ๐—ผ๐—ป๐˜ƒ๐˜‚๐—น๐˜€๐—ฎ๐—ป๐˜๐˜€ ๐˜€๐˜‚๐—ฐ๐—ต ๐—ฎ๐˜€ ๐—ฐ๐—ฎ๐—ฟ๐—ฏ๐—ฎ๐—บ๐—ฎ๐˜‡๐—ฒ๐—ฝ๐—ถ๐—ป๐—ฒ, ๐—ฟ๐—ถ๐—ณ๐—ฎ๐—บ๐—ฝ๐—ถ๐—ฐ๐—ถ๐—ป, ๐—ฐ๐—ต๐—ผ๐—น๐—ฒ๐˜€๐˜๐˜†๐—ฟ๐—ฎ๐—บ๐—ถ๐—ป๐—ฒ, ๐—ด๐—น๐˜‚๐—ฐ๐—ผ๐—ฐ๐—ผ๐—ฟ๐˜๐—ถ๐—ฐ๐—ผ๐—ถ๐—ฑ๐˜€, ๐—›๐—”๐—”๐—ฅ๐—ง ๐˜๐—ต๐—ฒ๐—ฟ๐—ฎ๐—ฝ๐˜†โฃ, ๐—ฏ๐—ฒ๐—ถ๐—ป๐—ด ๐—ต๐—ผ๐˜‚๐˜€๐—ฒ๐—ฏ๐—ผ๐˜‚๐—ป๐—ฑ
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๐—ง๐—ต๐—ฒ๐—ฟ๐—ฒ๐—ณ๐—ผ๐—ฟ๐—ฒ, ๐—•๐—”๐— ๐—˜ ๐—ฝ๐—ผ๐—ฝ๐—น๐˜‚๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐˜ ๐—ฟ๐—ถ๐˜€๐—ธ ๐—ผ๐—ณ ๐—ฉ๐—ถ๐˜ ๐—— ๐—ฑ๐—ฒ๐—ณ๐—ถ๐—ฐ๐—ถ๐—ฒ๐—ป๐—ฐ๐˜†.
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๐Ÿฅ ๐’๐ข๐ ๐ง๐ฌ & ๐ฌ๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ ๐Ÿฅ โฃ
โŽMuscle, pain, joint painโฃ
โŽMuscle weaknessโฃ
โŽFatigueโฃ
โŽCuts and wounds not recovering normallyโฃ
โŽGetting unwell oftenโฃ
โŽDepression, low moodโฃ
โŽPotentially hair loss โฃ
โŽBone fractures/deformitiesโฃ
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๐Ÿฉธ ๐•๐ข๐ญ ๐ƒ ๐“๐ž๐ฌ๐ญ ๐Ÿฉธโฃ
โฃ๐Ÿ“Œ ๐ƒ๐ž๐Ÿ๐ข๐œ๐ข๐ž๐ง๐œ๐ฒ: less than 25 nmol/L, ๐ข๐ง๐ฌ๐ฎ๐Ÿ๐Ÿ๐ข๐œ๐ข๐ž๐ง๐œ๐ฒ 25-50 nmol/Lโฃ
๐Ÿ“ŒBlood test post 12 weeks if non responsive referred to secondary careโฃ
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๐Ÿ“ŒRecommended daily ๐ฌ๐ฎ๐ฉ๐ฉ๐ฅ๐ž๐ฆ๐ž๐ง๐ญ๐š๐ญ๐ข๐จ๐ง for adults: 10 micrograms/400IU but specifically dependent on your levels, especially if BAME โฃ
๐Ÿ“ŒMaximum daily ๐๐จ๐ฌ๐š๐ ๐ž for adults: 100 micrograms/4000IU

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๐•๐ข๐ญ ๐ƒ & ๐‚๐Ž๐•๐ˆ๐ƒ-๐Ÿ๐Ÿ—
Low levels associated with severe outcomes and complications in those affected by COVID-19 throughโฃ
โžก๏ธ Immune system ‘cytokine stormsโ€™
โžก๏ธ Renin-angiotensin system โฃ
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๐Ÿ†˜ ๐—›๐—ผ๐˜„๐—ฒ๐˜ƒ๐—ฒ๐—ฟ, ๐—ฟ๐—ฒ๐˜€๐—ฒ๐—ฎ๐—ฟ๐—ฐ๐—ต ๐—ต๐—ฎ๐˜€ ๐˜€๐—ต๐—ผ๐˜„๐—ป ๐—–๐—ข๐—ฉ๐—œ๐——-๐Ÿญ๐Ÿต ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐—ฑ๐—ถ๐˜€๐—ฝ๐—ฟ๐—ผ๐—ฝ๐—ผ๐—ฟ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐˜๐—ฒ๐—น๐˜† ๐—ฎ๐—ณ๐—ณ๐—ฒ๐—ฐ๐˜๐˜€ ๐—•๐—”๐— ๐—˜ ๐—ฝ๐—ผ๐—ฝ๐˜‚๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ถ๐—ป๐—ฑ๐—ฒ๐—ฝ๐—ฒ๐—ป๐—ฑ๐—ฒ๐—ป๐˜ ๐—ผ๐—ณ ๐—ฉ๐—ถ๐˜ ๐—— ๐—น๐—ฒ๐˜ƒ๐—ฒ๐—น๐˜€. ๐Ÿ†˜ โฃ
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๐Ÿ’Š Regardless, those at risk including BAME populations should consider taking Vit D supplementation to boost their daily dosage levels ๐Ÿ’Š โฃ
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๐ŸŽคFurther discussion about this in my next video!