Friday, 2 January 2015

Happy New Year from all of us at East Hill Pharmacy

Best wishes for the new year from all of us at East Hill Pharmacy. This year we will bring you more useful information on various health issues. Please do get in touch if you need specific information on any topic. We will try our best to help you. You can of course come in any time to speak face to face with one of our Pharmacists. We are at 53, east Hill, Wandsworth, SW18 2QE.
As we are in the middle of winter now and daylight hours are short so we think talking about Vitamin D would be very appropriate now(our body produces vitamin with the help of Sunlight).
So please read the article about Vitamin D below.
   
Is Your Vitamin D level too low?    

Vitamin D occurs naturally in the body following exposure to UVB sunlight. Normal summer sunshine exposure should be sufficient for most people to provide adequate levels, however, for certain groups of people sunlight exposure may not provide adequate levels of vitamin D.

Due to being at risk of vitamin D deficiency, the current guidance from the UK Health Departments1 is that daily vitamin D supplementation should be taken by the following:

all pregnant and breastfeeding women

breastfed infants from one month of age if mother did not take vitamin D supplementation through pregnancy

all children aged six months to five years old (except those who are receiving more than 500ml of formula milk, which is fortified with vitamin D)

people aged 65 and over

people who are not exposed to much sun, such as those who cover up their skin for cultural reasons or those who are housebound or confined indoors for long periods.

 

Other patients at risk of deficiency2 include:

people with darker skins such as people of African, African-Caribbean and South Asian origin

those with medical conditions that alter how the body handles vitamin D including those with Crohn’s disease, coeliac disease and certain liver and kidney diseases

those taking medicines that put them at risk including carbamazepine, phenytoin, primidone, barbiturates and some anti-HIV medicines.

 

Sunscreen

Sunscreens provide important protection from UV skin damage, however, they reduce the body’s exposure to sun, which is the body’s main source of vitamin D. The British Association of Dermatologists (BAD) states3 that there is not a precise level of sun exposure that safely provides adequate levels of vitamin D because of the number of variables involved, including individual skin type, geographical location, time of year, time of day and weather conditions. They advise that once the body has produced the maximum level of vitamin D, further exposure to sunlight does not increase production and will result in skin damage. BAD do not advise deliberate exposure to the sun to increase vitamin D levels.

A “consensus vitamin D position statement” published in 20104 by BAD along with a number of other health organisations advises: “The time required to make sufficient vitamin D is typically short and less that the amount of time needed for the skin to redden and burn. Regularly going outside for a matter of minutes around the middle of the day without sunscreen should be enough.”

The organisations advise that little and often is the best method for sun exposure as well as increasing the amount of skin exposed. 

 

Symptoms of vitamin D deficiency

Many people have no symptoms. Low levels of vitamin D (defined by the Department of Health as a plasma 25-hydroxyvitamin D level of less than 25nmol/l) can lead to increased disease risk. Persistently low levels (below 25nmol/l) are associated with an increased risk of rickets and osteomalacia . The National Institute for Health and Clinical Excellence guidance also states that levels below 25nmol/l indicate a risk of deficiency.

 
 
 
 

 Dietary sources

Dietary sources of vitamin D include oily fish and eggs. Infant formula milk is fortified with vitamin D, and some manufacturers of breakfast cereals, dairy products and low-fat spreads add small amounts to their products5. However, it is difficult to get adequate levels of vitamin D from diet alone. www.easthillpharmacy.com

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