Life Extension Magazine®
On December 7, 1941, the Japanese bombed Pearl Harbor. In response to this attack, President Roosevelt declared an emergency and committed every national resource to supporting the war effort. Another significant event occurred in 1941, but no government response was generated. The result of this oversight is that at least twelve times more Americans have died than all the US soldiers killed in World War II. This historic 1941 discovery has been confirmed by recent human studies. It would thus seem appropriate for today’s President to hold a news conference announcing a simple step that every American should take to drastically cut their risk of dying from age-related diseases. When adding up the lives that could be spared, the numbers are staggering. For cancer alone, 275,000 American lives could be saved each year if a nationwide program was implemented. When one considers how much money the government spends to protect against real and imaginary events, the cost of implementing this program would be trivial. Where You Live Affects Your Cancer RiskIn 1941, the first scientific study was published showing that greater sunlight exposure resulted in lower cancer mortality.1 People living in northern latitudes were shown to contract more cancers than those in southern latitudes, where there is greater year-round sun exposure. Researchers subsequently identified vitamin D as the cancer-protective factor generated from sunlight.2-6 Published scientific studies have shown cancer risk reductions of 50% and more based on higher vitamin D status.7-13 In all, we have identified 89 studies that describe how greater vitamin D levels reduce cancers of the breast, prostate, colon, esophagus, pancreas, ovary, rectum, bladder, kidney, lung and uterus, as well as non-Hodgkin’s lymphoma and multiple myeloma.7-96 What has been lacking up until now, however, has been a double-blind, placebo-controlled study (with strong adherence levels) that specifically measured the effects of higher-dose vitamin D (with calcium) on cancer incidence. American Journal of Clinical Nutrition Publishes Breakthrough StudyIn a report published this year, the effect of administering 1,000 IU/day of vitamin D (with calcium) was evaluated in 1,180 postmenopausal women living in the Midwest.97 Unlike some recent flawed studies, the researchers took extraordinary steps to ensure that study participants were really taking their supplements and that all other variables were tightly controlled. After only four years, the risk of contracting any cancer was 60% lower in the vitamin D (and calcium) group compared with the placebo arm of the study. The scientists then performed an even more detailed analysis of the data. By excluding cancers diagnosed in the first year of the study, which would have included cancers present when participants began taking vitamin D, they found an astounding 77% reduction in cancer incidence in the group receiving vitamin D compared with placebo.97 (Interestingly, in a third arm of this study in which the participants received calcium but no vitamin D, the cancer risk reductions were not as significant.) What this means is that if all Americans began taking just 1,000 IU of vitamin D each day (with calcium), as many as three-quarters of all cancers could be prevented in just four years. The significance of this is such that a national emergency should be called to urge or mandate that all Americans over age 30 take at least 1,000 IU of vitamin D each day. There may not be a better example of what the federal government could do to save American lives than ensuring optimal vitamin D status in all citizens. New findings show that children could also greatly benefit by supplementing with higher doses of vitamin D.98-111 How Vitamin D Prevents CancerCancer has been defined as the “accumulation of mutations in genes that regulate cellular proliferation.” Once genes that regulate cell division mutate, normal cells can turn into cancer cells. Vitamin D has an effect on at least 200 human genes.98 Many of these genes are responsible for regulating cell proliferation, differentiation, and apoptosis. In the next column are simple definitions of these cellular processes: Proliferation: Uncontrolled cell division (cancer cells are characterized by rapid and uncontrolled division). Differentiation: Process that cells undergo to mature into normal cells (uncontrolled reproduction of immature [undifferentiated] cells is a defining feature of cancer). Apoptosis: Natural termination of defective cells (cancer cells are resistant to natural destruction, making them difficult to eradicate). With less than optimal vitamin D status, the genes that regulate the three critical regulatory processes above become defective. These regulatory genes can therefore no longer maintain healthy cellular function (including programmed termination). The result is a sharp increase in cancer risks, as the DNA regulatory genes lack the vitamin D needed to maintain the normal proliferation, differentiation, and apoptosis of our cells. In addition, vitamin D has been shown to help prevent angiogenesis (new blood vessel growth into tumors) and metastasis (spread of cancer).11,51 It is for all these reasons that Life Extension recommended ten years ago that cancer patients take the highest tolerable dose of vitamin D. Vitamin D Prevents Numerous Other DiseasesIf vitamin D only reduced cancer risk, then it would be well worth supplementing with 1,000 IU/day and higher (depending on your level as determined by a blood test). An abundance of recent studies, however, has uncovered a myriad of other diseases that vitamin D helps prevent.113-146 One interesting report showed that elderly people with higher vitamin D levels suffered far fewer falls and were less frail.147 This finding alone points to potentially huge reductions in nursing home confinements, along with less suffering and mortality, if every American adult took 1,000 IU/day of vitamin D. Last year, Life Extension reported that the reason more people develop infections in the winter is not because of cold weather.148 Instead, the reduction in sunlight during winter causes a vitamin D deficiency that impairs immune function.149-159 When one considers that 60,000 Americans perish each year from pneumonia-influenza,160 it becomes apparent that maintaining optimal vitamin D could sharply reduce these grim statistics. Not only is vitamin D required for proper immune function, but by preventing falls and bone fractures, fewer elderly people will succumb to pneumonia as a result of being confined to a hospital setting.
If you’ve ever wondered why so many hospitalized people deteriorate so fast, look no further than the lack of vitamin D that caused their initial problem and the subsequent diminished vitamin D status that occurs in the absence of sunlight in the hospital setting. Chronic inflammation is an underlying factor in the development of numerous age-related diseases. Vitamin D has been shown to suppress pro-inflammatory cytokines and protect against conditions ranging from rheumatoid arthritis, chronic muscle pain, and metabolic syndrome to congestive heart failure and stroke.161-169 Furthermore, those living in higher latitudes contract multiple sclerosis at far higher rates than those who obtain more sunshine throughout the year.138 Scientists have identified specific vitamin D receptors in the white matter of the brain, which may die prematurely in early life if given inadequate vitamin D (resulting in multiple sclerosis).139 So for a nutrient that was once thought to only protect against osteoporosis, vitamin D has emerged as a superstar, which may sharply reduce the risk of most age-related diseases. When looking at all the different lethal diseases that vitamin D has been shown to prevent, hundreds of thousands of lives could be spared each year if every American supplemented with at least 1,000 IU of vitamin D each day. This is why this issue deserves “national emergency” status. A Historical Precedent for Issuing a National EmergencyPolio was one of the most feared diseases in the first part of the 20th century. The polio virus often attacked children, sometimes leaving them walking on crutches, confined to iron lungs because of pulmonary paralysis, or dead! Dr. Jonas Salk discovered the polio vaccine in 1952. Two years later, a clinical trial was conducted whose scope was unprecedented in medical history. The results were dramatic. Within two hours of announcing the successful clinical trials, the vaccine was licensed for use. Thanks to guarantees from what is now the March of Dimes, vaccine production facilities were already built and ready to operate. In 1955, the vaccine was distributed to children throughout America. In 1952, there were 58,000 cases of polio in the United States—the most ever. By 1964, there were only 121 cases reported. The last case of acquired polio occurred in the United States in 1979.170
Many key players were involved in successfully eradicating the polio virus, including President Franklin D. Roosevelt, who was instrumental in establishing the National Foundation for Infantile Paralysis (known today as the March of Dimes). There is a clear precedent for the federal government to treat today’s epidemic deficiency of vitamin D as a health crisis emergency and take affirmative steps to ensure that every American achieves optimal vitamin D status, just as was done with the polio vaccine in 1955. The reduction in human misery and number of lives saved if all Americans achieved adequate vitamin D status would exceed those saved by the polio vaccine.
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Bailing Out MedicareIf one adds up the diseases that vitamin D has been shown to prevent, it becomes clear that if all Americans supplemented with just 1,000 IU of vitamin D (plus calcium) each day, healthcare spending in the United States would plummet. Medicare and some private insurance plans are facing insolvency based on projected healthcare costs that will affect the aging American population. Insolvency would turn into a surplus if vitamin D intake became mandatory. One way of getting vitamin D into almost everyone’s body would be to deny Medicare and other medical insurance disbursements to those whose vitamin D blood levels were severely deficient. This may sound draconian to civil libertarians, but when one considers the dire economic consequences this country faces if healthcare costs are not brought down, mandating vitamin D supplementation would appear to benefit both the health of the citizenry and their pocketbooks. I personally do not want to have to pay more Medicare taxes because some citizens are unwilling to swallow one tiny and inexpensive capsule each day that could dramatically cut their risk of contracting the most dreaded diseases of aging.
Europeans Are Even Worse OffIf you think Americans have a problem, just imagine if the government forbade dietary supplements to contain in excess of 400 IU of vitamin D. In Europe, the upper limit potency is only 400 IU of vitamin D, making it difficult for people there to obtain adequate levels. A German doctor authored a meticulous review showing significant reductions in cardiovascular disease and diabetes (in children and adults) in response to higher vitamin D status. As cardiovascular disease and diabetes account for up to 50% of all deaths in western countries, this doctor warned of significant health consequences if the pandemic of vitamin D deficiency was not corrected. The German doctor concluded his paper by stating: “Given the high prevalence of insufficient and deficient vitamin D blood concentrations in the general population, an improvement in the population’s vitamin D status must be a major effort for public health service in the future. For that reason, in many countries, legislation has to be changed in order to allow a vitamin D amount in over-the-counter supplements and vitamin D fortified food, which is sufficient to increase serum measurements of vitamin D into the adequate range.”174 My Letter to President BushOn the next page is my letter to our President urging him to take immediate action to ensure that as many Americans as possible know to supplement with at least 1,000 IU of vitamin D3 each day. As I point out, the federal government would save vast amounts on healthcare and disability outlays if it would give lower-income Americans a free bottle containing 365 (1,000 IU) capsules of vitamin D3 each year. I have acquired the knowledge that hundreds of thousands of American lives could be saved each year merely by taking a low-cost vitamin. Not taking affirmative action to eliminate this vitamin deficiency as a cause of disease would be morally reprehensible, ergo my plea to the President to use the resources at his disposal to eradicate today’s epidemic of vitamin D deficiency disease. For longer life, P.S. Please note that in the American Journal of Clinical Nutrition study, each capsule was manufactured to provide 1,100 IU of vitamin D3 to make sure that each participant in the active group received at least 1,000 IU/day of vitamin D. | ||||
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President George Bush Dear President Bush: In 2003, your office had the foresight to urge all Americans to increase their consumption of omega-3 fatty acids and decrease their intake of trans fats. In the ensuing years, several hundred scientific studies have further substantiated the health benefits associated with greater omega-3 consumption, and many food producers now state “no trans fats” on their label. The human research into vitamin D has now reached a point where we can predictably state that several hundred thousand American lives each year could be saved if every citizen supplemented their diet with 1,000 IU of vitamin D each day. Please review with your advisors the materials I have attached and consider implementing the following immediate strategy:
Then work with your advisors in devising a strategy to mandate that anyone expecting to file a claim with Medicare, Medicaid, or any other government-funded healthcare agency must take at least 1,000 IU of vitamin D3 each day. A blood test can be used to ascertain whether a person is really supplementing with vitamin D3. If some individuals cannot afford this very low-cost supplement (less than $19 a year), it would be in the federal government’s economic interest to give low-income Americans a free bottle each year containing 365 (1,000 IU) capsules of vitamin D3. Based on our analysis of the reductions in disease incidence that would result from universal supplementation with 1,000 IU/day of vitamin D, Medicare alone would save billions of dollars in outlays each year. The cost to the federal government to give away free vitamin D3 each year to those who request it would be trivial. In consideration for you implementing something along the lines I have suggested in this letter, the Life Extension Foundation would provide to the federal government at no cost, 50,000 bottles of vitamin D3 (365 capsules, 1,000 IU/capsule) to give away to Americans who are unable to afford it. There is significant legal precedent for the federal government taking affirmative action when the preponderance of scientific evidence shows that correcting a widespread deficiency of a nutrient (such as adding iodine to salt and folic acid to cereals) would lead to significant reductions in human suffering and death. In the case of vitamin D, it may not be appropriate to mandate that it be added to a food group, as that could result in people getting too little (or too much) of this nutrient. Our organization’s scientific team will be at your disposal for assisting in the eradication of the epidemic of degenerative disease that can now be definitively traced to a vitamin D deficiency. For longer life, |