Wintertime vitamin D deficiency management

Celiac disease creates a conundrum for folks in the Northeast during wintertime if the Celiac goes far enough up the duodenum to affect absorption. Vitamin D is an essential factor in maintaining health and preventing disease.

North of Atlanta or L.A. it’s not possible to absorb the daily dose of Vitamin D via sunlight because the angle of sun isn’t direct above the latitude of those sunny cities between November and March.  

For the general population, it’s suggested that one eats wild caught fatty fish (such as Alaskan Salmon) twice a week and consume Vitamin D fortified soy or cows milk daily.  For someone that doesn’t absorb in the duodenum due to issues with healing, one option is to take sublingual Vitamin D.  

  Another is to become a snowbird! For my circumstances, the latter is not possible right now.  

Anyway,  the reasoning behind taking Vitamin D sublingually is to avoid the intestines entirely and have the absorption occur in ones mouth. 

I have struggled with D deficiency annually.  This year my internist prescribed 60,000 I.U.s of Vitamin D to be taken each week starting in November.  I am far more compliant with a weekly pill than daily sublingual drops, I will confess (although I don’t know how effective they were at resolving my deficiency this year).  

Perhaps in a few years we’ll understand the disease and healing even more.  Do you take vitamins? Do you approach food as your medicine? 


john pavlovitz

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