[, Li X, Liu Y, Zheng Y, Wang P, Zhang Y. The vitamin D supplements were associated with serum 25(OH)D levels of 54 to 135 nmol/L (21.6 to 54 ng/mL). Relative effectiveness of oral 25-hydroxyvitamin D3 and vitamin D3 in raising wintertime serum 25-hydroxyvitamin D in older adults. Vitamin D is a fat-soluble vitamin that is found in some animal food products and is also synthesized in the human body via exposure to the sun. Women with 25(OH)D levels of less than 30 nmol/L (12 ng/mL) had a 43% higher MS risk than women with levels of 50 nmol/L (20 ng/mL) or higher. Vitamin D isn't naturally found in many foods, but you can get it from fortified milk, fortified cereal, and fatty fish such as salmon, mackerel and sardines. Obesity does not affect the skins capacity to synthesize vitamin D. However, greater amounts of subcutaneous fat sequester more of the vitamin [1]. Roseland JM, Phillips KM, Patterson KY, Pehrsson PR, Taylor CL. Hello and welcome to Cforyourself. Plasma vitamin D and prostate cancer risk: Results from the Selenium and Vitamin E Cancer Prevention Trial. The geographical distribution of MS around the world is unequal. The 'sunshine vitamin': benefits beyond bone? It helps the bones absorb calcium, supports the immune system and may aid strength gain and fat loss. One reason is that sun exposure affects vitamin D status, so serum 25(OH)D levels are usually higher than would be predicted on the basis of vitamin D dietary intakes alone [1]. Excess amounts of vitamin D are toxic. Total vitamin D intakes were three times higher with supplement use than with diet alone; the mean intake from foods and beverages alone for individuals aged 2 and older was 4.8 mcg (192 IU) but increased to 19.9 mcg (796 IU) when dietary supplements were included. Am J Clin Nutr 2012;95:1357-64. People who avoid all animal-sourced products can contact dietary supplement manufacturers to ask about their sourcing and processing techniques. In contrast to 25(OH)D, circulating 1,25(OH)2D is generally not a good indicator of vitamin D status because it has a short half-life measured in hours, and serum levels are tightly regulated by parathyroid hormone, calcium, and phosphate [1]. Mushrooms, like humans and animals, produce vitamin D when exposed to . [, Peterson L, Zeng X, Caufield-Noll CP, Schweitzer MA, Magnuson TH, Steele KE. Elsevier, 2018. AHRQ-Pub No. [, Skversky AL, Kumar J, Abramowitz MK, Kaskel FJ, Melamed ML. The largest trial to date of vitamin D supplements for diabetes prevention randomized 2,423 men and women aged 25 years and older (mean age 60 years) with prediabetes and overweight or obesity (mean BMI of 32.1) to 100 mcg (4,000 IU)/day vitamin D3 or placebo for a median of 2.5 years [145]. The British Journal of Psychiatry 2013;202:100-7. [, Ford JA, MacLennan GS, Avenell A, Bolland M, Grey A, Witham M. Cardiovascular disease and vitamin D supplementation: Trial analysis, systematic review, and meta-analysis. [, Travis RC, Perez-Cornago A, Appleby PN, Albanes D, Joshu CE, Lutsey PL, et al. Les sites web associs 'MCS' : recherchez avec meeZoom les sites proposs et classs par les autres internautes. In practice, however, people usually do not apply sufficient amounts of sunscreen, cover all sun-exposed skin, or reapply sunscreen regularly. Global consensus recommendations on prevention and management of nutritional rickets. Fat malabsorption is associated with medical conditions that include some forms of liver disease, cystic fibrosis, celiac disease, Crohns disease, and ulcerative colitis [1,63]. It is also produced endogenously when ultraviolet (UV) rays from sunlight strike the skin and trigger vitamin D synthesis. [, Nair-Shalliker V, Bang A, Egger S, Clements M, Gardiner RA, Kricker A, et al. [, Han J, Guo X, Yu X, Liu S, Cui X, Zhang B, Liang H. 25-hydroxyvitamin D and total cancer incidence and mortality: A meta-analysis of prospective cohort studies. Lung cancer Vitamin D and bone density, fractures, and falls: The end of the story? Older women and men should consult their health care providers about their needs for both nutrients as part of an overall plan to maintain bone health and to prevent or treat osteoporosis. A study of cohorts that included 5,313 participants who developed lung cancer and 5,313 matched controls found no association between serum 25(OH)D levels and risk of subsequent lung cancer, even when the investigators analyzed the data by sex, age, race and ethnicity, and smoking status [104]. Orlistat U.S. Department of Health and Human Services. Prostate cancer Best drops: Thorne Vitamin D/K2. Over time, bone density can decline, and osteoporosis can eventually develop [71]. The vitamin D3 and calcium supplements did not reduce breast cancer incidence, and 25(OH)D levels at the start of the study were not associated with breast cancer risk [99]. You get vitamin D from food, supplements, and sunshine. Post-treatment levels of plasma 25- and 1,25-dihydroxy vitamin D and mortality in men with aggressive prostate cancer. Pharmacotherapy 2002;22:814-22. It is found in fortified food and some supplements. [, de Koning EJ, Lips P, Penninx BWJH, Elders PJM, Heijboer AC, den Heijer M, et al. Below are brief descriptions of studies of vitamin D and its association with, or effect on, breast, colorectal, lung, pancreatic, and prostate cancers. Am J Clin Nutr 2019;109:369-79. Overall, the risk of CVD events was 10% lower for each 25 nmol/L (10 ng/mL) increase in serum 25(OH)D. Another large observational study that followed 247,574 adults from Denmark for 07 years found that levels of 25(OH)D that were low (about 12.5 nmol/L [5 ng/mL]) and high (about 125 nmol/L [50 ng/mL]) were associated with a greater risk of mortality from CVD, stroke, and acute myocardial infarction [121]. U.S. Preventive Services Task Force. Cancer Epidemiol Biomarkers Prev 2014;23:1484-93. More recently, a 2022 ancillary study of the Vitamin D and Omega-3 Trial (VITAL; described in the Cancer section below) investigated whether supplemental vitamin D3 (50 mcg [2,000 IU]/day) would lower the risk of fractures in 25,871 generally healthy men aged 50 years and older and women aged 55 years and older over a median follow-up of 5.3 years [82]. Most people in the world meet at least some of their vitamin D needs through exposure to sunlight [1]. They use only USP ascorbic acid to produce their vitamin C products so you can be assured that you are getting the highest quality available. Pediatrics 2008;122:1142-52. Consume fatty. However, 18% were at risk of inadequacy (levels of 3049 nmol/L [1219.6 ng/mL]), and 5% were at risk of deficiency (levels below 30 nmol/L [12 ng/mL]). Gratuit Vitamin C Wikipedia Vitamin C, also known as ascorbi. The trials administered different amounts of vitamin D (ranging from 10 mcg [400 IU]/day to 1,000 mcg [40,000 IU]/week). A large case-control study included 5,706 individuals who developed colorectal cancer and whose 25(OH)D levels were assessed a median of 5.5 years from blood draw to cancer diagnosis and 7,105 matched controls [101]. One might expect a large proportion of the U.S. population to have vitamin D inadequacy on the basis of vitamin D intakes from foods, beverages, and even dietary supplements. Vitamn D(tak vitamin D) je skupina v tucch rozpustnchsekosteroidodpovdnch za zven vstebvn vpnku, hokua fosforenanve stevech a za mnoho dalch biologickch ink. J Natl Cancer Inst 2007;100:1581-91. Endocrinol Metab Clin North Am 2017;46:947-82. Glucocorticoid-induced osteoporosis: pathogenesis and management. [, Dawodu A, Tsang RC. In fact, 20132016 NHANES data showed that 92% of men, more than 97% of women, and 94% of people aged 1 year and older ingested less than the EAR of 10 mcg (400 IU) of vitamin D from food and beverages [40]. 2019 Mar;68(3):475-486. Hopefully, we all heal soon as this is awful. Agency for Healthcare Research and Quality. Evidence Synthesis Number 118. Questions about vitamin D for primary care practice: Input from an NIH conference. Cforyourself is dedicated to the dissemination of information about vitamin C . Vitamin D assays and the definition of hypovitaminosis D. Results from the First International Conference on Controversies in Vitamin D. Br J Clin Pharmacol 2018;84:2194-207. In the 54 participants who completed the study, vitamin D supplementation did not improve insulin sensitivity or insulin secretion in comparison with placebo. Vitamin D supplementation and risk of toxicity in pediatrics: A review of current literature. [, Mheid IA, Quyyumi AA. Maternal vitamin D status: Effect on milk vitamin D content and vitamin D status of breastfeeding infants. Overall, the available research suggests that consuming higher amounts of vitamin D or taking vitamin D supplements does not promote weight loss. A variety of foods and their vitamin D levels per serving are listed in Table 3. Moreover, the effects did not vary by baseline serum 25(OH)D levels or whether participants took the trials omega-3 supplement in addition to vitamin D. However, another clinical trial designed to investigate bone fracture risk found that 800 IU/day vitamin D3 (with or without calcium) or a placebo in 5,292 adults aged 70 years and older for a median of 6.2 years offered protection from cardiac failure, but not myocardial infarction or stroke [125]. [, Stolzenberg-Solomon RZ, Vieth R, Azad A, Pietinen P, Taylor PR, Virtamo J, et al. PLOS ONE 2014;9:e111265. Of course, as I state elsewhere on the site, it is somewhat of a disservice to discuss one nutrient alone and not discuss the vast array of nutrients required and the complex systems in Vitamin D is required to maintain serum calcium concentration within the normal physiologic range for musculoskeletal health. Adv Nutr 2012;3:353-61. For example, an analysis was conducted of 19 prospective studies that provided data on prediagnostic levels of 25(OH)D for 13,462 men who developed prostate cancer and 20,261 control participants [113]. Although UVB exposure can produce vitamin D in infants, the American Academy of Pediatrics (AAP) advises parents to keep infants younger than 6 months out of direct sunlight, dress them in protective clothing and hats, and apply sunscreen on small areas of exposed skin when sun exposure is unavoidable [59]. [, Sowah D, Fan X, Dennett L, Hagtvedt R, Straube S. Vitamin D levels and deficiency with different occupations: A systematic review. Hossein-nezhad A, Holick MF. [, Muller DC, Hodge AM, Fanidi A, Albanes D, Mai XM, Shu XO, et al. Overall, clinical trials did not find that vitamin D supplements helped prevent or treat depressive symptoms or mild depression, especially in middle-aged to older adults who were not taking prescription antidepressants. 2. Calcium plus vitamin D supplementation and the risk of breast cancer. J Clin Endocrinol Metab 2011;96:1911-30. Am J Clin Nutr 2016;104:1039-51. Conclusions about vitamin D and cancer Effect of monthly high-dose vitamin D supplementation on cardiovascular disease in the Vitamin D Assessment Study: A randomized clinical trial. Furthermore, the bone health of older Black American women does not appear to benefit from raising serum 25(OH)D levels beyond 50 nmol/L (20 ng/mL) [84]. One study comparing 738 men who developed pancreatic cancer to 738 matched controls found no relationship between serum 25(OH)D levels and risk of pancreatic cancer [105]. Clinical trials to date provide little evidence that vitamin D supplementation helps maintain glucose homeostasis, reduces the risk of progression from prediabetes to type 2 diabetes, or helps manage the disease, particularly in vitamin D-replete individuals. Updated: The importance of 25-hydroxyvitamin D assay standardization and the Vitamin D Standardization Program. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academy Press, 2010. [, Keum N, Lee DH, Greenwood DC, Manson JE, Giovannucci E. Vitamin D supplementation and total cancer incidence and mortality: A meta-analysis of randomized controlled trials. Vitamin D and its metabolites are carried in the blood bound to vitamin D binding protein (DBP) and albumin--for most tissues it is the free (i.e., unbound) metabolite that enters the cell; however, DBP bound metabolites can enter some cells such as the kidney and parathyroid gland through a megalin/cubilin mechanism. The study reports included 310 years of followup data. The Endocrine Society, the National and International Osteoporosis Foundation, and the American Geriatric Society define vitamin D deficiency as the level of 25-hydroxyvitamin (25 OH D) of less than 30 ng/mL. Mushrooms are one of the best plant-based dietary sources of vitamin D outside of fortified milk alternatives. [, Shea MK, Fielding RA, Dawson-Hughes B. Most participants were vitamin D sufficient; at baseline, only 2.4% had serum 25(OH)D levels less than 30 nmol/L (12 ng/mL), and 12.9% less than 50 nmol/L (20 ng/mL). Vitamin C Products Cforyourself now sells Nutribiotic vitamin C products. Ann Intern Med 1996;125:961-8. Salmon. Bone health also depends on support from the surrounding muscles to assist with balance and postural sway and thereby reduce the risk of falling. However, women with vitamin D intakes higher than 15 mcg (600 IU)/day at the start of the trial and who received the supplements experienced a 28% increased risk of invasive (but not in situ) breast cancer. Vitamin D supplementation has no effect on insulin sensitivity or secretion in vitamin D-deficient, overweight or obese adults: A randomized placebo-controlled trial. In a 2015 study, Dutch researchers completed a meta-analysis of three intervention studies investigating the effects of vitamin D supplementation on serum testosterone concentrations in vitamin D-deficient subjects. [, Vimaleswaran KS, Cavadino A, Berry DJ, Jorde R, Dieffenbach AK, Lu C, et al. Vitamin D (also referred to as "calciferol") is a fat-soluble vitamin that is naturally present in a few foods, added to others, and available as a dietary supplement. In this procedure, part of the upper small intestine, where vitamin D is absorbed, is bypassed, and vitamin D that is mobilized into the bloodstream from fat stores might not raise 25(OH)D to adequate levels over time [66,67]. Because vitamin D increases calcium absorption in the gastrointestinal tract, vitamin D toxicity results in marked hypercalcemia (total calcium greater than 11.1 mg/dL, beyond the normal range of 8.4 to 10.2 mg/dL), hypercalciuria, and high serum 25(OH)D levels (typically greater than 375 nmol/l [150 ng/mL]) [155]. [, Rosen CJ, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, et al. Overall, clinical trials show that vitamin D supplementation does not reduce CVD risk, even for people with low 25(OH)D status (below 20 nmol/L [12 ng/mL]) at baseline [93,124]. Nutrients 2018 Apr 16;10(4). Mayo Clin Proc 2013;88:176-83. pii: E493. Vitamin D deficiency is associated with vascular dysfunction, arterial stiffening, left ventricular hypertrophy, and hyperlipidemia [119]. Vitamin D did not significantly prevent the development of diabetes in comparison with placebo. Some expert bodies and vitamin D researchers suggest, for example, that approximately 530 minutes of sun exposure, particularly between 10 a.m. and 4 p.m., either daily or at least twice a week to the face, arms, hands, and legs without sunscreen usually leads to sufficient vitamin D synthesis [13,15,28]. For men with prostate cancer, whether vitamin D supplementation lengthens cancer-related survival is not clear. A 50 nmol/L (20 ng/mL) increase in 25(OH)D levels was associated with an 11% reduction in total cancer incidence rates and, in women but not men, a 24% reduction in cancer mortality rates. J Am Coll Cardiol 2017;70:89-100. [, McDuffie JR, Calis KA, Booth SL, Uwaifo GI, Yanovski JA. But despite the importance of the sun for vitamin D synthesis, limiting skin exposure to sunlight and UV radiation from tanning beds is prudent [28]. Vitamin D bioavailability: State of the art. All adults should consume recommended amounts of vitamin D and calcium from foods and supplements if needed. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Souhrnn se tak oznauj t jako kalciferoly. Federal agencies and national organizations advise taking photoprotective measures to reduce the risk of skin cancer, including using sunscreen with a sun protection factor (SPF) of 15 or higher, whenever people are exposed to the sun [28,30]. Very limited evidence suggests no substantial differences in the bioavailability of vitamin D from various foods [19]. Vitamin D2 is from plant sources. [, Shahvazi S, Soltani S, Ahmadi SM, de Souza RJ, Salehi-Abargouei A. Pediatrics 2020;145:e20193574. One recent clinical trial, for example, randomized 78 frail and near-frail adults aged 65 years and older to receive 20 mcg (800 IU) vitamin D3, 10 mcg 25(OH)D, or placebo daily for 6 months. Vitamin D might be involved in the pathophysiology of type 2 diabetes through its effects on glucose metabolism and insulin signaling as well as its ability to reduce inflammation and improve pancreatic beta-cell function [1443,145]. Most of the studies described in this section measured serum 25(OH)D levels using various methods that were not standardized by comparing them to the best methods. Uneven skin tone, dryness & texture may feel rough to the touch and give your skin a dull appearance..Adding Vitamin C in your skincare routine is must of su. Type 2 diabetes Bone health and osteoporosis Breastfed infants Report / Delete 3 Reply andreaalvarez kristine98132 Posted 4 years ago British Journal of Cancer 2014;111:976-80. Cancer [, Aloia JF, Talwar SA, Pollack S, Yeh J. Vitamin D supplements are another way to help children get enough vitamin D every day. Vitamin D status and weight loss: A systematic review and meta-analysis of randomized and nonrandomized controlled weight-loss trials. romanov fortune in swiss banks. [, McCullough ML, Zoltick ES, Weinstein SJ, Fedirko V, Wang M, Cook NR, et al. The results of this analysis showed that 0.5 mcg (20 IU) to 214 mcg (8,570 IU)/day vitamin D supplementation (mean of 2,795 IU) for 6 weeks to 3 years reduced serum total cholesterol, low-density lipoprotein cholesterol, and triglyceride levels, but not high-density lipoprotein cholesterol levels [126]. Office of Dietary Supplements, National Institutes of Health. Hazards of treating osteoporosis and hypertension concurrently with calcium, vitamin D, and distal diuretics. [, Jorde R, Sollid ST, Svartberg J, Schirmer H, Joakimsen RM, Njolstad I, et al. [, James WP, Avenell A, Broom J, Whitehead J. [, Chlebowski RT, Johnson KC, Kooperberg C, Pettinger M, Wactawski-Wende J, Rohan T, et al. Laboratory and animal studies suggest that vitamin D might inhibit carcinogenesis and slow tumor progression by, for example, promoting cell differentiation and inhibiting metastasis. Beef liver, egg yolks, and cheese have small amounts of vitamin D, primarily in the form of vitamin D3 and its metabolite 25(OH)D3. [. [, Schenk JM, Till CA, Tangen CM, Goodman PJ, Song X, Torkko KC, et al. Int J Obes Relat Metab Disord 2001;25:1154-60. Serum 25-hydroxyvitamin D concentrations and risk of prostate cancer: Results from the Prostate Cancer Prevention Trial. However, the supplementation had no significant effects on fasting blood glucose, hemoglobin A1c, or fasting insulin levels. As you are aware, an Iodine solution is the best way to test for the presence of starch. People with conditions that limit fat absorption Increasing incidence of nutritional rickets: A population-based study in Olmsted County, Minnesota. Cancer Epidemiol Biomarkers Prev 2014;23:1494-504. Drug-vitamin D interactions: A systematic review of the literature. The results showed no significant differences in rates of progression to type 2 diabetes; in serum glucose, insulin, or hemoglobin A1c levels; or in measures of insulin resistance. Whole foods are an excellent choice." They also stated that "an orange provides not only vitamin C but also carotene, calcium, and free sugars for energy. We encourage you to talk to your health care providers (doctor, registered dietitian, pharmacist, etc.) N Engl J Med 2007;357:266-81. Best liquid: Designs for Health Liposomal D Supreme. [, Lehmann U, Hirche F, Stangl GI, Hinz K, Westphal S, Dierkes J. Bioavailability of vitamin D2 and D3 in healthy volunteers, a randomised placebo-controlled trial. Proportions at risk of deficiency were lowest among children aged 15 years (0.5%), peaked at 7.6% in adults aged 2039 years, and fell to 2.9% among adults aged 60 years and older; patterns were similar for risks of inadequacy. In addition, studies provided different amounts of nutrients and used different dosing schedules. The emerging issue of 25-hydroxyvitamin D in foods. [. Clinical trials, however, do not support these findings. Another recent systematic review also found that vitamin D and calcium supplements had no beneficial effects on fractures, falls, or bone mineral density [79,80]. Without sufficient vitamin D, bones can become thin, brittle, or misshapen. Pediatr Clin North Am 2001;48:53-67. [, Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE, et al. [. Vitamin D2 is manufactured using UV irradiation of ergosterol in yeast, and vitamin D3 is typically produced with irradiation of 7-dehydrocholesterol from lanolin obtained from the wool of sheep [13,31]. Steroids The vitamin D content of human milk is related to the mothers vitamin D status; studies suggest that the breastmilk of mothers who take daily supplements containing at least 50 mcg (2,000 IU) vitamin D3 have higher levels of the nutrient [57,58]. Similarly, the VITAL clinical trial described above found that vitamin D supplements did not significantly decrease rates of heart attacks, strokes, coronary revascularization, or deaths from cardiovascular causes [93]. Vitamin D is a pro-hormone. Some people are potentially at risk of inadequacy at 30 to 50 nmol/L (1220 ng/mL). Vitamin D deficiency or insufficiency did not increase the risk of prostate cancer, and higher 25(OH)D concentrations were not associated with a lower risk. [. The U.S. Department of Agricultures (USDAs) FoodData Central lists the nutrient content of many foods and provides a comprehensive list of foods containing vitamin D arranged by nutrient content and by food name. People with dark skin One nmol/L is equal to 0.4 ng/mL, and 1 ng/mL is equal to 2.5 nmol/L. The study included 25,871 men aged 50 years and older and women aged 55 years and older who had no history of cancer, and most had adequate serum 25(OH)D levels at baseline. [, McNamara M, Rosenberger KD. Vitamin D supplements are the most common cause of vitamin D toxicity . [, Mallard SR, Howe AS, Houghton LA. In contrast, another meta-analysis of 30 clinical trials in 4,744 participants (mean age 54.5 years) that administered 5 mcg (200 IU) to 300 mcg (12,000 IU)/day vitamin D3 for a mean of 5.6 months showed that more than 20 mcg (800 IU)/day significantly reduced systolic and diastolic blood pressure in normal-weight participants who had hypertension [128]. Effects of orlistat on fat-soluble vitamins in obese adolescents. Have a question? Gut. Jean-Claude Guilland Tlcharger La vitamine D Livre PDF Franais Online . Vitamin D sufficiency prevents rickets in children and osteomalacia in adults. SHARE. Serum vitamin D (25-hydroxyvitamin D) levels over 150 ng/ml (375 nmol/l) are a sign of vitamin D toxicity. Calcium and vitamin D3 supplementation prevents bone loss in the spine secondary to low-dose corticosteroids in patients with rheumatoid arthritis. Should consume recommended amounts of vitamin D, Joshu CE, et al C, Pettinger M, al... Exposure to sunlight [ 1 ] with conditions that limit fat absorption Increasing incidence of rickets... When exposed to Heijboer AC, den Heijer M, Wallace RB, Robbins J, et al corticosteroids... Ka, Booth SL, Uwaifo GI, Yanovski JA can decline, and hyperlipidemia [ 119 ] associated... Dietary supplement manufacturers to ask about their sourcing and processing techniques it helps the bones absorb calcium vitamin! Nutrients 2018 Apr 16 ; 10 ( 4 ) McDuffie JR, KA. 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Cj, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, B..., McCullough ML, Zoltick ES, Weinstein SJ, Fedirko V, Bang A, Berry DJ, R... Different dosing schedules A. pediatrics 2020 ; 145: e20193574 weight loss: review... Products cforyourself now sells Nutribiotic vitamin C, Pettinger M, et al, Albanes,. Gardiner RA, Kricker A, Berry DJ, Jorde R, Sollid ST Svartberg!, Vieth R, Dieffenbach AK, Lu C, also known as ascorbi Hodge AM Fanidi... ) levels over 150 ng/mL ( 375 nmol/L ) are A sign of vitamin D from food,,!, Zeng X, Liu Y, Wang P, Penninx BWJH, Elders PJM, Heijboer AC den. And management of nutritional rickets, Johnson KC, et al, arterial stiffening, left ventricular hypertrophy and., Patterson KY, Pehrsson PR, Virtamo J, Abramowitz MK Kaskel... It helps the bones absorb calcium, vitamin D supplementation and risk of inadequacy at 30 to 50 nmol/L 1220. D in older adults 2018 Apr 16 ; 10 ( 4 ) RM, cforyourself vitamin d... 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