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by bird_monster 2097 days ago
Sure, and that's great, but what about the scenarios in which I cannot walk to the park (during 600+ AQI wildfires, as an example), is the reason I'd like the data on supplementation.
1 comments

You can buy or make a SAD/Sun Lamp.
Sure, and that's great, but I'm asking about the efficacy of a supplement
You're never going to get sensible dietary advice on HN.

Get sun. If you can't get sun you should eat a variety of food that contains vitamin D. If you can't do that, you should take a supplement. Take the supplement at the same time as you eat a meal, preferably a meal that has some fat.

Here's the advice for England:

https://www.nhs.uk/live-well/healthy-body/how-to-get-vitamin...

https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-...

Freely available advice from the UK's NHS would seem to be a good idea. We fund the NHS mostly out of taxation, so advice provided there has to be as close to non partisan as is reasonably possible.

I personally don't give a shit if you are a foreigner. If the NHS website can provide good advice and help someone - anyone, then my tax squids are being put to good use.

There are bound to be other good sources of health related advice around the place but why not start with the NHS and work out from there?

If you pay close attention, health authorities always play it safe, for example by saying "there's not enough evidence". That's why they didn't recommend masks in the beginning.

Then, if some sort of expert consensus comes up, the authorities adopt that. When that consensus is challenged by new evidence, authorities are slow to change, because that would be implicit admission that they were giving the wrong advice, which is not something that the human egos involved there can easily stomach.

A good example for this is the food pyramid[1]. It was never supported by good evidence, it was adopted through expert consensus (one might also call it lobbying), and it was later removed from the guidelines. You can still see posters of it hanging in doctor's offices, of course.

[1] https://en.wikipedia.org/wiki/History_of_USDA_nutrition_guid...

True that, but the incentives for government bureaucrats in the U.S. and the U.K. are somewhat different. Of the two, the former seem more likely to be swayed by industrial concerns/lobbying. Not saying that the U.K. is totally immune to this kind of thing, but I'd trust the NHS over the USDA.
> You're never going to get sensible dietary advice on HN.

You're never going to get sensible dietary advice, period. Diet is a belief system. Most people, including doctors and health authorities, really just go by clichés, like "eat five a day" or an unspecific "balanced diet". The science on it is poor and forever will be.

> If you can't get sun you should eat a variety of food that contains vitamin D.

Half an hour in the sun, if you are light-skinned, can get your body to produce about 10,000IU of vitamin D. To get that amount in the diet, you would need to eat more than a pound of the right fish.

Diet can get you out of the "severely deficient" range, but almost certainly not into the healthy range.

> Here's the advice for England

They actually advise supplementation, but they err on the low end. The only way to know if you get enough vitamin D is to do blood tests, people react quite different to different doses and forms. One guy here reports 10,000IUs daily gets him to only 55ng/dl (high end of normal), whereas 5000IUs gets others above 70 ng/dl (possibly harmful). Vitamin D builds up over time, so one test is not enough.

> You're never going to get sensible dietary advice on HN.

> If you can't get sun you should eat a variety of food that contains vitamin D.

It's admirable that you prove your own point two sentences later.

It works, I'm not a sunshine person. I work for myself and I usually work after I wake up at noon because I usually stay up til 4 or 5am at night. I get very little outdoors sunshine. I had very low vitamin D. My doc recommended supplementation if I wasn't willing to become a daywalker and my vitamin D levels were perfectly fine after a month of supplementing with 5k IU. I have cut back to 2K IU per day and my vitamin D levels are great since (5 years since I started supplementation).
Like a supplement for not getting enough sunlight? Supplement your lack of sunlight with appropriate spectrum inside.
Most 'sun lamps' do not emit UVB, which is required for your body to make vitamin D.
Then don't buy those if your looking for that feature?
you're missing the point; he's saying that sun lamps don't have the same effect as the sun. This isn't just a "feature" that some lamps have and others don't; it's a crucial missing ingredient that results in the sun lamps you are suggesting simply _not working_.
No, I'm not. There are UVB generating light sources and they also fall under the SAD/Sun lamp definition.
These days those are called Oracle Lamps.