Tag Archives: vitamin D

Why Canadians Must Get More Sunlight

TORONTO – Following restrictive sun exposure advice in countries with low solar intensity like Canada might in fact be harmful to your health, says the co-author of a new study on sunlight and vitamin D.

VitaminD from Sun Exposure

The published study Sunlight and Vitamin D: Necessary for Public Health by Carole Baggerly and several academic researchers, examines how organizations such as World Health Organization’s International Agency for Research on Cancer and the U.S. Surgeon General call for sun avoidance, but ignore the fact that cutting out sunshine will reduce vitamin D, an essential vitamin for bone health, and create probable harm for the general population.

Canada sunshine map - Map of Canada sunshine (Northern America - Americas)

“Humans have adapted to sun exposure over many thousands of years and derive numerous physiological benefits from UV exposure, in addition to vitamin D,” said Baggerly, executive director of Grassroots Health and breast cancer survivor.

“These benefits are in addition to those derived from vitamin D alone and cannot be replaced by vitamin D supplements and therefore sun avoidance being recommended by the US Surgeon General, the Canadian Cancer Society, the Canadian Dermatology Association and others, is unnecessarily putting Canadians at risk.”

From mercola.com -studies suggest we need more sunlight than currently recommended dosages
From mercola.com -studies suggest we need more sunlight than currently recommended dosages

Vitamin D is an essential vitamin that enables calcium absorption and is critical for good bone health. Low levels are linked to bone conditions such as rickets in children and osteomalacia and osteoporosis in adults.

In Canada, vitamin D from sunlight can only be synthesized in the skin during the spring, summer and fall months, around midday, from 10 a.m. – 2 p.m., when the UV index is above three and your shadow is shorter than your height.

Statistics Canada reports that 12 million Canadians, or 35% of the population, have insufficient vitamin D levels, including 10% who are severely deficient, which sets them up for higher disease risk.

Dr. Vieth University Of TorontoAccording to Dr. Reinhold Vieth, Scientific Advisor for the Canadian Vitamin D Consensus and professor at the University of Toronto in the Department of Laboratory Medicine and Pathobiology, “If organizations warn people to stay out of the sun, then they should also let people know that they will not be producing vitamin D. Both the risks and benefits of UV exposure need to be addressed in the best interest of health. Unfortunately, the message Canadians keep hearing lately is that there is no benefit to being in the sun. The paper by Baggerly et al presents a clear case that good overall health does correlate with spending time in the sun.”

VitaminD and MS

A group comprised of the Multiple Sclerosis Society of Canada, Vitamin D Society and Pure North S’Energy Foundation, have endorsed a draft Canadian Vitamin D Consensus which recommends that Canadians enjoying the sun safely, while taking care not to burn, can acquire the benefits of vitamin D without unduly raising the risk of skin cancer.

Vitamin D deficiency is an indication of sunlight deficiency.

“People today work less outdoors and spend less time outdoors than at any previous time in history, which is why vitamin D deficiency is rising globally. In addition, when people are outside, many use sunscreens, which can significantly prevent the production of vitamin D in the skin,” said Dr. Vieth. “With increasing amounts of evidence suggesting that vitamin D may protect against cancer, heart disease, diabetes, multiple sclerosis and other chronic diseases, it’s more important than ever to examine this issue more closely.”

Learn more at sciencedaily.com
Learn more at sciencedaily.com

“We urge public health entities to re-evaluate their current sun exposure policies and recommend UV exposure levels that promote a balanced, moderate approach that are both beneficial and safe,” said Baggerly.

About the Vitamin D Society:

The Vitamin D Society is a Canadian non-profit group organized to increase awareness of the many health conditions strongly linked to vitamin D deficiency; encourage people to be proactive in protecting their health and have their vitamin D levels tested annually; and help fund valuable vitamin D research. The Vitamin D Society recommends people achieve and maintain optimal 25(OH)D blood levels between 100 – 150 nmol/L (Can) or 40-60 ng/ml (USA).

Online Remote Doctoring In Canada Effective This Flu Season

How to keep your kids healthy this winter

Kids never seem to get sick when it’s convenient. It always seems to hit in the middle of the night or the morning of a big test, and it’s not always obvious if they need to see a doctor or not. If your little one’s sick, your teen needs a doctor’s note for school, or you have health questions, Maple has you covered.

Maple is a virtual care provider that connects you with Canadian-licensed doctors and specialists, 24/7.

Even if your child isn’t currently sick, getting virus after virus may feel unavoidable. However, there are ways you can help to protect your kids from the worst of cold and flu season. Here’s how to keep your kids healthy this winter and what to do if they come down with something despite your best efforts.

How to keep your kids from getting sick

Cold weather doesn’t have to mark the start of fever and runny nose season. Here’s how to help protect your kids from getting sick.

1 Stay up to date with vaccinations

Getting your child to roll up their sleeve for a vaccine isn’t always easy. Despite that, the flu shot is a great option for protecting your family against the virus.
The flu vaccine changes every year based on which strains of flu are circulating. While it can’t completely guarantee your child won’t get the flu, it does prime their immune system to recognize the virus more quickly. This helps protect against more severe illness and any accompanying complications.

2 Prioritize healthy eating

No one food can completely protect your child from getting sick. However, vegetables, fruits, protein, and healthy fats provide necessary micronutrients to support their immune system function. Kids don’t always want to eat what’s best for them though. Even if they’re not a picky eater, devouring a rainbow of vegetables might not be your child’s thing. If you’re worried they’re not getting enough nutrients, speaking to a dietitian can help you understand if your child’s diet is lacking anything. Even better, they can suggest healthy meals your kids will actually eat.

3 Supplement their diet with vitamin D

Vitamin D is one of the building blocks of healthy immune functioning. But it’s difficult to get enough from sunlight and diet alone, leaving many Canadian kids deficient. Incorporating a vitamin D supplement is a great way to make sure they’re meeting their requirements.

4 Promote proper hand hygiene

The influenza virus can live on some surfaces for up to 7 days, just waiting for a chance to go from your child’s hand to their mouth, nose, or eyes. Support your child to wash their hands properly to help curb this.

5 Consider masking in public indoor settings

They may not be everyone’s preference, but masks are a great tool to prevent your child from breathing in cold and flu viruses. As an added bonus, they also help safeguard against COVID-19 when worn in public indoor places.

6 Ask them to give their friends space

Flu and cold viruses pass easily through close contact. Remind your child not to share utensils, food, or drinks with their friends.

7 Create good sleep habits

Lack of sleep can negatively affect the immune system, putting your child more at risk of getting sick. Keep a consistent wakeup and lights out schedule and avoid screens for at least an hour before bedtime to encourage a full night’s rest.

How to help your child recover comfortably

Viruses spread easily, and even the most conscientious kids can get sick. No matter what they’re sick with, however, encouraging your child to rest is one of the best things you can do to promote recovery. You can also make them more comfortable by:

  • Prioritizing hydration. Give your child frequent small sips of water to keep the mucus flowing and help reduce congestion.
  • Running a cool mist humidifier to ease nasal congestion and breathing. Don’t forget to use purified water and disinfect regularly to avoid dispersing bacteria or mold into the air.
  • Investing in a good quality nasal aspirator for babies and children who can’t blow their own nose.
  • Using a purified saline solution to clear nasal passages. You can combine this with a nasal aspirator tool.

What medications should I give my child for cold or flu?

Provided they don’t have any allergies to the medicines and you dose by weight, you can safely give your child fever-reducers like acetaminophen (Tylenol or Tempra) or ibuprofen (Advil or Motrin). These also address other symptoms like sore throat and headache.

However, giving children under 18 Aspirin for headaches or other symptoms is a definite no as it can cause Reye’s Syndrome, a serious illness. And, since antibiotics only treat bacterial infections, they won’t work against the viruses that cause colds and flu.

If giving your child medication is feeling tricky, talking to a doctor online can help to answer any questions you have. They may also be able to provide prescription medication like antiviral drugs to shorten the severity and length of your child’s flu. This is especially helpful for children at higher risk of flu complications, like the immunocompromised or kids under five.

If you go this route, timing is everything since antivirals are most effective within 48 hours of symptom onset. With Maple, you can connect to a doctor within minutes. And, if they do prescribe an antiviral, it can be faxed to the pharmacy of your choice, or delivered free to your door.

Without antivirals, how long does the flu last in kids? Recovery should take about a week although coughing and low energy can linger for a week or two after. In contrast, colds take about 7-10 days to run their course.

Quote: "No matter what they're sick with, however, encouraging your child to rest is one of the best things you can do to promote recovery."

Should I let my child’s fever run its course?

Fever isn’t just distressing, it can also be confusing — is 37.5°C a fever in a child? Is 38°C? And how do you know when a fever is too high for a child?

While it can be upsetting to watch your child wrestle with a fever, there are clear guidelines for treating them.

For starters, an underarm or oral measurement above 37.5°C is considered a fever. For ear and rectal temperature, 37.9°C is top of the normal range. But, while you can treat a temperature above these, you don’t have to. If your child’s comfortable, focus on keeping them hydrated and well rested.

When to have your child see a doctor for a cold or the flu

You know your child best. If you think something’s wrong, it’s never a bad idea to speak to a doctor. Beyond that, you should also reach out to a healthcare provider if:

  • Your child goes from getting better to suddenly getting worse.
  • Your child has a barking cough and raspy-sounding breathing — this may indicate croup.
  • A persistently high fever in a child with no other symptoms lingers beyond 48 hours. It may indicate an underlying medical issue or infection.

It’s time to take your toddler or child to the hospital when they:

  • Have a fever and are experiencing confusion, lethargy, severe drowsiness, or a stiff neck
  • Are having difficulty breathing — this can look like working hard to breathe or having difficulty catching their breath just sitting or talking
  • Are showing signs of dehydration

No matter how old they are, seeing your child sick can be stressful. With Maple, get the convenience of 24/7 virtual care anytime, anywhere and connect with a Canadian-licensed healthcare provider to help ease your concerns and get the treatment you need. If you’re looking to get an online prescription or see a healthcare provider quickly, Maple has you covered whether it’s the middle of the day or the middle of the night. Sign up today to help your child feel better, faster.

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Cutting Through The Madness Of Menopause

According to Nashville-based, Board Certified Plastic Surgeon and Founder of Ageless Solutions, Dr. Nicholas Sieveking, “menopause can surely be a crazy time in a woman’s life.  Not only does it signal the fact that she can no longer procreate, she will most likely suffer from some symptoms; physical, mental or both.  As the body is depleted of estrogen, bones lose calcium and become more brittle which can lead to osteoporosis, hormonal fluctuations prompt hot flashes and night sweats and vaginal dryness can become a problem.”

Aging And Menopause

And of course, as with anything, there are myths floating around about menopause from when it will hit to the best way to combat its symptoms. Here’s are some things I hear from patients which serve as a relatable rundown to help women navigate their way through what can be, a very confusing time.

  1. “I just had my last baby 4 years ago! I’m only 40! How can I be perimenopausal? “

While it’s been largely believed that menopause begins at 50, this just isn’t true.  The average age to begin menopause tends to be 52, but women can actually begin anywhere from their 30’s to 60’s.  Perimenopause, the shift leading up to menopause, can begin anywhere from a few months until a year before actual menopause starts. Symptoms include but aren’t limited to night sweats, trouble sleeping through the night, shorter or irregular periods, crashing fatigue, sore muscles, dizziness, changes in nails and hair. It’s important for women to keep a health log of any changes they notice in their bodies after age 35 and mention them to their doctors during checkups.

 Menopause Hot Pepper Metaphor

  1. “I’m not menopausal! I haven’t even had one hot flash.”

Hot flashes and menopause seem to go hand in hand. But they are not always the first sign. While most women experience hot flashes not every woman does so if they aren’t aware of the other emotional or mental changes they may solely focus on the physical changes.  The start of menopause can also be signaled by anxiety, depression, fuzzy or unclear thinking with inability to focus, low libido, forgetfulness, short temperedness or irritability. Pay attention to how you are feeling day to day. The more attuned you are to your body the sooner you’ll flag any changes.

  1. “Weight gain comes with the territory. Nothing I can do will change that.”

As estrogen is depleted, the body may experience hormonal imbalance.  The body often responds by trying to protect itself and a main way of doing that is storing fat.  But women don’t have to gain weight without a fight.  Some ways to keep a well-maintained weight are:

  • Look for high-fiber foods. They can help with constipation, which is often associated with menopause because lack of estrogen can decrease bowel activity.
  • Eat plenty of calcium and vitamin D-rich foods, like low-fat dairy products, green leafy vegetables, beans and fish. They help to keep bones strong.
  • Give soy a try. Soy contains estrogen.  While the jury is still out on whether soy can actually help, it can’t hurt.  Add it to your diet for a month or so and see if it has any effect.  Drink 1-2 cups of soy milk or eat a cup of edamame on a daily basis.
  • Women need 1,000 – 1,500 mg daily of calcium and 800 units of vitamin D daily.  It’s very hard to get that much through food alone.  Supplements are very helpful.
  • In addition to helping battle the bulge, walking, jogging and strength training can help stimulate bone growth and increase bone density. Balancing exercises can help with strength and will make you less likely to fall.  Falling during and after menopause increases chances of breaking a bone.
  1. “I can handle my liquor besides; red wine is good for me.”

Understand that during the onset of and stages of menopause, the body will not experience alcohol and caffeine as it always has. Alcohol, especially red wine, can trigger hot flashes. It can also diminish calcium absorption and inhibit live enzymes that activate vitamin D.  Caffeine increases calcium excretion and reduces how much of it the body can absorb. Both alcohol and caffeine are dehydrating stimulants that can make night sweats even worse.

  1. “I yelled at the dog and then I cried about it for an hour.”

Changes in progesterone and estrogen levels may cause mood swings.  Things seem to set you off. You may fee rage then sadness. Drops in progesterone may cause increased irritability and moodiness. Also, don’t underestimate the power of what menopause really means.  With childrearing days behind them, many women begin to think about the rest of their lives.  No doubt, these thoughts can trigger feelings of anxiety and depression.

  1. “I got my period when I was 16 so I won’t be menopausal until later.”

An older age at first period doesn’t automatically mean a later start to menopause. Actually, the opposite tends to be true.  If a girl gets her period on the later side, she may begin menopause on the earlier side.  However, predicting the age a woman will begin menopause is difficult. Pay attention to your body. After age 40 you’ll notice more and more changes and symptoms of menopause.

The process of menopause is a part of a woman’s life. Work closely with your doctor to create a plan that combines healthy foods, exercises, stress management and a commitment to enjoying life to its fullest. There is so much to look forward to. Having a positive outlook is the key to looking your best regardless of age and stage.

Dr. Nicholas Sieveking is a board certified plastic surgeon who completed his training in General Surgery and Plastic and Reconstructive Surgery at Stanford University. After Stanford, he received additional fellowship training in Aesthetic Surgery in Rio de Janeiro and São Paulo, Brazil. In addition to his plastic surgery board certification, Dr. Sieveking is also board certified with advanced fellowship training in Anti-Aging and Functional Medicine. This double board certification enables Dr. Sieveking to be the most complete anti-aging surgeon and physician to treat his patients age-related needs, from the inside to the outside. Dr. Sieveking’s comprehensive solo practice includes advanced cosmetic and reconstructive surgeries, state of the art cosmetic laser and skin care services, Bio-identical hormone replacement therapies, medically-supervised weight loss programs, and cutting edge laboratory testing for hormone, amino acid, vitamin and nutrient deficiencies as well as toxin analysis and food and chemical sensitivities testing.

Dr. Sieveking has operated and lectured around the world on topics of face lifts, breast surgery, and cleft lip and palate repair. He has authored a chapter on Rhinoplasty in one of the major training textbooks for plastic surgery residents. In 2012 and 2013, he was voted “Top Plastic Surgeon in Nashville” in two Readers Polls by the citizens of Nashville. For the Silo, Jennifer Cypen Kaplan

Professional salons respond to Canada’s “Teen tanban” legislation via JCTA

KELOWNA, B.C. – The Joint Canadian Tanning Association (JCTA) as the representative voice for Canada’s professional salon sector, responds to the Ontario government’s introduction of a “teen ban” on UV light exposure.

“Ontario’s  professional salon sector is disappointed that this legislation was brought forward. JCTA salons have long instituted standards which restrict access for youth, unfortunately due to the actions of a few bad apples within our industry who do not share the JCTA’s commitment to client protection, the government has felt the need to respond.” said Doug McNabb, JCTA President. http://tanresponsibly.ca/find-a-salon/

image: thefrisky.com
image: thefrisky.com

 

 

 

 

Professional salons, which comprise the JCTA’s membership, already mandate professional control over UV light exposure, age-based restrictions and the continuing education of salon workers. As a result, teenagers currently make up between 2 to 5% of salon sales. http://tanresponsibly.ca/professional-standards/

People who visit JCTA salons are by and large educated adults who look to patronize an establishment that cares as much about their health as they do- that’s why they don’t mind paying a few dollars more for top notch service. Additionally that is why teens have never been a significant market for us. All too often they refuse to take the long term steps needed to build a tan safely and as a result visit non-professional salons which do not limit exposure. Today we see the result of that.

Moving forward, the JCTA is eager to work with government to ensure that regulations under the act do not impose unnecessary red tape on small businesses, who continue to struggle in a difficult economic environment.

 “The JCTA is not opposed to the age based restriction – we currently have one in our professional standards. Our only concern at this point is to ensure that regulations under the act get it right and do not add unnecessary red tape to small businesses.” said Doug McNabb, JCTA President. Ontario’s indoor tanning sector currently comprises over 1000 small salons, operating in every corner of the province. Together these providers (mostly female operators) employ thousands of workers and generate millions of tax dollars for the province.

To Ontarians following this story all I can say is be smart about your choices. http://tanresponsibly.ca/ As an adult tanner you should only visit a professional salon – one that has a current JCTA sticker in the window – and never ever use a self-serve bed. Trained and industry certified operators controlling the equipment is one of the best ways for you to minimize risk.

This simplified diagram shows the spectrum of light. Tanning beds use UV ultra-violet light. At extreme frequencies, UV light can destroy cellular tissue-  the JCTA represents professional tanning salons in Canada and works to ensuring safety for all users. The recent move by the Canadian government to ban "teen tanning" is has upset the JCTA.
This simplified diagram shows the spectrum of light. Tanning beds use UV ultra-violet light. At extreme frequencies, UV light can destroy cellular tissue- the JCTA represents professional tanning salons in Canada and works to ensuring safety for all users. The recent move by the Canadian government to ban “teen tanning” is has upset the JCTA.

 

 

 

 

The Joint Canadian Tanning Association (JCTA) is a national non-profit organization created to increase understanding of the professional tanning industry’s scientifically supported position that regular moderate ultra-violet exposure from sunshine or sunbed in a non-burning fashion is part of a responsible lifestyle that recognizes both the inherent benefits and the manageable risks associated with ultraviolet light exposure.  For the Silo, Steven Gilroy Executive Director JCTA

Supplemental- It is difficult to contextualize the full story of tanning beds especially in terms of any possible associated health risks. Studies can show no health risk, little health risk, moderate health risk and severe health risk. These studies are greatly variable and depending on the subjects age, gender, health and tanning frequency and although the technology is the same for tanning salons, conditions and equipment can vary. The JCTA works towards ensuring safety standards are met by members. Check with your tanning salon to ensure that they are JCTA members in good standing.

http://hps.org/documents/Tanning_Salons_Fact_Sheet.pdf