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Posts Tagged ‘vitamin deficiency’

10 Signs Vitamin D Deficiency

D Vitamin Deficiency

ARE MY VITAMIN D levels LOW? Signs aren’t obvious. “EVERYONE should take vitamin D PILLS”. In August 2015 BBC Health news reported this.

What’s our RDA of Vitamin D ? Is our D Vitamin RDA fixed? It’s a hot topic in functional health right now. So, London naturopath, osteopath Susannah breaks it down….

It’s surprising to hear some signs associated with lack of vitamin D. The RDA of vitamin D required for individual health isn’t the same for everyone. READ ON FOR D2 AND D3 VITAMIN REQUIREMENTS.

Living in sunny climate? Global warming affecting your City? Vitamin D not concerning you? Here at Susannah Makram Clinics we see clients from London for osteopathy and naturopathy. They come from all over the world.
We are showing signs Vitamin D deficiency, on a global scale.

Should I Take Vitamin D Supplements?

Pilot studies and regional monitoring suggests that vitamin D deficiency is likely to affect at least 50% white population in the UK. Also, up to 90% multiethnic UK population. 25% children living in Britain will show signs of vitamin D deficiency.

As a London osteopath and naturopath Susannah not only looks for signs of D Vitamin deficiency in clients she’s also interested in the story of our health. STOP BUYING THE WRONG SUPPLEMENTS.

Signs vitamin d deficiency

The same BBC health news article included a guideline. The draft Scientific Advisory Committee on Nutrition guidelines suggest, from the age of one, 10 microgram pills be taken to ensure people get enough. Find vitamin D2 and vitamin D3 and RDA here.


10 Signs of Vitamin D Deficiency

A recent study in Australia revealed that one-third under-25s are vitamin D deficient. Is this surprising given how much sunshine the country gets? It’s not as simple as that.

Government experts are proposing that everyone should consider taking vitamin D supplements to counter the lack of sunshine in the UK.

New estimates suggest one in five adults and one in six children in England may have low levels.


Signs  Vitamin D Deficiency

Sign 1. You Have Gut Trouble
Vitamin D is a fat-soluble vitamin, which means that…

If you have a GI condition that affects your ability to absorb fat, you may have lower absorption of fat-soluble vitamins, like vitamin D.

Gut Trouble: This includes gut conditions like Crohn’s, celiac and non-coeliac gluten sensitivity, SIBO and IBS.

Sign 2. You Are Frequently Unwell With Flu or The Common Cold 
The active form of vitamin D tempers the damaging inflammatory response of some white blood cells. It also boosts immune cells’ production of microbe-fighting proteins. Vitamin D may be the seasonal stimulus that informs us why the flu virus is predominant in the winter, abating in the summer months.

Hope-Simpson RE. The role of season in the epidemiology of influenza. J Hyg (Lond). 1981; 86:35-47.
Cannell JJ, Vieth R, Umhau JC, et al. Epidemic influenza and vitamin D. Epidemiol Infect. 2006; 134:1129-40.
Ginde AA, Mansbach JM, Camargo CA, Jr. Association between serum 25-hydroxyvitamin D level and upper respiratory tract infection in the Third National Health and Nutrition Examination Survey. Arch Intern Med. 2009; 169:384-90.

signs vitamin d deficiency

signs vitamin d deficiency

Sign 3. Unexplained Autoimmune Disease
Autoimmune disease not confined to Rheumatoid arthritis.  Autoimmune disease causing hair loss e.g. Alopecia Areata and  skin health concerns such as Vitiligo, are included. Also, autoimmune urticaria (hives), autoimmune thyroid disease – and many more. These all may be explained by assessment of your Vitamin D levels. Vitamin D may reduce inflammation. It may also help prevent autoimmune diseases, including rheumatoid arthritis, multiple sclerosis and Crohn’s disease. However, further high-quality research is needed to confirm these results. Some people may have overactive parathyroid glands due to low levels of vitamin D. Vitamin D is the first treatment for this disorder. Increasing calcium intake, with or without vitamin D, may reduce the risk of underactive parathyroid glands after surgery to remove the parathyroid glands.

Sign 4. Your Bones Ache or You Have Back Pain
This is one of the signs of Vitamin D Deficiency that commonly present in clinic. It is easily missed because low back pain is so prevalent or commonplace. In combination with fatigue misdiagnosis such as having fibromyalgia or chronic fatigue syndrome is common at Susannah Makram Clinics.

Vitamin D deficiency osteomalacia is different from the vitamin D deficiency that causes osteoporosis in adults. What’s happening is that the vitamin D deficiency causes a defect in putting calcium into the collagen matrix in your skeleton. So what you are experiencing is a throbbing, aching bone pain – typically back pain.

Signs Vitamin D Deficiency – Vitamin D deficiency has also been linked to muscle weakness and pain.


Back Pain – Signs of Vitamin D Deficiency

Signs Vitamin D Deficiency

Signs Vitamin D Deficiency. Sign 5. You Are Overweight or Obese (or Have a Higher Muscle Mass)
Vitamin D is a fat-soluble, hormone-like vitamin. This means body fat acts as a “sink” by collecting it. If you’re overweight or obese, you need more vitamin D than a slimmer person.

Signs Vitamin D Deficiency. Sign 6. You Feel SAD
Some studies suggest an association between various mood disorders and low vitamin D levels in the blood. These mood disorders include depression, seasonal affective disorder (SAD) and premenstrual syndrome (PMS). Serotonin – the brain hormone associated with mood elevation – rises with exposure to bright light. Serotonin levels fall with decreased sun exposure. These signs Vitamin D Deficiency may creep up unexpectedly and are easily left untreated.

Should I take vitamin D supplements?

Should I take vitamin D supplements?

Signs Vitamin D Deficiency. Sign 7. You Have Darker Skin
Recognise signs vitamin d deficiency. Your skin pigment acts as a natural sunscreen. The more pigment you have, the more time is needed in the sun to make adequate amounts of vitamin D.

Signs Vitamin D Deficiency. Sign 8. Excessive Sweating
Excessive sweating in newborns due to neuromuscular irritability is an early symptom of vitamin D deficiency. One of the first signs vitamin D deficiency is a sweaty head. Recognise signs vitamin d deficiency.

Signs Vitamin D Deficiency. Sign 9. You Have Type 1 Diabetes 
Vitamin D may play a role in preventing type 1 diabetes. Evidence comes from a 30-year study that followed more than 10,000 Finnish children from birth. From this study it was found that children who regularly received vitamin D supplements during infancy had almost 90% lower risk of developing type 1 diabetes than children not receiving supplements.

Hypponen E, Laara E, Reunanen A, Jarvelin MR, Virtanen SM. Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet. 2001; 358:1500-3.

Signs Vitamin D Deficiency. Sign 10. You’re 50 or Older
As we get older our skin doesn’t make as much vitamin D in response to sun exposure. At the same time, our kidneys become less efficient at converting vitamin D into the form used by your body. Older adults tend to spend more time indoors than outdoors in natural sunlight.

The risk of getting too much vitamin D is considered to be extremely low. Vitamin D supplements are available from your GP. Over the counter is available but you should supplement with care. There’s no point in committing to poor quality nutritional supplements. That’s whether you’ve signs of vitamin d deficiency or not.


Vitamin D – 6 Factors Affecting Your Levels

The Sunshine Vitamin

Sometimes, even when our bodes make vitamin D it’s still not enough. Sunshine and vitamin D – how does it work? Whether sunlight hits our skin or not we should know these SIX FACTORS affecting our Vitamin D levels.

Latitude studies, Vitamin D Deficiency, the environment, your skin, your age and your weight.

Six Factors That Can Affect Your Vitamin D Level

 A number of factors influence a person’s vitamin D levels.  Here are six important ones.

  1. Where do you live? How far from the Equator do you live? That is the real question. The further from the equator the less vitamin D–producing UVB light reaches the earth’s surface during winter. Living in countries such as The UK, Russia and Sweden, Norway, the Nordic countries mean you are less likely to get enough vitamin D. If you live north of the line connecting San Francisco to Philadelphia and Athens to Beijing you too may not be getting enough either.
  2. Air Quality – What’s Yours Measuring Up To? Carbon particles in the air from the burning of fossil fuels, wood, and other materials scatter and absorb UVB rays, diminishing vitamin D production. In contrast, ozone absorbs UVB radiation, so pollution-caused holes in the ozone layer could end up enhancing levels. Air pollution is killing more people prematurely than obesity and alcohol combined – an estimated 29,000 every year, in the UK
    The Sunshine Vitamin

    The Sunshine Vitamin

  3. Do You Use Sunscreen? Sunscreen prevents sunburn by blocking UVB light. Theoretically, that means sunscreen use lowers vitamin D levels. But as a practical matter, very few people put on enough sunscreen to block all UVB light. Or they use sunscreen irregularly, so sunscreen’s effects on vitamin D might not be that important. An Australian study that’s often cited showed no difference in vitamin D between adults randomly assigned to use sunscreen one summer and those assigned a placebo cream.
    Vitamin D

    Vitamin D – are you getting enough?

  4. What Is Your Skin colour? Melanin is the substance in skin that makes it dark. It “competes” for UVB with the substance in the skin that kick-starts the body’s vitamin D production. As a result, dark-skinned people tend to require more UVB exposure than light-skinned people. This means to generate the same amount of vitamin D, you need more sunshine.
  5. What is your weight? Calculate your BMI here. What is your percentage body fat?  Body fat mops up vitamin D. Studies have shown that being obese is correlated with low vitamin D levels. Being overweight may affect the bioavailability of vitamin D.iStock_000001947476_Large
  6. Age. Compared with younger people, older people have lower levels of the substance in the skin that UVB light converts into the vitamin D precursor. Experimental evidence that older people are less efficient vitamin D producers than younger people.

Being “D-ficient” may increase the risk of a host of chronic diseases. These include brittle bone disease causing back pain. Heart diseasesome cancers, multiple sclerosis, as well as infectious disease risk increase.These infectious disease are tuberculosis and even the seasonal flu. Read more about the evidence linking vitamin D Deficiency to the following:

Vitamin D Deficiency Is Linked To The Following Diseases

Deficiency Phosphate
Kidney Disease – Fanconi syndrome,
Osteomalacia causing back pain
Rickets in Children
Thyroid Conditions
Autoimmune Diseases
Cognition HBP Mood Disorders
Multiple Sclerosis

Why I do Surgical Observation

Posted on:

Learning For Health

Surgical observation is good practice for physical therapy practitioners – the osteopath, chiropractor, physiotherapist –  working in an integrative way as a team is the difference between a chiropractor and an osteopath? What is the difference between an osteopath and a physio?


Why I do surgical observation boils down to 4 simple things that distinguish the way I work from other physical therapists.

  1. Anatomy Safe, Clinical, Practical, Effective
  2. Tissue Health is dynamic Safe, Clinical, Practical, Effective
  3. Gut Health is dynamic Safe, Clinical, Practical, Effective
  4. Functional Medicine Safe, Clinical, Practical, Effective

– Anatomy – Structure Governs Function – Osteopathic Principle in practice

Guess what? The human body is not a textbook. Guess what else? A live human body with live tissue structures is unique.

Functional healthcare

Personalised Nutrition

Personalised Nutrition

Functional Medicine incorporates the latest in genetic science, systems biology, and understanding of how environmental and lifestyle factors influence the emergence and progression of disease.  At Susannah Makram Clinics we use this model in our Naturopathic approach to nutrition as prescription

Functional Medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership.

Susannah Makram believes in knowing the right treatment that is best for the patient at every step. This begins by booking a consultation with Susannah to find out the factor or factors influencing your complaint.

Doctor comes from the Latin Docere which means to teach and this is applied throughout Susannah’s time with patients during the ongoing treatment or treatment. Consistent reassessment in order to confirm or reject a diagnosis and offer a prognosis based on the decision made by the patient to progress with treatment requires clear and effective communication between the patient and Susannah.

– Tissue Repair & Gut Health – Health is more than the absence of disease

An MRI scan or CT scan or an x-ray do not expose the integrity of tissues inside and outside of joint capsules to the degree that an endoscopic surgical procedure can.

At Susannah Makram Clinics we carry out consultations and a physical exam and any special testing to include:

Orthopaedic testing. Cranial and peripheral nerve function assessment. Blood pressure, pulse, and further special testing related to gut health. We carry out saliva or buccal swab testing if this is the accurate and convenient way to capture data by testing.

Capturing genetic material for use in healthy weight loss for stubborn fat or weight gain using The Obesity Gene Map  Blood work is sent for when necessary to produce accurate results. These are sent back to Susannah and used to help personalise your treatment for your complete care. Skin prick testing for food allergies, testing for hormonal imbalances and food intolerance test may also be recommended for this purpose.

Functional Health

Functional Health


Naturopaths use a holistic approach and recognise that health is more than the absence of disease. Naturopathic nutrition is a type of nutritional therapy that relies on the background of your practitioner.  Osteopaths are highly competent healthcare professionals, recognised by the NHS as fully qualified to diagnose and treat independently.

Functional care address the WHY. WHY are you unwell? this is what needs to treated in order that you are able to take ownership of your health.  Otherwise, what tends to happen unfortunately, is that a lot of effort is made but results are the same.

Good gut health relies on an environment that is conducive to nutrient absorption. pH levels must be optimal and structural obstructions or lesions in the lining of the gut must be pinpointed and their cause revealed in order that the Susannah Makram Naturopathic Nutritional Portfolio for you is safe, clinical, practical and effective. In the Four Phases.

Safe, clinical, practical and effective.

Call  020 7060 3181