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and D are synergistic, he now states that vitamin  would still be useful.
                                      A antagonizes the actions of vitamin D. The Vita-  Please supply us with this evidence. Where
                                      min D Council report claims that the vitamin A in  does the average American get vitamin A in the
                                      cod liver oil is excessive and antagonizes vitamin  modern diet? If vitamin A in the American diet
                                      D by inhibiting the binding of its active form to  is adequate for vitamin D activation, why are
                                      DNA and thus prevents its ability to regulate the  Cannell and Mercola obliged to recommend such
                                      expression of vitamin D-responsive genes.   high levels of vitamin D—levels much higher
                                          Vitamins A and D are both precursors to  than those found in traditional diets—in order
                                      active hormones that regulate the expression of  to bring serum vitamin D levels into the normal
                                      genes. The body possesses certain enzymes that  range?
                                      convert each of these in a two-step process to their
                                      active forms: vitamin A is converted to retinol  MOST COD LIVER OILS HAVE EXCESSIVE
                                      and then to active retinoic acid while vitamin D  VITAMIN A (PREFORMED RETINOL)
                                      is converted to calcidiol and then to active cal-  However, even the Weston Price Foundation
                                      citriol. While directly consuming either retinoic  acknowledges that there are dangerous versions
                                      acid or calcitriol would be unnatural, consuming  of cod liver oil out there, even from some highly
                                      vitamins A and D, together, as in cod liver oil,  reputable companies like Nordic Naturals, which
                                      is perfectly natural. The enzymes involved in  produces a cod liver oil that is clearly excessive in
                    If vitamin A      these conversions are responsible for producing  vitamin A as it only has 3 to 60 units of vitamin D
                            in the    incredibly powerful hormones and are therefore  per tablespoon but between 150 and 12,000 times
                 American diet        highly regulated.                         as much vitamin A. It’s a delicate balance.
                                          In order for vitamin D to activate the expres-
                                                                                    Both vitamins are essential to obtain optimal
                    is adequate       sion of its target genes, it must bind to the vitamin  health benefits, however, the ratios can become
                  for vitamin D       D receptor (VDR) and then combine with the  dangerously unbalanced—much like the omega-
                                      retinoid X receptor (RXR), which is activated by  3/omega-6 balance, which has become inversed
                     activiation,     a particular form of vitamin A called 9-cis retinoic  in our modern diet.
                         why are      acid. Researchers from Spain recently showed   Nearly all brands of cod liver oil provide
                    Cannell and       that vitamin D can only effectively activate target  a token amount of vitamin D, typically a mere
                                      genes when its partner receptor is activated by  400 to 1,200 IU of vitamin D per tablespoon but
                         Mercola      vitamin A.                                anywhere between 4,000 to 30,000 IU of vitamin
                      obliged to          The Weston Price Foundation, of which I  A. This is clearly inappropriate. About the lowest
                   recommend          am an advisory [honorary] member, holds a  ratio I have seen is ten times as much vitamin A
                 such high lev-       contradictory view. They believe vitamin D can  as vitamin D but, as I stated above, it can be as
                                      only effectively target genes when its “partner  high as 12,000 times as much vitamin A.
                             els of   receptor” is activated by vitamin A. If vitamin A   First of all, this is clearly an insufficient

                   vitamin D—         is absent, certain molecules called co-repressors  amount of vitamin D for even the smallest child.
                                      bind to the receptors and prevent vitamin D from  This is in part due to the government recommen-
                    levels much       functioning. It is their position that cod liver oil  dations, which are FAR too low to offer any health
                    higher than       is still a highly recommended supplement.   benefits; the recommended daily dosage being

                    those found           Dr. Mercola is no longer a member of the  no more than 200 to 600 IU, depending on age.
                   in traditional     Weston A. Price Foundation honorary board.  Meanwhile, researchers have since established
                                      Research does indeed indicate that vitamin D  that the therapeutic dosage is anywhere between
                       diets—in       can only effectively target genes when its partner  2,000 to 10,000 IU per day, depending on your
                 order to bring       receptor is activated by vitamin A.       weight and other factors, such as skin color and
                                                                                level of regular sun exposure. (Some people may
                                          After reviewing the evidence, I am person-
                 serum vitamin        ally convinced that there is sufficient vitamin A in  require, and can safely take, as much as 20,000
                   D levels into      the current American diet to facilitate sufficient  IU daily.)
                     the normal       vitamin D activation. This does not appear to be   A dose of 1000 IU vitamin D daily is ade-
                                      the case in third world countries, where cod liver  quate to avoid problems with vitamin A in adults.
                           range?     oil, or some other preformed retinol supplement,  If the ratio of A to D in cod liver oil is 10 to 1,
                 40                                         Wise Traditions                                 SPRING 2009
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