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Talk about a subject that I think really requires a little bit of clarity, and it's kind of an interest they want. It's vitamin D and Hashimoto's specifically. Everybody, everybody, but everybody comes in here has low vitamin D. Having done this for a long time, there was a time when it wasn't so well understood that low vitamin D was a problem, or what the problem was, or how it occurred. People would come in with like vitamin D to be like, if the range in America is 30 to a hundred, people would come with the vitamin D of 20 and the doctor was going, ah, you know, you need to get out in the sun more. As we were in earlier stages in the group that I was involved in, I would say we're some of the earliest functional medicine practitioners.

We just kept seeing low vitamin D, low vitamin D, low vitamin D, low vitamin D and to us, It just started to indicate that there's a connection between low vitamin D and chronic pain. Ultimately realizing that Hashimoto's was part of an awful lot of chronic conditions, chronic pain conditions, and that vitamin D had something to do maybe with immune inflammation using it up, you know, and that's what I've told people for years. Just recently researchers are positing that vitamin D is low vitamin D. One of the reasons is that it's secondary to an inflammatory process that takes place in the body and that this inflammation uses up vitamin D. That's pretty close to what we've been saying for a long time. I'm guessing it's going to go one step further, and they're going to say it's auto-immune because they're now saying that there's an association between low vitamin D and vitamin D polymorphism.

Let's talk about that real quick. People come in, they have Hashimoto's, first thing I ask them is they have low vitamin D, another thing back then, they were like, yeah, low vitamin D. I went to my doctor and they said I'll just take some pills. At that time it was like 450 milligrams a day. I mean, now doctors are giving 50,000 units which is like 20 times that a week to their patients when they have low vitamin D. They're not quite sure why, but they're giving it to them. There are reasons that vitamin D goes low. One of the biggest reasons is what's called polymorphisms. Basically a lot of times, you have a problem with genetics, you just genetically have a problem with processing and absorbing vitamin D.

What's interesting is, is now they're finding that there's a big association with people who have Hashimoto's and people who have vitamin D polymorphisms. One of the reasons that your vitamin D may be low is because you have Hashimoto's and you have this polymorphism. You take 50,000 units, six weeks late, a week, six weeks later, you go to your doctor and your vitamin D hasn't moved a bit. That's something that person's needs to be aware of whose vitamin D isn't going up. There are ways to address that, but you have to basically figure out what the triggers are for the Hashimoto's, get the Hashimoto's under control, and then it seems to improve absorption. But specifically, the other reasons that you won't absorb vitamin D and this is relevant to Hashimoto's, as you're about to find out in a second, is maybe you don't have a gallbladder.

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Martin P. Rutherford, DC

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