If you’re over 50 and taking vitamin D, this video is a must-watch.
Vitamin D is crucial for bone health, immunity, and even mood—but there’s a hidden side most people don’t talk about. In this video, we reveal what every adult over 50 needs to know before taking another supplement.
DISCLAIMER: Mr Singh Mentioned in the video is a random name used to enhance the story based on the paper below
The paper:
https://journals.lww.com/jfmpc/fulltext/2022/04000/Vitamin_D_toxicity_due_to_self_prescription__A.59.aspx%7D
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welcome today we’re going to talk about vitamin D3 um let me just give you a couple of facts the standards committees for vitamin D3 the experts the global experts that have studied this recommend 2,000 international units a day no more than 4,000 in special cases on the other hand uh you there was recently a very popular video um uh Eric Berg uh interviewed a fellow named Bruce Hollis and some quotes that were taken away from that were Bruce saying you know 50,000 international units a day is not that bad or something like that maybe something like you can take 50,000 international units now vitamin D3 comes from has a long long story and we’re going to get a lot of haters just because we’re going to take a position now the position that you that we take you might not like but at the end of the day if you care about your health and if you care about vitamin D3 you probably need to take a little bit deeper dive than just trying to hit on one of these numbers or the other we’re going to start today uh when I first started investigating the science the evidence behind vitamin D3 one of the things that I found was a common um a common thread of deaths associated with having vitamin D3 um at higher serum levels so after looking at it I came up with a basic standard recommendation of 5,000 international units because I never saw significant problems with that in the evidence and then getting a a serum level jesus is going to tell you a story today about one of those patients that I saw as I reviewed the literature that had significant problems at higher doses jesus you want to get started absolutely and let me see if my caption cooperates um we have a really interesting story for you guys today so this is the story of Mr singh mr singh is 65 years old is retired he’s usually an active folk with no other major prominent health issues that you might think he used to have some aches and pains here and there uh they started showing up mostly on the back of his legs nothing unusual and the one thing is that instead of going to the doctor you might know the challenges behind going to the doctor and then getting not necessarily the response that you’re looking for he went there instead of going there he started researching online and and he figured out that uh some of the stuff that is out there on online was suggesting that he was having a problem with maybe some weak bones and osteoporosis and recommended to start uh using some vitamin D right so he started finding some evidence suggesting that vitamin D3 could help with that and he started in including that into his protocol he actually found a way to get not only the pill he went a little bit more extreme because he found out that uh if you take the pill sometimes that doesn’t get absorbed as well and he saw some uh injections that could be an option for him so that sounded good that sounded something that he could do and he got his hands on vitamin D injections uh these injections each and every one of them had 50,000 international units so the the idea was to inject himself with those 50,000 international units um once a week and he was originally supposed to be injecting with him with those things for no more than six weeks so that was six injections but the the thing that happened is that he started to feel so good about it his aches and pains starting to minimize he was feeling better that he decided just to keep on doing it and he kept injecting 50,000 units every week for you guess you guess it you can guess it it wasn’t one month he didn’t kept doing that for two months or three months he actually kept doing that for about one year so 12 months of injecting himself with 50,000 units of vitamin D3 so everything was well and good until he’s starting to notice that he was losing his appetite he started developing develop some nausea and that thing didn’t go away he even tried maybe some antia acids and some other stuff that could help with that really didn’t help actually he started getting worse he started vomiting again and again he started feeling more weak he started to feel exhausted even after having a complete night sleep he was too tired to walk he was too tired to even talk or even think clearly and then things started to get worse so he was not eating properly he was eating he was very tired and and and weak but he started this to get confused to the point where he was starting to forget names to the point where he started to ask multiple questions the same uh to the same person multiple times and of course the family was starting to get worried because this wasn’t Mr sing anymore something was going on so uh what they did was that at this point his family started to intervene and said “Okay there’s something going on here we’re going to go to the ER because this could be a stroke this could be dementia this could be something that we don’t know.” So he went to the ER they started to run some tests uh they tried to get as much of a complete history that they could and they notice a couple of things like one of the major issues they notice is his kidney function his kidney function uh whenever you have a creatinine level of over one that’s something that you may say okay this is this is something that is not going to this something that is not normal his was 5.1 so if you have you have a creatinine creatinine of 5.1 that means hey just your kidneys are shutting down uh and that’s that’s what what was happening the diagnosis was acute kidney injury so on the panel they run we usually on the in the emergency room you usually run a wide panel depending on what you’re suspecting is happening so when there’s somebody who’s dealing with uh issues with memory uh with acute onset of of confusion you want to know if this is metabolic this is neurological and you run studies for a bunch of a bunch of things including um biochemistry labs and in this one they noticed that there was one specific marker that was very elevated and this was calcium his calcium levels was something close to 14.4 4 milligrams per deciliter which is very very high so uh what happens when you have that amount of calcium in your bloodstream uh yes your kidneys might show down uh but also you can get uh heart rhythm issues that can lead to a sudden cardiac arrest so this was very very worrying and when they really find out and after asking multiple times and getting the accurate history they noticed and they realized that Mr thing was injecting himself vitamin D 50,000 units every week so they said well okay let’s measure it and they meas they measured the inactive form 25 hydroxy and the the reason we measured the inactive form is because based on the evidence is the one that has been most closely correlated with the real vitamin D status level not the active form because that gets used is the inactive form that really uh u correlates with whatever issue you might have including positive or negative his level was 20 218 nanogs per deciliter Um we’re going to have discussion about what’s a normal what’s a healthy level versus what isn’t so uh at this point fortunately yeah I’m going to jump in real quick you had a a tech problem so you said we’re basically and look a little bit deeper at the facts around this this case and the facts around this issue yeah go ahead so well no uh I just needed to interrupt to to go ahead i just needed to clarify what you were saying and I think I appreciate that because as I mentioned my connection is not cooperating today so um they noticed that that was what happening so they noticed that the vomiting the fatigue the confusion the acute kidney injury the kidney damage was coming from the vitamin D supplementation um I don’t want you to try to translate this information into say “Oh vitamin D is toxic and nobody should take vitamin D.” We’re just trying to say “Hey if you think that there are no cases vitamin D toxicity they are.” Actually this is not a story that I’m making up this is a case report that we’re putting the link on the description for you to read fortunately after they noticed this was was happening with his kidney function um they they they they he got treatment for it uh he got fluids they stop the vitamin D they treat the high calcium levels and over time that started to to to improve um I think this is a good moment to discuss what happened why vitamin D can be toxic what what happened to Mr zinc that caused him the kidney damage because actually if you know a little bit about vitamin D you will hear that vitamin D elevates calcium and calcium levels cause kidney stones and Mr singh didn’t have any kidney stones and yet he developed kidney kidney injury and I think that’s an interesting point to discuss um Dr brewer want want to throw a question a comment before we go into the geeky part of vitamin D um well I’ll go into a couple of things number one I was uh a little bit more conservative at the time i met a doctor once who was into functional medicine and prevention and he had lost his license over this issue he had recommended a patient uh to take vitamin D3 he didn’t he didn’t tell me exa exactly which dosages he was recommending he did say that the patient took more than uh than he suggested the patient did have kidney failure um and ended up losing function of her kidneys and he uh and died and he lost his license as a result of litigation i’ve also seen two patients that came to me with um blood levels one of them was like uh 115 the other one was like 125 and with both of them they were doing something similar to what the case that you’re describing did and in fact it’s one of the more common ways of seeing what I would have called hypervitaminosis D3 or vitamin D3 toxicity um one of those patients the one at a blood level of 125 had significant kidney damage uh we took her off of the the vitamin D3 um and uh over the next few weeks her kidney function improved so again when you look at the literature you look at my own experience you see a lot of cases where folks are taking these 25,000 50,000 uh international unit uh dosages which were often meant for to be given once a week both of the patients that I saw with these high levels same scenario they were seeing a functional or naturopath or preventive medicine doctor and uh had were taking these high doses they had been prescribed once a week but they were taking them daily so uh again you can see my perspective and you can probably imagine my reaction when I started hearing uh Eric and Dr hollis so I decided to start a few of the things that Eric said about uh Bruce Dr hollis’s background made me go a little bit deeper and want to check and um I will I’ll talk a little bit more about Dr hollis’s comment and his background where where he’s coming from uh when you’re ready but I think you wanted to get to some other stuff first is that right correct and I think uh there are a couple of items that we really need to address i’m starting to see that on the comments because there’s a there are a couple of things where we do agree with Dr berg and and Dr hollis um like is this case something that’s going to happen to most people no that’s the truth it’s it’s rare fortunately it’s rare um is is the juice worth the squeeze to try to put your levels of vitamin D close to 200 to get certain benefits i think that for the average person maybe not uh there are some research especially in Brazil Dr coimbra has a protocol where he uses very high doses vitamin D for multiple uh multiple sclerosis and other autoimmune diseases there’s also some description for cancer and my position is that if you have a situation or a disease that has no cure and you try to use something more extreme like this uh of course you want to do it with the help of with a physician that it’s it’s used to using those doses knowing the risks behind it the other point uh that we uh acknowledge is that not everybody develops uh kidney stones all of that is true the problem is what’s your specific case because to us the big benefit comes when you reach levels between 50 and 90 or maybe 100 and that’s it is is there a higher risk for toxicity if you have maybe 110 maybe 120 maybe not but it also depends on there your specific situation uh there’s things that I have heard uh Dr burke said that we don’t necessarily agree 100% one is uh if you take magnesium enough magnesium vitamin D toxicity will not happen if you take enough vitamin K2 it will not happen and to me that’s partially correct if you look at the metabolism of vitamin D3 vitamin D3 will help you absorb calcium from the gut and it helps move it around between the bones the bloodstream and to different places where it should go magnesium is a co-actor meaning that it helps transform active vitamin D3 into inactive vitamin D3 and it helps minimizes the damage that you can get from high active vitamin D3 so the key word is helps will that I is it true that if you have normal magnesium levels you’re not going to have vitamin D toxicity if you’re taking 50,000 units a day i think that’s a stretch i haven’t seen evidence that is measuring specifically that situation might minimize the risk probably if you’re taking vitamin K2 because vitamin K2 moves calcium from the bloodstream into the bones will that minimize the risk of you developing high calcium level i don’t think that’s going to happen i think it helps again helps but I don’t think that if you’re taking such big doses of vitamin D3 without monitoring your levels you just say “Okay I can take 20,000 international units of vitamin D3 every day and since I’m taking magnesium and vitamin K2 I’m fine i don’t even have to measure my blood levels.” I think that’s the problem if you want to take high doses just make sure your levels are fine that you’re not developing any kind of injury i don’t think I don’t think that’s going to be a problem now the the question is why are you taking those high doses what what’s your goal what’s your health objective for you to decide to take very high doses of vitamin D3 because you might not need that much i think that’s that’s that’s our whole speech for this show isn’t it well yeah you you you let the cat out of the bag too soon maybe I did i apologize Dr brewer that’s okay you do that all the time then you accuse me of doing it well it’s it is okay when I do it it is wrong when you do it let me to talk about Dr hollis and his background yes go ahead go ahead so again if you saw the interview with him and Eric uh Dr bruce Hollis said something like I think he made one comment that he personally takes 50,000 units of vitamin 3 per day i don’t know that he does that every day and how long he’s been doing it um and he also said something like um it’s not necessarily that dangerous so if you’re thinking this guy uh Dr hollis is extreme some crazy uh internet quote expert end quote uh think again take a closer look dr hollis is a real uh expert in vitamin D3 he’s one of the world’s top researchers in D3 m uh metabolism uh career spanning more than four decades in this space he earned a PhD in nutritional biochemistry from the University of G in Canada in 79 completed his BS and MS at Ohio State here in the US he’s a tenure professor at my old alma mada medical university of South Carolina he serves as as the director of the pediatric nutritional sciences uh group what really sets him apart though is the scope of his research he’s developed some of the first FDA approved assays or measurements lab tests to measure for 25 hydroxy vitamin D and 125 dihy dihydroxy vitamin D as well the the major circulating forms of vitamin D3 in the body so again he’s got a lot of background his work didn’t stop in in the lab either he’s run major clinical trials looking at vitamin D supplementation during pregnancy lactation and infancy and his uh recommendations to go up to maybe 4,000 even 6,400 international units per day especially for pregnant women uh showed that they weren’t just tolerated but they were safe and effective uh those recommendations by the way were some of the recommendations that led to my own of 5,000 international units per day uh the his research showed that these higher doses improved both maternal and and infant vitamin D levels so in fact his research has helped push the field towards understanding what levels of vitamin D are actually needed for immune function not just bone health and let me go back and do a quick uh nod to the history about bone health vitamin D was originally discovered as a vitamin that improved ricketetts ricketts is where if you don’t see it in the modern world but you’d have to go back and look at some pictures um people with extreme bow-leggedness um bone deformities uh sickle shins I mean just massive awful dysfunctional debilitating curves in the bones of their legs and it was discovered that uh this vitamin would stop that disease so for the longest time that was what that vitamin was about but more modern research and this started maybe 20 to 30 years ago people started looking at this vitamin and saying uh maybe this is for more than just ricketetts ricketetts and bone health and sure enough evidence has piled up that it has a lot to do with mental health depression anxiety um it’s a major issue in terms of uh metabolic health metabolic disease uh prevention of diabetes uh and so if it’s important there then it is critical to what we know is quote normal aging uh and debilitation heart attacks and strokes even so when you look in our practice internally the the two top uh supplements that we use are nascin for some lipidology and uh carbohydrate metabolic reasons and vitamin D3 and vitamin D3 for the metabolic health reasons that we just discussed so back to Dr hollis His work has appeared in leading journals like the journal of clin clinical endocrinology and metabolism pediatrics big big journal the American journal of clinical nutrition all very big journals very very well uh respected he’s also one of the few researchers with an active investigational new drug license from the FDA for highdose vitamin D studies it means he’s legally authorized to conduct human trials at doses far above the current recommended daily allowances of vitamin D so at the end of the day when he says something bold like vitamin D toxicity is extremely rare or most people are severely underdosed on vitamin D he’s not talking theory he’s talking what he’s seeing in terms of his own research and the other research that’s out there talking from clinical data lab analysis decades of research so now let’s go back and here again I think is one of the issues where I I think we need to step back and how do you put all this together you’ve got international standards committee saying 2,000 international units you’ve got the Dr hollis with this kind of background saying up to 50 you know what’s a mother to do i mean how are we going to figure this out and again I think a lot of the problem is we all want to put things in a sound bite it’s a sound bite kind of social media world but the real world is not so much sound bites it gets a little bit more complicated than that jesus will tell you you know it and you’ve heard him say it he gets so frustrated when he when he or somebody else would ask me a question and it was like well that depends and unfortunately if you want the real the real story sometimes it’s a little bit more complicated than a sound bite so you need context you need lab testing you need proper monitoring all of those are important when you look deeper at the vitamin D story what does it mean that we should take uh conversation more seriously especially when mainstream guidelines still lag behind in the research so uh as Jesus said I think when you look at at what we’re doing what what our what my perspective is on vitamin D3 it’s Yeah I think there’s plenty of evidence that these that higher doses than the 2,000 international units do make sense uh when you go to make one more nod back to the more recent history of vitamin D3 I stopped with the 30 and 40 years ago uh discussions where they started to find that it’s helpful with sleep it’s helpful with metabolism it’s helpful with uh mental health but I didn’t uh go three and four years ago back to CO 19 it was very very interesting that um when COVID hit you started seeing and hearing experts from Harvard from Mayo from other big dispensers of uh standard medicine saying you know what we started looking at vitamin D levels and populations with vitamin D levels in the higher ranges were protected from cytoine storm from death and major disability associated with COVID so again uh there’s a little bit more to the story here than just trying to take one sound bite and running with it and arguing with anybody that decides to take the sound bite at the other extreme so um again I’m going to go back to Jesus’s comment and say so I think that that we’re not looking at either extreme i think what we’re looking at is risks versus benefits i think from my perspective yes there’s clearly risks in the uh 150 to 200 range there’s no question you start looking these up and as Bruce has said I think he’s right it’s given the number of people that are taking vitamin D3 it’s not that common for people to have injuries but let’s go back and look at similar situations you know a whole lot of people smoke cigarettes all their life and don’t have lung cancer and don’t die from it but yet there’s enough to where it’s probably not a good idea to smoke cigarettes um a whole lot of people text and drive and don’t have a wreck but there’s enough people that do have wrecks and die that it’s becoming more and more illegal in more and more states more and more uh governments are saying look this is just too dangerous don’t do it so I go back and I look and that’s where where my own recommendations have come from there’s clearly enough uh evidence to say you probably want it over 40 maybe something closer to between 50 and 90 but once you start getting it over over 100 it may be safe for most people the question is uh again risk versus benefit is it safe for everybody no that’s clear you know even Bruce had said that no that’s you know you got challenges in terms of magnesium and and certain metabolisms um and the other question is what benefit are you getting at that vitamin D3 level between 100 and 200 that was a fantastic essay well thank you i don’t I don’t expect that that’s uncommon coming from you well there’s one thing that people uh sometimes forget and uh you and I don’t agree 100% with anybody not even with each other especially with each other but I do agree when you say it depends even if I hate it because I used to push you into take a stance and that’s the stance it really depends on each and every one individual uh I want to I I I want to go to an to a couple of comments that I’m seeing here on the chat one of them is we haven’t even said said that yet vitamin D3 behaves like a hormone that’s why you see prescriptions of 50,000 units a week which is which is actually for most people is it’s kind of a safe approach if you don’t do it for a year of course because vitamin D3 is going to go into your fat cells it’s going to get stored in there and it’s going to be released as necessary that’s why that’s why it behaves like a hormone it it it it acts in some other places while it’s being stored on the fat cells so that’s one mention um if if it’s is it the same the the vitamin D3 that you get from sunlight that what you get from a vitamin or from uh yeah vitamins basically it’s not necessarily the same because um there are mechanisms established where if you get too much exposure to the sunlight some of that excess vitamin D3 that gets produced on your skin is going to get metabolized and transformed into other inactive compounds as a safety mechanism the body that itself does that that’s why you see people that might live in southern Florida and still have low levels of vitamin D3 uh so it’s not just sun exposure and actually some people challenge that but I don’t know what what’s your perspective on skin cancer do you do you think that UV exposure to sunlight can increase your risk of cancer oh I think I think it can yeah I I think so too there are people that say that you can expose yourself to sun as many times as you want as much time as you want i don’t I don’t think that’s necessarily safe but again it goes back to your own genetics just like you said with the example on the cigarettes exactly where else to go i don’t I think some people can just My father for example used to do that all the time my mother and I and uh some other folks in my family I’ve had over four dozen skin cancers yep and it’s so our and we basically had the same kinds of exposure that my father had and it’s just like it’s very it depends depends on what your genetics are yet again and and and then you you come to the part of the conversation on um so does everybody need vitamin D through supple vitamin D3 supplementation maybe just because it this is on the evidence this is not something somebody said most people have some level of deficiency on vitamin D3 and magnesium both and for the standards vitamin D3 deficiency starts at 30 nanogs or less which is So you you might go to the lab and they will say oh you have 45 40 that’s okay and to us the optimal not normal level optimal level should be at least 50 but we try we never we try not to get over 100 anytime not because 100 is necessarily dangerous it’s just because you’re getting closer to the danger level and it’s not necessarily providing even more benefits well as I said I I saw uh temporary kidney damage in one of those patients at 125 yeah and you can you can reverse that you can reverse that by stopping and we did we she stopped we stopped her um her vitamin D3 her levels started coming down and in a few weeks her kidney function improved too yeah and we didn’t discuss that now that you touch on on kidney disease kidney function we usually say okay so vitamin D3 high calcium kidney damage because of that right because of kidney stones but no it’s not always kidney stones high calcium levels can also cause that the R3 that goes to the kidneys shrinks like this this is this is my broken finger so let me try with this hand see doesn’t look good does like this so the blood flow into the kidney reduces and lower blood flow or or less blood flow into the kidney causes kidney injury which is very pro probably what happened to Mr singh on the case we presented today the other point is you can get uh accumulation of calcium within the the the walls of the kidney vessels as well which leads also to kidney um calcification it’s not necessarily kidney stones but also damages the inner layer of the artery wall and the kidneys causing that issue as well and that’s long term that that doesn’t happen one day to the other that’s what exactly what happened to Mr ing very likely where he was one year away and that’s when he started developing issues and also developing issues on on on on brain function as well because of those high levels of calcium when you have kidney damage as well if your creatinine levels go up you start accumulating another substance called ura and ura can cross the blood brain brain barrier and cause confusion and damage that’s that’s what we call an a type of delirium uh caused by kidney injury you get an accumulation of ura on your brain and you can’t think right ura is what gives the smell to the urine so imagine that it’s like having a portion of urine in your brain if you want to see it that way so that’s terrible like I’d rather just drop dead than than develop severe kidney disease that’s that’s horrible so anything else from you or me on vitamin D3 i’m here spilling my guts out and J like I hope when is he going to stop talking so we can go to the to the next topic can you can you just tell the audience if I’m right or wrong because they will listen to you oh yeah and they’ll listen to you too and you’re right yeah i mean this is a this is a deeper metabolic issue than uh than a lot of people think about they just think well it’s a supplement do I take it and how much do I take i get all that but you know it’s again like we said sometimes reality is a little bit more complicated and as you said yeah you can get squeezing and loss of blood blood supply to the those kidneys that’s one of the the things that can drive some of the kidney damage um you mentioned hormone you know most people call it a hormone it’s technically called a pro hormone from my perspective I don’t even know what a pro hormone is it’s a It acts as a hormone in the body it behaves like a hormone yeah yeah it’s not classified like I mean it’s not like you need a prescription for it if it was be behaved like if if it was labeled like strictly as a hormone you will probably need a prescription for it which is not the case and and just so people understand because we have a short that’s very popular where you say “Hey don’t take vitamin D3 and K2 together and they kind of took it the wrong way and they say “Oh Dr b is against vitamin D3.” We’re not saying that uh we’re just saying most presentation of vitamin D3 and K2 don’t have enough K2 and and that’s the point we’re trying to make as a matter of fact I do take vitamin D every day 5,000 units because my levels were low and and that’s what you’re trying to do just test don’t guess and try to take the right amount uh anyhow uh Gilbert why don’t we go to the Q&A and get ready uh to do that why don’t you try Gilbert do you know instead of the water ball which cost Dr for 30 bucks we had another transition that cost us like basically free we made it for free can you try that Gilbert the R31 it’s a little bit too short isn’t it it is but it’s but it makes the point the They changed the noise the noise used it was crumbling this was more like AMDR where people are blooming their lips on the microphone that’s really weird anyhow we need to get a little bit slicker on how we how we use that but it gets the point across i think that and the waterfall both are great yeah I think it went too fast u we’re going to work on that okay let’s let’s go ahead and answer some questions anyhow bottom line that transition meant we’re getting ready to go into Q&A yeah we might go back to the water bowl probably okay want to read the question woody Woodrs good day have you done a video stating how long it takes to get A1C below five 5.0 on a very low keto diet i’m eating less than 20 carbs per day for the past three months will I see a change you should have already seen a change Woody uh one of the things that slows it down is what kind of size your liver was before you started you know a typical liver is what five pounds a little bit less and somebody with a whole lot of glycogen can have twice that or more in their liver well glycogen is just nothing but a stored sugar uh in the in the muscles it’s one thing it’s not going to get out so much and impact A1C but uh and usually liver glycogen won’t either but it can uh and that’s appears to be the most common reason for that so there are people that it takes months to start getting to the end of glycogen in their liver yeah and and I will add that exercise is tremendously important tremendous big deal i I can give you an example i I you know this story um I was off playing soccer for a while because of an ankle injury and the day I decided to go back to a game I was wearing a CGM and even though I I’m a goalkeeper uh I it’s not like I run too much on the field i do had a lot of quick responses to the ball and all that stuff right so I went to play like at 8:00 a.m in the morning i had I had nothing for breakfast i was fasted for like 12 hours at that point and after looking at my CGM my glucose went up to 180 so some of that might be maybe the movement or whatever but it was a clear spike and my guess is it’s mostly glycogen that you still have stored so there are two points in there to consider even if you’re in a very low uh carb restricted keto diet you can still develop or create more glycogen just because of your own genetics and your own metabolism the body will try to create glucose and will try to have some reserves for glycogen and it will do it from muscle and how you stop that by exercising by building your own muscle so your muscle is used to your protein is used to create muscle and the protein is not used to create glycogen do you agree with that statement Dr brewer oh yeah no question that’s a really really good point if you’re if you’re dropping your dietary carbs and want to lower your A1C at some point you got to get out there and start exercising exactly right all right you also demonstrated that when you did your uh when you overdid your first water fast oh yeah and and and the other point was um I my my my goal right now my journey is I think my diet’s pretty clean right now my my journey is to increase muscle mass i’m working towards that and I can tell you for a fact doc Dr bruno and I spent last week together he works a lot it seems like it doesn’t but he does work a lot and and I think that’s a major a major portion of having that progress um I didn’t say good morning good morning D3 Oliver thank you so much for be for being a member so if you want to be a member we’re going to be answering your questions first just click uh I think YouTube changed it to now it’s like subscribed plus it has a a plus icon in there so you click in there and now you become a a member of the channel that your help goes a long way just so you know um okay dr b can you explain what happens to your blood sugar when you have a hypoglycemic event i did an O GTT then had a sugar crash and had to go to the hospital nobody ever explained what actually happened well um not sure exact jesus I’ll stumble around with this a little bit and maybe you can figure out what the specific question is about and uh some some good stuff to add bottom line is most of us get used to blood sugar levels when we’re young and healthy uh we probably get blood sugar has what we call a dial uh pattern it’s highest for most of us in the afternoon and lowest for most of us between two and 4 in the morning um once one of the things that you’ll start seeing when you start dropping your carbs your glycemic carbs and wearing a CGM is that um your blood sugars at between midnight and 4 in the morning uh do get lower um now I remember I had hypoglycemic events when I first started on my low carb journey i also I also overdid it i did like a Jesus i uh I pushed too hard got overly confident i’d been doing low carb for a few weeks and I thought I was fine i went ahead and added uh metformin and what happened was I went out on a long bike ride up a lot of hills so you know you’re cranking a bike up hills your lower your biggest muscles in your body your calves your thighs your hips are really pushing hard and burning um I got hypoglycemic and um the other time that I got hypogly glycemic or low blood sugar was just waking up one morning um and in both times I did check my blood sugar and it was really in the 60s so uh a couple of things to think about um uh a lot of people don’t have problems in the 60s when you when when you look at me six months later and since then I have had many times when I’d get into the 50s and I felt fine so there’s another thing that goes on here too and that’s the body’s ability to adapt so I I go back to one of my earlier comments when you’re young and maybe a teenager you’re uh in good health managing your uh glucose very well uh quite often I expect you’re getting into your 50s between midnight and 4:00 a.m uh a lot of young uh very healthy people will have morning glucose levels below 90 in in the 80s um again as we start getting older and we get into that Gary Tabs uh uh part of life where he says you know why we get fat in his book Why We Get Fat and What to Do About It and Good Calories Bad Calories we think we’re getting fat because uh we’re eating more and that’s not really what’s going on we’re eating more because we can’t burn our fuels and the reason we can’t burn our fuels is we’re getting resistant to insulin so therefore the the sugar that is that’s in our blood our insulin receptors can’t pull it into our cells where we can burn it so we increase our insulin that’s how we our body overcomes insulin resistance well increased insulin causes a problem with burning fats so uh especially when you start going from this what we call burning hot where you have your body has this is more used to 90 to 150 kind of levels and then you start dropping your carbs and you start getting back down to those lower levels you can start running into some times when you’re feeling like hey man I can’t I can’t burn my car carbs i can’t burn my fats and you have you bunk bonk is a uh is a technical term it’s a sports term it’s a I used to be a a marathon runner and bonking is you just run out of gas so hopefully I’ve given you time Jesus to come back and clean up that was quite an essay you you you were prepared today to really explain yourself and people love that i’ I’ve heard those stories so many times now that I I actually know what you’re going to say next at this point uh but it’s great uh my my perspective was a little bit different though um I wanted to go back to the uh conversations from Dr bakeman um about oral glucose tolerance test behavior on somebody who’s doing low carb diet somebody who’s who’s not eating enough carbohydrates and they say if you’re on a carnivore low carb diet keto keto diet and you go ahead and do the oral glucose tolerance test where you get that fluid and you drink the 75 grams of sugar and then you test your blood sugar and your insulin levels uh you can expect expect your blood sugar levels to go really high and have uh an uh uh and maybe a misdiagnosis or diabetes or pre-diabetes because you’re you’re not producing enough insulin because you’re on a low carb diet if you’re on a low carb diet you don’t produce that much so your body is quote unquote unprepared to manage that amount of glucose that’s kind of my interpretation of what they say maybe I’m wrong i I’ll be happy to be called out on that that’s a common belief but the example of Woody right here he’s on a low carb diet and yet he developed a hypoglycemia low blood sugar levels after the oral glucose tolerance test than that in our perspective what we see happening in there is an overreaction to your insulin so you was talking about you’re right you drink the blood sugar your insulin starts to spike but the response you get from that insulin is just too hard so when the blood sugar is go going up it starts putting it back down like too low at a very low level it’s like you injected yourself with a higher dose of insulin that you needed what happens with typ people with type one diabetes when they’re trying to titrate their doses they’re not sure how much they need you might get that and you can get into what they call an insulin insulin or uh uh I think that’s the what you call it you in the US you call it that way right insulin shock uh yeah you can call it that you know one of the things that you used to hear from doctors and patients 30 40 years ago was reactive hypoglycemia and then a when they started getting rid of the O GTT and docs really began to lose touch with what’s going on with the pancreas and blood sugar levels uh they started saying that’s a wife’s tale no it’s not a wife’s tale if you do a lot of OGTTS you see very clearly uh reactive hypoglycemia is very very common one of the more common things that you see in early uh diabetes or pre-diabetes yeah and just last week we had a a very interesting conversation that how in Dr craft the the the doctor who invented the craft insulin survey and the definition of our glucose tolerance test for many people or glucose tolerance test uh has to do with the insulin response to the glucose you drink and we were conversating about it’s actually Dr brew’s perspective and I share that opinion you need to measure both you need to measure both glucose and insulin so you have a clear perspective so without the numbers it’s hard to really say what happened but in our experience uh low blood sugar levels after the oral glucose tolerance test is usually a reflection still of insulin resistance when you’re having to push too much insulin to the point that it’s over effective if you want to see it call it that way it it it it misses the capacity to really titrate your blood sugars to a normal level uh Joam just had my second from karate care with Ariana Fel Felberg no not it’s not Felman it’s Felberg uh Felman is uh Feldman is uh our friend from cholesterol code Dave uh nice woman if you’re in um is that Connecticut Massachusetts yep well we’re gonna have results next week yeah great she is good very good nice lady and very good at what she does thomas Handicide uh I was taking 5,000 to 7500 I believe is units of vitamin D3 my latest blood test was above the test range shut down supplementation for at least a couple of months um yeah what do you think do you need to stop i mean it depends on the level I guess yeah it’s out of range but how far yeah well that’s what I do i I’ll um I’ll I I’ll get blood levels and then if somebody’s getting over 100 I start uh usually we get uh kidney function as part of our standard testing anyway but especially if somebody comes to us and they’ve got a those blood levels above 100 we start looking to uh to monitor that the patient that had some kidney damage like we said before uh was did the same thing that he did stop the uh the D3 and their kidney function returned yep this is an interesting com interesting question eduardo Pñena Natto or Natto 61 years old extensive plaque on uh Widowmaker soft well clear blood pressure 105 or 62 CDM metformin aspirin would supplementing nattoinus help with plaque how many uh fibbrin units should I be thank you uh I think that’s a great question regarding nattokinness do you have any opinions on nattokinus i know you do i do but I’m I’m stuck on this netto or netto B is Is that like a a reference that’s a That’s a joke yeah using natto that That’s fun it’s funny well you should have said Netto or or not Natto be i don’t know anyway I think I think he he nailed it i take natto i’ve tried eating that actual uh those fermented soybeans it’s very popular in Japan it’s an acquired taste it really tastes bad now a lot of people like that we’ve we’ve talked about it a few times but um yeah it’s I’m not sure what the question is do you take it how many fiber units I can take oh my gosh what is it is it like 1,200 800 to,600 that’s the thing like we are cautious about nattokiness because there’s only one study showing plaque reversal and they use 10,800 fiber units the study had limitations so based on the the the complete uh set of evidence there’s no other study really mentioned in the specific doses usually the presentation comes in 2,500 units caps so if you want to take 1,200 you’re going to have to take a lot i think there’s one that has six 6,000 units per per cap per capsule u do I depend on that mm- That’s the thing and we usually go like maybe 6,000 8,000 uh depending if you’re extremely dependent on NATO to save you from heart attack risk uh that’s a problem yep get vitamin D3 blood work evaluations yes i mean you have you have to do it um if you really want to know of course uh we usually think that 5,000 units is pretty much safe for most people actually uh we haven’t seen problems with that dose but we still uh uh promote testing just to make sure because you never know we have had I think we we saw a patient that had levels about somewhere closer to 150 or something like that and was not supplementing so you still get some of those cases where people can might have like just inherently high levels of vitamin A3 and I have seen a couple that were taking 5,000 international units and were getting up over 90 and we did back them off yep i’ve never seen anybody get into trouble with it though yeah low cholesterol equals low testosterone equals low vitamin D i’m not sure do have you seen a connection on that on those there’s some evidence of a connection yeah okay how strong is it again testosterone is not Testosterone and cholesterol are not the first thing I think about with vitamin D yeah i mean I I agree with low low cholesterol and maybe low testosterone the jump from low testosterone to low um to low vitamin D lotus and development i’m not sure i’ll need to go back to the to the research to see that i’m just going to answer this last question it’s not a member gilbert ask Jesus why or how he lost his weight it’s very obvious is it very obvious um I I just he lost his weight and his hair got curly and he got and some of it started turning white yeah I’m looking more white than you because of the lighting which is so odd you are you’re as white as a ghost in person so uh just real quick what I did I just got I stopped the high being a hypocrite and started doing a real low carb diet lost a bunch of weight then I did a fiveday water fast well three for the water fast and then some sardine fast and and that’s what I did i stopped have I I stopped feeling hungry which has helped a lot because now I control what I eat and how much I eat and now I’m starting to crank up the exercise that’s what I did i I feel I feel great all right so I think that’s the show for today thank you so much okay just one more because this is this this is important did you just say not to take D with vitamin K2 that’s what I’m saying we are the worst communicators possible right yeah we should have known that was going to be confusing so but looking for views that’s what I think here it goes again so we are saying most supplements have like 5,000 units of vitamin D3 and maybe 90 micrograms of vitamin K2 which to us that’s a very low dose for vitamin K2 so you’re taking the combined pill you’re going to have to take some extra K2 what we’re saying is don’t take them combined correct me if I’m wrong our supplement list that you created has a comb combined vitamin D3 and K2 right with the accurate dosages uh I’m trying to remember i don’t I don’t remember right now so uh Gilbert can you put the name of uh uh can you put there the the banner to the supplements we just started launching that and and again if you don’t want to buy from Dr brewer supplement list that’s fine i can just tell you this is something he personally re researched and that’s and it’s why uh we recommend it because he he actually knows and verified the sourcing and everything this is USmade this is not imported from abroad and Dr brewers go ahead and I was just going to say your vitamin D3 supplement is the only one on the market that has the 5,000 units of u vitamin D3 and the 400 micrograms of K2 yep and but if you want to take them separate that’s fine as well we’re just saying if you’re going to take K2 you need at least 400 micrograms and that’s what I’m taking at this point yeah and it’s very safe i mean we haven’t seen any problems with K2 on those dosages so that’s what we’re saying we’re not against supplements as you can see but we also say it multiple times this is not going to cure your problem everything starts with lifestyle and supplements are supplemental all right that’s the show dr brewer want to say hi or goodbye no I think it was a I I enjoyed the show i hope the viewers did we got a lot of viewers today well and I apologize for my uh connection issues you know third world country i thought I had it fixed i did yeah blame the third world country whenever I have tech problems he just laughs and calls me an old man that’s the real reason why why that happens anyhow uh don’t miss our our video from Saturday we’re missing you there guys we’re not having so much luck on that uh put us in the comments what what topics do you want us to cover because that’s going to be important so we can provide the value that you want anyhow see you next week bye bye
