I am currently looking for software that can accurately provide bilingual subtitles. In the meantime, I will post the English translation of the video transcript in the pinned comment to help friends outside the Chinese-speaking world understand the content of the video. Thank you again for your support and for watching. 給需要雙語字幕的朋友：很抱歉，目前正在尋找能夠更精確上雙語字幕的軟體，在那之前我會把影片字幕逐字稿的英文翻譯放在置頂留言，方便中文世界以外的朋友理解影片的內容。再次感謝大家的支持跟收看。 The term "sunshine vitamin" is a magical nickname for vitamin D. When your skin is exposed to ultraviolet rays from the sun, cholesterol (7-DHC) under the skin undergoes a photochemical reaction, transforming into vitamin D3. D3 is then activated in the liver and kidneys in two stages, eventually becoming calcitriol, or active vitamin D. Generally, 20 minutes of sun exposure daily is enough to produce the vitamin D your body needs. However, due to reduced outdoor activity and heavy use of sunscreen in modern times, the vitamin D produced from sunlight is becoming insufficient. Furthermore, vitamin D deficiency is more common in people who are obese or have chronic illnesses. Many chronic conditions can affect vitamin D synthesis and accelerate its depletion. Therefore, in cases of insufficient sun exposure, it is still important to supplement vitamin D through diet or supplements. Vitamin D deficiency has significant health impacts. Low levels of vitamin D in the blood can lead to conditions such as hypertension, cardiovascular disease, autoimmune diseases, and most critically, various cancers. For cancer patients, vitamin D deficiency can lead to disease recurrence and reduced survival time. Thus, it is crucial for cancer patients to get adequate sun exposure and take vitamin D supplements to maintain blood levels of vitamin D above 30 ng/ml over the long term. This approach can improve their chances of fighting cancer. However, there is a problem with vitamin D supplements: the relationship between dosage and blood concentration is not linear. Clinically, we often see patients who take high doses of vitamin D, such as 5000 or even 10,000 IU daily, yet their blood levels remain below half the normal value of 30 ng/ml. So, don’t assume that taking supplements alone is sufficient. If you can't frequently check your vitamin D levels through blood tests, it's important to be aware of key symptoms of vitamin D deficiency. These symptoms are varied and can often be mistaken for other issues. Today, I'll discuss seven symptoms you should not ignore, as they might indicate a vitamin D deficiency and prompt you to seek further evaluation from a doctor. 1. Bone Pain: Vitamin D deficiency-related bone pain commonly occurs in the lower back, hips, and legs. Patients might experience aching in their back and thighs while sleeping, making it difficult to get up. During the day, back pain can make it hard to stand from a chair, and severe cases can make walking difficult. I once had a patient, a slim young woman, who had pain in her sternum, the bone in the center of the chest that connects with the ribs. Her pain extended to the bottom of the sternum, known as the xiphoid process. She often pressed on it, causing redness and swelling in the surrounding skin, and came in worried about a possible tumor. However, the issue was simply her xiphoid process, and her vitamin D level was found to be only 6. Bone pain from vitamin D deficiency has a unique characteristic: pain relief medications often do not help, and it may be mistakenly diagnosed as a spinal issue leading to unnecessary surgery. This pain is primarily due to widespread inflammation caused by vitamin D deficiency, similar to autoimmune diseases like rheumatoid arthritis. To truly control autoimmune diseases, medications targeting the immune system are necessary, rather than just symptom control with anti-inflammatory drugs. 2. Unusual Fractures: Vitamin D is essential for calcium absorption, and a deficiency can lead to osteoporosis, causing fractures from minor accidents that normally shouldn't result in broken bones, known as osteoporotic fractures. These include wrist fractures from a fall, hip fractures, vertebral compression fractures from lifting, or fractures in large bones like the femur or humerus. Osteoporosis is more common in postmenopausal women and the elderly. If you fall outside these high-risk groups but experience such fractures, you should evaluate your vitamin D levels. 3. Persistent Fatigue: Many people with vitamin D deficiency report an unusual and persistent feeling of fatigue that doesn't improve with rest. They often feel they haven't slept well and lack energy throughout the day, impacting their work and daily life. This fatigue can be accompanied by difficulty concentrating and staying alert. One explanation for fatigue due to vitamin D deficiency is its role in stimulating brain cells that produce dopamine and serotonin. Dopamine helps with alertness and focus, while serotonin stabilizes mood, reducing insomnia and anxiety. This might explain why fatigue from vitamin D deficiency often comes with anxiety and insomnia, making it difficult for the body to get adequate rest. Research shows that supplementing vitamin D can significantly improve severe fatigue and sleep problems. However, fatigue can result from many serious conditions, so persistent, abnormal fatigue should be evaluated by a doctor. Vitamin D deficiency is just one possible cause. 4. Sensory Abnormalities: Vitamin D plays a key role in peripheral nerve function, which involves sensing external temperature, pressure, touch, pain, and proprioception. Deficiency can cause disruptions in these senses, such as feeling tingling without external harm, or having a numb sensation despite touching something. If you experience such sensory abnormalities, consider vitamin D deficiency as a possible cause. 5. Muscle Abnormalities: This includes frequent cramps, muscle pain, abnormal tremors, and muscle weakness. Muscle tremors from vitamin D deficiency often occur in the legs, fingers, or eyelids, and can be severe enough to affect social interactions. A key reason for muscle issues due to low vitamin D is that the body struggles to absorb calcium from the intestines, leading to low blood calcium levels (hypocalcemia). This causes nerves to be unstable, a condition known as depolarization. Depolarization leads to increased nerve signals that trigger muscle contractions, causing cramps, pain, and tremors. If you have muscle problems, it's essential to consult a doctor for evaluation, as vitamin D deficiency is just one potential cause among other serious neuromuscular issues. 6. Increased Susceptibility to Infections: Vitamin D is crucial for building our immune system. It helps stimulate and regulate immune cells to fight harmful microorganisms and cancer cells. During the COVID-19 pandemic, studies found that low vitamin D levels before diagnosis were associated with higher risks of severe COVID-19 and complications such as long COVID. If you suddenly find yourself frequently getting infections, such as colds, urinary tract infections, or cold sores, it might indicate low vitamin D levels and warrant further testing. 7. Excessive Sweating: People with vitamin D deficiency may experience severe night sweats, making pillows and sheets soaked. They might also sweat excessively during the day in areas like the forehead and back of the neck, regardless of the weather, exercise, or body temperature. The cause is linked to low blood calcium levels due to vitamin D deficiency. Calcium stabilizes nerves and prevents excessive depolarization, which leads to sweating. If you have excessive sweating, consider vitamin D deficiency as one of the potential causes. Identifying vitamin D deficiency is simple with a blood test. The challenge lies in recognizing the potential for deficiency and acting promptly. Many of the symptoms can improve with vitamin D supplementation. Correcting a vitamin D deficiency early can enhance quality of life and prevent more severe chronic diseases, including cancer. After watching this, keep an eye on these symptoms and consult a doctor if necessary.
I am currently looking for software that can accurately provide bilingual subtitles. In the meantime, I will post the English translation of the video transcript in the pinned comment to help friends outside the Chinese-speaking world understand the content of the video. Thank you again for your support and for watching.
給需要雙語字幕的朋友：很抱歉，目前正在尋找能夠更精確上雙語字幕的軟體，在那之前我會把影片字幕逐字稿的英文翻譯放在置頂留言，方便中文世界以外的朋友理解影片的內容。再次感謝大家的支持跟收看。
The term "sunshine vitamin" is a magical nickname for vitamin D. When your skin is exposed to ultraviolet rays from the sun, cholesterol (7-DHC) under the skin undergoes a photochemical reaction, transforming into vitamin D3. D3 is then activated in the liver and kidneys in two stages, eventually becoming calcitriol, or active vitamin D.
Generally, 20 minutes of sun exposure daily is enough to produce the vitamin D your body needs. However, due to reduced outdoor activity and heavy use of sunscreen in modern times, the vitamin D produced from sunlight is becoming insufficient.
Furthermore, vitamin D deficiency is more common in people who are obese or have chronic illnesses. Many chronic conditions can affect vitamin D synthesis and accelerate its depletion. Therefore, in cases of insufficient sun exposure, it is still important to supplement vitamin D through diet or supplements.
Vitamin D deficiency has significant health impacts. Low levels of vitamin D in the blood can lead to conditions such as hypertension, cardiovascular disease, autoimmune diseases, and most critically, various cancers. For cancer patients, vitamin D deficiency can lead to disease recurrence and reduced survival time.
Thus, it is crucial for cancer patients to get adequate sun exposure and take vitamin D supplements to maintain blood levels of vitamin D above 30 ng/ml over the long term. This approach can improve their chances of fighting cancer.
However, there is a problem with vitamin D supplements: the relationship between dosage and blood concentration is not linear. Clinically, we often see patients who take high doses of vitamin D, such as 5000 or even 10,000 IU daily, yet their blood levels remain below half the normal value of 30 ng/ml.
So, don’t assume that taking supplements alone is sufficient. If you can't frequently check your vitamin D levels through blood tests, it's important to be aware of key symptoms of vitamin D deficiency. These symptoms are varied and can often be mistaken for other issues.
Today, I'll discuss seven symptoms you should not ignore, as they might indicate a vitamin D deficiency and prompt you to seek further evaluation from a doctor.
1. Bone Pain:
Vitamin D deficiency-related bone pain commonly occurs in the lower back, hips, and legs. Patients might experience aching in their back and thighs while sleeping, making it difficult to get up. During the day, back pain can make it hard to stand from a chair, and severe cases can make walking difficult.
I once had a patient, a slim young woman, who had pain in her sternum, the bone in the center of the chest that connects with the ribs. Her pain extended to the bottom of the sternum, known as the xiphoid process. She often pressed on it, causing redness and swelling in the surrounding skin, and came in worried about a possible tumor. However, the issue was simply her xiphoid process, and her vitamin D level was found to be only 6.
Bone pain from vitamin D deficiency has a unique characteristic: pain relief medications often do not help, and it may be mistakenly diagnosed as a spinal issue leading to unnecessary surgery. This pain is primarily due to widespread inflammation caused by vitamin D deficiency, similar to autoimmune diseases like rheumatoid arthritis. To truly control autoimmune diseases, medications targeting the immune system are necessary, rather than just symptom control with anti-inflammatory drugs.
2. Unusual Fractures:
Vitamin D is essential for calcium absorption, and a deficiency can lead to osteoporosis, causing fractures from minor accidents that normally shouldn't result in broken bones, known as osteoporotic fractures. These include wrist fractures from a fall, hip fractures, vertebral compression fractures from lifting, or fractures in large bones like the femur or humerus.
Osteoporosis is more common in postmenopausal women and the elderly. If you fall outside these high-risk groups but experience such fractures, you should evaluate your vitamin D levels.
3. Persistent Fatigue:
Many people with vitamin D deficiency report an unusual and persistent feeling of fatigue that doesn't improve with rest. They often feel they haven't slept well and lack energy throughout the day, impacting their work and daily life. This fatigue can be accompanied by difficulty concentrating and staying alert.
One explanation for fatigue due to vitamin D deficiency is its role in stimulating brain cells that produce dopamine and serotonin. Dopamine helps with alertness and focus, while serotonin stabilizes mood, reducing insomnia and anxiety.
This might explain why fatigue from vitamin D deficiency often comes with anxiety and insomnia, making it difficult for the body to get adequate rest. Research shows that supplementing vitamin D can significantly improve severe fatigue and sleep problems. However, fatigue can result from many serious conditions, so persistent, abnormal fatigue should be evaluated by a doctor. Vitamin D deficiency is just one possible cause.
4. Sensory Abnormalities:
Vitamin D plays a key role in peripheral nerve function, which involves sensing external temperature, pressure, touch, pain, and proprioception. Deficiency can cause disruptions in these senses, such as feeling tingling without external harm, or having a numb sensation despite touching something.
If you experience such sensory abnormalities, consider vitamin D deficiency as a possible cause.
5. Muscle Abnormalities:
This includes frequent cramps, muscle pain, abnormal tremors, and muscle weakness. Muscle tremors from vitamin D deficiency often occur in the legs, fingers, or eyelids, and can be severe enough to affect social interactions.
A key reason for muscle issues due to low vitamin D is that the body struggles to absorb calcium from the intestines, leading to low blood calcium levels (hypocalcemia). This causes nerves to be unstable, a condition known as depolarization. Depolarization leads to increased nerve signals that trigger muscle contractions, causing cramps, pain, and tremors.
If you have muscle problems, it's essential to consult a doctor for evaluation, as vitamin D deficiency is just one potential cause among other serious neuromuscular issues.
6. Increased Susceptibility to Infections:
Vitamin D is crucial for building our immune system. It helps stimulate and regulate immune cells to fight harmful microorganisms and cancer cells. During the COVID-19 pandemic, studies found that low vitamin D levels before diagnosis were associated with higher risks of severe COVID-19 and complications such as long COVID.
If you suddenly find yourself frequently getting infections, such as colds, urinary tract infections, or cold sores, it might indicate low vitamin D levels and warrant further testing.
7. Excessive Sweating:
People with vitamin D deficiency may experience severe night sweats, making pillows and sheets soaked. They might also sweat excessively during the day in areas like the forehead and back of the neck, regardless of the weather, exercise, or body temperature.
The cause is linked to low blood calcium levels due to vitamin D deficiency. Calcium stabilizes nerves and prevents excessive depolarization, which leads to sweating. If you have excessive sweating, consider vitamin D deficiency as one of the potential causes.
Identifying vitamin D deficiency is simple with a blood test. The challenge lies in recognizing the potential for deficiency and acting promptly. Many of the symptoms can improve with vitamin D supplementation. Correcting a vitamin D deficiency early can enhance quality of life and prevent more severe chronic diseases, including cancer. After watching this, keep an eye on these symptoms and consult a doctor if necessary.
太好了，可以同時看到英文版👍👍👍❤❤❤
張醫師太辛苦了
😅）😅8感9
謝謝張醫師!😎😎
大家平安健康，中秋佳節快樂~~🧡🧡
感謝分享，影片簡潔明瞭。不會拖沓，其他影片也很棒，祝福你
謝謝張醫師的解說，也祝張醫師中秋佳節順心、平安！
為了維他命D，身為資深女性的我，曬得像小黑三寶烏漆嘛黑的。寧醜都要健康。
#謝謝-張醫師。台中市-蔡淑美。
谢谢张医师的分享！你所说的维他命D缺乏的症状我都有，甚至得了乳腺癌，听了你的详细解说我才明白我这些症状的原因，感谢您专业知识的分享！
我台灣朋友乳癌（中國稱乳腺癌），在醫生建議下每日服5000IU高單位維他命D3,你可和醫生討論！
@@Hsvyfihohih 一粒50000IU才算高，一粒5000只能算中等。
@@greenjobs2153
有50000的嗎？
張醫師中秋快樂～
希望醫師能儘量答所有問題，使我們獲益良多，長知識！
感恩張醫生慈悲分享
謝謝張醫師分享
🙏🙏🙏
謝謝醫生精彩而細心的解說！
請問醫師建議一般人服D 3的劑量是幾多？服D 3時也同時要服K2嗎？如果要同時服K2的話，要食幾多K 2呢？D3與K 2有一定比例嗎？謝謝解答🙏🏻
D3:範圍很大，缺乏越嚴重的人，每天需要劑量就越高，有時候會超過10,000
K2:每天150到200微克
D3把鈣質從腸道轉移到血液，K2把鈣質從血液轉移到骨頭。兩個一起吃，才可以確保鈣質吸收到骨頭。
@@張適恆醫師 謝謝醫生詳細的回覆🙏🏻
謝謝醫生，之前看到有人講過度補充維他命d保健食品有可能會造成胰臟癌🤯是真的嗎？有時候因為工作關係沒辦法常常曬到太陽，所以會補充維他命d3，感謝醫生😊🙏
科學的養生保健
林慶順教授
舉証公信力最高的美國公共醫學~無效
不會的，請放心
過量會有嚴重副作用，副作用和鈣過量類似。比如器官鈣化等
分析很祥細😄謝謝醫生,長知識了
Thanks for sharing and effort. God bless. Well done Christian brother
谢谢主播的讲解，太棒了
感謝分享
請問醫生建議有免疫疾病的人，一天補充充多少IU的維他命D，以及使用滴劑會不會比較好吸收呢？ 謝謝
通常可以5000單位上下，但確定有缺乏再來補。滴劑跟軟膠囊一樣好，記得跟餐食一起吃就好
醫生你好，我每到夏天總是流非常多的汗，但在冷氣房就沒有這情形，有這症狀是缺乏維生素D？還有到醫院抽血檢查是直接告訴醫生要做維生素D缺乏的檢查？
不一定是缺乏維他命D，所以需要抽血確認喔
感謝醫師
I substitute mushrooms instead of the sunlight.
Will that fly?
🙏
Yes, mushrooms give you D2.
@@張適恆醫師 🙏👍
多谢分享🙏🌹💯
你好~張醫師 中秋節快樂
請問如果維他命D缺乏，該補充多少劑量的維他命 D來補足，我該尋求什麼科別找到解答呢？謝謝
家醫科、一般科醫師都可以處理喔，到底有沒有缺乏需要抽血才能確認
請問張醫師 抽血是不是要請他們檢驗25(OH)維生素D.
沒錯的
謝謝張醫師，感恩。
請問張醫師一個禮拜前我去抽血，鐵蛋謝謝，白Ferritin300.73，GOT，GPT正常，平常没有吃鐵劑，也很想少吃紅肉，這樣的數字會不會太高，還是要注意什麼，麻煩張醫師，謝謝你。
請問醫師，目前我是肺癌持續服用標靶藥物及追蹤中。抽血檢驗D total 是33ng 有吃D3-1000IU 這樣足夠嗎還是要再高一點呢？
超過30就已經很好了，這時候每天的需要量就是400到600左右
@@張適恆醫師 感恩醫師❤️
張醫師我是lynch基因患者，我已經得了七種癌症，請問吃b有效嗎
是哪一種B呢？Lynch syndrome最重要的還是要定時追蹤喔
謝謝張醫師的說明❤
在網路上查詢的資訊總是只知其一 不知其二，透過張醫師的影片會了解得比較透徹，真心感謝醫師的影片，真心受用。
我2年前57歲在全家門口踢到鐵板跌倒，痛到我沒有馬上起來（我跌倒時通常因為太痛不會馬上起來），起來後超級痛，若不是身上沒帶錢，沒金融卡，無法馬上去醫院就醫。第三天看骨科就腳掌骨裂。馬上買鈣來吃。
请问张醫生，感冒期間是否可服用d3k2补充剂？
並沒有太大問題喔
谢谢张醫生
我只有6。易抽筋、骨頭痠痛、失眠...。請問這個看醫生要看什麼科啊？😅
很多科的醫師都有辦法抽血檢驗維他命D喔
請問張醫師，我是脊椎受傷患者長期坐輪椅今年大腿骨折做了骨密檢測是-4，請問我可以補充D3多少劑量？
抽血發現缺乏的話就要開始立刻補充，一般來說每天用的劑量就會比正常人需要量高，從1000到5000都可以
你这种情况得直接吃骨化三醇和双膦酸盐药物（比如福善美）。吃维生素D恐怕见效慢。
骨頭痛，吃止痛藥無用；骨質疏鬆；疲勞；周邊神經異常；肌肉疼痛，抖動因低鈣；免疫力低易感染；多汗。
有人說更年期提早來，醫師叫她買iu?那我42歲去婦產科抽血確定停經 醫師要我吃賀爾蒙。可是我的同學說吃賀爾蒙會致癌，5個月後我就沒去看醫師也沒吃賀爾蒙了。我今年59歲。結果57歲跌倒就腳掌骨裂。
請問醫師：長期補充D3是否會增加失智的風險？
D3不會，但活性維他命D有研究顯示會
張醫師，您好，家母肺腺癌4A每日需補充多少IU的維生素D3才足夠呢？謝謝。
一般來說身體缺乏了，再來補充才有幫助。沒有缺乏維他命D的人一天只需要400到600單位就可以了，想要知道有沒有缺乏需要抽血。
我因為子宮內膜癌開刀拿掉了子宮跟卵巢，荷爾蒙缺乏，更年期到來，主治醫師叫我要去買高劑量的3000-5000iu D3來吃，這樣看起來是有道理的。
請問是哪家醫院呢？謝謝。我42歲停經因為我30歲有巧克力囊腫，在台大開刀，刮壞一個卵巢，另一個受傷。
@@SMIGA2009 怎麼會知道卵巢受傷呢?會痛嗎?醫師跟你講的?我是在台大癌醫做手術的
@@Jaynesstw 開完刀後，醫師告知我的。我在1995年台大開刀。
請問醫生，肝硬化的人，會很缺維他命D嗎
要驗血才知道
日曬使皮膚老化嚴重
想知道乳復納抗荷爾蒙藥，會有哪些副作用，有沒有緩解的作法？
副作用就是停經的一些症狀，是可以處理的，我會另外製作影片來講解。若是副作用嚴重，請一定要跟主治醫師或個管師討論喔。
@@張適恆醫師 好的，非常感謝醫生
我有一些朋友，後來選擇不吃藥，我一直疑惑是不是不吃藥也沒有關係？也有人說最好吃8-10年，真的令人有點搞不清楚？
👍👍👍
是缺乏維他命D導致生病？還是因為生了病去抽血發現D不足？這可大不同~後者因素比較強
我不同意，以最新的醫學證據，維他命D同時是因也是果，所以需要的研究數據還很多，但在當下，還無法把它完全歸為因或果
先抽血檢驗一下吧！
有需要的
再深入研究！
4
想问这位医师有没打武肺疫苗?如果有打在何情况下施打?如果没打是为何不打?😂😂
有
请不要说武肺。
🌈😍😘😆👍💪👏🌈
很訝異張醫師今天沒有順便指導多少是合宜劑量。曾聽聞吃太大劑量反而有害，很困惑⋯⋯
之後會另外製作影片更詳細的講解維他命D正確使用法😁