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In Chris Masterjohn's review of The 4 hour body, he quotes Tim Ferris as saying:

Supplemental vitamin D increases your need for vitamin A, so don't forget the aforementioned cod liver, which includes both.

and agrees.

Does anyone know of evidence for this?

(I've already heard lots of argument on both sides in the other direction, i.e. that vitamin A may interfere with vitamin D.)

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superhumanradio.com/components/com_podcast/media/… The second part of this interview Dr. Cannell talks about the A/D balance. He does not recommend supplementing with preformed A. – none Sep 23 2011 at 20:34

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Aha, I just found this: Is Vitamin D Safe? Still Depends on Vitamins A and K! Testimonials and a Human Study. I should have known he wouldn't leave us up in the air with that. There's a lot there, and I haven't read it all yet, but it seems a good place to start.

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Yeah, it's not an either or relationship. Go too far in either direction and you get issues. – pfw Dec 17 2010 at 12:25
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While I agree completely--1000%--that they are all important and have a complex interactive relationshop, I disagree with his (and the WAPF's) recommendations regarding ratios. But yes, absolutely, we need a source for D, A and K. Not any one to the exclusion of the others. – Katherine Dec 17 2010 at 19:52
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I've been experimenting with A and D intake for about 7 years. My D levels are maintained in the middle of the reference range, per labcorp or ZRT at 65 ng/mL. For me, this requires 6,000 IU D per day. I've experimented with A intakes from 3-4x my D intake per day, down to my current 1/6th. At 20-25,000 IU A per day, I over time developed symptoms of A toxicity, especially excessively dry skin, lips and mucous membranes. Over time, I tracked serum A levels and supplementation, finally settling where I am now, at 1,000 IU preformed (not beta arotene) A intake per day.

In an evolutionary environment, it seems highly unlikely that we could have acheived A intakes of 20,000 IU per day which is what Masterjohn and the WAPF recommend. Nor would we have had access to high vitamin cod liver oil. The liver is just one small part of an animal...one part that would have been shared among (likely) many people and would have been eaten in ratio to the rest of the animal, including the fat, muscle meat, other organs, bone marrow, brains and blood. My perception is that a daily high intake of retinol just wouldn't have been possible.

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Based on the description of how fishermen fermented cod livers back in the 1800's, I could imagine this being done on a smaller scale a much longer time ago (westonaprice.org/cod-liver-oil/…) – The Primalist Dec 17 2010 at 17:35
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That's interesting. I like self-experimentation. I'm not sure about it not being available. The Inuit apparently got a lot of vitamin A from seal liver, and I've read that the liver of some carnivores like Polar Bear has so much as to be deadly if a single person ate it all. – Ambimorph Dec 17 2010 at 17:43
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My statement regarding evolution though, still stands. During the evolution of the human genome, high daily intakes of vitamin A would not likely have been available, but high circulating serum 25(OH)D was likely the norm. – Katherine Dec 17 2010 at 19:45
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Also, one of the significant weaknesses of WAPF is that they favor ethnographic data (and all the weaknesses that entails) over current scientific research. While my take is that both are very important, when there is pretty clear science on something (ie Cannel's gathering data regarding vitamin A), I'll follow the science over one the ethnographic data gathered 100 or so years ago by a couple of people. – Katherine Dec 17 2010 at 19:47
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@Korion... she did say "overtime". You don't know how long she took it compared to how long you have been taking it. – Bill Apr 19 2012 at 20:59
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ambimorph,

Here is some current info from Masterjohn's blog at the WAPF page:

http://www.westonaprice.org/blogs/cmasterjohn/2012/01/22/new-evidence-of-synergy-between-vitamins-a-and-d-protection-against-autoimmune-diseases/

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Rich, thanks for the link. It's quite interesting! – PaleoGran Feb 26 2012 at 17:29
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good question. i'm just now experimenting with different dosages of retinol (supplement made from from cod liver), while keeping my usual intake of D3 (10'000IU/d) steady. result so far: even at a relatively moderate 20'000IU/d, i already get some of the typical side effects like reduction of activity in frontal cortex, lethargy, slight problems with visual and muscular coordination, depressive mood, which all are described in the literature about retinoids. even at 10'000IU those effects are perceptible as well, but just barely. luckily, these effects go away a few hours after taking it. not quite sure how to interpret this. could be, that my A status is already "full" and therefore i'm overdosing even with the otherwise harmless "UL" amount of 10k, or it could be that i am deficient, and those symptoms are just an indicator of "filling up" my retinol stores. i'm now backing down to 5k and see what happens with time :) (of course, one could always do a blood test. not sure how reliable this is for determining vitamin A status tho).

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Just out of curiosity, have you checked your D level per labcorp or ZRT? It would be interesting to see where the D level is... – Katherine Dec 17 2010 at 19:50
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And there is this posting out of the Vitamin D Council regarding Vit A being antagonistic to Vit D.

http://www.vitamindcouncil.org/PDFs/cannell-et-al-vitamin-d-deficiency-epidemic.pdf

The study out of Annals of Otology, Rhinology & Laryngology 117(11):864-870. says that they cannot recommend the use of CLO.

A meta-analysis concluded that vitamin A, when given alone, slightly increased the incidence of respiratory tract infections.46 If vitamin A increases the risk of respiratory infections by antagonizing the action of vitamin D, its high content in modern cod liver oils will mask the benefit of adequate vitamin D nutrition. As the prevalence of vitamin A deficiency in the United States — but not in the Third World — is much lower than the prevalence of subclinical vitamin A toxicity,47 we cannot recommend cod liver oil or even multivitamins with preformed retinol (retinyl palmitate and retinyl acetate) for either adults or children. (We exclude fish body oil from our warning, as it contains no vitamin A — or vitamin D — but is a very important source of omega-3 fatty acids.)
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I don't think WAPF would countinuously defend their position on the Vit A+D benefits of FCLO if there were none... There has to be more to this. – Flavio M. Dec 17 2010 at 14:42
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Have you read the WAPF papers on breastfeeding and supplementation? On more than one occasion, WAPF has shown that they will defend their position even in the face of solid evidence to the contrary – Katherine Dec 17 2010 at 19:49
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Even though I have the highest respect for Sally Fanon, Chris Masterjohn, and the WAPF, Fanon's comment in a Sean Croxton interview threw me for a bit of a spin. She said raw milk consumption has been going on for tens of thousands of years and is not only safe, but for everyone. I could be wrong but I thought the domestication of animals has only occurred for approximately LESS THAN ten thousand years? Maybe it's just my bitter sentiment to my lactose-intolerance that's talking...

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Raw milk consumption is perfectly fine for most humans.......but when they should stop drinking it is the point of contention. Milk is not a forever food. The most compelling argument for continuation of raw milk now is that vitamin K2 has been virtually processed out of our diets by pasturization processes. So you either supplement it or drink Raw milk of fermented french cheeses and maybe consider Natto. – The Quilt Apr 24 2011 at 13:14
Quilt, you agree that raw milk is for children while they're growing but not after they're done (>21)? Raw milk (as well as pasteurized milk) has IGF-1 which spurs bone groth. I believe it is the widespread proliferation of milk which is spurring the growth in stature of Asians, Indians, etc. For long, those in Scandinavia tended to be taller than the southern Europeans, I believe, for that reason. However, the problem is the higher rates of cancer since for these people milk consumption (and high serum IFG-1)continues into adulthood and beyond. – Namby Pamby Sep 19 2011 at 2:27
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How should we ensure we obtain an adequate amount of vitamin D? Direct sunlight is certainly a fantastic source of vitamin D. While you are exposed to sunlight, your whole body easily makes vitamin D. When you are outside in the sun's rays, ensure you apply a decent sunscreen lotion to protect yourself from burns. Get just as much exposure to the sun as possible. Why? The body easily generates vitamin D as we are exposed to sunlight. For people with minimal exposure to the sunshine, whether it's because you eventually get the job done within the house or maybe reside somewhere it doesn't receive a good deal of sunlight, make sure to have healthy foods which have been very good sources of vitamin D. It is usually in most our food items. A lot of our own food items dairy, natural yogurt, cereals, and also some types of bread usually are rich in vitamin D. Additionally, it comes in a natural way in fish, tuna fish, and also chicken eggs.

If you do not receive the right amount of vitamin D because of minimal sun exposure or not ingesting an adequate amount of food products having vitamin D inside them, you could just take a multivitamin pill. Visit this link for more details. Vitamins can be a smart way of obtaining the right amount of vitamins and minerals we might be low in the diet. What are the results unless you receive a sufficient quantity of vitamin D in your daily diet? You can find 3 frequent bone fragments softening condition that may occur simply because of failing to get more than enough vitamin D: Rickets, Osteomalacia, along with Osteoporosis.

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Sunscreen interferes with vitamin D production. I don't think it should be used at all, except in the most uncompromising of situations. – Ambimorph Jul 11 at 16:50

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