VITAL trial result for vitamin D - Advanced Prostate...

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VITAL trial result for vitamin D

Graham49 profile image
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Review

Principal results of the VITamin D and OmegA-3 TriaL (VITAL) and updated meta-analyses of relevant vitamin D trials

Author links open overlay panelJoAnn E.MansonabShari S.BassukaJulie E.Buringabfor the VITAL Research Group1

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doi.org/10.1016/j.jsbmb.201... rights and content

Highlights

In VITAL, vitamin D did not reduce the primary cancer or cardiovascular endpoints.

Vitamin D reduced total cancer mortality in analyses excluding early follow up.

Meta-analyses of trials show a reduction in cancer mortality but not incidence.

More research is needed to identify those most likely to benefit from vitamin D.

Abstract

Whether supplemental vitamin D reduces risk of cancer or cardiovascular disease (CVD) is relatively unexplored in randomized trial settings. The VITamin D and OmegA-3 TriaL (VITAL) was a nationwide, randomized, placebo-controlled, 2 × 2 factorial trial of daily vitamin D3 (2000 IU) and marine omega-3 fatty acids (1 g) in the primary prevention of cancer and CVD among 25,871 U.S. men aged ≥50 and women aged ≥55, including 5106 African Americans. Median treatment duration was 5.3 years. Vitamin D did not significantly reduce the primary endpoint of total invasive cancer incidence (hazard ratio [HR] = 0.96 [95% confidence interval 0.88–1.06]) but showed a promising signal for reduction in total cancer mortality (HR = 0.83 [0.67–1.02]), especially in analyses that accounted for latency by excluding the first year (HR = 0.79 [0.63–0.99]) or first 2 years (HR = 0.75 [0.59–0.96]) of follow-up. Vitamin D did not significantly reduce the co-primary endpoint of major CVD events (HR = 0.97 [0.85–1.12]), other cardiovascular endpoints, or all-cause mortality (HR = 0.99 [0.87–1.12]). Updated meta-analyses that include VITAL and other recent vitamin D trials indicate a significant reduction in cancer mortality but not in cancer incidence or CVD endpoints. Additional research is needed to determine which individuals may be most likely to derive a net benefit from vitamin D supplementation. (VITAL clinicaltrials.gov identifier: NCT01169259)

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LearnAll profile image
LearnAll

Bottomline: Vitamin D does not stop prostate cancer from happening . But, once someone already has prostate cancer, taking Vit D3 2000 I U. plus 1 gram marine omega 3 fatty acids can prolong survival. Got it.

Graham49 profile image
Graham49 in reply to LearnAll

It looks that way, although no particular type of cancer is. Mentioned in the Abstract

in reply to Graham49

My naturalpathic dr told me that even a tan guy and almost everyone is but-d deficient... that’s for every cancer . good post ! Thanks 😊

donits profile image
donits in reply to LearnAll

"Vit D3 2000 I U.........." plus Vit K2 MK7

westof profile image
westof in reply to donits

Yep, I do 5000 I U D3, K , magnesium and calcium.

Currently, I'm on Zytiga, prednisone and Lupron.

Best

Rondief profile image
Rondief in reply to westof

Same here

Vitamin D-3 drops daily ! Yah!

Gearhead profile image
Gearhead

My oncologist told me to take vitamin D because I have a bone met (cervical spine). Isn't that pretty much standard practice for those of us with bone mets?

LearnAll profile image
LearnAll

There was some controversy created about Vit D but most MOs and studies suggest that people with bone mets must keep their Vit D level mid range or upper range of normal value.

Also, dietary source of Calcium is considered better than Calcium tablets.

Normal value for Vit D is from 20 to 40 ng/ml . Ideally we should stay close to mid 30s to high 30s.

Vit D3 increases the frequency of my atrial fibrillation occurences. I was taking 2000 iu per day. I've had to stop taking it. I am on meds for a-fib and take heart healthy supplements CoQ10, L-arginine, L-taurine, and magnesium.

middlejoel profile image
middlejoel in reply to

So happens that I also have A-Fib. How are you able to know that Vit D increases frequencies? I also take arginine and L taurine. I was taking Vit D until a few months ago when Dr. Dorff told me to stop taking them

jal

in reply to middlejoel

My twin brother also deals with a-fib. He alerted me to the vit D3 issue with a-fib. I did further research which seemed to bear that out:

eurekalert.org/pub_releases...

I had been taking vit D3 for several years. My a-fib episodes have been increasing in frequency to more than twice a month. Since I stopped taking D3 I haven't had an episode in more than a month.

Why did your doctor tell you to stop taking vit D?

middlejoel profile image
middlejoel in reply to

She told me but I can't remember why. Memory issues compliments of the medicines that I am taking for my many problems from PCa to A-Fib to a leaky heart valve to Macular Degeneration. Also I trust Dr. Dorff from the City of Hope. As to A-Fib, the only time I am aware of it is when I am at the gym and working out on a treadmill or a recumbent machine. Also every time I am at the doctors office and they check the vitals.

jal

Rondief profile image
Rondief

I have been taking vit D for 10 years because my family doc recommended it. It definitely did not stop the PC, I was diagnosed last spring and had a RP last summer. I have 4 bone Mets, if it slows down the progression, I’m good with that.

Rondief profile image
Rondief

I have been taking vit D for 10 years because my family doc recommended it. It definitely did not stop the PC, I was diagnosed last spring and had a RP last summer. I have 4 bone Mets, if I t slows down the progression, I’m good with that.

SoFlaGtr954 profile image
SoFlaGtr954

I'm told by an integrative physician that Vitamin D levels should be in the 80 - 100 range for anyone with cancer.

This study is helpful yet a bit deceiving. Vitamin D only tackles 3 of 7 factors associated with cancer growth / metastasis. It is meant to be *one* solution of many, not a cure-all. It specifically helps with a) abnormal cell to cell communication, b) angiogenesis, and c) immune system evasion. That is all. And that's quite a bit.

1. Genetic Instability & DNA damage

2. Altered genetic expression

3. Abnormal cell signal transduction

4. Abnormal cell to cell communication -- Vitamin D*

5. Angiogenesis -- Vitamin D*

6. Invasion and metastasis of the cancer

7. Immune system evasion -- Vitamin A and Vitamin D*

To not take Vitamin D is a big mistake in my personal opinion. Most are seriously deficient. Vitamin A and C are also critical for cancer patients. Vitamin C can be taken intravenously in high doses at places like medical spas for example. Vitamin A = carrot juice.

AlanLawrenson profile image
AlanLawrenson

I have permanent AF. That is my heart NEVER beats in rhythm. I have taken about 1000 IU D3 for years. My cardiologist says only take blood thinner to prevent blood clotting. The AF doesn't seriously affect me, although from time to time I wake up feeling flat (low oxygen saturation in the blood). I do have sleep apnea that has an AF component to it. Most of my SA is central SA and only about 20% obstructive SA. I'm 10 -15lbs overweight - too much red wine!

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