Why no one is aware and how this could prove to be the next big health issue in India
There is a silent epidemic growing in India and yet no one is talking about it. No, I am not talking about the next wave of the Novo Corona Virus, but something much simpler and very hard to detect. Its Vitamin D deficiency.
Let me first begin with an episode that happened in 2014. I visited a new gym with a new trainer. I am no stranger to workouts, and I had been leveraging trainers before in the various gyms that I had visited. But this was different. As my training started the first thing I remember was that there was intense pain in my muscles and joints. Despite pain killers, the pain would not go away. The trainer kept telling me that it was a matter of time and things would improve. She even brought in another trainer, who helped me with some stretching exercises and twisting. But when things got worse I had to consult my family physician. One look at me, he said, well my friend when was the last time you checked your Vitamin D levels? That started a quest for settling my Vitamin D levels which continues to this day.
In a previous article, I talked about some of the challenges of Vitamin D deficiency. Do read that article as well as it will give you some insights into more serious side effects of Vitamin D Deficiency.
Vitamin D Deficiency Symptoms
Vitamin D is known since it is produced by exposure to sunlight light. It is an important element that the human body requires. Deficiency is a critical problem, Vitamin and mineral consumption is critical for a human body to work. In 2010, the venerable Institute of Medicine (IOM) issued a report based on a lengthy examination of data by a group of experts. To sum up, they estimated that a vitamin D level of 20 ng/mL or higher was adequate for good bone health, and subsequently, a level below 20 was considered a vitamin D deficiency.

Below are the charts I have kept for my Vitamin D Levels. As you can see I started with a deficiency around 11 and now have managed to keep myself above the 20 mark for the last 5 years.
Here are my levels in the table below. As you can see, from my experience with the trainer in September 2014 where my levels were at 11.8, I have tried to maintain a higher level. But in June 2017 again my levels fell to 15. Now, this is the problem as constant monitoring would be required to ensure that the levels are consistent.
| Date | Levels(ng/dl) |
| Sep-14 | 11.8 |
| Jun-16 | 36.1 |
| Jun-17 | 15.07 |
| Sep-17 | 89.5 |
| Dec-17 | 48.15 |
| May 18 | 88.9 |
| Aug 18 | 55.9 |
| Nov 2018 | 24.58 |
| Oct 2019 | 37.2 |
Key Symptoms of Vitamin Deficiency
Weakness and Pain: The weakness of bones and muscles is the first sign that there might be a problem. Weak bones are vitamin D features however they generally occur at an early age or older age. Other symptoms include muscle cramps, weakness, and nagging pain, especially after exercise or a walk.
Obesity: individuals who’re obese are more common in showing the signs of a lack of D vitamin. Now, this could be one of the reasons for the obesity epidemic in India.
Feeling Low: Difficult to explain but lack of sunlight is known to cause subclinical depression. This often leads to mood swings, lethargy among others
Other Symptoms: Some other signs are knock-kneed appearance, low blood calcium level, and high blood pressure level, and the reasons, why the vitamin d deficiency occurs, are given below.
Reasons for Deficiency
The numerous reasons why the vitamin d deficiency occurs are given below.
- A sedentary Lifestyle mostly spent indoors
- Less exposure to direct sunlight
- Extensive use of sunblock and sunscreen
- Lack of absorbing of D vitamin.
- Hereditary factors
The given are a number of the readily recognize able signs of vitamin D deficiency symptoms. So what do you do? In my opinion, these should be your next steps.
- Visit a doctor- Please do not self-medicate, please do visit a doctor, and set up a telemedicine consult, this is just to ensure that the symptoms you have are really in line with Vitamin D deficiency.
- Check your Vitamin D Levels regularly from a NABL certified Lab, again many labs have a facility where they can come to your house and collect the sample.
- Plan for at least 30 minutes of outdoor activity daily, especially in the morning- Walks, Jogs, or just stretching in the park is a good idea. Very important this is the best way out of this in the long term.
- Keep a record of your levels- This will help you strike the right balance
- Eat foods rich in Vitamin D- Almonds, Spinach, and Milk are some of the common foods that we find in India.
