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11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

Released Monday, 11th July 2022
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11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

11 July: Tackling obesity | Standards on how to handle sepsis | The right amount of Vitamin D

Monday, 11th July 2022
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0:02

is an abc podcast

0:05

hello

0:05

and welcome to the health report with me

0:07

taking tyler

0:11

today, a man who overdosed

0:13

on vitamin supplements, how

0:16

to identify a life threatening condition

0:18

with really vague symptoms

0:21

and back in two thousand and

0:23

nine australia launched a national preventative

0:25

health strategy with a lofty goal to

0:28

be the healthiest country in the world by

0:30

twenty twenty well none of

0:32

us back then could have imagined the health crisis we'd

0:34

all be dealing with in twenty twenty that

0:36

this strategy focused on three particular

0:39

areas tobacco use alcohol

0:41

use and obesity tobacco

0:44

wait until you well alcohol were

0:46

improving that slowly obesity

0:49

has gone in the other direction according

0:52

to figures released last week by the australian

0:54

institute of health and welfare the

0:56

ninety ninety five about one in five

0:58

as giants with her this now that's just

1:00

under one in three they

1:03

won't actually works when it comes to obesity let's

1:06

ask an expert here sign martin

1:08

from the obesity policy coalition hi

1:10

jane hi taken the

1:12

obesity is often framed as an issue individual

1:15

responsibility that people should simply choose

1:17

to be healthier that will make them lose weight

1:19

is this the

1:20

the patch

1:21

no the causes of weight

1:23

gain a complex and there's a range

1:26

of issues i'm in our society

1:28

with impact on what ways and

1:32

you know awake stigma i'm and blaming

1:34

people is a you know it can exacerbate

1:37

weight gain and lie to physical health consequences

1:39

including people avoiding healthcare

1:41

so it's really important that

1:44

we don't blame individuals

1:46

and that we look to the other reasons in

1:48

our society and our community that

1:50

is shaping what we ate and how much physical

1:52

activity we do

1:53

right

1:55

there be am i the measure as an individual level

1:57

is really fraud it's a blunt instrument

1:59

affairs at a population level

2:01

it's useful as a the health issue because

2:04

there are links at a puppy level between

2:06

high whites and chronic disease like

2:09

diabetes and cancer yeah

2:11

that's right it's really important to understand

2:13

what direction the population wise is

2:16

because this has an impact on on the

2:18

health services that are acquired it

2:20

impacts on the supports that a needed

2:23

for , who are unable to work and and suffer

2:26

from disability as a result of their ways

2:29

ways so we need to be prepared

2:31

and as he say what's been happening

2:33

is our white has been increasing

2:35

across the population so we

2:37

know that this is a big problem and

2:40

we are building hospitals that can

2:42

meet i managed people with a guy who

2:44

are above a healthy weight because that is

2:47

the population we have twelve and we have million

2:49

adults who are unhealthy weight category

2:52

and many of them are suffering from the

2:54

diseases and disability that comes with

2:56

that

2:56

so mentioned at the beginning

2:59

tobacco as a driver of

3:01

then trouble disease or in inverted commas

3:03

and that's really come down from from

3:06

a high and on the to be about equal with

3:08

obesity in terms of drivers of disease

3:10

that's happened because of interventions

3:13

odds interventions like what we've done with said or

3:16

what we should be looking at for

3:18

are they said yes

3:20

and up until now i'm the actions

3:22

that the ussr and government have taken that

3:25

were outline many of them in the preventative

3:27

health society obesity tester

3:30

i haven't been implemented a many of those

3:32

would could tell the commercial interests as

3:34

the ultra prices food industry in

3:36

particular so there's a lot of

3:39

pushback , from these industry

3:42

so that would be their recommendation such

3:44

as protecting tude of from the marketing

3:46

of unhealthy foods we are very

3:48

successfully removed tobacco sponsorship

3:50

tobacco advertising on television on

3:52

there's no actually no tobacco advertising

3:55

allowed in australia we

3:57

also brought in regulations run the

4:00

packaging of tobacco smoke

4:02

free environments and really

4:05

increase the price of tobacco on

4:07

plus provided services were thorough

4:10

pathways and services like the crete line

4:12

as well as some acidic foods to support

4:14

people who people who the quit smoking

4:16

so i really integrated approach

4:19

not just relying on public education

4:21

and and people to do better about

4:23

really pressing nice leyva is that site

4:25

how people behave to support

4:27

them to be healthier and

4:30

the similar sort of things that we could do

4:32

to support people to have healthy diet is taking

4:34

sugary drinks out of hospitals and health

4:36

care services ensuring that

4:38

schools are promoting healthy food

4:41

not doing the chocolate fundraiser i'm

4:43

ensuring contains a full of healthy

4:45

nutritious food for children really

4:48

changing social norms so

4:50

that ultra priciest sugary drinks

4:52

and processed foods aren't

4:54

easy to guess i'm as they are now

4:57

and really pushing healthy fresh

4:59

vegetables fruits and other options

5:02

to

5:02

support and or

5:03

i know that is a of a sick feeling

5:05

between what people eight and white

5:08

that they're at said it's not it's not the only

5:10

thing that drives that if we're talking about obesity

5:12

as this that of end result is

5:15

the focusing just on a prices food

5:17

and sugary drinks the answer i

5:20

think we need to look at the whole system

5:22

i mean at the moment this is sort of a

5:24

really a tipping point in our society

5:27

where we saying the cost of

5:28

fresh fried food we

5:30

really i'm jump to a huge

5:33

extent that we've never you know we haven't seen

5:35

in in recent times and that's a really serious

5:37

issue how to weeds reorientate the

5:39

food system so that you know the

5:41

healthy foods fruits and vegetables

5:43

are cheap the people arm

5:45

and these ultra prices seats aren't

5:48

cheap so you know what they've done in other

5:50

countries is an increase the prices

5:52

of sugary drinks by

5:54

are putting a levy on manufacturers to

5:56

reformulate that has resulted in reformulate

5:58

since and the high sugar

6:00

drinks go up and people stop drinking

6:03

nice strength and then the fun to put towards health

6:05

promotion is since i'm and that's had

6:07

a lot of success in the city three

6:09

countries around the world have done that now i'm

6:12

so you know you could look at those sorts

6:14

of pricing leave his arm

6:16

and then support you know dies on low

6:18

income to purchase com

6:20

seeds healthy foods at a cheaper i

6:23

say there's a couple of recommendations that your group

6:25

has put forward but if i wanted him his sook attacks

6:27

on drink that something it's been in the national

6:29

conversation on an offer few years now

6:31

and they have been talks about industry sort

6:34

of having fallen quick hide is that

6:37

halfway point that is need

6:39

to be regulated i

6:41

think you need to create a level playing field

6:44

and regulate that arm and

6:46

ensure that it happens in a timely way in the uk

6:48

they implemented it within a year and

6:50

over that period drinks manufacturers'

6:53

reformulated their drinks and people

6:55

just announcing that policy people

6:57

start drinking sugary drinks because

7:00

they weren't aware of how much sugar within those

7:02

strength said it was harmful to their health harmful

7:04

to the dental health so it really said

7:06

a quad a strong message across

7:08

, british society and people

7:11

responded before there was even on

7:13

up a disincentive through price

7:15

so it shows how powerful that

7:17

sort of policy implementation

7:21

and even announcements can be

7:24

we talk about obesity is a bit proxy

7:26

for

7:27

the help market is and this is this

7:29

is something that happens that a global level what

7:32

what's the data telling us about

7:34

that and also what works

7:36

when it comes to reducing people's right to

7:38

a population level is there any way that's

7:40

actually doing it well yes

7:43

well yes , are but some

7:46

said obesity is a a

7:48

proxy and make see more vulnerable

7:50

to type two diabetes cardiovascular

7:53

disease thirteen types of cancer

7:56

including com and cancers like breast and

7:58

bowel cancer that it that puts

8:00

a huge strain on your am body

8:03

and and there are at his it's associated

8:05

with outsiders disease or

8:07

mental health issues on

8:09

that's that's something that people aren't necessarily

8:12

aware , so it does have huge impacts

8:15

and our population is i'm got getting

8:17

into these unhelpful unhealthy weight category

8:19

that younger ages so people i'm at

8:21

higher risk and they may develop

8:24

these diseases and live with them for a long

8:26

a long time which has a big impact

8:28

on the arms on our economy

8:31

because people are not able

8:33

to work work be

8:35

productive over there last time if they're suffering

8:37

from undies chronic long chronic conditions

8:41

astray is not aligned a we have one of

8:43

the lowest smoking prevalence is in the world

8:46

but i'm we have one of the highest

8:49

levels of either ways and obesity

8:51

in either ways developed world as

8:54

well so we're not alone

8:56

and the countries that have some really

8:58

looked at introducing comprehensive

9:01

approach is similar to what as radio has

9:03

done into this code control ah

9:05

latin america they have a huge problem

9:07

with type two diabetes and

9:10

an ultra processed foods and drinks a very

9:12

cheap and available so

9:15

they've done things like put a health levy

9:17

on the manufacturers of sugary drinks for

9:19

them to reformulate

9:22

, protected children from the marketing

9:24

of unhealthy foods or stops and suit

9:26

advertising sent seat advertising children

9:28

on television that got rid of the cartoon

9:31

characters on packaging packaging

9:34

were aimed at children so high so

9:36

the cereals that kind of things and

9:38

on puts an interpretive labeling

9:41

politico did labeling on the front of put

9:43

food packaging or or warning labels

9:45

on the front of food packaging

9:47

morning people is the products high in fat salt

9:49

sugar or just an overall and

9:52

energy and having a package of measures

9:54

that we did with tobacco control really

9:58

is and we need a comprehend

9:59

the upright they do have that road map

10:02

we have the national obesity strategies

10:04

and we have the national preventative health strategy

10:06

on which again mira married many of those

10:08

recommendations and made to

10:11

bring a stray yeah i'm up

10:13

to the healthiest country are by twenty

10:15

twenty one giant think so

10:17

much for joining us thanks very

10:19

much the martin is executive

10:22

manager the obesity policy colonies

10:24

you're listening to the health report on our end with

10:26

me taken taylor

10:31

we've all watched those medical shows with a patient

10:33

tens up with vague symptoms and a team

10:36

of doctors frantically trying to figure out

10:38

the source of the problem the for it's too late

10:41

don't tell me you haven't what size like these your

10:43

health report the i know what you like but

10:45

what's it like to be that percent

10:48

well one person who knows very well

10:50

is caitlin also back in

10:52

twenty eighteen when she was twenty three she

10:54

was dubbed mystery girl by the

10:56

medical team trying to save her life

10:59

the her

11:00

it started with a weird read

11:02

on her chest

11:04

why don't we had this random bread ration

11:06

ongoing for a couple of months i'd

11:08

been so she different doctors and

11:11

you know it's just been trying to figure out what it was

11:13

like , lot of young people day i just

11:15

kept working and ignored it it

11:18

it wasn't until i was

11:20

just got a really big like your eight

11:23

and you do when you just so really unwell and you

11:25

want to keep pushing on but i was

11:27

feeling really saw some quite feverish

11:29

went see the ducks i take our medical

11:32

certificate for work of for the

11:34

doctor thought they it was just the for the

11:36

couple more days went by and caitlin started

11:38

to had a feeling like seed beaten had soon

11:41

she was feeling of color says she took a

11:43

nap on evening the white up

11:45

dribbling to find her tongue small

11:48

one on one side to the point where she couldn't

11:50

speak she texted her aunt

11:52

who took her to the local emergency

11:54

department they say o s

11:56

forty five minutes and sylvia not

11:59

for a think it

11:59

if they do

12:01

adrenaline and as every

12:04

and it has

12:04

the opposite effect

12:06

that my blood pressure completely dropped

12:09

breathing lessons i get this

12:11

muffled blue and red rats all over me

12:14

and i just keep passing outfield really

12:16

on while this is when africa

12:18

we don't know what this is that's

12:21

quite a brave decision to them as flight

12:23

my cat that was when they

12:25

called mom has emergency contacts

12:27

and they said we're going to have to send

12:30

her an emergency ambulance but apostles trust

12:32

me in the ambulance hey

12:35

a big a hospital they telling you that there's a

12:37

chance of them i have to cut his throat opens in this

12:39

ambulance okay

12:42

so still medical mystery and

12:44

everything just kept getting worse unless i kept

12:47

curated

12:48

boeing karma case paralyzed

12:50

inspired me

12:51

they figured out what was going on my body

12:54

akira

12:55

they thought it was a to think that sounds

12:57

just a hunch and they did the city's

12:59

gonna send out the inside my jaw

13:02

my wisdom teeth was impacted and

13:04

infected a had no pain no symptoms

13:07

that this wisdom teeth had turned into an infection

13:12

infection had treated caitlin body

13:14

to go into severe sepsis

13:17

and inflammatory overreaction that

13:19

can cause damage to tissues and organs

13:22

caitlin spent nine days in a climber

13:25

as the medical team worked to fight

13:27

the and section

13:28

then it was really

13:29

it's scary but the doctors were amazing the

13:31

pressure from the infection status

13:34

crushed my drug dealer

13:35

the my com was black they were talking about agitating

13:37

and much as your veins as

13:40

get crushed islam

13:41

after any intervention from their doctors

13:44

that was there i really good start

13:46

to turn a corner how many people

13:48

were involved have you ever done the mess on how many people

13:50

were in your care from start

13:52

i went to rely on what

13:55

i've been told that i was told that when i

13:57

got air that twenty people waiting for mean risk

13:59

races

13:59

medical mystery a mystery girl

14:02

mystery girl cold and then knows that a hundred

14:04

trying to figure out what on earth was going on

14:06

dvd like the amount of been opportunities earlier

14:09

in your care that someone could have identified

14:11

it as sepsis that might have made a difference the

14:13

you

14:14

i'm on earth is and i'm

14:16

really grateful that someone didn't escalate

14:18

my can

14:19

but if they had of recognize that it was sepsis

14:21

about very cesspool i probably would

14:23

have been a very different outcome because

14:26

it would have been so much faster

14:30

dot a treatment not have ended

14:32

up you know i retained paralyzed

14:35

so you've come to that explains

14:37

you will this as it's happen obviously terrifying

14:39

and then what's the sort of return to

14:42

your normal as thing the

14:44

i'm really lucky compared to a lot of other people

14:46

here have had success in i

14:48

don't have any amputations or anything

14:51

like that there were talks as and beheading my tongue

14:53

but , did wake up with all of these

14:56

stars and unidos lot of like brain

14:58

fog since in the recovery was a little bit slow

15:00

in that usually sleep wake up from acquiring

15:03

you have no idea what's going on you turn

15:05

is that of peace everything together but

15:08

i was able to recover

15:11

i do have some ongoing thing as well i didn't

15:14

have like a lot sicker than most people just

15:16

being really grateful to be alive and be here

15:19

they sepsis it's , condition

15:22

that claims thousands of the stallion laws

15:24

each year but especially in the early

15:26

stages it's symptoms a super vague

15:29

vague these telling commission on safety and

15:31

quality and health care has created a national

15:33

clinical kissed and it's a sepsis a

15:36

, to the commission's clinical director of the

15:38

carolyn hollick earlier this

15:40

is a last threatening condition and it's a medical

15:42

emergency that many of us

15:44

no too much about and in australia

15:46

more than i didn't have thousand people died

15:48

she was success which is pretty phenomenal

15:51

number and more than they pull it off

15:53

approach on was struck that with no clue what about

15:55

since this is actually the body's

15:58

response to an infection so

15:59

happened after any and sections but

16:02

what happens put your body starts

16:04

to have this function of organs related

16:06

to the infection which can be lost no

16:08

you're not critical reception as can actually

16:10

have ongoing once and problems of

16:12

mobility provided fifty one

16:15

the people who aren't familiar with sets as can you talk us

16:17

what's happening in the body

16:19

they can have enough to any infection

16:21

and what happens is your your immune system starts

16:24

to read x that infection a men

16:26

your immune system can actually have impacts

16:28

on your heart lungs and brain

16:30

and i think sometimes and they think about

16:32

curtains and we talk about long traded

16:34

in some i was talking about similar things

16:37

related to upset

16:39

you mention a scale of the problem and whites needed

16:41

what was the situation before

16:43

this

16:43

new national standard the think

16:45

the good thing about this new national standard

16:48

which is actually pretty remarkable is that

16:50

we've got all the states and territories and mr and

16:52

government to agree on how we should manage

16:54

sepsis so previously different

16:56

conditions different states and territories

16:59

had different standards set by

17:01

bringing everyone together men's which will be on

17:03

the sun page lutz said

17:05

after what has some of the things that have changed

17:07

like what are some of these steps that have been

17:09

implemented heroics hundreds of

17:11

the didn't three parts or it's the

17:13

first three statements are about what

17:15

happens when you think someone might have sepsis

17:18

how do we recognize that how do we diagnose

17:20

it totally trade it said then the next

17:22

statement surround sound of it'll cost of people

17:24

to hospital multidisciplinary kid

17:27

communicating with families and then the last

17:29

one is or the going home in what should happen

17:31

after hospital it's one of the things the

17:34

people who survive sits is a told us about

17:36

is that when they get back out into the community

17:38

even if this be critical young well in intensive

17:41

care that they they play than the rest of

17:43

their families and care providers sadness

17:45

or know what to do or how to manage them

17:48

with this it's

17:49

one of the consumer soda said she didn't

17:51

have any obvious limb amputation

17:53

director thinks she's been in intensive care and

17:55

when she went home she kind of expected to build

17:57

to go straight back to work but she's having

17:59

hoping

18:00

i'm driving and just doing her average

18:03

daily tasks and let's just took

18:05

much longer than six assists recover from

18:07

sepsis

18:07

and she was should know that before sex

18:09

left hospital rights as some of this is geared

18:12

towards can seem as the majority that's geared

18:14

towards the medical system but

18:17

for consumers it's navy more common

18:19

than people realize that is rare

18:21

slots in a level of awareness to innate in the community

18:24

like with strike we have strike i s t

18:26

fast as display of diagnosing that

18:28

was recognizing someone that you're with

18:30

might be having that strike do we need something

18:32

like that to set

18:34

the first statement around intercepts

18:36

this clinical care said it is just could be sepsis

18:39

i think that's think that's good question for both

18:41

clinicians and for consumers to think about

18:44

and it's i present to hospital and say to the

18:46

trash nurse couldn't be sepsis it helps

18:48

to trigger different thinking about

18:50

what the problem as you can imagine

18:52

and children consistently one of the commonest

18:54

reason for children come to the emergency departments

18:57

favorite an infection and try to

18:59

tell a child who has set this amongst

19:01

all the other children if have my the bar with

19:03

mrs can be really difficult so

19:05

we just want people to think about could this be set

19:08

for something that's the most important thing and

19:10

then hopefully the systems are in place to then

19:12

trigger the rest of the system to do the right things

19:15

the addition to being involved in this your

19:18

also an image the position yourself

19:20

what sort of frustration seaside in his

19:22

space in you clinical work

19:23

he gets frustrating i've seen some the emergency

19:26

departments actually designed says

19:28

identification of critically ill people

19:30

but probably frustrating said tyson's who have

19:33

baby lowered acuity problems in my

19:35

do quite a long time but i think

19:37

when people rise quickly as well

19:40

the burleigh you to or cast to pick losses

19:43

i think the challenge to be part is actually the ones

19:45

who remotely the portal on like you're

19:47

probably thinking that a fast also

19:49

the low blood pressure to the hotmail aesthetic

19:51

really go to the resources i should buy all

19:54

the systems to didn't we do very well

19:56

but it's the ones in between my way into our

19:58

could it be sepsis i'm not sure what is

20:00

that another diagnosis the that statistical

20:02

sounds and group i we can on

20:04

a thing for nothing for having systems

20:06

in place already have a going to manage sets

20:09

western that helps to capture some of that

20:11

not so straightforward

20:12

what sort of a difference does it make if he can catch

20:15

someone and diagnose them early

20:17

compared to one there in that more critical

20:19

say

20:19

the catch phrases

20:21

every minute counts but basically the

20:24

longer it takes for us to diagnose sepsis

20:26

and the longer it takes for tyson's pretty soon to

20:28

get antibiotics the worse outcomes

20:30

that i can help and that's what such as time

20:32

critical emergency

20:34

if people take one thing away from these guidelines

20:36

what the hype it is i think

20:37

the takes up too seriously and

20:40

to think about couldn't be sepsis and

20:42

i think the other parties around making

20:44

so that we listen patients and families

20:46

and take they can some seriously and

20:49

tell them

20:49

they kept is a concerned about

20:51

couldn't be set

20:53

carolyn how it is an emergency

20:55

physician and clinical director of the sterling

20:57

commission on safety and quality and health

20:59

care that we talked before

21:01

on this so about the evidence or lack

21:04

thereof in favor of vitamin supplement

21:07

the including that a monday many

21:09

, a told to take a vitamin d supplement

21:11

especially in winter when is less sunshine but

21:14

it's possible to have too much of a good thing

21:16

thing we got my colleague science

21:19

reporter gemma conroy talking about

21:21

a case of something i'd never heard of before

21:23

vitamin d toxicity i

21:26

gemma tell us about this guy

21:29

hi thanks for having me teeth on

21:31

yes i do with this man in the uk

21:33

recently who came to hospital

21:36

former same time real

21:38

on you know his on you

21:41

were almost shutting down and

21:43

blood tests revealed that he

21:45

actually had east vitamin d levels

21:47

with seven times or the limits

21:49

as because he was taking a cocktail

21:52

of twenty different software it's including

21:54

a whopping one hundred and fifty thousand

21:56

international units of vitamin

21:59

d

21:59

he'd been experiencing this thirty

22:02

three months as soon as

22:04

he started taking these really

22:06

high doses of these supplements arm

22:09

he pretty much started experiencing symptoms

22:11

one month then he stopped are

22:13

taking them that is continuing to experience

22:16

these nasty symptoms on

22:18

and it just goes to so you

22:20

can definitely have too much for good thing

22:23

right so why did why was he taking so

22:25

much well when i spoke

22:27

to dr elemental condi he

22:29

said that said main motivation

22:32

for this man he was feeling really low in

22:34

energy and he sought

22:36

out the advice of advice nutritionist who

22:38

advised him to take some

22:40

high doses of different vitamins

22:43

and one of them with vitamin d

22:45

so i think he's sort of thought that perhaps

22:48

the vitamin d can sort of pick him up a little bit he

22:50

had had had history of some pretty severe

22:52

health problems i'm although he wasn't

22:54

sort of suffering from them i thought

22:56

sort of time but yeah he was really

22:58

just looking to sort of you know be a bit more

23:00

active have active bit of extra pepper

23:02

and he set and you feel this was the way to go

23:05

following the advice of advice new there's really

23:08

not he quantum well what's

23:11

the treatment for vitamin d toxicity

23:14

sorry he spent eight days in hospital

23:16

and say that flashy system out

23:19

with intravenous fluids

23:21

and they put him on a midget medication to reduce

23:23

these calcium levels because actually

23:26

that that's what happens with von monday

23:28

toxicity is it makes a calcium

23:30

levels in your blood on go rice

23:32

have which lays the all these symptoms

23:35

arms can leave include things like

23:37

an isis ah the abdominal

23:39

pain on nods

23:42

is a huge range of since the t he'd

23:44

lost so i almost think kilos

23:47

in that short space of time and

23:49

not the menace of be discharged from hospital

23:52

that when he came back to to take in

23:54

two months later he's calcium levels return

23:56

to normal but he vitamin d levels

23:58

of still sky high hi and

24:01

that's because vitamin d is it takes

24:03

a long time sodas and flush out of

24:05

the system it's because it's a fat soluble

24:07

fought a minute stored in you is

24:10

that tissue it it's actually got

24:12

a very slow turnover sorry

24:14

it took a long time to undo the

24:16

damage right so

24:18

you can we talk the it's still a cautionary

24:20

tale says how much vitamin d's

24:23

the right amount

24:23

at for you

24:24

the or human so generally

24:27

in australia the government advises

24:30

government advises

24:30

no

24:31

than two hundred or four hundred

24:33

six hundred international units

24:36

each day that's five to fifteen micrograms

24:39

i'm a if you're severely deficient

24:42

or you've got health problems such as diabetes

24:44

and cardiovascular disease he might be

24:46

you might get a higher dose than that i

24:48

think the faith upper limit is something

24:50

like four thousand international units

24:52

but again you wouldn't take that much unless he had

24:55

a very specific reason for doing so

24:57

or your doctor advised you to and

24:59

the toxic a level is some if he's taking

25:02

forty thousand two hundred thousand

25:04

international units that's when you've

25:06

got a high chance of coming

25:08

down with vitamin d toxicity and

25:11

this man was taking even more than that so

25:13

i most australians are getting enough vitamin d just

25:15

from getting out in the sunshine there's a

25:17

in some certain fades

25:19

any insights on the psychology

25:22

of why people maybe take extra

25:24

high doses things like supplements

25:27

yeah salsa think they're still

25:30

looking at reception that net

25:32

so automatically means safe

25:34

and in our with these sort of natural

25:36

substances he knows recent getting

25:38

these things every day it's easy to sort

25:40

of fall into that trap of thinking oh

25:43

more is this whole arm

25:45

and arm big problem is problem is vitamins

25:47

and supplements aren't regulated like

25:49

you know he the counter medications

25:52

of the scripts and medications

25:54

soil is yeah people to sit easily

25:56

fall into that trap of thinking

25:58

that you know that

25:59

they have to say well being or improves

26:02

their immune system despite of taking

26:04

supply does the vitamins but as this case

26:06

so that it's quite easy for

26:08

overdo it and another thing is

26:10

is that manufactures because they aren't regulated

26:13

manufacturers on obligated to

26:15

warn people about the possible risks

26:18

of have some of these vitamins disciplines and

26:20

how they interact with medications the

26:22

dangers of taking too much and

26:25

that's something that doctor jody most

26:27

she's a pharmacists at the university

26:29

of queensland that something that she said

26:31

has to change

26:33

how will be calling for anything

26:35

with a slice nice to that potential

26:37

it says it will soon as i can

26:38

the choice i know some if

26:41

your face and i phone so it's

26:43

because the game most consistent

26:45

with bargains a specialized cells

26:47

his pocket i felt that the

26:49

jeremy

26:50

try to see the pharmacist at the university queensland

26:52

talkin about people just

26:54

much self dicing it's

26:56

a vitamin

26:57

supplements, not benign, definitely

26:59

have effects, definitely can be

27:01

overdosed on so if people are thinking that i might

27:03

want to supplement what

27:05

what should people be doing beforehand definitely

27:08

, to your g p or other

27:10

health professional before he tried

27:13

and yusuf who disagrees we've already got some

27:15

health issues and you're on prescription

27:17

medications i'm in as

27:19

i mentioned earlier this man sort out

27:21

the advice for nutritionist and other

27:23

a lot of really great nutritionists out there a big

27:25

problem is the fact that

27:28

you know on need treatment possession itself

27:30

is you know it's not regulated

27:32

a the pretty much anyone can call themselves

27:34

and nutritionist they say so it's

27:36

best to subtle eg pay

27:39

or another health professional before taking

27:41

any news ottoman or some point okay

27:44

he and also in the uk ah

27:46

gemma has it made you change your mind about any supplements

27:49

the have been taking kinda definitely have a dot

27:51

vitamin i take vitamin d myself

27:53

in a month now rusted some have a look at like

27:56

what level it was on the bottle

27:58

and to thousand international yeah i'm

28:01

doing okay in fear of aden obviously

28:03

and winter months we didn't listen it it's not

28:05

a bad idea his arms his is

28:07

often bottom and day but i'm definitely

28:09

not that much yeah pull back on that

28:11

same i think so much for joining us something

28:14

gemma conroy is a science reporter in the a

28:16

b c science unit which may taken

28:19

taylor and next week we back again

28:21

with doctor norman slung will

28:23

see you then

28:24

you've been listening to an a b c podcast

28:27

discover more great a b c podcasts

28:29

live radio and exclusives on

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the ab see listen app

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