Vitamin D Deficiency in India: Why a Sunny Country Is Running Low

Vitamin D Deficiency in India: Why a Sunny Country Is Running Low
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Ananya, 27, opens her report in the office cab. Vitamin D: 14. A red flag sits next to it.

She looks out of the window. Bengaluru sunshine is pouring over the flyover, bright enough to make her squint. "How?" she types to her cousin. "We live in India."

Her cousin replies in seconds with a photo of a 60,000 IU sachet. "Just take this. Everyone does."

Hold that sachet for a moment. We will come back to it.

Vitamin D deficiency in India: the sunny paradox

You are not alone in that surprise. Indian studies have found low vitamin D in 70 to 100% of people across many groups, cities and villages alike. Plenty of sun in the sky does not mean plenty on your skin.

Picture a solar panel on your building's roof. The sun shines every day, but the panel is covered in dust and shaded by the tower next door. The power simply does not reach the house. Your skin is that panel:

  • Shade: home to cab to office to cab to home, all under a roof.
  • Cover: full sleeves, dupattas and sunscreen, for good reasons.
  • Timing: the little sun we get is often early morning or evening, when the useful rays are weakest.
  • Skin tone: darker skin needs more time in the sun to make the same amount of vitamin D.

Vitamin D deficiency symptoms to notice

Low vitamin D is often silent. When it does speak, it sounds like everyday tiredness:

  • Aches: in the legs, lower back or bones.
  • Fatigue: feeling drained even after rest.
  • Weak muscles: stairs feel harder than they should.

These signs can come from many causes, so a vitamin D test is the only way to know.

Best time for sunlight vitamin D in India

The sun is not the problem. The panel just needs to catch it.

Indian research suggests the middle of the day, roughly 11 am to 2 pm, is when your skin makes the most vitamin D. Around 15 to 20 minutes on your arms and face, a few times a week, is a good start. A short lunch walk counts. Just avoid burning.

Vitamin D foods for vegetarians are limited: fortified milk and oils, mushrooms dried in the sun, and egg yolks for those who eat eggs. Food alone rarely fills the gap.

About that 60,000 IU sachet

Remember the sachet from the cousin? A 60,000 IU vitamin D sachet is a real treatment, but a high-dose one. Doctors prescribe it for a set number of weeks based on your test. Taken on your own for too long, vitamin D can build up. This is called vitamin D toxicity, and it can raise calcium in the blood, which may cause nausea, weakness and kidney problems. More is not always better.

For everyday needs, Indian nutrition experts recommend 600 IU of vitamin D a day for most adults.

A sensible vitamin D3 supplement dose

Young in you includes 600 IU of vitamin D3, the recommended daily amount, along with collagen, vitamin C and zinc in one orange-flavoured drink. It is a daily top-up for healthy levels. If your test is very low, your doctor's treatment plan comes first, and the daily dose helps keep levels steady afterwards.

Back to the cab

Ananya did not take the sachet that evening. She booked a doctor's visit, finished the prescribed course, and started a 15-minute lunch walk with her team. Three months later, her report reads 34. She sends her cousin a sun emoji.

Your one step today: step into the midday sun for 15 minutes, arms uncovered, and book a vitamin D test before taking any high-dose sachet.

Young in you

600 IU of vitamin D3, the recommended daily amount, with collagen, vitamin C and zinc in one orange-flavoured drink.

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Written by: Dr. Indraneel
Disclaimer: This article is for general information only and is not a substitute for medical advice. Young in you is a nutraceutical supplement and is not intended to diagnose, treat, cure or prevent any disease. Speak to your doctor before starting any supplement, especially if you have a medical condition or take regular medication. Individual results may vary.
References
1. G R, Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients. 2014;6(2):729-75.
2. Harinarayan CV, Holick MF, Prasad UV, Vani PS, Himabindu G. Vitamin D status and sun exposure in India. Dermatoendocrinol. 2013;5(1):130-41.
3. Marcinowska-Suchowierska E, Kupisz-Urbańska M, Łukaszkiewicz J, Płudowski P, Jones G. Vitamin D toxicity: a clinical perspective. Front Endocrinol (Lausanne). 2018;9:550.
4. ICMR-National Institute of Nutrition. Nutrient requirements for Indians: recommended dietary allowances and estimated average requirements. Hyderabad: ICMR-NIN; 2020.
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